2002 SIGNSquare Ft. 6,
APPROVED:
Zoning L2I
Mechanical
Notary : to Owner and/or C
My Co ssion Expire
FEES: PERMIT 6
(42
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /f I I — O.)-Job Address ,, / /t c • 9rr$y. Tax Folio //-3 9a16
Legal Description
•� (l/( /� Ve 001,1-1÷ Historically Designated: Yes No
/ Owner/Lessee / Tenant ow / et / [ Master Permit # p '„:1D D. - 393
Owner's Address `7 /g V WJ - /106 & / 336/7- / Phone (365) 75 7 -/9 3 d •
•
Contracting Co. / v r D IP v r) S I' ' f Address /S 337 k) ,. D /)u /9 L7', / L . (h, 0
Qualifier f/ 4 V ) 0
State # Municipal # Ins. Co.
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN '
WORK DESCRIPTION OW l / ) 6t-4`5S ®W oL 906
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 perfomied 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.
OWNER'S AFr1UAVIT: I certify that all the foregoing information is accurate and that al
construction and zoning. Furth ore, I authorize the above -named co r to do
- 7
ture of owner
NOTARY
w PUBLIC
MERCEDES WAILER
My Comm Exp 4/29/2002
No. CC 728225
44 -Personalty Known 1 1 Otlw ID
/Y
e of tractor r • rer -B
RADON
ident Date
R ewf. - „JAI /a,
Building
Signs
N
C.C.F. / 6 0 NOTARY
2lrk will be
stated.
or or
My Commis on Expires:
Phone 305 9Y2 3ZA)
Competency # c1c2. 9 3
Address
Address
Estimated Cost (value) 'cg 35", co
e in compliance with all applicable laws regulating
`— (( -• 68,
Date
/-i /- vL
E4AL NOTARY SEAL ria'
STANLEY I PACHTER
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC748560
MY COM.B,INE 27,2002
BOND �]
TOTAL DUE
e
Plumbing Structural Engineer
76" X 100"
TRANSWORLD
GENERAL SUPPLIERS J
12.75" X 70.25
DUNE N13O11DE9
ALL LETTERING
OFF -WHITE (OYSTER)
8.8" X 19"
9.68" X 4175•
3.88" X 69"
26" X 80"
214
DELIVERY HOURS
MONDAY thru FRIDAY
9:OOam to 1:0Opm
305- 757 -3458
4 " X8.75
175" X18"
1" X 16.62"
T' X 15"
t75" 5 16 ar
TRANSW
GENERAL S
HGT /6
Sroi2 hoNr: /.21-0"