ALARM PERMITMAY 28 '92 9:23 FROM SUNRISE
TO MIAMI PAGE.001
PERMIT APPLICATION OWNER TO MUNICIPALITIES RETAIN COPY o C COPY) r 1 G
Tax Folio 11 2 / ( _2 ` UJ
0 /
Sf
to ?Arid- Job Address_
al Description, Lot \C1, l� ��\ e xi( r( p
$ p 1 /✓ i'
�y l, I 3 f► /1=y Master Permit lE
mar / Lessee / Tenant .; -3°5--- ?�-� �? /��
�o ° rJL l S1' Phone
mer Address l m�6enG J ( el l coo- Address ------
�ntracting � ,,
`� -
sate Qac000ti Municipal # Competency #
Address
Address
Address
rchitect /Engineer
onding Company
ortgagor
ermit Type(eirele one): BUILDING ELECTRICAL PLUMBING
:ORK DESCRIPTION PUQt -( 0'` ( -* 1
square Ft.
:ARNINC3 TO OWNER: YOU MUST RECORD A NOT PRCEOOF.M NC YOU R ip OPERTY (iF FAILURE INTEND TO O
0 MAY RESULT IN YOUR PAYING TWICE FOR IM
►0 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
4OTICE OF COMMENCEMENT).
FP
lication is hereby made to obtain a permit to work rk and nsta 1 wi11 be sp indicated t ovv a n d
on
the attached addendum (if applicable I certify
standards of all laws regulating construction sIGI`iSisFQOLSs ROOPING and ndersInd that separate
permits are required for ELECTRICAL. PL�7MBING.
:t all work will
OWNER'S AFFIDAVIT: 1 certify that all the foregoing information id' :c to and i rthermore, I
-8
be done in compliance with all applicable laws regulating const c
a ve contractor to do the work stated. 1 • f, / it I1
suthoss
v_ kW9
Signature of owner and /or Condo President
Date:
and/or Con
m n do President
r Comissio AA ''OFRc3 :AL SEAL"
r. ) ilia t° Robert C. Beggs
q c •. •. .J My Commission E p ires 5/54
e* * * '`•4 , * Commi>�lon H 1989D3
Notary as to Ow,
,d
/or
FEES: PERMIT RADON
Zoning
Mechanical
Ins.Co.
MECHANICAL ROOFING PAVING FENCE SIGN
1 nnattan r 1Liu4 pacl
4ct42 Cla�o <
/ =$S
Estimated Cost(value)
Signature of Contractor or Owner
Date:
Notary as t „ t ractor or Owner - Builder
M �� gg 1�� t reB ',OFFICIAL SEAL°
'� Ro hort G. Beggs
My tornm si i n Ex 5/5/96
6 * * * e �� ",,.; o *, C,o&nninsion 1C 188968
C .C.F. J >2�
r NOTARY TOTAL DUE
lore
Building
Plumbing
Other
Bngineerin
*