745 NE 96 St (9)PERMIT APPLICATION FOR MIAMI SHORES
Date 12/17/99 Job Address 745 N E 96TH ST Tax Folio
Owner/Lessent Carlos R. Duran &W Fotoula
Y00
11 3206 0
M I p SEC 3 PB 10 -37 LOTS 8 & 9 H Yes
Master Permit #
Owner's Address 745 NE 96th!iSt., Miami Shores, FL 33138 Phone 305 - 757 -6864
Contracting Co. x/1.1/0 Address
Qualifier SS#
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor NONE Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Paint exterior of residence lrl42-i I. 14 'cl a-- 4 HI IT
Phone
Square Ft. Estimated Cost (value) ) /5 e 0 `�
Oat Cake ill X
X
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 authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date Notary as
My Commission Expires: My Commission
i
FEES PERMIT . u
RADON C.C.F. � ' d NOTARY
Con ctor or 0
I ;.r : RY PUBLIC STATE OF FLORIDA
� � • .
i COMMISSION NO. CC7t4I03
_COMMISSION EXP. MAR. 1
ca .vixotiLik a-/7
ignature of s. tractor or Owner -B der Date
1710Y0- ) 10-41 -- � O
/ - /7 -I
Date
BOND
APPROVED:
Zoning Building cz,( //111 Electrical
Mechanical
TOTAL DUE
Plumbing Structural Engineer