537 NE 96 St (10)Date
Legal Description Lot #15 &16, Blk #99, Subd: Miami
Shores
Marcos Guinaldo
Owner / Tenant
Owner's Address 537 N.E. 96 Street, Miami Shores,Fl. Phone 255 -5315
33138
Contracting Co. Custom Pools Add 13250 S.W. 131
Qualifier
State # Municipal # Competency # Ins. Co.
Architect/Engineer
Bonding Company N / A Address
Mortgagor N / A Address
Permit Type (circle one): JLLDLN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated Cost (value) $10,000.00
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.
OWNE
laws re
AFFID
ting co
MICHELE ARDEN CHAZEN
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC361732
MY COMMISSION EXP. APR. 5,1998
FEES: PERMIT
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 537 N.E. 96 Street Tax Folio
John M. Pieklo
Juan Sanchez Boudy P.E.
I c that all the foregoing information is accurate and that all work will be done in compliance with all applicable
ning. Furthermore, I authorize the above -named contractor to do the work sta
' �/
ido resident Date
No1 ary as to Owne . d/or Condo President Date
My Commission E •, res:
RADON
Swimming Pool Only
C.C.F.
Historically Designated: Yes No
Notary as to Contracto
My Commission Exp
Master Permit #
Street #100
Miami, F1. 33186
SS# Phone 255 -5315
Add S.W. 47th Street, Miami,F1.
r Owner - Builder
• 1 N_: f
MICHELE ARDEN CHAZEN
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC361732
MY COMMISSION EXP. APR. 5,1998
OLP/
Signature•' ►'ontr.ctor or Owner- Builder
NOTARY
N/A
N/A
BOND
TOTAL DUE
33155
Date
(o(r/7
Date
APPROVED:
Zoning Building Electrical
Mechanical Plumbing (- �l I!i Engineering