1275 NE 93 St (8);UILDING
=LECTRICAL
'LUMBING
WOOFING
`
Dwner of
wilding
_; ontractor
Dr Builder
Legal
Description
Lot
MIAMI
SHORES VILLAGE. FLORIDA
❑ PEOMIT N° 6109
E
'architect
CONTRACTOR OR BUILDER
. I
Work to be performed under this Permit
Bl.
4),
DATE 195
Subdi-
vision
Address of �� : ' .' , fib Value of II Amount of
Building e' I. ° = Project $ o �� Permit $ '�
1
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that lie assumes responsibility for work
done by his agents, servants or employees. �' �-*%,.
Signed ? o ° 77 v ^
Contractor's
License No.
INSPECTOR
In consideration of the issuance to me of tlliis permit I agree to perform the work covered her Under in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the 'plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
9 Job Address 0.7-f tiE 9 4 Tax Folio 7/ J 02 7 € //p __
Legal Description /O, L / , /9 '4'1 L (J E PAD Y /(03
/ Lessee / Tenant ; t SatHAZ /f /UU
Oer's Address /0 /V�
wn 93
Contracting Co.
Qualifier
State # Municipal
Architect /Engineer
Bonding Company
Mortgagor
Permit Type(circle one)
WORK DESCRIPTION
Square Ft. ;$OC)
rN�'1iU1 Address
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.
Si ature of owner and /or Condo President
NOTARY PUBLIC ST OF rlORIOA kjittO
Notary -a to Owner and/ Y COMMISSION EXPI 1 NOTARY BRO @
ondo President I
• 7f �4 Z Notary as to Contractor or Owner- Builder
=
My Commi, Expires: My Commission Expires:
Date:
** *
APPROVED:
Zoning
FEES: PERMIT .J 7579 RADON
Mechanical
Master Permit it JcZv �C5
Phone 9 766
SS# - - Phone
Competency # Ins.Co.
Address
Address
Address
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
* * * * * * * * * * * **
C.C.F. '5 NOTARY TOTAL DUE N i a e
Fire
Building
Jr
Estimated Cost(value) 3 �� ^
Signature of Contractor or Owner- Builder
Date:
Other
/ 4I 1V Electrical
Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7 / / Job Address / v? �� E 673 <tM i Tax Folio
Legal Description Historically Designated: Yes No t•
Owner/Lessee / Tenant 4 723JM) 4 km E/ 2 //N E / A k Master Permit #
Owner's Address d7 PE
Contracting Co. r�
Qualifier
State #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one):
WORK DESCRIPTION
Square Ft. l Ul-r(i
APPROVED:
Zoning
Mechanical
95 4
(-}
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT RADON
Plumbing
C.C.F.
SS#
Competency #
Address
Address
Address
Address
Building 74 Electrical
BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
/ &1 - te
Phone 7 — 7.1z/ 9 7�f
Phone
Ins. Co.
Estimated Cost (value) 4/6Q4
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 OF 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 ido 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.
ignature of Contractor or Owner- Builder
NOTARY
Notary as to Contractok 6r Owner- Builder Date
My Commission
OFFICIAL NOTARY SEAL
0 N Ul1BEi
va } ?lP Q CC797277
OF F�O4, MY cO JSS ON ES
17,2002
Structural Engineer
BOND
— o
TOTAL DUE