1245 NE 94 St (4)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
❑ DATE. 19
PERMIT N? 3755 Contractor's
License No.
0
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
B1
Subdi-
vision
Address of r Value of -.
Building u'
Project $ II Amount of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
ABBOT PAINT
Date- \L -ck..•-k Job Address \ ` L\5' NR _ c\`k �\ Tax Folio \ \ .�
Legal Description
/ Lessee / Tenant c1J LJ,`n•\e_.\ Master Permit # agE 7l
Owner' Address \"" • n� L-
Contracting Co. 'CC - COc\c - Ne Q___ZynCD Address
Qualifier C <\�� C �o�u�Q�l - .
CMLCA n4." A Ins . Co .
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
State # Municipal # Competency
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING
WORK DESCRIPTION (- _ S�
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
W\Cx_• \c\, ∎ SOU ce S �� e W
Square Ft. Estimated Cost(value) r'7`1�,5� O C7
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 ////
author the abov named contractor to do the work stated. str,� in
be done in compliance with all applicable laws regulating con
/14 Signature Df owner. and /or :ndo President
Date:
_ • ,% Notary /ae to Owner and /or Condo President
My Commission Expires:
•ARP PUBLIC. STATE OF FLORIDA.
t :OM M: t ?: ; ;NrikES: April I, 199S.
BurUI UTi ltU NU PUBLIC UNNERwEfl RS.
** *
Phone
\O
Signatur
Date:
Notary as t
My Commissi
o
Phone --NSc
ROOFING PAVING FENCE SIGN
='e a / hat all work will
. Furthermore, I
Owner- Builder
i
.
• 'ise i k.7?mmission Expires 625/97
Bond& Trough F. Notory Service & Dcadirg Co.
*
er
**
FEES: PERMIT A ` 6 RADON C.C.F. f ~ 0 NOTARY TOTAL DUE Ap5teh1
APPROVED: Fire Other
Zoning Building Electrical
a----- jai a y�
Mechanical (1u1nbing Engineering