1201 NE 98 St (9). SEP -12 -1994 13 01
09/t2'94
Signatio
Datet
4
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1
OFFICE DEPOT
09:e5 Z 385 428 2927
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' : ; ti iiT Ai Li `' 'ii IO - F13 ti - fviL IK - ►y,Eirr,;R•it,S •Yi, .i;.
` I 60/ ,lob AdJres8=j Ise 18 ? 1 i. 'l i x Folio
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E 011 5, P13 3 - SO Lo r / n
Leari .Descrli►t!o
'Mar / iLsaabo /Tenant .,
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r
Misr 1 8 :Addr0aq l 01 _ e 91 5 ; e •
CantcdotinR bo. .- _._• Addr■iaa -
q ualitLer; 540-.6.-----1.--
State A - .. —Runic/01—II Competgncy 0 Ino.Co.
ArchLtett /Bn *ineer, Address
t'I4ndiAg Company,
RR , R ' t ' /t1' :Yi - -• -- - ' s *
FEES: PERMIT._. RADON ,C.C.P.
APPROVED: Pit
} Bondi') seating. , - 1
Mechanics ____.. , ltumbin
' 11 ' ' . 1 9 ;',► I •
1
■Addre.A
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Squnvo •>p`t:;�,�� 1.. _._ __— t3stLmated 44(value)
WAR[V4NO TO 'OWNER.t 7QV MUST REt'CORD A VOTIVE d
80 NAY RE8lO IN XOUR PAYING T ICE PQR IlNP#toV
TO OBTAIN FINANCING, CONilUL;T PliTN YOUR LeppaK
ttoT rcgi OF IIIME1NCEMEHT) ,
Application is hereby made to ubtai t a permit to .do '10
OD, the attached add'nduw (if epplle b1e). 1 sarIirY
etandards vi all laws regulation; ctustruCtL* IA this
pa!mits are required . for BLeVaIOAL' PLUMBXUQ, SONS,:
muumuu APNr� • AYI'r: I certify that .1 the tvrego4ug 4 be done in c fiance Kith all appl 'cable laws t-eOu1�1)1
agthvt.se t14 above -camp control.; v4 to 4the work 4
*
1
NPTAR
RDT.S.FLORID2
Master Permit 0
MortA0Sor
X
01 (Civil' ono): BUILDING 1�iLSCTRICAL rgUnai49' t12. HANICAL xv rxwe
•
46 � , 3cT!
305 935 0321 P.02
P. el
Phon 7 S� - 9 t In O
PAYIN0• PENCE SIGN
CO$J ENCBMENT AND YOUR icAILURE TO DO
EATS TO YOUR PROPERTY (IF YOU INTEND
R AA ATTORN&X BEFORE RECORDING YOUR
�k app installation as indicated above, and
hat 411 work will be perTormad�to'meet tbo
Jurisdiction. I understand that•saparate
ooLs; f0OIINC and MtdRA1QtCAr. WORE.. ;;
•
otwp io,� 1s accurate and that all work will
ng construction ■nd zoning,. Furthermore, I
tad..'
'posture of Ammeter or Owmer-Builder
at.:1
•
a' to Contractor or Owner - Builder
Co(tcu iccion EXpike;:
* * * * * **
i
X TOTAL DUD, '
Ntlaotrical
kngLnooring,
1
!1
•
Date 63( 4 11ob Address / -- ME 92 ST Tax Folio /I (-0-5 3 C)10
4VSf0
Permit #
Phone / 3
P/Py
:Lessee / Tenant $� fk + TA 5 A.) Master
Owner's :Address f 20 / x 8 S1T
Contracting Co. ,67 SeGUrf TV Address /(94 £ . atA4,/4 Q
Qualifier W p\ 6 l i t i j n f ' ( i O N SSI# - 6, •
State #6 Municipal It Competency II Ins.Co.
Legal Description etAkLI Oo.l SLOre S - 1 - 0 1 - fO
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one):. BUILDING ELECTRIC= PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION /Ok) I/D L- E Cr /r
C(51,1 rt r l - e k.)
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
ox the attached addendum (if applicable). I certify that all work will be performed 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 regulatin struct
authorize the above -named con, actor to do the work sta
Signature of owner and
Date:
Notary as to
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
My Commissio Expires:
Zoning
ondo President
er and /or Condo President
** * *
FEES: PERMIT 1 RADON C.C.F. 1
Mechanical
p!, -.14.41101
ign
ate:
0
ure
III f I&
tractor or 0
r
al, _IAA! di AI/ !
Notary as t factcx IT 7111E1
COmml S s 1 ' p,i a WY COMMISSION # CC 383081
: EXPIRES: June 14,1998
,, ..... Bonded Thru Notuy Public Underwt tern
Not
My
*
NOTARY
*
a d o o
*
Furthermore, I
*
er- Builder
*
der
TOTAL DUE #
**
Fire ql/ C t A Y
Building Electrical
Plumbing Engineering