530 NE 96 St (5)iodu.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 SFP 3 o 2005
Building Inspection Request
Date CI 1 za
Type Insp'n + ► leYA 1 51d
Permit No. 5P0-4 C
Name Me9e
Address (�
Company C \k,�
Phone #
Inspection Date
Approved
Correction ❑
Re-Insp'n Fee ❑