750 NE 96 St (7)Job Address
Legal Description
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
750 �4 9 -7z s-
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Lessee / Tenant 6- nA /t / / _ / Rng0,r, v 6 e_
Owner's Address 4 750 96-7A 5/.
Contracting Co.
Qualifier — SS# - - phone
State #
Architect /Engineer
Bonding Company
Mortgagor
Square Ft.
S . /vi4
Permit Type qp (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION /2, 7a / v G/, 4` S F C. O ' /e 7Is .
02 EK`iifus FH-N
Oa U Estimated Cost / ao0.
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. 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.
Nota
�l.
Signatur of Owner
Date:
i
ai to
My Commission
* *
PERMIT FEE:
- Li/LLL':014/
Owner and /or Condo President
Ek Aires : // / /4V
APPROVED:
Zoning
Address
phone
Competency # Ins. Co.
Address
Address
Address
Fire Other
Tax Folio N30206 /v ?x90
Master Permit # ,9/..c6 „Q.
_3/9/7
mo
President Signature of Contractor or Owner - Builder
Date:
Notary as to Contractor or Owner - Builder
My Commission Expires:
* * * * * * * * *
Blinding Electrical
& ni
chanical Plumbing Engineering