860 NE 92 StPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ° Job Address9 7 / L / c 9 0 7 5 7 ei Tax Folio // 3 O, 6S tJ
Legal Description 06 v /C.6 /7
a
Lessee / Tenant Master Permit I'6 L /) 7 7(/
Phone S "
Owner's' Address
Contracting Co. /V A 0 (5M/2C7-e, Address /2 C akrdeX rrZL
Qualifier 50_,0 ✓ 1 ss# (( hone A --`- ') 2(1 '
State I Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING / EL / E EC CTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION LOU) UD /A1 P c2 a, (5 G,(
Square Ft. Estimated
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 coy
dallOw
Signature of owner , !f. /or ■ondo Pr 'dent
Date:
Notary as to 0
My Commissi
** *
FEES: PERMI
APPROVED:
r and /or
CAM et A
13FFICIM. NOTARY SEAL
r!!ERRY L MACINNES
f U BLIC - STATE OF FLORIDA
„i3SSon Expires 6uly 28,1000
Comm. No. CC 572628
31'49 RADON
ondo President
Zoning
Mechanical
•
tractor to do the work stated.
Signature of Contractor or Owner- Builder
Notary as to Co Qtp or OtinarrBuijder
My Commie i Mt e{rj i , IOTARY SEAL ;
SHERRY L IICHINES
NOTARY PUBLIC - STATE OF FLORIDA
* * � My Commission F#;pires J428, 2000
Comm. No. CC 572626
*
C.C.F.
Fire Other
Building
Plumbing Engineering
NOTARY
Electrical
TOTAL DUE ,�
,
RI10 -022 I S C OF M I A M I
F O L I O N U M B E R P R O P E R T Y A D D R E S S
11 - 3206 - 005 - 0150 860 NE 92 ST
RECORDING RECORDING RECORDING MORTGAGE RATE MORTGAGE
DATE BOOK PAGE TYPE TYPE DATE
012693 15791 2191 CON FIX 122492
B O R R O W E R S N A M E S
WILLIE J AND CAROLYN A A COOPER
BARNETT BANK
L E N D E R L A W Y E R
MORTGAGE AMOUNT MATURES TERM INT. RATE P -AND -I MORTGAGE LOAN NUMBER
25,000.00 010108 181 0.00000 0.00 747581
REMARKS
F9 = RETURN TO SUBJECT ENTER TO CONTINUE F12(QUIT) TO EXIT SYSTEM
IR10 <ENTER> TO CONTINUE OR <F9> TO RETURN
IS