776 NE 95 St (6)BbItDING k
ELECTRICAL <N PERMIT N? 4969 "Contractor s /
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•a PLUMBING r License No.___ 6 . d G
Work to be performed under this Permit % , --%% .= ✓t°
v- iii -ail (l �iJ/ ' / � ,✓
Building o � � : j ✓ Cl' , i ? 1!� ,6 " / l� ' -- -,,,p ms=
Architect
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Bl. Subdi-
Description .,_ .vision
Address of �� c `�� </' S Value of Amt. (it,*
Building Building l ` ���'� Project Permit y
This permit is granted to the contractor or builder named above to construct the building or to install the equipment a device described in the appli-
cation 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 b 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 area anged without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above ass the respon%ibility f rr, a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or iri the statem 's or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. r�r " i
7, > >t ca i -�G /
Signed. // `INSP ' OR , Y �/
In consideration of the issuance to me of this permit I agree to perform the work covered l eunder in compliance with all ordinances . • regulations
pertaining thereto and in strict conformity with the ns, draw' s, statements or specifications submitted to the proper authorities of Miami. Bores Village.
In accepting this permit I assn nsi ' ' for a work done .y myself; my agent, servant or employee. c--- _' g �';1 ;
Contractor - A`��
or Builder '
Legal Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
AUTHORITY
194
r
Legal Description
/ Lessee /
Owner's Address
Contracting Co.
** * z7
FEES: PERMIT
APPROVED:
Zoning
Notary as to Owner and /or Condo President
My Commission Expires:
MIT AP
r'
Mechanical
ILIICCATIION FOR MIIAMII SIHII®IRIES VILLAGE
Date Job Address 7 / 4 /V �i / � / 4-- Tax Folio
Tenant 4 , /L2, ' 214f
771
4 x,/ / 4/
Qualifier SS# - -
State # Municipal #
Address
Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORE DESCRIPTION 6/
L/ e -e ��� )4 25 „ 9 S, c/e a4
r /
/ 1 1 A-/ / t o � 7 l ,,v 64°' J ve- 4L' Q/e/ �� v / i A'�
Square Ft. Estimated Cost(value) ;' e940
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO AWAY 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 sta
Signature of owner and /or Condo President Sig. *ure of Contractor or Owner - Builder
Date: Dat':
ft 1? tt 72 fi
C.C.F.
Fire
Buildi
{
i
Notary as to
My Commission
NOTARY
Master Permit #34a20
Phone
Phone
6761
nt,>ffaf IaetmeurBuilder
(. BARBARA ANN FUGAZZ1
� COMCSI ISSIORI UMBER
7,. y� CC3G9909 P
� MY COMMISSION EXP.
it °F F� MAi. 29 4998
TOTAL DUE 99
Other
Electrical
Plumbing Engineering
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RESIDENCE OF:
Mr. & Mrs. John Feurtac3 o
776 N<E. 95th .t:.
M9ami. Shores , Fla. 531
ADDITION OF BEDROOM rY :
George A. Cooney Inc. , General Contra
1640 S.W. nrth Ave.
M..tarni , Fin. 331'