803 NE 99 St (12)BUILDING p MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
PLUMBING ❑ PERMIT . N? 8825
ROOFING ❑
Owner of
Building ts1r ;r
Architect
Contractor
or Builder f�^. - _:4..
Legal Lat / 1 1
Description R ''* / ii Bl it° '
Address of
Building s P° I
CONTRACTOR or BUILDER
Work to be performed under this Permit
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 or drawings or—in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or. gmployee
a h
s/
Signed °` "r��+t. 'o _
f� SPFCIOR) BY
In consideration of the issuance to me of this ermit I agree to
p g pef rm the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto d in strict confor wit t Tans, drawings, statCm is or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this p I assumresp flit' for all work done by,ei r, myself, my agent, servant or employee.
Mt <I A c
Date (0» i't
Contractor's
License No. b a
r/c /. , ?r
Subdi-
v i s i o n /f - f i A I • o c le—A- r , S":
Sq Ft
Value of —«- 1 1 Amount of
Project $ /,C II Permit $
BY AUTHORITY
19 t± i