1208 NE 98 St (9)d/
ViMag of miai Shores
JOB
ADDRESS
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INSPECTION
TIME READY •1';'
REMARKS
;'Y
Pie. :al, (1
INSPECTOR
1■19 4440
DATE
r
Legal Description
Uwnsr/t.cssce / Tenant f n R tai u
02/13/96 10:31 MSV
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE -
Date o //3 /96' Job Address /a o ^/i 9 - ST7¢c+►rTax Folio
I tistorically Designated: Ycs
Owner's Address ► a o P N c 4 8 5 i nT M S• Fhexle
Contracting Co. __aQe N e ± o u r e u I G', L'T e. Address
Master Permit #
001
No
� 9 '-f-o
30S— 758- 79aJ
Love Wotan
Sao i Lorig,e, 66Nr411+ pR, 334
Qualifier Tom_ Ille p „r Q SS# Phone fro 7- S s3 _
State # C - 237J Municipal #
Amttitect/F-ogincet'
Bonding Company Ze./Es ,c) _ 5 -e /
iviortgagm
Address
Permit Type (circk one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
P 1 As.
SyuareFt b
Signature of owner and/or Condo President
Notary as to Owner and/or Condo President I.)atc
My Commission Expires: _ q / V '7J
� ��:Y h4, c- 9�
r `a.
iJ
PEES: PERMIT S RArx)N
APPROVED:
Zug Building
Competence #
Addr ss
Address
Ins. Co.
/'SCS4,2A C G ID A 1 ✓e , /411_ Lu i TN J &7
era.
Estimated Cost (value) I , & .
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 tndicaied above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of Ml laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS. POOLS, ROOFING and MECI IANICAI. WORK.
OWNER'S AFFIDAVIT: i cert4 that all the foregoing information is accurate Hnd that all work will be dune in compliance with all applicable
laws regulating truction and zoning: 1- urthermore, !authorize the above- nar coot, actor . . the work st tcd.
t )atc
Plumbing
gnaturc of Contr c,r i.n Owner- Builder
"--Le_5?)
Notab-n.,=tcr- or Owner-Builder
r Y P, d E,,G4t�.,�?
My ornfniaawr Fxhires.:�.aA C�
Dv
Date
C.C.F. I NOTARY TOTAL. DUE YgiCI
Date
Electrical
Engineering
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Ii J
111
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