1165 NE 97 St (10)MIAIvfl SHORES VILLAGE, FLA.
JOB J. S Cc
ADDRESS
N? 7016
A) - d 7
INSPECTION e <�
TIME READY frn /f- " <
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REMARKS:
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INSPECTOR DATE ��
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
DATE 195_
❑ PERMIT N? 6322 Contractor's
License No.
] Work to be performed under this Permit
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Value of 11 Amount of
Project $ I' Permit $ --
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 appli::ation
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 a t 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 of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility fo: work
done by his agents, servants or employees.
Signed. BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted 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, servant or employee.
BY AUTHORITY