843 NE 96 St (11)*JILDING ❑
rt.ECTRICAL
PLUMBING ❑
ROOFING
Owner of
Building
Architect
Contractor
or Builder ► _
Legal Lot
Description.
Address of
Building '. ". ',,, '.C.
❑ PERMIT N? 15855
❑ Work to be performed under this Permit
MIAMI SHORES VILLAGE, FLORIDA
Signed•
Subdi-
vision
Value of
Project $
DATE
Contractor's
License No.
Amt. of
Permit $
195
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. Thif 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 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.
BY ` ,/
In consideration of the issu ce to e of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and 'ct formi • with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this (,etmit ' misuse re • ; . 1 rk dope by either, myself, my agent, servant or employee.