PAINT PERMITSDate t i 'V'gZ Job Address_ 1 / AL 9 S S/• Tax Folio // 32/26 „we) /
Legal Description 'T" /as; 't Si/eit ' S 5i7 3
Owner's Address
Contracting Co. C9
Qualifier SS# - -
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
** *
APPROVED:
/ Lessee / Tenant (.01H-144 F- 4/U/VI q
*
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Permit Type(circle one( BUILDI� ELECTRICAL
WORK DESCRIPTION Roit !.0 1 rn Cld24,
Address
re /, ) sot44 41.4-
Master Permit I
Phone 7,5 efd 3
Phone
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.
Not r; as to Ciwre.e' : nd /or Condo esident
My 'mmission Expires: NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP. OCT.17,1993
IONDED THRU GENERAL INS. UND.
?mow
Signature of owner a or Condo esident Signature of Contractor or Owner- Builder
Dat -. /4 -� Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
* * * * * * * * * * * * *
Cirt
FEES: PERMIT ""RADON C.C.F. 1(150 NOTARY TOTAL DUE )` '5 13
A
Fire y Other
g �
Zoning Buildin 1) / 2 / Electrical
Mechanical Plumbing Engineering
r PERMIT APPLICATION FOR MIAMI SHOI
Date i V f' �� Job Address / 5 S 5/ ` Tax Folio
Legal Description ( Historically Designated: i
Owner/Lessee /Tenant Waif c , 14., /77 � -Gt Lr (1
Owner's Address Phone
Contracting Co.� � Address
Qualifier SS# - ],a'3 ;�
Corn Burst
State # Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Master
b
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION / //1/
/1 ,E K t i (De o F
Square Ft. Estimated Cost (value) .0 s�a
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 of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT 1 7 / 40 RADON
APPROVED:
Zoning Building b A L P 3 1A j q
r
dur , �,
+f ontractor * '1- Builder
1 AP
to tvg +1d6t1aie uild
•+ H TATE OF FICizuuA
COMMISSION S NO. C014103
MY COMMIS
otary
My Co
/o—Mr
ate
/
Date
C.C.F. ' 0 NOTARY S7 e- BOND
TOTAL DUE 4 6 O
Electrical
Mechanical Plumbing Engineering