730 NE 94 St (8)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 743-99 Job Address 736 /OC 9/
Legal Description
,ST0( /
Owner's Address 730 WC 91 £:
Contracting Co. i . 4 . -14-/A (",/C-27) , - 1 - 2aJ C ,
Owner / Lessee / Tenant
Qualifier is 1 , ■ • l�.
State 1660AA /Municipal Ii
** * * *.
FEES: PERMIT
APPROVED:
Address 1. gJrf 'Weil �7. �� f�
Phone... 64 ?
Competency # Ins. Co. - C -
Tax Folio
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBIN(MECHANIT ROOFING PAVIN F CE SIGN
WORK DESCRIPTION t)<11C`T E_PLI4C -(EAJY fns coAJZ), uU i 3 ThAr
Square Pt. Estimated Cost(value) / a2
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 construe . and zoning. Furthermore, I
aut orize theabove- -nammed contactor to do the work stat ed. •
L 1 .
Signature of owner And/or Condo President
Date: 7// ' /9f - D A- 534 /99
Notaky as to Owner and /or Co •(. President
My Commission Expires: . PATRICIA S. HANEY
State of Florid. My Can 1 CC SOD
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Master Permit tE 4LS7IS-700 Phone.�0� K
75y- 76
A - 111 - 111111
gn: ure of • or or Owner-B ilder
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btary as t bi i. • -'T ei)..'3i'kd &i Att>f lder
Dnn.o C APV f A •APPublic, State of Florida j(
MY
' Commission No. CC 596246 j
S ) } 9r FOF Fv° My Commission Exp. 12/7/2000 >>
* * * 2 oondc hrough Fla. Apiary Service* Bonding Co* >(
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C.C.F. 9 ' 0 NOTARY --D'� TOTAL DUE
Fire Other
Zoning Building Electrical •
Mechanical e �`- ` I Plumbing Engineering