OCCUPANCYN° 1100
Approved use by occupancy
Remarks.
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores ,Village, Fla ,
Owner, Agent or Tenant of Building
Lot ✓ , t Block y._ ' Subdivision
Street Address ` . • ./
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This Certificate of Occupancy is issued to the above named
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structure.
BUILDING DIVISION
BUILDING X
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
Owner of
Building
` Y 9,1
Contractor'
or Builder i V "' "
0
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CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA �
Date if . 1 3 1910
PERMIT N° 8624 Contractor's r" c' I s(
License No.
Architect
Legal Lot
Description B1
Address of 1 c
Building ]]
Work to be performed under this Permit
L . i • , ;, 6
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named #bove assumes the responsibility for a thorough knowledge of the ordig ;tines "aad
regulations pertaining to the work covered hereby ether own on the plins or drawings,p_r in the statements or specifications and that he assumes respon-
sibility for work done by his agents, se vary or oyeet:
a
Signed • _ ( £�C OR) BY
In consideration of the issuance to me of this permit I agree to form the work covered hereunder i mpliance with all ordinances and regulation,
pertaining thereto and in strict conformity with the plans, drawings, st etitents or specifications submitted to the p er authorities of Miami Shores Village.
In acceptigg this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
L)
Subdi-
vision
Sq. Ft.
Value of
Project
BY
tall
_., as u 6 44)
•
11 Amount of
II Permit $
AUTHORITY
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