BUILDING PERMIT4
P ..
1.
SHANCO
CONSTRUCTION
COMPANY
RICHARD SHAN
PRESIDENT
20141 NE 21ST AvENUE
MIAMI, FLORIDA 33179
EMAIL: USASHANCO@AOLCOM
TEL (305) 931 -7794
FAx: (305) 931 -7944
PAGER: (305) 999 -8820
Llc. #CBCO58735
FEES: PERMIT
No : as to Owner
M Commission Exp
APPROVED:
Zoning
Mechanical
or
Contracting Co. diumvughlr , 51/m(3 t 4
Qualifier R/( Hr-720 s 7-J
WORK DESCRIPTION
,:11/
State # cP b 7 3
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one):
f y 4r,) ibit4-1
r �145 /lieu/
Square Ft.
Signature I f evrner and/or Condo President Date
' : r
siocl
etgdatICOTARY SEALte
s: GLADYS J VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EXP. MAR. 1,2002
n ` /
BUILDIN
RADON
w //a
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date q/1 Job Address ///6 /26 / 5Y Tax Folio
Legal Description Historically Designated: Yes ,� No /�
Z Z P /
Owner/Lessee / Tenant / j9�vcG Master Permit # �l 7 7d
Owner's Address 'et, i E 9 -5 / ,.;� /gfl7/ S, / D/ °S Phone c.5 / ,? —030
Address 02 O / `E/ ,/tom 7(J r 44/-45'
SS# Phone 301 779Y
Municipal # Competency # Ins. Co.
_ Address
Address
Address
ELECTRICAL PLUMBING, MEC CAL RQOFI PAVING FENCE SIGN
i'er�ev•ni Wa( //2 vl�v�s H / O$inf /n �/ thecL ev/i -c
/ /Z V & ?4'r ,, /;1 /1/l - re,/‘‘,(
o c.. 4l
Estimated Cost (value 000
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
constru tiou.an i zoning. Furthermore, I authorize the above -named contractor to do the work stated.
My Commission Expire
C.C.F. 3 s NOTARY BOND
Electrical
Structural Engineer /A/O'
MO
No .: as to ontractor Owner - : t� ate
NOTARY IT , SPATE OF FLORIDA
COMMISSION NO. CC714U13
COMMISSION F_XP. MAR. 1 002
1 0/4. 6 ,
, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Ab Job Address I I 1(9 - NE. 9a ST.
Legal Description 11
(0wne/ Lessee / Tenant
Owner's Address too( — N, E . `92 sr 1 1Am l 5hoea 33138 Phone I B -(o453
Contracting Co. 49G!4t/f.. °!—
Qualifier
State It
APPROVED:
Notar
My 'r ission Exp'_ es:
Zoning
(Y1 i c_r a c'_\ fx Z v e .v
SS# - -
Municipal # - Compete
44/
or Condo President
chat CEEEML INS. !!...1
Fire
Building
Address
Architect /Engineer
Bonding Company
Mortgagor
Permit Type(circle one):
WORK DESCRIPTION 17A101' EXTOL a_ F l-�rxaSE"
Square Ft. Estimated Cost(value)
Date:
Tax Folio // ( 5,2.45° v? 7 ® "42 t/ 6
Master Permit
e_
Phone
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
� (3Qao .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 construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Signature of owner and /or Condo President Signature of Contractor or Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
* * * * * * * * * * * **
FEES: PERMIT ,1 RADON C.C.F. 1 D 0 NOTARY TOTAL DUE J,
Other
Electrical
Mechanical Plumbing Engineering