730 NE 94 St (10)Date
FEES: PERMIT 10 RADON
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address
Legal Description Historically Designated: Yes
Owner/Lessee / Tenant /R. y.P.— Master Permit # 4/no 27
.
Owner's Address 73 C q Cf h ` e ' 591- Phone ( 30'4 ' SJ - l9.S
Contracting Co. - f Address $ _ -e Qc g cc 1 d v e
Qualifier SS# - Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /' fi Ze"-: a-- s
Square Ft. Estimated Cost (value) c>
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 contractor to do the work stated.
Signs i tifoivner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
aukimg — f4/1(1c0
Tax Folio
Notary as to Contractor or Owner- Builder
My Commission Expires:
C.C.F. - 1/45 NOTARY S- TOTAL DUE -
Electrical
No
Date
Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date I2 Job Address ?30 .2. C . Q WI St Tax Folio
Legal Description 5,,.q Q. " /- /os-e.
Owner / Lessee / Tenant 040/3- er / N. N P - ,c�i Master Permit # 37/97
Owner's Address ?3C ,t)• C _ q 4 tt, S P . / IPSO Sc.() /td t4 S fl Phone / s -- /4
Contracting Co. O40-4-. ¢_C Address
Qualifier SS# Phone (a) S9s � 6 �`
State # F - L Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor 4v / `" Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION Go -o ( 9ck?.? eP4.1-tJ -' 649 d hO s�-• ig4.4;d 4 -
f rare ffie c Afnio.,ee /r06we /41( 7/,tn e /4e- �cu; l Denrr s .�
o c�
Square Ft. Estimated Cost(value) l .2 U.
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 contractor to do the work stated.
owner and /or Condo President
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * *
6
FEES: PERMIT SR RADON C.C.F.
APPROVED: Fire
Zoning Buildin
Mechanical
Notary as to Contractor
My Commission Expires:
FO L - Sao- -, 6
Z/) - (1-fy
or Owner- Builder
-- 3 3.6, --0
* * **
NOTARY S o o TOTAL DUE 113 eJ
Other
Electrical
Plumbing Engineering