107 NE 93 St (5)Date
Square Ft.
Legal Description LOT 1 -` 10 .B Od 22_
Signature
FEES: PERMIT
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
0 7') Job Address 10'1 ��L n l 3 Tax Folio 1 1 3a 0 (0 - 013 — 3000
Municipal #
Permit Type (circle one): BUILDIN / ELECTRICAL
WORK DESCRIPTION del/ ZZ X
Z Soo 5 � .
and/or Condo President
Not as to Owner and/or Condo President Da e
My mmissionExpires:
/ 0 3( 1 7
ate
/0 G 7
JOSE RIVERA
t t, My Comm Exp. 12/28/98
Bo nded By Service Ins
No. CC429939
I r
Know Kamm L D
C.C.F.
Historically Designated: Yes
rn�
Owner/Lessee / Tenant 1 Pi✓�✓► r_ W WCOt.' er'1 Master Permit # q Z 1
Owner's Address U l E 3 s4 • /
�f S 49si P .� —S Address %G 7 /
Contracting Co. .gyp � / !
Qualifier 016‘ /A. .C' .C.G�C' 2
Competency #
Address
Address
Phone C3 0S S — 2 (
State #
Architect/Engineer
Bonding Company
Mortgagor Address
MECHANICAL ROOFING PAVING FENCE SIGN
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, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S �� tL�sAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regula„ nstruction and zoning. Furthermore, I authorize the above -named con : yr to do the work stated.
"4
Signature of Contractor or Owner Builder
My Commission Expires:
ontractor or Owner - Builder
NOTARY
Ins. Co.
No
P4/49 OFFICIAL NOTARY SEAL
� tiY
0 � HUBERTO NUNEZ
l C 0 COMMISSION NUMBER
N CC679543
OF �' MY COM SSION XPI ES
D e
/o-31-- 97
Date
BOND
TOTAL DUE 4:57 6D
APPROVED:
Zoning Building Electrical
Mechanical Plumbing n Engineering
SECTION
SCALE
N.T.S.
DRAWN SY
F. 601/Ai
rtoo
•
ZO .A/11:*
1.
A)e 3S-1--
7 ^2 WACziroA)
X0? 7- 9 357
71/,4.•
)O7
Peoples Gas System, Inc.
SHEET
J.0.
A.= .E.
N
41o,g6
DATo J 2947
1 o = 1
Pg8 : ?!RVdfi/7N a
/ 2" ditS e-
Pitit vt
Colot cA- U)A-1 e K-
40 it ON WCar" tiC A
er
SECTION
SCALE
DWG. BY
P eoples G11s SYST . Inc.
/0 7 /0 3 s , .
DATE
SHEET
J.O.
A.F.E.
of
Penlit e 4 0
Perni15sion is hey?:loy 0
MLJviI 2HCBE3 VILLAGE
iaumbing Permi:
" 4
Miami Shores VilJage, Fla.
tcl install the folloNIng described plumbing, in accordar..ce with the
1,;.ws, statutes 9:1(1 regulations of Miami Shores Vii.:azo. Florida and
the State of Florida, governing plumbing and drainage work done in
Miami Shores Village, Florida.
For a At No.
Lot /4 Block . Subdivision / ,
Fixtures
As shown on attached approved plans
FIXTURES ROUGHED IN i
FIXTURES SET ,
sP
SEWER 6
SEPTIC TANK
TOTAL
tiP
4
, •
c • • , :
Payment received
By ,
Village Plumbing Inspector
This permit issued subect to appro of County Plumbing Inspector
•
Permit 4 9 1
Pormission
Fixtures
27.C!$ VILLACT
"1?lumblnE, Permi:
Miami Shore,s'Village, Fla.__
herobir 0
, 4 ,
,
r)
install the folIcwing described plumbing, in accord41.ce wf.th the
laws, statutes j regulations of Miami - Slriorallap Florida and
the State of Floriea, governing plumbing and drainaork,done in
lEamiShorsv4411e Florida.
47'1 No.
For a At -,-
Lot Block Subdivisi o e'
of
irVf
As shown on attached approved plans
FIXTURES ROUGHED IN -7---$
/
FIXTURES SET ,•
v
,
3 e 1
/
slovEli $ Paymen received
— 14-Pefi----
d ■
;b:PTIC TANK ,,,
By
TOTAL ci4
Village Plumbing Inspe3tor
'2 permit issued sub:iect to appre of ..3o1.1.nty Plumbing Inspector