253 NE 101 St (5)BUILDING
EL'ECTICICAL PERMIT A N° 709
PLkFMBHVG
•
AMOUNT
Owner of Building__
Architect and /or Engineer
NAME
Contractor or Builder
NAME
Proposed Location
BLOCK
This permit is issued to
SUB- DIVISION
LOT
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon any change in, the plans and specifications t4,nanth sized by building inspector.
. 1 = e
RECD. AYMENT ACCT. DEPT.
In consideration of the issuance to me of Obis permit I hereby agree to the proposed constru on in strict conformity ° with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions all build' g laws of the tat of Florida, all the
building ordinances and zoning laws of Miami Shores Village ad all rules and regulations of the 'ldin• . rtment of •res Village.
Dated_ _ , 19_
NAME
ADDRESS
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING �PECTION DEPARTMENT`
t.
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NO.
•
LICENSE NO.
LICENSE NO.
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To '
STREET
(SEAL)
NOTE: .A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
INSPECTOR