FENCEBUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE.
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot t f �� s
CONTRACTOR OR BUILDER
PERMIT N? 5941
B].
A
Work to be performed under this Permit
FLORIDA
DATF 195
Contractor's
License No.
Subdi-
vision
Value of
Project $
BY:
INSPECTOR
Amount of
Permit $ x '
�-,
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 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 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 above assumes the responsibility for a thorough knowledge oj-the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specificgtions,and that e assumes. responsibility for work
done by his agents, servants or employees. ,/ ,/
i
Signed /
In consideration of the issuance to me of this permit I agree to perform the work covered he • nder In compliance with all ordinances an regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications subm ed to the proper authorities of Miami Shores Village. In ac•
cepting this permit I assume responsibility for all work done by either, myself, my agent, serva /or employee.
BY AUTHORITY
Type Insp'n
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 2 - Time
Permit No. 4P ,21)6.2- ,,.7 J
Name pi?
Address � A/6 93 rS
Compan • /jam
Phone # C3i) S9 9— 73 ,23
For Inspector:
Approved
Correction
Re- Insp'n Fee
Name & Date
a.: 4445v-pa., 1 - e
Type Insp'n
Permit No.
Name
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 3 °'8 ' ®Z Time
t 100 )144,4P) 9- z
7fet, A A_
Address y 802. e r
Company 1 ei4f'y r /
Phone # -3 s --7 6"6 " GSJ�v 3
Approved
Correction
Re- Insp'n Fee
For Inspector: 3 - B 2 Name & Date
)/ t22-J2-""