40481PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 10/2/96 Job Address 1130,0 N.E. 2nd Ave. Tax Folio 1121360000040
Legal Description Replace Damaged Irrigation and Detail, Furnish, install irrigation.
Owner / Lessee / Tenant Barry University
Owner's Address 11300 NE 2nd Avenue, Miami Shores, FL 33161 Phone
Contracting Co. Jaffer Associates, Ltd. Address 2801 NW 6th Avenue,Miami,FL
33127
Qualifier Eugene C. Friedlander SO Phone (305) 576 -8363
State # Municipal # Competency #93P000188 Ins.Co. Poe & Brown
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL L IN MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Replace Damaged Irrigation.
install any and all irrigation. ,2 2
Square Ft. Estimated Cost(value $8,366.00
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 con tru and zoning. Furthermore, I
authorize the above -named contractor to do the work stat
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
Zoning Buildin
Mechanical Plumbi
Master Permit # 1 /0/8/
Detail, furnish, deliver, and
Signs
Date'
actor or Owner- Builder
-Notary =s -`to Contractor or Owner- Builder
My CommiSsion E0;
*
0
** * * * * * * * * * * * l �f OF FO" * * **
FEES: PERMIT s RADON C.C.F. NOTARY TOTAL DUE ;J V
APPROVED: Fire Other
Engineering
CARLA JAEN
My Commission CC463705
Expires May. 14, 1999
Electrical