934 NE 96 St (3)r4 MIAMI SHORES VILLAGE, FLA. N9 6425
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ADDRESS
INSPECTION W/" 1_ ' �-
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TIME READY P ! Z - ? v
REMARKS
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INSPECTOR DATE
;UILDING
:LECTRICAL
'LUMBING
GOOFING
,rchitect
- ontractor
r Builder t'
.egal
)escription
address of
uilding
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
o PERMIT N° 4510
honer of
:adding k
Work
B1
Signed.
In consideration of the issuance to me of this permit I agree to perform
ertaining thereto and in strict conformity with the plans, drawings, statements or
piing; is permit I assume res nsibitit; for a work done by ther, myself,
I
to be performed under this Permit
Subdi-
vision
Value of
Project $
DATE ` 195
Contractor's
License No. 1
u
Amount of
Permit $
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me 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
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
enabling to the work covered hereby whether shown on the plans or drawings R Cr in the statements or specifications and that he assumes responsibility for work
f
one by his agents, servants or employees. .
/ BY
INSPECTOR
the work covered hereuafder in compliance with all ordinances and regulations
specifications submitted to the proper authorities of Miami Shores Village. In ac-
rvant or