EL-05-22-1282, 304 NE 93rd StMiami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: PL O�+ 22H�2 DATE: O�; j2-':171120zz-
Q(
contractor
❑ Owner
❑ Architect
(Name
Picked up 2 sets of plans and (other)
Address: 3O4 0k Q?,,qd .4.
From the building department on this date in order to have corrections
done to plans and/or get County stamps. I understand that the plans need
to be brought back to Miami Shores Village Building Department to
continue permitting process.
Signature:
(SIG,WATURE)
PERMIT CLERK INITIAL:
t _
RESUBMITTED DATE:
PERMIT CLERK INITIAL: