705 NE 94 St (22)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date Job Address be 9V
Legal Description
Owner / Lessee / Tenant l< i C/1 (OFD Master Permit # 3‘.
Owner's Address 705 i■-P 99 Y Phone `75X-R70?
Contracting Co. Prop 5' inA 5p ms Address / an/ ,/ (0,117
Qualifier k e d I YC.P1 e f a h t SS # ' Phone 61.4 O L / t i L i
State #J F X'f ' Municipal # Competency #/053 Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIG!
WORK DESCRIPTION et,(I"gjGli/-*- r 1 l /yP✓i ces
Square Pt. Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUI
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 th
standards of all laws regulating construction in this jurisdiction. I understand that separat
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT:
be done in comp ia•
aut •rize the =b.
ALA. r
Signature of o
•0
Notary as • -r
My Co
I certify that all the foregoing informatio
e with all applicable laws regulating co
awed contractor to do the wo
Date:
** * *
APPROVED:
Zoning
es
President
d /or ';.ndo President
:NOTARY PUBLIC sr TE OF FLORIDA
MY COMMISSION 3. e.00r. 221995
BONDED THRD GENERAL INS UND
FEES: PERMIT "t OC RADON
Buildinpt `"'
Mechanical Plumbing,
Signat
Date:
Tax Folio ft•320(D- 1 • /
ate and that 11 work wil
o• zoning.
/IL
No y =s Cont -'tor or • er- Builder
ion . s•. r C STA OF FLORIDA
MY COMMISSION EXP.00T. 42.1945
BONDED THRU GENERAL R4S. LIND.
* * * * * * * * * * * * 4c*
C.C.F. I NOTARY TOTAL D
Fire 41'5
Other
Electrical
urthermore,
er- Builder
Engineering
Date Job Address'7
Legal Description
Owner / Lessee / Tenant CCI1 a 0r0
Owner's Address '705 /wP 9y y.
Contracting Co. Prt /.e, L 9:'f /f ifs .�5
Qualifier IT �,!/fY1 F1b22h . ( SS4 # . Phone 6 V) - Oq 1 19 Q
State 1PfirlIOVAISMunicipal # Competency #/053 Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING
WORK DESCRIPTION 1 Arglar aC'vi ce S'
Square Ft. Estimated Cost(value)0O -CAL
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUI
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 th
standards of all laws regulating construction in this jurisdiction. I understand that separat
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT:
be done in comp is
aut,.rize the
r and /or
Signature of o
Date:
4 �/ Mai
Notary as r 1 r r
My Comini , pi es
** *
*
FEES: PERMIT
APPROVED:
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Zoning
I certify that all the foregoing informatio
e with all applicable laws regulatiqg co
amed contractor to do the wo
President
a/or ndo President
:NOTARY PUBLIC ST TE OF FLORIDA
MY CONE ON r %OCT. 22,1995
BONDED THRU GENERAL iNS. UND.
* * * * * *
'96( 0 $ RADON C.C.P.
Mechanical Plumbing_
Tax Folio /1 3206 12 /' / 9 (PO
Master Permit #
Phone '7, 7 -�
Address ?39f) 5J 6/ (air*
PLUMBING MECHANICAL ROOFING PAVING FENCE SIG/
Cont tor
Signat
Date:
No
NOTARY
zoning. l urthermore,
tor or 1 er- Builder
C SrA ' OF FLORIDA
MY COMMSSION F.XP.00r. 22.1995
BONDED THRU GENERAL IIJS. UND.
* * * * *,
TOTAL D
4$ 41e5
Fire Other
Building "� Electrical 1)17/,
Engineering
and that 11 work wil
er- Builder