Loading...
MECHANICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 8 9 Job Address/30 Al. £ 9.7 41 '-. 5: " 5 q - Tax Folio Legal Description p Owney / Lessee / Tenant1? S "tCp ie v 2.--a (e_ C Al s Master Permit # 4 , Owner's Address O NJ, 6. 57 4 In S-1 yve_ + Phone is ,.-CkS V Contracting Co Joie_ 1►' - J hC Address - /& m C /9C 'fr' `3` i' * Qualifier `16/1 `16/1 -vlee_itootti SS Phone CA/C" 7 _ � 7 State # Municipal # Competency #01COVR /// Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL' ROOFING PAVING FENCE SIGN WORK DESCRIPTION �� "e/ t .J .r , ' / l G `S Y Square Ft. Ji ,. ()`D ,S i \\' op! vd 4 /0/6(4j / /e Estimated Cost(value), j 6 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. Signature of owner and /or Coro 4.(ent Date: Signature o Date: C on ra r 'or Owner- Builder Notary as to Owner a r Condo President Notary as `to Contractor or Owner- Builder My Commission Expire: My Commission Expires: ** * * * * * * * * * * * * * * , */ ** FEES: PERMIT -,4)1^,f5 RADON C.C.F. l f ^ { %� NOTARY ' TOTAL DUE - 75 a' APPROVED: Fire Other Zoning ri Building Electrical tL4 Plumbing_ Engineering Mechanical C"✓ PERMIT APPLICATION FOR MIAMI SHORES VIILILAG Date O %% 9 / 9y Job Address / 3 0 £' ? 7 ^' S7 T Tax Folio Legal Description lO OwnerY / Lessee / Tenant Cs44 /ST0 /64 ,2/.441/ Master Permi Owner's Address /3 Al (• 7 �� /�e Phone 7 -S - 1 " �C t �, /Vd�� /" At (- /70 SvzvoT" /714,0 �/ Contracting Co. ���`' � ��'� ti � IA/ • Address Qualifier (.17;� / SSit ( -. Phone 9/ 077 State Ik Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL 'ROOFING PA'.I1'!G FENCE SIGR WORK DESCRIPTION A/ 7 �- ' 3 / c Ca Ai �c_ � 1119 �" 71--/ is Ts %/, /0 4'1/ /,9 Tzc/Z . Estimated Cost (value)' //vv, v/' Square Ft. © 0 C . WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR ;` ;.aILURE TO DC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (1.]:. YO� �tIINTEENt YOUR OBTAIN FINANCING, CONSULT WITH UR LENDER OR AN ATTORNEY BEFORE - , -..,.^,R NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as in6'• above, an' on the attached addendum (if applicable). I certify that all work will be perfe •c' to meet the standards of all laws regulating construction in this jurisdiction. I understs '' that separat( permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANIC.'.' WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and t:lat all work wil; be done in compliance with all applicable laws regulating construction and zoning. Furthermore, authorize the above -named contractor to do the work stated. // ur!,,:of-ownei'ap Sig of Contraotor r mer- Builder Notary a Contractor or Notary as to Owner and /or Condo - resident Ny Commission Expires: My Commission Expires: rler- Builder ** * * * * * * * * * * FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE APPROVED: Fire Other Zoning Building Electrical Mechanical Plumbing, Engineering. , aT/74U- 034 Co Aieeds - oit /�dvp i4/717 / of £ it /a. y0 . (trf, /0 lea 14A 3& / .2iad/D ' / 'cT/,ziw imis c, X ' "IC h&'1 / /i a,./ /0 & 41 On/ 6/ifede Mr S110 1S /' /i1. C, i , ,s 2,0z zrsz / 7s �.SGy /SO // /f 97" ,S — .2da' r 17/4/W , - 5/0.e /10 it / ?/ 3 3 i 3 e "crox O/?i3Lif lift V //g !, ,hic C// A/ A / 9 a 7 '`'• . i de Y 7 , ? KD,.00 if? /Ox /ox / ,203 c Fe^� EiStM von /D X/4 K / X 203 c.,c x x / So Cr 1 �eTCN /0 x.6 X/ /SO c 1204/40/4 "OP; /0X /0 X / goo c F� /o xG >,./ /so co#17 ��oeZA6$