PAINTDate SP//1/0
Legal Description L
/ Lessee / Tenant
Owner's Address
Contracting Co.
Qualifier
State #
Architect /Engineer
Bonding Company
Mortgagor
WORK DESCRIPTION
Square Pt.
WARNING TO OWNER -
SO MAY RESULT IN
TO OBTAIN FINANC
NOTICE OF COMMEN
Application is here
on the attached ad
standards of all 1
permits are require
OWNER'S AFFIDAVIT:
be done in compliant
authoriz: the above
ission Expires:
APPROVED:
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ad 9'/ ST. Tax Folio it- &>_0S -- D/? - (
14
'JAI- Municipal
Q COO
v^rr UTICT
Pinctree
C40 -40
' \tA S(toCc:i -H utc'- ' u °,' (10 P 4G
( Au O J
lv 8 eoliu Fi C� Master Permit # ? /!r/
A.* ' q b bf
'of ()(,0606
SS# -
UMW
# GU 4 Competency #
k t Pen: Whit:
ure of owner and /or Condo President
F-- /G, _9 ce 0 (- .44 a 6—s — a S 6 s r 6
FEES: PERMIT 1;1 RADON C.C.F. /
Address
Address
Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
Phone
Mechanical Plumbing_
Phone
Ins.Co.
PAM' a y:Tgle fa t a r N o us P
7 54 - 27sy
N A41410 Os r p06 TES Address
ROOFING PAVING FENCE SIGN
Estimated Cost(value) 41 0 tag
127 OF COMMENCEMENT AND YOUR FAILURE TO DO
OVEMENTS TO YOUR PROPERTY (IF YOU INTEND
)ER OR AN ATTORNEY BEFORE RECORDING YOUR
work and installation as indicated above, and
fy that all work will be performed to meet the
this jurisdiction. I understand that separate
JS, POOLS, ROOFING and MECHANICAL WORK.
information is accurate and that all work will
lating construction and zoning. Furthermore, I
: stated.
Signature of Contractor or Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
* * * * * * * **
NOTARY TOTAL DUE -, 3ie
Other
Electrical
Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7 d ,?,() fri j Job Address 1 11 (I f, 4 Tax Folio 1 03 t 10 - vb a 0
Legal Description (' 1 !C, ( ; •`)\ ( {) , t°I PP- 0-1(p Historically Designated: Yes No i
Lc+ - s +- T3
Owner/Lessee / Tenant � ti . e ,1, }� r� i 1 l • Master Per #
Owner's Address q lc : =j IG i71C.rii a �S , \ r. Phone ?�Gv 7 S7 - q b
Contracting Co. E(v ( C.0 � r,") Address 1 ()■-4 1 N(i)
Qualifier ‘-' ( - as■) Kc..■
State # r IJ C. U 3 1 Municipal # Competency #
Address
Address
Architect/Engineer C\ �
Bonding Company C
Mortgagor () ; ∎
SS# - / � - : v `� Phone � 3C�, �� , ,3
Address
Ins. Co.
Permit Type (circle one BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION i( - G C ■ Ll f' `Ni
Square Ft. Estimated Cost (value) 14f /600 . 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 C
Application is hereby made to obtain a permit to do work and installation as in
will be performed to meet the standards of all laws regulating construction in
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S
construction
Signature of owner and/or Condo Presi
Notary as1b Owner an
My Commission Expires:
APPROVED:
Zoning
Mechanical
I certify that all the foregoing information is accurate and that all
F or - I authorize the above -named contractor to do the
FEES: PERMIT 1,10 RADON
1 I tcj
Date
r� 7/b/9 ci
Presidents a te
OFFICIAL NOTARY SEAL
SUZANNE H JOSEPH
NOTARY PUBLIC STATE OF FLORIDA
COMWSSION NO. CC731680
MY COMMISSION EXP. APR. 7
Buildin
will be done
' -, O -_
C.C.F. ('• O NOTARY
Signature of Contractor or Owner- Builder
Notary as to
My Commission Expires:
Electrical
compliance with all applicable laws regulating
13n / q
Date
I /6/ 7`!
Date
OFFICIAL NOTARY SEAL
SUZANNE H JOSEPH
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC73i680
MY COMMISSION EXP. APR. 7,2002
BOND
TOTAL DUE I r
. certify that all work
d for ELECTRICAL
Plumbing Structural Engineer