217 NE 98 St (6)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE 19 -I-
.
PERMIT
Architect
Contractor
or Builder
Legal Lot
Description Bl
Address of Value of H Amount of
Building Project $ I 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 tat he assumes respon-
sibility for work done by his agents, servants or employees. T
/ h
Signed 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, s:gtements or specifications submitted to the proper authorities of Miami Shores Village. In ao
cepting this permit I assume responsibility for e11'rvork done by either, myself, my agent, servant or employee.
• t ,
CONTRACTOR OR BUILDER
1
N° 5134
BY
Contractor's
License No.
Work to be performed under this Permits R '
Subdi-
vision
AUTHORITY
A• 110T
MIAMI SHORES VILLAGE
BUILDING DEPARTME
305- 795 -2204
B ilding Inspection Reque
DatS' P Time
Type Insp'n
Permit N
N
Address DJ ()(\. r .
Company Q'j
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
o