705 NE 94 St (5)Date Job AddressIrT "17 ,5i
Legal Description
Owner / Lessee / Tenant ►( (20n0 Master Permit # 9‘.c
Owner's Address 701 9 37 Phone '7,71 / -X 7(
Contracting Co. ,le, ` 5'/4,1y/X/ ` 5(sr tn5 Address '73/h9 ,5 (A/ (( i/*
Qualifier ! (,�YC°�1r�fGlh // SS# &' - %
Phone (0 40' ' )'
State #t S'a Municipal # Competency #/09 Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGs
WORK DESCRIPTION �ur -�- j 1 s / /��✓, c �S'
Square Ft. 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 is
aut •rize the
Date.
APPROVED:
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
I certify that all the foregoing informatio
e with all applicable laws regulating co
awed , contractor to do the wo
Art
Signature of ol7r and/or d. President
1,4
Notary as r4rr • r -r : d /or ';.ndo President
My Co pi
es :NOTARY PUBLIC ST TE OF FLORIDA
BONDED N .00T. 2.19915
THRU GENERAL INS. MD.
r
FEES: PERMIT i RADON C.C.F.
Fire
Mechanical Plumbing_
Tax Folio // -320(2- 0/-/-/9600
** * * * * * * * * * * * * * *at
TOTAL Dyg..110W •5
Signat re • Cont = tor
Date:
,ffiait
Nosy - •• Cont
y
NOTARY
a . 0O
cc ate and that =11 work wil
zoning. /
/Le.
Other
Zoning Building Electrical
Engineering
er- Builder
er- Builder
OF FLORIDA
MY COMMISSION EXP.00T. 22.1995
BONDED THRU GENERAL INS. UNIX
Date Job Address !611T /.k ( NY-
Legal Description 2 /�j
Owner / Lessee / Tenant 101 (2 D Master Permit # 3C .9
Owner ' s Address 7 05 /'JP 9 y y. , Phone '75 -X 7/
Contracting Co. At /L, L ?aii/7/ 5/57&715 Address 1391) 5N 61 (XA'
ff
Qualifier B1k 1Uht % Phone 1to7 0 L /g l ,
State #04rOMMunicipal # Competency #/053 Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGP
WORK DESCRIPTION EurytaY ( a2i'% `c es'
Square Ft. 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 is
aut •rize the
r and /or
Signature of o
Date:
Notary as
My Comrgi.s s i
** * *
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
I certify that all the foregoing informati
e with all applicable laws regulat g co
amed,contractor to do the wo
nd• President
d /or ' %ndo President
e S :NOTARY PUBLIC ST TE OF FLORIDA •
MY COMMISSION .00T. 22,19915
BONDED THRU GENERAL INS. UND.
* * * *
FEES: PERMIT Y6‘ " OC RADON
APPROVED:
o s acc. a
truc o
C.C.F. I
N
y
Fire
Zoning Building
Mechanical Plumbing
Tax Folio // .320(0 1 / /940
Signat re r_1
Cont �t •r
�./Lfi
No 01 y -s 'o Cont
ion
C STA ' OF FLORIDA
MY COMMISSION EXP.00T. 2Z1995
BONDED THRU GENERAL INS. UND.
* * * * * t// 45**
NOTARY TOTAL
tor or 1 er- Builder
Other
Electrical
Engineering
and that 11 work wil .
zoning. l urthermore,
er- Builder
D
11$(4
*01)rM