534 NE 94 St (3)APPROVED:
Aaaress
Contracting Co. g06 M I i L. LIZ,
resident
Zonin
r
> u type or stamp na me of Notary Public
orally known DOR Produced I.D.®
)R MUNICIPALITIES OF DADE COUNTY
F.R TO RETAIN COPY)
94 ( J Tax
Master Permit #
: ;r7 Phone 5 J l
Address /3 h f / 01) / 9 p S-
Qualifier SS41t - - '',,Phone
State # Municipal # Competency 4i 4 ?%5 7 /d"t'I
// ns.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor 15r ik IcIti LP11 O[ Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION e"
- t) T
Square Pt. Estimated Cost(value)4)(
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, an
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 rekulating construction and zoning. Furthermore, I
authorize the above -nan e 061Wra the wozk stated.
• Notary Public. State of Fri
My Commission FA. ADM 3O,1
Signat owner and /b tir nt
Date: /(D f f fr o
Fire
Signat e.of
Date: 7j45/9eg'
Buildin _ !` ,� / J
tary h as to Contri'dt49' t�o0w6� - Baa3e1[D
Commission Expil� :' n "' "�'r of LD. prduced:
ary to Owner and /or rondo
My Commission Expires: 0 DID take an oath, or
DID NOT take an oath.
DID rake an oath, or
** * * * * * * * * * * * * DI* NOT t ce an oatlk **
FEES: PERMITS Z5 -11 RADON C.C.P. /DD NOTARY •5: TOTAL DUE
Other
e or
Mechanical Plumbing Engineering
„ � .• EPHINE CHURCH
i `� .r Public, State of Florida
ssI
' 01 410r Builder
X✓ Electrical
PERMIT APPLICATION FOR MIAMI SHORES VIL
D : ' r`t' Job Address 34' ° C ! 9 5 Tax Folio
Legal Description // Historically Designated: Yes No
/
Owner oG. • , /C G / Master Permit # j ,/ 4
Owner's Address 5,*h4 E
� y �
Contracting Co. 19 �De/ i (- Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Address
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION / O.<6 !S /3IKJThO P4 a 1z e ' % 7€i5
Address
G9®Vd
Square Ft. Estimated Cost (value) ,605• r
Address
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 contractopto do the work stated.
Signature of owner and/or Condo President Date
Phone 7 77
Signature of Contractor or Owne
- : uil . er Date
7
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date
My Commission Expires: My Commission Expires: _ /S - 9
( _ f� 1)&0 i-p- IAB_ CvoYAWtl 4TIa
i! it ,(1 voca rnstoN Caltmoap
i � , ''r }; CC60b2039
ir' :117 ronaloolaw .E11P.
.' e,; Ve :\ t . V 5. WO@
//��
FEES: PERMIT 47o. RADON C.C.F. i �/ NOTARY ,-' . BOND -
TOTAL DUE /1 • 6 a
APPROVED:
Zoning Building / /f� Electrical
Mechanical Plumbing Engineering