401 NE 94 St (5)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address
Legal Description
Owner / Lessee / Tenant / j1d/ 1 4/I/ //? /v
Owner's Address 4 0/ A) . f % V phone 75/— 76440.
Contracting Co. G.0 -;i -Z A £TTY grhA Address 4� Au.. t.J /.)-t AeAt.
Qualifier ) fS SS# / phone 758r-7// OQ 21810752
State# Competency ! -. e . a Ins. Co.
Architect /Engineer
Bonding Company
Mortgagor
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Address
Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MEEECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION e , AA:Cj `/ "1 ,', ,
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Square Ft. Estimated Cost f,Mfaa
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. 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 of �ierand /or Condo President Signature of Contract
Date:
Notary as o CI . and/
My Commis ion p,ires:
* * * *
PERMIT FEE:
t `(y
VIr
Mechanical
Plumbing
Tax Folio// J / 41 ® 7 ( 5
Master Permit # ,3r/63
Date:
sAfai,
'• 'cry Pu61i
c State of Florida of Ca
Commiss; Fvnir ,. A. ..n n0 rge
' cibruPQr�p }fir � i �'otar as
(PP . Contr:l tor, or Owner- B>'ilde:
s . x p .,.
Notary 4 rior 'a ar �:
_/�Iy, .Qgmmiss�gn Expires April 0, 1995 '
APPROVED: Fircionded Thru Maynard Bondint pcy, i
t p 1)---ElectrIcal Zoning Building ) l
Engineering
or Owner - Builder
/ 41144 1 r
This property described as:
Lot 13 and the West 1/2 of Lot 14, Block 52,
MANI SlIoNES SECTION NO. 2, Certified To: Colony First
accordiny to the Plat Hortyaye Corporation, McCloskey
thereof, as recorded in Title and Frank A. & Cynthia A.
Plat Book 1U, Page 37 Damon.
of the Public Records of
Dade County, Florida.
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encroachments, i'f any, nof located.
PROPFRTY OF: Damon, Frank A. • Cynthia A., 401 N.E. 94th Street, Hiami, Florida.
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LANNI f and GARCIA, INC.
F"'• 'RS - LAND SuRV R5 - LAND PLANNERS
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