36656Bonding Company N/A
Mortgagor N/A
WORK DESCRIPTION
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 8/08t/94 Job Address 11300 N, E. 2nd Avenue Tax Folio 1 1 = 2136- 000 -0050
Legal Description Sege attached
Owner / Lessee / Tenant Barry University Master Permit # L�- '
Owner's Address 11300 N.E. 2nd Avenue, Miami Shores, FL Phone (305) 899 -3052
Contracting Co. G. CREWS & ASSQC I ATES Address 16407 N.W. 8th Avenue, Miami
Qualifier Gan/ D. Crews ss# Phone (305) 621 -0929
State #CGCO24761 Municipal # Competency # Ins.Co. Travelers
5310 N.W. 33rd Ave, #218
Architect /Engineer A,C.A.I, Associates, Inc. Address Ft. Lauderdale, FL
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Square Ft. 672 Estimated Cost(value) $4,000.00
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• and zoning. Furthermore, 1
a t L'ize the above -named contractor to do the work stated.
owner and /or Condo President
ry as to Owner and /or Condo President
My Commission Expires:
1 4 OHERYI SAIDAGERSER
— CC37
** * * ** _; * � Maf. 08, 1990
Bonded by HAI
FEES: PERMIT Tit m RA) 1 C.C.F.
Zoning
Demo1itinri of existing dugouts and build new as shown
(Replacement)
hoar Waal
Mechanical
Notary as to Con actor or Owner-Builder
My Commission Expir
Address N/A
Address N/A
OFFICIAL NOTARY SEAL
DOROTHY LEVINE _
NOTARY PUBLIC STATE OF FLORIDA=
* * * * COMMISSION N(* CC19479/1*
MY COMMISSION EXP. APR. 20,1996
NOTARY TOTAL D
Other
Fire
Buildin
Plumbing_ Engineering
or Owner- Builder
0
Electrical
7Wi'V