MECHANICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 11/24/92 Job Address 899 N.E. 92 Street Tax Folio! IV ( 1
Legal Description 1
1 aft/ hai 0))
Owner / Lessee / Tenant BRADLEY, ROGER Master Permit 48301
Owner's Address 899 N.E. 92 STREET Phone 754 - 4960
Contracting Co.
Qualifier RICHARD ARNETTE SS# Phone 266 - 6627
State # Municipal # Competency #CAC 0224141ns.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION REPLACEMENT OF 3.5 TON ATR HANDT,FR
Square Ft. Estimated Cost(value) $1 ,Rn(_
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 compli.nce with all a =• ica e la - regulating construction and zoning. Furthermore, I
a A.0 e the ab cont or o do he work stated.
Notary a
My Comm
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FEES:
APPROVED:
R.E.A. AIR COND. INC. Address 7351 N.W. 7 ST. STE:R,MIAMI
d � �� esi dent
Service Bonb By Ins
7
kposta tl *
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PERMIT 4 0 0 RADON
Zoning
* *
C.C.F. I �,D NOTAR'
Signature Contractor or Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Commis a Exoire�s,�: -- . -_--
�PR U AF 16Il�� NOTI,RY SEAL
O ISIDORE IRA BLITT
1.5 * COJIMISSIO Nui@BEI4
- CC21 f75®
• *}Ae MY COMMISSION EXP. pp
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Fire Other
Building Electrical
Mechanical - 31S 110 )/'/O1lumbing Engineering