PAINTPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
Job Address 14 - I
Legal Description .}'/ `
(owner/ Lessee / Tenant
Owner's Address 9,
Contracting Co. ziet2 '2 / fc ( -,..
Qualifier SS# - - phone
State# Competency#
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one
WORK DESCRIPTION
PERMIT FEE:
T,Lt;
;ij as /to Owner and/
i C•mmission Expiresi1Y
74/
BUILDING" ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
PO Aiva
, i
1 -N , �.
(OWNER TO
RETAIN COPY)
Address
077,49 ? Master
Tax Folio// j) G / ij f
Permit # toZ go49t.
phone -7 `) ` 7 -„` ��tr ;
Ins. Co.
Square Ft. Estimated Cost/ SOU,
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.
ignature of Owner and /or Condo Presid
Date:
t&4c
O1T40r1410LIgMPFIt 1810^.
COQ; MISSION EXPIRES APRIL 16. 199/
HORDED *RV STEM131E DAMS & S41T
Signature of Contractor or Owner - Builder
Date:
Notary as to Contractor
My Commission Expires:
* * * *
APPROVED: Fire Other
Zoning ;B
;Building
r I �/
Mechanical Plumbing
Electrical
Engineering
or Owner - Builder
* * *
Date/0 / 3 ^ i Job Address ? / 3 /1(E c-76 Sr Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant Zen/ ls e / Master Permit #
Owner's Address 8513 — 7 � 6 Phone
Contracting Co. 001!0 2 i ?o o / �1 ( le. Address / L / G pt/A /j Y ST
Phone 9 V 7 r6o 2
Qualifier /e 2 R. // 'C.e (A) e •e
State # Municipal # 2 3/ '/
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIIGN
WORK DESCRIPTION L ' eS 2 0
/ 1 .r
&, j:'to F0,7,14-
Square Ft. Estimated Cost (value) ‘OO ,
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
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date
Notary as to Owner and/or Condo resident Date
My Commission Expires:
NOTARY PUBLIC - STATE OF FLORIDA
ARLENE WEAVERUNG
COMMISSION # CC772034
EXPIRES 9120
BONDED THRU ASA 14388•NOTARY1
FEES: PERMIT Y-'0 RADON
APPROVED:
Zoning Building
Mechanical Plumbing
3
# (13 i Ins. Co. U 5 / &-
Address
Address
Signature of Contra
C.C.F. ' (2 NOTARY
or •r iwner- Builder
Electrical
Notary as to Contractor or Owner -Buil
My Commission Expires:
NOTARY PUBLIC • STATE OF FLORIDA
ARLENE WEAVERUNG
COMMISSION *CC772034
EXPIRES 912012002
BONDED THRU ASA 14388•NOTARY1
BOND
ate
U
TOTAL DUE y 0
Engineering
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
Job Address 14 - I
Legal Description .}'/ `
(owner/ Lessee / Tenant
Owner's Address 9,
Contracting Co. ziet2 '2 / fc ( -,..
Qualifier SS# - - phone
State# Competency#
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one
WORK DESCRIPTION
PERMIT FEE:
T,Lt;
;ij as /to Owner and/
i C•mmission Expiresi1Y
74/
BUILDING" ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
PO Aiva
, i
1 -N , �.
(OWNER TO
RETAIN COPY)
Address
077,49 ? Master
Tax Folio// j) G / ij f
Permit # toZ go49t.
phone -7 `) ` 7 -„` ��tr ;
Ins. Co.
Square Ft. Estimated Cost/ SOU,
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.
ignature of Owner and /or Condo Presid
Date:
t&4c
O1T40r1410LIgMPFIt 1810^.
COQ; MISSION EXPIRES APRIL 16. 199/
HORDED *RV STEM131E DAMS & S41T
Signature of Contractor or Owner - Builder
Date:
Notary as to Contractor
My Commission Expires:
* * * *
APPROVED: Fire Other
Zoning ;B
;Building
r I �/
Mechanical Plumbing
Electrical
Engineering
or Owner - Builder
* * *
Date/0 / 3 ^ i Job Address ? / 3 /1(E c-76 Sr Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant Zen/ ls e / Master Permit #
Owner's Address 8513 — 7 � 6 Phone
Contracting Co. 001!0 2 i ?o o / �1 ( le. Address / L / G pt/A /j Y ST
Phone 9 V 7 r6o 2
Qualifier /e 2 R. // 'C.e (A) e •e
State # Municipal # 2 3/ '/
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIIGN
WORK DESCRIPTION L ' eS 2 0
/ 1 .r
&, j:'to F0,7,14-
Square Ft. Estimated Cost (value) ‘OO ,
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
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date
Notary as to Owner and/or Condo resident Date
My Commission Expires:
NOTARY PUBLIC - STATE OF FLORIDA
ARLENE WEAVERUNG
COMMISSION # CC772034
EXPIRES 9120
BONDED THRU ASA 14388•NOTARY1
FEES: PERMIT Y-'0 RADON
APPROVED:
Zoning Building
Mechanical Plumbing
3
# (13 i Ins. Co. U 5 / &-
Address
Address
Signature of Contra
C.C.F. ' (2 NOTARY
or •r iwner- Builder
Electrical
Notary as to Contractor or Owner -Buil
My Commission Expires:
NOTARY PUBLIC • STATE OF FLORIDA
ARLENE WEAVERUNG
COMMISSION *CC772034
EXPIRES 912012002
BONDED THRU ASA 14388•NOTARY1
BOND
ate
U
TOTAL DUE y 0
Engineering