1292 NE 95 St (8)Date C -Za Job Address ,� 0 �al N �• 7 S` 5 Tax Folio // .3 G6' /
/
Legal Description W 7 5 / 4 p. 2 O s
Owner / Lessee / Tenant
Owner's Address l + a 9a N -' • 7 S `k • Phone 7 S 7 ^ cq Lae
C.
Contracting Co. AM (e 2 N S Oat R£S PA- Address / / 3 2. 0 &.
Qualifier 9 N £- d`I .2— to l tC..
a 'iANN j.
�• P MISSION AA 591933
EXPIRES: July 21,1992
' te;Ase`
rnnra Oadoe Notary Public Uadewrlhri
Signature of owner and
Date: S
Notary as t
My Commissi
** *
Jr
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
APPROVED:
FEES: PERMIT 3 D. D P
Zonin
g4e.e/
Me_ RS . G
ondo President
RADON
Mechanical
Master Permit #3
Phone P S 0 33$
State 4k Municipal # Competency # i(p51 y 4 Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
ROOFING PAVING
FENCE
SIGIs
WORK DESCRIPTION 1� Q - /L�- 7 j
Square Ft. C Estimated Cost(value) / g t 0
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUI
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, an:
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat
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 wi].-
be done in compliance w 1 applicable laws regulating construction and zoning. Furthermore,
authorize above am co tract • to do the wcrk stat-d.
dent
naturekf Contra r or Owner- Builder
te: may ' 44<1 g7-ti
/J e � ea' ec� �•
Notary as to Contractor or Owner- Builder
My Commission Expires:
RY PUBLIC S1ATE OF FLORIDA
MY COMMISSION EXPIRES 5/09/94
* * * * * * Bondeg Steibler- Adaq/s & Sweet
C.C.F. /0 2 NOTARY Jam, 1 0 TOTAL DUE 5 6.,o o
Plumbing_
Other
Electrical
Engineering
Date Job Address Ja lot 77f/ f Tax Folio(/ 62 j q ` 2
Legal Description Ulu /` /614A �0
Owner Lessee / Tenant /' / 6 Qc7 Master Permit it
X3/17
Owner' s Address o� /o( Phone
Contracting Co. GU /SI l epq/
):- Address /Z ?Or 4) 4'y /
Qualifiers trGQ 4,_2i46' J ?Phone
State # Municipal # Competency # HT5I Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICALL PLUMBING
/r1/0 MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION / i/ A 4 4 G7 e o� / O � ? lam? r
O r/ .V7
Square Ft. Estimated Cost(value)
/0
APPROVED:
PERMIT APPLICATION FOP: MIAMI SHORES VILLAGE
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 contractor to do the work stated. "`
JOSEPHINE Mum
Sdte d Fbnds
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
Fire
Zoning Buildinf;
Mechanical Plumbin,x
as to Contra ean•y l �fl'W'�i @(CH>t1$rbEktd I.D.�D
My Commission Expires a produced: blic
DI take an oath, or
* * * * * * NO *take an Rath.
FEES: PERMITc7 / 7 - 5-0 RADON C.C.F. 1 5 NOTARY ,l C g6 TOTAL DUE (� 1 1, ®�
)-01
**
Other
/' Electrical
Electrical
Engineering