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BP2002-393Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 2/25 /2002 Page 1 of 1 Applicant: REAL. PROPERTY Owner: Contractor MODERN DISPLAY Address: 15337 W DIXIE HWY Local Phone: (305)947 -5876 Cellular: Parcel # 1132060134210 CJ _ Job Address: 9723 NE 2 AVE Fees: Description Amount FEE2002 -1127 Building Permit Application Fe$60.00 FEE2002 -1128 CCF $0.60 Total Fees: $60.60 Permit Status: Approved Permit Expiration: 8/24/2002 Work: ONE SIGN IN GLASS WINDOW & DOOR LETTERED If there is no permit pack fee is $50.00, which must b: This Permit is granted to the contr ordinances pertaining thereto and wi and approved by the proper municip authorization. A further condition up: ordinances and regulations pertainin by his agents, servants or employee: JDM INC D B A MODERN DISPLAY 15337 W DIXIE HWY MIAMI, FL 33162 (305)947 -5876 Pay to the order of Signed: 6C Prudential Bank In consideration of the issuance to with the plans, drawings, statements myself, my agent, servants or emplo: Signed: PAYABLE THROUGH BANK ONE. COLUMBUS. NA COLUMBUS, OHIO 43271 Building Permit Permit Number: BP2002 -393 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 10 & 11 BLK 31 LOT SIZE 95.000 Construction Value: . : . 1 ; i tom' ■nl, $235.00 1 CHECK ONE BOX For "00 LO L Lll' 1:044000804 4 L 7 L000 L 359501t' Total Fees: $60.60 Total Receipts: $0.00 Date • Prudential BUS/NESSDOCE®Account 1 01 1 .1Z � Cr) Iow 25-80/440 I $ •, Dollars 8 Dens m PERMIT APPLICATION FOR MIAMI SHORES VILLAGE c Date / — 6 1) — a Address � O i\f 9 / g 5T Tax Folio //` , " 0/ – � / 2 Legal Description Historically Designated: Yes No Owner/Lessee / Tenan 1 • / / / �0 , i Master Permit # Owner's Address I/414 V95:-/ —/O6 11 eaf 3 / x Phone(35) 73 /' /9.5 O Contractin Co. Pap 14 Po-44 Pi+ M iL640 Address / 1 4).■ 0/x f I j, .L, Phone 3 Or- / 7 - 7/0 Qualifier qq� State # Municipal # Competency # c - Q/ 3 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE/SIGN WORK DESCRIPTION OAi Square Ft. Cp WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all w construction and zoning. Furthermore, I authorize the above -named contractor t Sir ^ : ture of owner any No : as to Own My Co ssion E FEES: PERMIT Zoning Mechanical President /– / /Date(' . Signature of Co ;g +n:tvt'i My r.c§ Exp 4/23/2002 No. CC 728225 .c , .±ty Mn i I ► Other 1.0 RADON 6) 6 L4S5 ki/Np6) 4 PUG,A d C.C.F. APPROVE/ Building Plumbing Structural Engineer Estimated Cost (value) 1 :2Z 35700 11 be don compliance with all applicable laws regulating ted. tracto • r • B ; o :. as to Co :: ctor or Own My Commission Expires: NOTARY Electrical 3°`1`L OFFICIAL NOTARY Sat STANLEY I PACH3TER NOTARY PUBLIC STATE OF FLORIDA COM M BSION NO. CC748560 )47 SMISIDNIDCRIUNE V,2002 BOND / b TOTAL DUE/ Q 1) h 0 6,2 Date / -o, 75' X 100" GLENDA ISAIAS FINE ART STUDIO 12.? X 70.38" BRAE BORDER ALL LETTERING OFF -WHITE (OYSTER) 135" X 62" 3.25" X 524r 26" X 60" 210 OPEN MORON thru FRIDAY t0opm to 5O0pm SA711RDAY BY APPOUTMENT diY 305- 757 -5578 4 4 9" 225" X 7.67' rxw r X 12.75" r 6.75" rX16 t.5" x 14.62"