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MECHANICAL
Company Date Type Insp' n 4 Permit No. Me 0 Name l L! Addrgss 103 i q V • Phone # Inspection Date Approved Correction Re- Insp'n Fee 4 O L MIA SHORES VILL BUILDING DEPARTMENT 305- 795 -2204 446, Building Inspection Request J ev - Co - v ,a 5'4O (./ - 33Z5 (37/ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Request Date ? Type insp'n Yltl L. A(C Permit No. LI2 O4 Name 3 Oo„ Address �i C a 31 A Z ME Company 1,111d( d11 Phone # (-i'5 — 46 Z atokker Inspection Date Approved Correction Re- ]nsp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ?I1-In Type Insp'n A f G Permit No. kC, 4' Z l Name 1 �� ®Q, l Address t ( Z l 0 SI ti Company �( 0/l\ Phone # '1O5 /75 i olmwr Inspection Date 15lO Approved Correction Re -Insp' n Fee 3 Job Address /0 ?R., /►. G 9S/. Tax Folio 1/ ,5o?©, Q (do hoh Lessee / Tenant 7 6CCJA/AeSreE.4 Master Permit �F_ /� Owner s Address /030 NE • WO: tna / cages Pho ne 7 �7(� m S9 - 0/%rdohi, O/r heloal Address5/61N F . /90 Qualifier // / / ?/)')Q&) __- ✓ 9,44!)-6997 Phone Date Legal Description Contracting Co. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE State # Municipal # Competency #C6CO / / /ins.Co. Architect /Engineer' Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING( MECHANICAL) ROOFING PAVING FENCE SIGN Al d 4. /IQAJdlt acook - /Dkw - > i /D oic ' U-110 z WORK DESCRI PT ION i 71/ /1I Ql 3i670N Square Ft. Estimated Cost(value) 2 r01 74 " 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 consyructiop and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signatu a of owne Date: l�(r 1143 or Condo President Notary as to Owner and / o` C 'Press` en ---- — My Commission Expires: „ � ¢u ' :: � dt A / �he� 7 ** * * * * ''�.. � ' * jA* 1; ; ,:.* FEES: PERMIT P)1r9) RADON C.C.F. APPROVED: Fire Zoning 11 Building Mechanica14 17715(P Plumbing Sig Da OOP "Owns; y i ' e • cop, L(• 252368 i V'; ,ssac Expires / * Notary as t My Conmi s s i NOTARY Other Electrical Engineering r Owner- Builder • TOTAL DUE 6:3' d,9 ** Date 1/ / � Job Address /Q9 /1/.2E. 91a. Tax Folio ■ /O Legal Description ) a f 1T, 7Y) ‘14Pi6 er Lessee / Phone -aQ� Tenant in 60.1N/lie • • /O3c Owner's Addres /030.2_ /V ��. „ N. Q Q /,Y�/ �� \ C?S' �o Contracting Co. 0 rdabh_ NprIM (Gaa (di Address5A3 /V, E /9O �/. Qualifier c—Rit t` Q 1/ /N Phone g40 O — O Y7 / State # Municipal # Competency #,107:00 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING LDING ELECTRICAL PLUMBING MECHANICAL f � ROOFING PAVING `_ FENCE SIGN WORK DESCRIPTIONJS/Q/ /// Q O WQ 'i W( ON 'f �- / /ONCJ/er ' ekto - to/ G_ q/p / cAolve.. Square Ft. Estimated Cost(value) 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 .4 accurate and that all work will be done in compliance with all applicable laws regulating construction and zo i.g). Furthermore, I authorize the above -named contractor to do the work stated. Signature of owne or Condo President Date: (I l {,' f3 Notary as to Owner and My Commission Expires: ** * FEES: PERMIT RADON C.C.F. NOTARY APPROVED: L Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE w Ate• .1. Signatu Date: Notary as My Commiss * Master Permit # * ** TOTAL DUE 93f 4110 Fire Other t +� Building Elect ;�icalM ;fit �\) Mechanical Plumbing Engineering