1270 NE 97 St (10)BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
In consideration
pertaining thereto and i
In accepting this permit
1
1 PERMIT N 10418 ,/
This permit is granted to the contractor or builder named above
herefor in strict compliance with all ordinances pertainihrctQ dlnd
drawings, statements or specifications that may have bee
time if the work is not done in compliance with uch ordin
granted is the understanding that the con. to Ider
pertaining to the work covered h by w er s or
done by his agents, servants or e 1
Signed • BY
INSPE CTOR
ance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
trict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
I assume responsibility for allz44. done by either, myself, my agent, servant or employee.
•-.....**4
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE "-
Work to be performed under this Permit
Subdi-
vision
I Amt. of
roject $ Permit
Value of
the building or to install the equipment or device described in the application
derstanding that the work will be performed in compliance with any plans,
by tie proper municipal authorities. This Permit may be revoked at any
re changed without authorization. A further condition upon which this permit is
e assumes the responsibility or a thorough knowledge of the ordinances and regulations
drawings or in the statements cr specifications and that he assumes responsibility for work
BY
5
AUTHORITY
195__
Contractor's
License No
6