615 NE 97 St (4)BUILDING
ELECTRICAL
PLUMBING
ROOFING.
Owner of iE
Building `� r
Architect
Contractor
or Builder
Legal Lot
Description
CONTRACTOR OR BUILDER/
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT
N9 7431
Contractor's
License No.
19
Work to be performed under this Permit
B1
Subdi-
vision
A ddress of ,'` t Value of 1 Amount of
Building Project $ ; 1 Permit $
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 applica-
tion 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 or drawings or in the statements or specifications and that he respon-
sibility for work done by his agents, servants or employees.
1 '
Signed ° _ INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritie3s of Miami Shores Village. In ac-
cepting this permit , I 1 re assume onsibility for &J work done by either, myself, my agent, servant or employee.
BY AUTHORITY ABBOT 'f4
Dat un Job Address C o 1 1 E ,97
Legal Description
Lessee / Tenant
Architect /Engineer
Bonding Company i4
Mortgagor N1
Date:
Notary
FEES: PERMIT
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
W ela,i0
N 111
Ari q
(D IS I\IE rist
Owner's Address
Contracting Co. �j
Qualifier STF{�!J 1�eE ✓ �
State #CAC o2W3gMunicipal # Competency #
14,aua rlr CcCe) ��«,�,�
Sig ure of o and /or Condo President
as to Owner and /or Condo President
My Commission Expires:
4 4,v , P� e ROBERTO.WHITE
O �l e COMMISSION 4 CC 454078
MM EXPIRES APR 20,1999
** * * '� • * BOND*DTHRU*
OF t S ' ATLANTIC BONDING CO., INC.
0 ° Q° RADON
Zoning
Mechanical
eU 1�IO`�
SS4# . Phone
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING CHANICAL ROOFING PAVING FENCE QIIGN
4 WORK DESCRIPTION G4nC140c QX1SL►n 5 low IRC bc 6 - r�lt�h6 1- ac- k�i��
1. g ; -
cde t y,n Star
r.7 no obi
Square Ft. Estimated Cost(value) W..D 1
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 111 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• ' the abov :"-d contractor to do the work stated.
Plumbing_
Phone (
Address '[ 1 S � 4it, . 1-.10 l'pntiel FL
413(
Address
Address
Address
Tax Folio
My Commission
1 I- 32oto - I�b
Master Permit #
In e- kFNI' *- /
Notary as to Contractor or Owner- Builder
kU O. WHITE
a <. COMMISSION 4 CC 454078
EXPIRES APR 20,1999
'34,.._ � � * BONDS U
* * * * * Of ATLANTIC BONDING THA CO., INC. **
C.C.F. / • NOTARY
dig
Iii I
Engineering
or Owner- Builder
TOTAL DUE
Fire Other
Building Electrical