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403991) PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date t// 74 Job Address //G 0.3 N4 LIR le a Tax Folio 3 v 2.e-3 /- ' 0 0°26 ‘ Legal Description rl I ern ea-bi-/cc irl Historically Designated: Yes No Owner/Lessee / Tenant 2 &H/ S, 7 Master Permit Owner's Address CJ Al Phone Contracting Co. ,.5 cOL' • VIII /At C Address _24 2. a /rf C Qualifier f7i9.Q i2 J/ L '.g/Z % ss# . Phone C—f J - 6 state # 4 G' OOH -/7o/ Municipal # (q? s e tcompetenc # Lf / 777 Ins. Co. Amhitect/Engineer C' S / / 1. Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION e If Square Ft Estimated Cost (value), 4 g 6- oo . I/O3 .79 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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Notary as to Owner and/or Condo President Date otary as to Con ' actor My Commission Expires: My Commission Expires: FEES: PERMIT 3< RADON Signature of owner and/or Condo President Date Signature o ' ontractor or Owner - Builder Date 2 a udder Date F OAL NOTARY SEAL cj. PO 4 CLEO N GREEN COMMISSION NUM1E '...:; * CC50419 eatP. 4F CT. BOND APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering 1 FEB -17 -0321 20 :33 FROM ALOE PHCC TO 7568972 P.01 TO; ALL DADE AREA CHIEF PLUMBING INSPECTORS FROM DADE PHCC 8/5/96 PLEASE POST SO YOUR INSPECTORS MAY PURCHASE TICKETS IF THEY WANT TO ATTEND. 1G) Ac P' HC x (VS"F'AL L_.4 r i czprq C3 I h1 1V 9=FR-- EGrr4TVC,E Nicrr 1c S Ft SVP F Fe PI THE DINNER TO INSTALL THE NEW DADE FHCC OFFICERS AND DIRECTORS AND TO HONOR THOSE WHO HAVE COMPLETED THEIR TERMS WILL BE HELD THE EVENING OF FRIDAY, SEPT_ 20. 1996, AT THE RADISSON HOTEL. PLEASE COMPLETE THE BELOW AND MAIL TO THE DADE PHCC. (7204 SW 46 STREET. MI ANI , FL_ 33155) , SO IT ARRIVES PRIOR TO 9/13/96 . THANK YOU, '417, COST IS ONLY 025_00 PER PERSON. GARBONZO BEAN 8 CHORIZO SOUP CAESAR sALAci FLORIDA SNAPPER ALMADINE WITH RICE OR PRIME RIB OF BEEF WITH STUFFED BAKED POTATO ROLLS a BUTTER COFFEE OR TEA MARBLE CHEESE CAKE riENU (PLEASE PRINT NAME) PLEASE ENTER ,RESERVATIONS FOR THE SEPT. 20TH DADE FHCC INSTALLATION DINNER. WE WANT AND /OR _ OF PRIME RIB_ MY CHECK 111 THE AMOUNT OF )'S F.Nt:1. SERVINGS OF FISH TOTAL P.01 X LbUUINL, c ¥IltUNAL 4 wt Notary as to Own" My Commission E PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date g l (o k q ;, Job Address 11 t) E 2 rr ea Avv Tax Folio Legal Description Owner / Lessee / Tenant &Ally /41.14- ,c e/ Master Permit # Owner's Address Phone Contracting Co. U� 4u rte. 1L)e,1 l `Tb r't i t i n,l G� .Z�G Address 3a .S-4) ' -1 ( r, ,-ll Rarl /, f/ (j Phone `7 /f —J Q2/ Qualifier 8 1/ 1 '©i 0 v eYVYV lu4 State # c 7q () Municipal # Competency # 2- Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION L SU PO4 w 2. Square Ft. Estimated Cost(value 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, PLUMING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is ac be done in compliance with all applicable laws regulating construc authorize the above -named contractor to do the work stat X ( i t , e . 2 .___._ AS g „ , P A. r 4 Signa ur of owner and /or Condo President Date: - ? -ter 6 radatt : et W My CorrWnission CC471164 Expires Jun. 12.1999 Bonded by HAI Zoning Buildin Mechanical Plumbin SS# � 00 tor for .; -,? e cTARY PUBLIC STATE OF • COMMISSION NO. COMM COMMISSION otary as to Contr Commission Expir and that all work will oning. Furthermore, I r- Builder � 4 OF 00 8pp ** * * * * *1566 * * * * * * * * * ** FEES: PERMIT J. m 0 RADON C.C.F. APPROVED: Fire Other NOTARY TOTAL DUE L3L0 Electrical Engineering