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1195 NE 98 St (11)PERMIT APPLICATION FOR MIAMI SHORES, !VILLAGE Date a /�/7 Job Address 't- Tax Folio Legal Description Owner/Lessee / Tenant f'r /r1. 1/ / I. Master Permit # Owner's Address / /9f M 77 Phone 3 CT- 7)7 — 6TY/ Contracting Co. C nA /j ' pt / Address 4 ' 7 ( /g b L Qualifier 2-)1. Phone OF 91,--73, State # Mumcipt • u Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING WORK DESCRIPTION Notary as to Owner My Commission E FEES: PERMIT WO, o o er and/or Con MICHAEL IWASKEWYCZ MY COMMISSION A' CC 721000 FIRES: April 10, 2002 -•A, °,`,`•. • Banded lbw Notes Public URdaewrilers 6 r Condo P . ident 1 to :miSSION N t;i: ;z:000 EXPIRES: April 10. 4ctary Put* _rimes o > ident 1 ate „y C.C.F. B b Historically Designated: Yes Competency # 0 /W Ins. Co. CrX ELLf`: I ati tL PLUMBING 'tr»cCHANICAL ROOFING rie./(- f�G 7e aria _Ls Square Ft. Estimated Cost (value) Z (573 No 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. APPROVED: Zoning Mechanical Plumbing 1 ti / Jrgnature of Contractor or Owner-Builde / Date otary as to Contr hdtor or Owner - Builder My Commission E OFFICIAL NOTARY SEAL 2 , ` 01Y PV S MARGARITA MONTIEL .occa i 0 COMMISSION NUMBER i a CC797277 'R Q MY COMMISSION EXPIRES OF FAO DEC. 17,2002 Electrical PAv ; FENCE SIGN �e �. " e_ Date %- / / .)Q NOTARY Jam- BOND ala TOTAL DUE 96 . Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY /v4 �y// (OWNER TO RETAI COPY) �y Job Address // 9S 9e ��r� Tax Folio /f 3 g c' � 1� d/d o Legal Descriptionei 6 J /� ) 4 4" Master Permit # Owner / Lessee / Tenant (/e ceJ 4 Architect /Engineer Bonding Company Mortgagor Notary as to Owner and /or Condo President My Commission Expires: * * * * * * * PERMIT FEE: APPROVED: Fire 3 ,7, 0 Zoning Building 3 i D 0 Mechanical Plumbing Address Address Address 2 � 7 Owner's Address / � 'jS 4/25 9 S� —3&c,6 / /� �.. phone 7.S/ Contracting Co. Address Qualifier SS# - - phone State# Competency# Ins.Co. Permit Type (circle one): UILDING ELECTRICAL PLUMBING MECHANICAL,i PAVING FENCE SIGN WORK DESCRIPTION '7` - �� / � Square Ft. Estimated Cost Notary as to Contractor My Commission Expires: * * * * Other -Elect Engineering ical QL • 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 ac rate and all work will be done in compliance with all applicable laws regulatin: o struct •n :n oning. Furthermore, I authorize the above -named contractor to do th /or j/ e/ Ai ALLA AillhIMONOMOMMI Signature of Owner and /or Condo President Sig;9ure of contr. t9 or Owner )'uilder Date: D• / / e� / /72 or Owner - Builder SWIMS * .1992 #7' 9 Date PERMIT APPLIGAPION FOR (OWNER Legal Description /6t / er / Lessee / Tenant cc_.-6.cr p Owner's Address // 95 77 e Contracting Co. 2 ,/ Job Address ' 1 �1� 0 Qualifier ("Cc- Pv State# Competency# Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION Kl,0 ✓rO.- Square Ft. Sig tyre Da BUILDING ELECTRICAL cif I ' 7 7 l 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 comp ce with all applicable laws regulating construction and zoning. Furthermore, ja, hor• the above -named contractor to do the work stated. and /or PERMIT FEE: APPROVED: Zoning Mechanical G / 1;2 (- � �? s- p Go iTle o President Not ry o- to 0 'er and/or � Cone President �qr My ommission Expires: /d MUNICIPALITIES OF DADE COUNTY n TO RETAIN COPY) 7 r/ $ J/ S' Tax Folio // 5 �f Fire Building Plumbing S‘ lJ Permit # . /WV / •v/ cP u. Cie r Address SSA - - Phone Address Address Address Phone 7S J0.4 Ins. Co. PLUMBING MECHANICAL PAVING FENCE SIGN g "'? Estimated Cost Electrical Engineering O5.- /SOO Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: *