999 NE 99 St (6)BUJLDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Leggy Lot
Description
Address of - Value of f" Amt. of
Building te r '/ r ` Project $ II 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 application
herefor in strict comp 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 statementyor specifications and that he assumes responsibility for work
done by his agents, servants or employees. $ f
Signed: r BY
INSPECTOR r:
In consideration of the issuance to me of this permit I agree tc $etform 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 acgapting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
r
•
CONr OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE ! / 195
PERMIT N° 9175
W ,prk to be performed under this Permit
''/ II Bl.
l
•
Subdi-
vision
Contractor's
License No
BY AUTHORITY