PAINTDate G
WORK DESCRIPTION
PERMIT FEE:
3%
4UNICIPALITIES OF DADE COUNTY
CO RETAIN COPY ) `�
Job Address /07 c' / E Q� � -cam l Tax Folio lJ ( 129/, / 7 ,y6 9
Legal • Description b `i',G il ] o4,4 Master Permit #
(E;;;)/ Lessee / Tenant N!/u44e( A /Grivel/
Owner's Address /0 7 /tie lG 574567
Contracting Co. ®Gt/i Address
Qualifier SS# - - Phone
State# Competency# Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
�-- 4 1 r 3
Square Ft. Estimated Cost
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.
S gnature of Owner an /or Con 'o President
Date:
No •ry a to Owner and /or Condo President Notary as to Contractor or Owner - Builder
My Commission Expires: f// My Commission Expires:
APPROVED:
� J o ning
echanical
Fire
Building
Plumbing
Phone 75 l - 440 O
Signature of Contractor or Owner- Builder
Date:
Other 1
lectrical
Engineering
PERMIT APPLICATION FOR
Date 2 / 2/99 Job Address 7070 A(5,9*`� r
C9Les egg�ription ` Histo
/ Tenant // �r/Q9 y 4 ,0€41/a,/
Owner's Address /070 �,
Contracting Co. ea/N54._
Qualifier SS #1
State # Municipal # C<
Architect/Engineer Ac
Bonding Company
A i
Signature of owner and/or Condo President Date
FEES: PERMIT 4 RADON
Signatur
'ES
Mortgagor Aj
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING 1.11'il.11t11.14.rkI. IWU nV — SR N
WORK DESCRIPTION( , /¢/NT /r
P` P�/rr G �� y) 7 //1s = 71
772,/44 /7 = C .
Square Ft Estimated Cost (value)
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 co actor to d. the work stated.
Notary as to Owner and/or Condo President Date Notary as to •ntr1ctor or Owner- Builder
My Commission Expires: My Commissio
C.C.F. / 6 ' NOTARY BOND
r5 -F -5 / - 3 76 no a e,
2- -2-
TOTAL DUE 7S
Date
6
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering