290 NE 93 St (10)MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
DATE r ,nr
ELECTRICAL ❑ PERMIT o
PLUMBING ❑ 8220
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of J ,
Building
CONTRACTOR OR BUILDER
Bl.
Work to be performed under this Permit_
Signed:
Subdi-
vision
Sq. Ft
Value of
Project $ •
INSPECTOR
Contractor's
License No.
Amt. of
Permit $
BY AUTHORITY
This permit is granted to the contractor or builder named above to constr ict the building or to install the equipment or device described in the application
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 appn)ved 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 ar changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings n- in the statements or specifjations and that he assumes responsibility for work
done by his agents, servants or employees.
BY
In consideration of the issuance to me of this permit I agree to perform ':he work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements o.- specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
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