BP-03-270( Qi..\ V--tE.— f3, S —1 "10 --- t'l PERMIT APPLICATION:F • • • • B 1/41L S• • • AES VILLA
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10050 N.E. 2nd Avenue • Miami Shores, Flarida33138 ;Probe: 305 -795 -2204 • Fax:
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Date D..3 Job AddfY6 0 DE- 9 Sr. Tax Folio
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Legal Description l tofict13:DeAgndtec:: Y0%,
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Master Permit #
Owne -_ enet �= ?c S
,Owner's Address 1 L 1 !J 0) C dkV SU vl'r{�S iltz �- • od e Eon - ✓ � � (�
Contracting Cott Pth c.CS 0.0411 C1 ZviC• C A+ s ` - (4.�e
V, J� 3 // ` ? , .. ,�,, � ,,,, � 00 l c
5 m N / p w Coosa gin, Port `St " �Ft -
Qualifier 1�'V IIJ I-A yGOGk. ( �SS# c59 l - � -5Sa phone7707- S 7O — 9819" 3'1946
State # C&C _01504083 Municipal # Competency # Ins. Co. �qt Ft re 4- Marine
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): \ jJ1LDIN)" ELECTRICAL PLUMBING MECHANICAL ROOFING
RK DESCRIPTION: P 1?. i —' 4 Av Et ) Ciip 6..VE -viml — �U `- . \ ♦
0-\kuL \k ` � ��L� A SA.\ � i2� S 3 ` T - �. Ai\
Square Ft.
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 ANY 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 all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating c` truction andygning. Furtherynore, I authorize the above named contractor to do the work stated.
Si ■ i . e of . wner and/or Condo Preside
APPROVED:
Zoning y °) Building
Mechanical garb 4" G , , z &Plumbing
24.
/
Date
'mated Cost (value) �� / 0 0 0
nature-of Contrac • or Owner Builder
1 9 - 03° 0)
�03
otary as to Owner and/or Condo President Date Notary as to Con ' :'tor or Owner Builder
.
�
My Commission Expires / ` 4 , My Commission Expires e Aaron L Lockwood
..�. ; I. •'war ji' •, , Commission D0133266
.•(' „y • MY
. my , 0,� «~ J„ iy 11, 2008 1
Expires FEES PERMIT $ S RA DON C.C.F t 5. 0 0 NOTARY
3 0 e , TOTAL DUE
Date
Date
Electrical
Structural Engineer
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/5/2003
Applicant:
Owner:
JOB ADDRESS: 602 NE 96
Building Permit
Permit Number: BP2003 -720
ST
Page 1 of 1
Contractor DYNAMIC CONSTRUCTION SERVICES OF AIIn6RtMtJ Address: 5792 N. W. COOSA DRIVE
Local Phone:
Parcel # 1132060141410
Fees: Description Amount
FEE2003 -2688 Plans Processing Fee (Other) $30.00
FEE2003 -2689 Building Fee $355.00
FEE2003 -2690 CCF $15.00
Total Fees: $400.00
‘t' 0
Total Fe s: $400.00
Total Receipts: $30.00
Permit Status: APPROVED Permit Expiration: 11/1/2003 Construction Value: $25,000.00
Work: ADDING ANTENNA'S AND EQUIPMENT TO EXISTING CHURCH STEEPLE MIAMI SHORES PREBYSTERIAN
Signed:
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 authorities of Miami Shores Village. In accepting this permit I assume responisibllity for all work
done by either myself, my agent, servants or employes.
Signed: C�� - I� ►
Legal Description: MIAMI SHORES SEC 2' PB 10 - 37 LOTS 1 TO 10 INC BLK 61 LOT SIZE
(INSPECTOR)
[11247 M:131. CE7CL:2
(Contractor or Builder) BY: