308 NE 96 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date �" Job Address 30 g N / `in' Tax Folio
Legal Description
Owner/Lessee / Tenant / ,A (LLS
Owners Address IOU `s ? O C l
Contracting Co �-S /u T �C.S
Qualifier ((-s / t7/'' - - / Phone �i ✓;7?7
State # ����! ` �� Municipal # Competency # Ins. Co. 2 c rO /
Address
Address
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICA ' PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
sp
Square Ft. Estimated Cost (value) +/•0e)
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 auth above -named con ctor tq do the work stated.
of
Notary as to
My Commission
FEES: PERMIT
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and /or Condo Pr s i
ature dent Date
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GUADY3) V1LL1R
NOTARY PUBLIC STATE OF FLORIDA
CO:y: v!TSSION N.O. CC"/1y3
?AY ISSION EXP. MAR. laCC2
Historically Designated: Yes No
Master Permit # ?S Q Q
Phone 5''7 Yak/ /
Address 6302 5 /14 &".-/'
o Con
ommission Exp
C.C.F. v NOTARY
Electrical
BOND
TOTAL DUE 3
Structural Engineer
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date V023/A Job Address 303 'L Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant Pi S . . Master Permit # 7$ f
Owner's Address 0? / V L �lJ ��� Phone '157 7 J (0 ( 1 F.5
Contractin Co. P'S 6 171.frd o /CS Address / et /er,
Qualifier L s L0,10 Yl Cam.
State # (-1'67 06 9 1 CV Municipal # Competency #
Address
Address
Architect/Engineer
Bonding Company
Mortgagor Address
FEES: PERMIT
APPROVED:
Zoning
Mechanical
Permit Type (circle one): BUILDING ELECTRIC PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION sue G •P Miv, /040 ( f.4c duao -• A (4 /4 Diyet:"
c l* iN y . /# /sb ,Zg' w /� ( 74 Ayet. �.E 44
Ay
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.
OWNERS 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.
Signa e of owner and/ •ndo President Da
1 S - V SD -'53 0 -p bk
No . as to Owner and/o
My Commission Expires:
GLA)fS ►.tfal?
id's PARY PUBLIC STATE OF FLORIDA
COM!AI3 IO1' CC7:410.:
'ry CO \IVo "SS;O': EXP ° '?C,1'
N. as to Contrac
y Commission Expires
C.C.F. / ,1G NOTARY
Electrical
Structural Engineer
C,1266/
Ins. Co.
BOND ,
TOTAL DUE 9 /
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♦ BUItDING
. ELECTRICAL
PLUMBING
v
Owner of
Auilding
4rchitect
Contractor 14
or Builder
Legal Lot
Description
Address of
Building
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans drawin in the statements or specific 8 t homes respon-
S1 I
v (I) c<ire.i4-/
( E 9 (.
sibility for work done by his agents, servants or employees.
• MIAMI SHORES VILLAGE, FLORIDA G
DATE d
PERMIT N? 5608
Contractor's
License No
Work to be performed under this Permit )14.4.4/ I el
1a4 i I ' c4 i
CONTRACTOR OR BUILDER
Bl. y
Subdi-
vision
Value of
Project
Signed d'` a
In consideration the issuance to me of this permit I agree to perform the work covered hereunder in compliance withrdinances and ions:•
pertaining thereto n in strict conformity with the plans, drawings, statements or specifications submitted to the proper authd?itSs of Miami ShdreessW7 age:
In accepting th it I assume resppn3ibility for all work done by either myself, my agent, servant or employee.
BY 4 � 3 1
AUTHORITY
SPECTOR
Amt. g Q;
Permi
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