Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PAINT
PERMIT APPLICATION FOR MIAMI SHORES VILLA Job Address X /pi/(0 tit/ 73 c T Tax Folio Date Legal Description Historically Designated: Yes Owner /Lessee / TenantX Owner's Address Phone Contracting Co. ( (� l.) A.) e Address r Qualifier State # Municipal # Architect/Engineer Bonding Company Mortgagor �-. Address Permit Type (circle one): WORK DESCRIPTION Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Conunission Expires: FEES: PERMIT RADON APPROVED: Zoning Mechanical Building C.C.F. SS# Competency # Ins. Co. Address Address ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING Ce,./),t-1 -" >< ' 1 4- c-S 2 A WA14-e, o4 Square Ft. Estimated Cost (value)X 4.360 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 pennits 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 la . t ating construction and zoning. Furthermore, I authorize the above -named contractor to do the w.. k ted. gna e o C tractor or Owner- Builder 67 '1 3 / -30 Notaryys to Contract r or Owner - Builder My Commission Expires: OFFitiA i v.sr fL' t A '„T ©OMMt i27. iv RAY CCIAIVI a_OM FIX? �J!. A'1, ') %17 !� NOTARY Electrical Master Permit # 5 0„ Moire ° 30YR 6 4/044 BOND Phone FENCE SIGN r!At ¢- TOTAL DUE 3 Date Plumbing Structural Engineer ate 00 a Miami chopeo Ui liege UILDI G Tie Bean Framing PLUMBING Temporary Toilet Dr Is Po Walls Lhcbanical 1 Slab Septic Tank ELECTRICAL Temporary Service Air Cond. SPECIAL 3idewalks and Clean - Up e>, YcrrEl Spores Slab 116Ej Mims Retigh / Owner Contractor Lot Subdivision • Address NOTICE: All Sub - Contracime ch LICENSES and PERMITS Before tloft Umr['43E No Work on Sunk No Work Before 73© No Night Work. 0S1' Foundation NOTICE TO BUILDER: Priter 1s 1 L urn To Building Roofing Fi01 T OnR end Tub 3er, 264 1 _ rimeTo For Co &cafe rftermar