ALARMBUILDING ❑
ELECTRICAL
PLUMBING ❑
ROOFING ❑
INIAMI SNORES YILIAGEy FLVRIDA�� 9-
PERMIT hs <a77*1 ,,- �tamooAs3
Work to be performed under this Permit�,�%
- - Owner of
Building
Architect - • __ � -� ,::: ,�,- -
Contractor ' ..
or Builder
Legal t, ,� Lof3 f Subdi �&/ ell
Descrlpbon - 1. -
Sq.Ft, iev
Address of -- Value of j Amount of
Building ��,� /� �,/ y a�/li project $ i ' 6E' � � Permit
w
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 whe n on the plans or howdrawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or _ , -� � C,
Signe �! (INSPECTOR) BY
Ice consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation's
-w~ _ pertaining thereto and is strict conform with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permitass o ibilsty for all work done by either, myself, my agent, servant or employee.
956SA260 12/30/96TOTL 35.60
relf
` CONTRALTO or BIIELDER BY AUTHORITY
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date L',, S 4 Job Address ��U A41 ./ 0 Tax Polio
Legal Descri
Owner / Lessee /
Master Permit # r�
Owners Address Phone
Contracting/Co�. Address 3%� —/y t) /-� ,�
Qualifier /i(/i/�lG/fi /7�1�7 SS4L40V--Ak--_4W Phone
State ;' Er'o����73 Municipal # Competency 44 Ins.Go.
Architect
Bonding Company,
Permit Type(circle one):
WORK DESCRIPTI
Addres
Addres
CAL -PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Square Ft. Estimated Cost(value) �J /
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.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating constructi a d zoning. /Ffurthermore, I
athyyize ,'e ove amgd contractor to do the work stated. ��� ' O
of
Notary as for
My Commission
- Condo President Signature of
ZJ
FFICIAL SEAL Date:
UL10 ROBLES
nmmission Expires
- Coxldu RrW&H�dent Notary as
Comm. No. CC 205953 My Commis .
'J° 1vi "
WnUS 4s0t gviBailder
June 4, 1996
m. No. CC 205953
?S: PERMIT---3--� _ RADON C.C.F. `" NOTARY TOTAL DUE 3S,J
)VED: Fire Other
Building Electrical?
Plumbing Enginee
PERMIT APPLICATIOJN FOR MIAMI SHORES VILLAGE
3 9� U 1 A4 D I D
Date Job Address !''6�_ ���®,__._- Tax FoJ io_ wM_7 T
Legal Description _ R ^' E WA L
Owner / Lessee / Tenants D /Dli� _ Master Permit It
Owner's Address /649 � Phone
Contracting Co. IZ114 6 Address 3 �r ls-z �� _
Qualifier e:;/'/4'f J /`;.& SSlfa_-AS -_ Phone
�
State #4Ei C,00� Muni3
cipal it Competency It Ins.Co.
Architect/Engineer Addres
Bonding Company Addres
Addres
Permit Type(circle one): BUILDING LECTRIC L PLUMBING MECHANICAL ROOFING PAVING FENCE SIG
It �% q
WORK DESCRIPTION ee[.v�3/
� � J Q
Square Ft. U Estimated Cost(value)/ f/ '�
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO D
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEN
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, at:
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wi)
be done in compliance with all applicable laws regulating construction and zoning. Furthermore,
authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Signa
Date: I Date:
Notary as to Owner and/or Condo President
My Commission Expires:
lder
Notary ashqwrc
�$f�i der
My Commissi pTyppahn
FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE
APPROVED
Zoning
Electri
Mechanical Plumbing Enginee