501 NE 101 St (2)BUILDING ❑
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
r-$uilder
Description
Address of
Building
Lot
CONTRACTOR OR
MIAMI SHORES VILLAGE. FLORIDA
DATE,:195
n PERMIT N? 11811
n Work to be performed under this Permit
1 �r
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 compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance' with any plates,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked x at a "ny
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 permiil is
granted is the understanding that the contractor or builder named above as umes the responsibility for a thorough knowledge of the ordinance and regulat�}pns
pertaining to the work covered hereby whether shown on the plans or draw ngs or in the statements or specifications and that he assumes respoxlsib'_ity for - ; rk
done by his agents, servants 'or employees.
1 .
Signed
A
Subdi-
vision
Value of
Project $
BY
1 s
Contractor's
License No
.7► t iw` I
• l L r • r
Amt. of
Permit $
•AI '72.
BY
INSPECTOR
In consideration -of - the issuance -to me of this permit 'I agree 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.