2000 DEMOLITION OF ADDITIONPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address l /) NE ?/ S Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant /r v! , Master Permit # 6 /6 4/
Owner's Address Phone 4".3
Address J d? A/6 C l S/ Xi/gm( 540,-05
Contracting Co. D W /V P r
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ,)\ D e, 0/1110A/ S ' l`l�^� /e7 /fit
Cf zild/G✓1, o) (X"1`F1''r`Qr" e.c.%4t as)
Square Ft. Estimated Cost (value) i
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.
OWNERS 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.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date Notary as to Corfu for or
My Commission Expires: My C • . i jes: OFFICIAL NOTARY SEAL.
S MARGARITA MONTIEL
� COMMISSION NUMBER
} jp ;` ¢ CC79727
cO P.9Y CO.WASSION EXPIRES
`�OF FA
!Y. C. 17,1002
•
B OND J� Q
APPROVED: TOTAL DUE - ; da
FEES: PERMIT 6 - RADON
Zoning Building
Mechanical
C.C.F. CO NOTARY
Electrical
‘4
Plumbing Structural Engineer
Memo
9wn2
Frank J. LuBien
JULY 1, 1997
OWNER STIPULATED THAT SHE WILL
REMOVE THE WALLS THAT HAVE BEEN
ERECTED, AND WILL SUBMIT ALTERNATE
PLANS AT A LATER DATE.
NOTE! CONSTRUCTION WAS BEGUN ON THIS
ADDITION WITHOUT PLANS OR PERMIT
MIAMI SHORES VILLAGE
10050 N. E. 2nd Ave.
MIAMI SHORES, FL 33138
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
D a t e , 4 "/ 6 1 7 Job Address /102 / STe E E Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant •
Owner's Address
Contracting Co. 0 W
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ROOD ,A b L (T 1 O ( --
Sgyare Ft. 1
Signature of owner and/or Condo President Date
FEES: PERMIT
Address
Master Permit #
Phone — 7S 7 -Oa '19
Estimated Cost (value) 3,00 . --
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
leis regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
gnOlure of Contractor or Owner - Builder
6 - - /e -*
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date
My Commission Expires: My Commission Expires:
RADON C.C.F. NOTARY BOND
TOTAL DUE
1 1/
Date
APPROVED:
Zoning Biding Electrical
Mechanical Plumbing Engineering
5