ALARMDate
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address l O I U& q 5 " Tax Folio
Legal Description t x C C \Qs 'cam
Owner /Lessee / Tenant ' Tenant NM 4 "ANN-eV \
Owner's Address /ps Kt • G 4s S\--
Contracting Co.. C\\e.. `1/4 C) S ...LA \1
Qualifier OC1■ C ��- e�S1D e v -S Phone CO SD— G(]6(0
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 6 i2. y- c6\ cGr \c -
`NRa� -e.c S c -•v �2s
Square Ft. Estimated Cost (value) a 96. 0
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 tha
laws re: : ting construction and zoning. Furthermore, I authorize the above -named
ature of owner and/or Condo President
Date
I�
. 11101 / Z
Notary 0 ± - "�'o President Date
MyC. sio
Historically Designated: Yes No
Master Permit # 73 5'S3
Phone
Address 1 (fie 0 'R 'C � x - t-
do the wo
or Owner- Builder
Signature of Co
My
k wr
done in com.liance with all applicable
stated.
der
Date
Date
FEES: PERMIT 360 RADON C.C.F. 50 NOTARY TOTAL DUE 36
APPROVED:
Zoning Building Electric
Mechanical Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / )16 Job Address / 05 WE- Tax Folio 11 + 3 ,2 , a 6 . d 13, a 7aB
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant f l } 4E I ? P'1 E 'j1 E Master Permit #
Owner's Address far /Us E. 9 5 - 61 -
Contracting Co. Z t t l 5t &ta gi Cf-W 7 Address )69d Al F. aOS / .
Qualifier e6c ions &2
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that
laws regulatin: • ',nstruction and zoning. Furthermore, I authorize the above -named co
Signature o owner and/
,4 ,. f v9.F +fin
FEES: PERMIT '® RADON
//Pk
ondo President Date
C.C.F.
APPROVED:
Zoning Building Electric
Mechanical
Phone 1 75 -- 9 - q0.-?/
Phone lo.
Ins. Co. 5,64#56
State # l` FOO tt' Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDINGc PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION J57.+ 11 4/4 f//¢S /
Square Ft. Estimated Cost (value) e Pee • er)
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.
Si '+ a - r Contractor or Owner - er Date
° , ,rr.,■•nr, vt.
iKK96' 7 r4 MAUR �� eRru Ir //
�" ...�i� :.�-Ql Flo : EI l —/5 G
Notary as to Owner and/. ton1. ' A tnitritr Notary as to, . • *` . •i' �' 'i Date
My Commission Expir Comm Exp :06124/97 My Commissio ++ _r_ ►
CC297419
NOTARY
wi 1 b - + • + - in compliance with all applicable
BOND
TOTAL DUE
Plumbing Engineering
Da
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date
ob Address i D� N �� ax ' Folio � �
L ! (p ft nc j u>ea:$- /lam /� •�i� �o A
Legal Description/ n rn I.�h . WSpC . - ?LA 8000 stoncally Designated. Yes No
Owner/Lessee / Tenant l �, C eC; i l c es? fl ( 5�
L J
Owner's Address (0 Oa to • ) it' a U
Contracting Co. ? C2 ( 74 S L - Address
Qualifier �c � �t y "w� c S D00%.) `�
) - Phone 3 '18 `t- c
Competency # Ins. Co.
Address
Notary as to Contractor or Owner- Builder
My Commission Expires:
K. TUCKER
, lai , COM ON # CC 631227
7 +'1 EXPIRES MAY 5, 2001
^� C BONDED THRU
OF P ATLANTIC BONDING CO., INC.
Date
Date
TOTAL DUE ,
3 1 —�
Electrical
Plumbing Engineering