567 NE 96 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / tr tr. Job Address 66 7 AIE 96; 71.11 S 7 Tax Folio
Legal Description Historically Designated: Yes No
Lessee / Tenant / / J C 14 e% / J fed Master Permit # 7(3 R /3
Owner's Address 5 c e / Phone (3ds) 7G
Contracting Co. H61/7C OG Yl e r Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING dENCE> SIGN
4 WORK DESCRIPTION e r Y1
l . k -� c l 11S
1 S/ l/
0-7c5 tJt® C �► 4 , sue! r s�1 e sal �° e
(.c 0 e - Pen cP
Square Ft. Estimated Cost (value) t /60 0 "
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. urthermore, I authorize the above -named contractor to do the work stated.
, !//023 1 9g
Signature o owner an or C •i do President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
APPROVED:
Zoning
Mechanical
FEES: PERMIT 7' RADON C.C.F. 0 NOTARY c BOND
Building
tary as d'1✓: � for �t Owner- :uilder Date
My Commission : sires:
Electrical
Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
t
Date // 423 /9 Job Address -6 7 '6 - 9‘ 4 • Tax Folio
Legal Description � Historically Designated: Yes No
Owner ssee / Tenant /\./ / C 11 Q / ,Q e 1 (. / r<-1 Master Permit #
Owner's Address 5 kne
Contracting Co. Home a.6.) h e r' Address
Qualifier
State #
SS# Phone
Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING
WORK DESCRIPTION 4
CZ lit d
Square Ft. 40 -2
Signature • owner and/or Condo C' esident Date
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
3 � C.c� d s /de Loa /k
A Hay be paw c /"/ re
iff.) 04)5e(e peavrs
/f/c;73 O
Notary as to Owner and/or Condo President Date ' otary as to C; ` trac
My Commission Expires: My Commission Expires:
Phone (806i -
Estimated Cost (value) (5 6
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. F rmore, I authorize the above -named contractor to do the work stated.
e of Contractor
Signa
d
Air
/ or 6 ...
Date
D �v
11 -2.3 - Z'
- Builder Date
Lt- f
FEES: PERMIT `'(" b RADON C.C.F. NOTARY BOND
TOTAL DUE
1.
APPROVED:jj , �j
Zonin g Buildin g "/ V 2 f / ) J b Electrical
Mechanical Plumbing Engineering
0
0
0.2'
2.2'
F.NAIL
- }��-t - ' 100.00' N
L
X- -X
LOT 17
16.5'
3' CONC.
ASPHALT DRIVEWAY
39.00'
3'
10.0' - '"�
100.00
6.8' PARKWAY
01 5' CURB
LOT 18
15.2'
5' SIDEWALK
15.35'
15.35'
.90'
10.62'
1 >
0.4
F'
0.2'
2.7
F. NAIL
LOT 17
165
, 24:65'
0
ASPHALT DRI\/EWAY
100.00'
6 -Woo-zferr--Fo-ti-c
3' CONC.
100.00'
6.8' PARKWAY
ID
• I
„.• ONE
/ STOR
• /
,/ •
„' 63 4 5 , ,/
/ / „-• / / .
b.
15.2'
i 10
I :// P si
LOT 18
3'
5' SIDEWALK
15.35'
0
o.
1 5. 35'
›.
JQLL
0
1
90'
0.L1