1291 NE 94 St (2)MIAMI SHORES VILLAGE 003
BUILDING DEPARTMENT
305- 795 -2204
Bui, ding Inspection Request
Date 1
Type Insp'n ' O l Coos ,)f O, l UO e
Permit No. 1 O O5
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Name` V0( `� •
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Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee ❑
32-4-61 84( -46143-
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
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Type Insp'n S--
Permit No. ? i C,Ot 2 3
Name `.1 065 Cf) C cl C.V 5
Address 7 C Q
Company
Phone # f
Inspection Date
Approved
Correction ❑
Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
BuiNing Inspection Request
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MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
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PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
r t h (OWNER TO RETAIN COPY)
33138 B /
NOV. 18,Nbb Address1291 N.E. 94 ST.MIAMI SHORES,F.LA.Tax Folio cid `6Jo
Legal Description 74r / .
Owner / Lessee / Tenant / "
.Owner's Address
C ter -
a..
• , V 4 C ) i9iii(
;eda
/-2-4)/ 1 44- sJ
SECURITY WINDOWS /SEYMOUR GOTHELF CBC 9454 == 5100 N.W. 72 AVE. MIAMI,FLA 33166
Contracting Co. i Address
aster Permit # 3/97/
Phone
Qualifier SEYMOUR GOTHELF (CBC 9454) SS# phone 591 -8990
State CBC 9454 Competency# Ins. Co.
Architect /Engineer
Bonding Company
Mortgagor
NO STRUCTURAL CHANGES.
Square Ft. 385:53
Address
Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION 16 S /H, 5 P/W TRANSOMS AND 1 ALUM DOOR IN EXISTING OPENINGS.
Estimated Cost 4,100.00
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 ,j authorize the above -named contractor to Bo the work stated.
\A ,
Signature of Ownexiih6i
Date: (1 134
Zoning
Mechanical
Con President
Notary as to Owner and /or Condo President
ly Commission Expires: _
;1 Cu;:: izS5T0'�� E ? (t' .JUo 26 *
?ERMIT FEE: P
�E�AL'I
a`1. R i�`f
Plumbing
Signatu e of Contractor F9g? me �paP or O- Br
Date wner Q uiJ.de %6
V urenSzm 2u2 OAT „� �'5
`Ay zO�rc�9CEim IIC' d{ =9�0
euGe-A16-
Other
Electrical
Engineering
SEYMOUR GOTH) IF(CBC9454
Notary as to Contractor or Owner - Builder
My Commission Expires:
* * *
* *
*
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OFFICIAL RECEIPT
CLERK OF CIRCUIT & COUNTY COURT
OFFICE OF THE RECORDER
DADE COUNTY, FLORIDA
RECORDING
FEES
o
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y
Q
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0
Q
0 o
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( DO NOT USE THIS SPACE )
7
OFFICIAL RECORDING RECPT0 118099
918408962 DEPT 21'
1991 NOV 21 13:00 OP:36 TR:025
RECORDING FEE 6.00
TOTAL 6.00
CHECK TEND 6.00
CHANGE 0.00
i��
•
THIS RECEIPT NOT VALID UNLESS VALIDATED
INTANGIBLE
TAX
Doc
STAMPS
SURTAX
REFUND
PAYMENT
ACCT REC
TOTAL