990 NE 94 St (2)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address l 7 s
Legal Description Zo t fi 4 (N.7,5 .sue jj L )IJ,'DA, Master Permit # 3c4tA %
Owner / Scs9ee- ,l - 0,1a //b// u/.6406(25
Owner's Address �9Q /(0�� �y f phone 7.51- 2 f97
Contracting Co. ce/
Qualifier
State#
Architect /Engineer
Bonding Company
Mortgagor
WORK DESCRIPTION ,o.. Ja.:d aC / -3 5 1 /'
Sign
Date:
Notary as to Owne "'`1PURHD•` VII g
My Commission Exp &i`d MMISSION EXPIRES APRI 16. 1992
* * * BOWIED THRU STAbBLER-ADAMS SWEET
PERMIT FEE: APPROVED: Fire
and /or Condo President
SS# - - phone
Competency# Ins. Co.
Plumbing
Address
Address
Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
17y fije mil!
Square Ft. ®2 Estimated Cost
Tax Fol iof/ 3,M6 .f f
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. 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 authp,rize the above -named contractor to i] the rk j ated
Zoning Buildings V
Mechanical
Sig
Date:
Notary as to Contractor or Owner - Builder
My Commission Expires:
* * * * *
Other
tractor or Owner - Builder
Electrical
Engineering
/ B �
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