369 NE 97 St (8)PERMIT APPLICATION FOR MIAMI SHORES VILLAG]
Job Address 36 9 4 / $"T Tax Folio
Date
Legal Description Historically Designated: Yes
Owner/Lessee / Tenant 7-7 /1T c� , -A 7P /e T7 / Master 't#
2 94)-e / r / /'✓//:Sh Phone ,.FS)
Owner's Address
Contracting Co.
Qualifier SS# - -- -
State # Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMB G MECHANICAL RO FING PAVING FENCE SIGN
// e, — /,c' r' iJ
WORK DESCRIPTION � � i� "`' � �
7,>4)
Square Ft. Estimated Cost (value) i/ Q a d 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 OF 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 at 'addendu (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I uncle d thapeparat :. rmits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
7
FEES: PERMIT cD RADON
APPROVED:
Zoning
Mechanical
C.C.F.
Building A4 q r.
Address
Phone
Ins. Co.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all w�� . • do e ' compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the wo
Signature
or Ownngr- Builder
5 A ,2S -4/b0.
ALA, , r:..rf.
Notary as to C. tractor o Owner -B
My Commission
Yt'ycommTzl-wv ?"7"A;
BOND
Electrical
TOTAL DUE , c. 5
Plumbing Structural Engineer
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date - 57Z /9 Job Address t3 /v6 97 ST'
Tax Folio
Legal Description
Owner / Lessee / Tenant Ad/e/ ,v,„, //y
Owner's Address 3 Aft '7 57 — Phone `/C - 3 V5
Contracting Co. Address
Qualifier — SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): �� B B� UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION /1'eSSUfe 6 /e1 a-4t /,f / Oac nc1` %ec-re er4 r.-za (i rifi/ whz/r. )
Square Ft. Estimated Cost(value) ' / Y
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. :/ fi,i;e4
Signature of owner and /or Condo President
Date: Date:
Notary as to Owner and /or Condo President
My Commission Expires:
APPROVED:
Master Permit # 3
Signature of Contractor or Owner- Builder
, � a
Owner- Builder
yo---„,-----, yys ri BA x ,, � FUOAZZI S+
4 1 . ? * COMMISSION ;■UMBER
** * * * * * * * * * * ,w CC3 SSI 1
y; rr '` o
F * MY COOMISSION*ExP. * * **
of g! 29,1998
FEES: PERMIT 470 RADON C.C.F. /00 NOTARY .:9 TOTAL DUE et5)
Fire Other
�t (Y
Zoning Buildin:� 7 Electrical
Mechanical Plumbing Engineering