1165 NE 97 St (5)BUILDING ❑
ELECTRICAL ❑ PERMIT o
PLUMBING ❑ a 8449
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
P.
Lot
❑ License No
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 !flans,
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 assuraes 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 for work:
done by his agents, servants or employees.
Signed: r - 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE,
Bl.
FLORIDA
DATR
Contractor's
Work to be performed under this Permit,
Subdi-
vision
Sq. Ft
Value of
Project $
Amt. of
Permit $
BY AUTHORITY
195 -