518 NE 94 St (12)Date
Legal
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
576 N. e 9qsir
e 4J Ivb ?C J'
is Address l8 Aig. 9 I S /lee /
Contracting Co. og/ OGJA✓e5ic Address
Qualifier SS# - - Phone
State# Competency# Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION S" /L 64 /ia
64o
• 4 Y /5 - / Estimated Cost
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 aut.orize the abov -- arced contractor to do the work stated.
Si
Date;...
"l
ary
s to Owner and /or 11 President Notary as to Contractor or Owner - Builder
Commission Expires: /1 My Commission Expires:
*Ic > le * �c
PERMIT FEE:
3t'
(ob Address
scription
essee /
x5ner
Tenant
APPROVED:
Zoning
Mechanical
Fire
Building
Plumbing
Tax Folio /& IW /4
Master Permit #
Phone(
4'40
Signature of Contractor or Owner - Builder
Date:
Electrical
Engineering
t • „
•
c.
SUITE 105
140201
• 4/
f•- • • - rr,
. • • •• •
•
-•
;.•
;St i
• •,. • . . , • • ." .•
• m•,..r: R., 4 t;
-4,r1.1"....t•-• •
4.4)
'.
- • • •
THO, ,AS J. KELLY, 11\ ;. a74 (9 7
1J4140
„ •••• r
• h
tr.
csi
9 49
z44.044
- 7 2
111
--„
------ 7 47;7-1.
'IA 1
—.-.....e......
l'• ..'"'`,.....,...,,,.• . : '''' F.,: : '47 . , .. , ■ /.4411:-1
• g., A ' • `ti: -F ' . •.
. ..."''''.441:...', , • ' .. - ."'''
. A : itt 't
• '. F:,,, , . .
' ....k ; : -.474. :' .:. ' .)::: •
r • t, " 4 •:. , •:.!-
....41.".•„; ,..; V ,
9Lf CO
• ,t*s, *to,
•
• o;r,
,•.
1
g'
t s- pvea.t..
r
(744/111. MOOS 114.0 S. og: ••• ,••••