379 NE 94 St (8)BUILDING
ELECTRICAL
PLUMBING
Owner of
Building_ 'e
kAt t? o\c,,
CONT( CTUI( BUIL&
MIAMI SHORES VILLAGE, FLORIDA
DATE /
Li PERMIT N° 10794
Work to be performed under this Permit
e r , ,,4
Architect
Contractor
or Builder,,,u;
Legal Lot Bl.
Description
Address of
Building 7 7
Subdi-
vision
Value of
Project $+';,
Signed:
Contractor's
License No
Amt. of
Permit
AUTHORITY
195_.
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 application
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 responsibility for work
done by his agents, servants or employees.
OR
In consideration of the issuance to me of this permit I agree to ,�!i�erform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub itted to the proper authorities of Miami Shores Village.
Tn accepting this permit I assurye responsibility for all work done by r, mys f, my agent, /Iry it or employee.
PERMIT APPLICATION FOR MIAMI SHORES 1
Date 10//q/q Job Address 3 '1 9 Ag7 Ws Tax Folio
Legal Description Historically Designated: Yes - N
Owner/Lessee / Tenant Pfiti l.. /AM 6-4-le L,_ T /4- / J / S Master Permit #
Owner's Address 3 2q /V= '7 4/ S'7 • Phone • '56 ---..s74
Contracting Co. , - 1
WORK DESCRIPTION
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
fatia
Address
Mortgagor Address
Permit Type (circle one)• BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Square Ft. Estimated Cost (value)
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.
Signature o oia/i�er and/or Condo President Date
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder
My Commission Expires: My C9 n sioa -E Tv-Expires,— -- —
p (dY P1 OFFICIAL iltJYANV S. .j.
0 / I I SAC5�1 A Ca C'AIC3T: 6
V.rvS } eixV:szar! - .:,:n
•y .i.- NI ov, .. -.. .c Iw.
FEES: PERMIT 4 -6v• RADON C.C.F. ,g NOTARY s` TOTAL DUE iS'
APPROVED:
Zoning
Mechanical
Building
Signature of 1 ntractor or Owner- Builder
Electrical
6/994
Date
di -
Date
Plumbing Engineering
{
J PER MIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /a / t ) QcY Job Address 37'9 Tax Folio
Legal Description Historically Designated: Yes No V
' OwnerhLesse / Tenant PA-t i, S. / /VMS* i 2. Pm, s Master Permit # V,3 9 s 1
Owner's Address 5 7'7 ME 7 ST . Phone C 6 S7 9J
Contracting Co. PA- w, 2, 11 »v /s pa,v-Abe---q Address 37*' /[/ 9'yS %
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Address
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION fCt(.Gt4 T I J
-Gmare Ft.
J7 /UE 9'�ST
— Notary as to owner aiiu,ui
My Commission Expires:
FEES: PERMIT 7 // RADON
APPROVED:
Zoning Building
MY COMMISSION EXP. M/
Estimated Cost (value)
C.C.F. 9 60 NOTARY BOND
111?ItIllf
[CEMENT AND YOUR FAILURE TO DO SO MAY
'ERTY (IF YOU INTEND TO OBTAIN FINANCING,
NG YOUR NOTICE OF COMMENCEMENT.)
ed above, and on the attached addendum (if applicable). I
;onstruction in this jurisdiction. I understand that separate
d MECHANICAL WORK.
that all work will be done in compliance with all applicable
mtractor to do the work stated.
er- Builder Date
_
f Co ctor or .4
I v r / I
o on' a' for • : Wider
ssion Expir - s:
L _ 5 /1- 6 /- y 6 4- /-
/ ('46Aiert /' . 2/1L
Electrical
Date
TOTAL DUE
/02i-ft
Mechanical Plumbing Engineering
1