1286 NE 99 St (4)BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑ PERMIT N°
R9pF ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of �+^
Building 1
Lox
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
Subdi-
vision
Sq. Ft.
Value of
Project
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 applica-
tion 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. 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 assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans ` er drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants ore ployees.
Signed i — f `' (INSPECTOR) BY
In consideration of the issuance to me of this permit I aggfee 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.
•
BY
9008
Date
Contractor's
License No.
• °•"..+L..s
e, a A
AUTHORITY
f
II Amount of
II Permit $