750 NE 97 St (9)Date g
Legal Description LO' (p (09 M .S. 2-
Owner / Lessee / Tenant /41/1 4# /t /44 Master Permit # &5959
1 7. 5 1) rn 51 f4-
Contracting Co. Kr. ►p /d t A/c 'C-
Owner's Address
QualifieretAk &Cc ( /AcfAQ9t/e— SS #. - Phone _ °
�� 61 "WM 81
State W o.2 �� Municipal # Competency # A0
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDI ►' ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /. /tit C �e 001_
Square Ft.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
r - . - _ i ri - 4 •
D
i f 1
4 - ( 77 2
?4 Job Address ti` 9 S Tax Folio 1 1 ZO(o 1.1 222-0 2—
TOO
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
orize the wove -named contractor to do the work stated.
)
Sig
Dat
No ar
My Co
nature of owne
e : 3
AglibmAJIL■
otary e.s to
My Commi;.s
40 41 P/ 1 N
A,A.,,xpi r 6IA PANTELIS
• , •� ;.: MY COMMISSION 0 CC 236055
• ' EXPIRES: October 15,1996
* A C1 t,4V tended Thai finery Public t * wdteni
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cilASL
APPROVED:
r Condo President
v er and /or Condo President
FEES: PERMIT 'A RADON
*
Mechanical
Plumbing,
Phone /757-- 6'36
Address //6 3 ,,v, //f 1
Ins.Co.
Estimated Cost(value) r,
Owner- Builder
C.C.F. / t NOTARY TOTAL DUE ggs D
Fire
Zoning Buildin
Other
Electrical
Engineering
PEF?IT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date /Job Address 70r /147, 9 7 .C7 Tax Folio // jJ 6 /4 A
Legal Description 4 /4
Owner / Lessee / Tenant
Owner's Address
Contracting Co.
Qualifier
State #
Architect /Engineer
Bonding Company
Mortgagor
SZ3
)-- Pe /o':77 ,40:.° v 0 Master Permit # / 6 , 7
i i ���
?,r &-. 92 sr'
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION 7 /A/7jk/
Square Ft. Estimated Cost O
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 autho ize t e above -named contractor to do the work stated.
Signature of Owner and /or dent
Date:
Competency# Ins. Co.
l
0 A
No as to 0 � jerMY1 -•i ®tb�6�l�� a 'd t Notary as to Contractor or Owner - Builder
My ommission xpi #P'P THR� GENE INS. �1ND. My Commission Expires:
* * * * * * * * * * * *
PERMIT FEE: APPROVED: Fire Other ? -Z S' —I
Zoning Building
Mechanical Plumbing
Address
SS# - - Phone
Address
Address
Address
Phone 7J 7 --C3
Signature of Contractor or Owner- Builder
Date:
*
Electrical
Engineering