402 NE 93 St (4)PERMIT APPLICATION FOR 1V :IAMI SHORES VILLAGE
Date q/10/ 9 Job Address I/ C 2 ! g ? 3 '5Z. Ts x Folio 11 3 2. 0 6 0/ 5 0 2 2,d
((( Q � /,�� Se e �� P/3/0-3 7y
Legal Description & t / Lk E o I ►yt t 'a ki . Histori Designated! Yes No _ 7
Owner/Lessee / Tenant WA / a •) ff . 4 Lob Z, A 4. 6 e rd e. Master Permit # 3/ 5 q
Owner's Address 1 10 2 N /9- 73 5 Phone 76/- 22_01,
Contracting Co. N/ iCk" Address
Qualifier SS# Phone
State # Municipal # Coripetency # Ins. Co.
Architect/Engineer
Bonding Company
Mortgagor C.lL Ac dress f ,' 0 , 5(p f
5 o
Permit Type (circle one): BUILDING ELECT CAL PLUMBING MECHANICAL ROOFING PAVING FENCe SIGN
WORK DESCRIPTION
Square Ft. a,,,„,k .
FEES: PERMIT Y . 0 0 RADON
Signature of owner d/o,/ ondo President /Dat
Notary as to Owner and/or Condo President Date
My Commission Expires:
APPROVED:
Zoning Building
Mechanical Plumbing
Adc ress
Ac dress
Ho /
Estimm ted Cost (value) [ 2 00 0 r
4-a-t.dtwuei
Electrical
Engineering
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF Cc )MMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOL R PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RI CORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation t 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 -r amed contractor to do the work stated.
Sig iature of Contractor or Owner- Builder
Date
C.C.F. v NOTARY 5) 0 TOTAL DUE 54,:
Notary as to Contractor or Owner- Builder Date
My Commission Expires: @ 4S-
DATE:
TO: Homeowner/Resident
(address)
FROM: Your Community Response Officer RICHARD TRUMBLE
An Important Element of the" The Village Beautiful" is the quality and beauty of our homes and
properties Maintaining this standard requires the coo ?erative efforts of every homeowner in
Miami Shores.
This courtesy notice is to inform you that in an area survey program aimed at improving Your
Co s.unity, the Community Response Team conducted an inspection at the above location on
/ • At that time the following violation (s) of Miami Shores Village Code of Ordinances
w. noted:
Code violations) Code Number(s):
To Correct these Violations:
SEE ATTACHED OR:
10050 C.'% . 2nd G venue
O9fcama Laxea, 33138
COURTESY NOTICE
(305) 795 - 2204
gib
We will re- inspect your property IN 15 DAYS. If the Conditions remain, a Notice of Violation
May be issued. Failure to correct these conditions may result in fines being assessed by the local
Code Enforcement Board.
}
. Please call us when the problem has been corrected so that we may close the matter. Thanks for
helping keep your Community BeautifuL