1245 NE 98 St (8)P/9 (NT 85'? - 07r r vA,
PERMIT APPLICATION FOR MUNICIPALITIES
/ / (OWNER TO RETAIN_ COPY)
Job Address / 2 �7S /V EI 9 g SD€Q mom; S/ Tax Fo
Legal Description �.� Y a /o 65 i,;i4Z Master
Owner / Lessee / Tenant Fan?, Z n iL M h1le/'ly l IZ S
Owner's Address
Contracting Co.
Nfr-
State # /v(f}'
Qualifier
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING
Paorilo
WORK DESCRIPTION
Square Ft.
N ary(/as to
My Commission
PERMIT FEE:
cc c'e
lams N E qa sit
N /A
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.
Furth-rmore, I author a he, a•1 named contractor to do the work stated.
Signature of Owner and /or Condo President Signature of Contractor or Owner - Builder
Date: Date:
ne r
I6 31 ur rLORIDA
ExpireskY COMMISSION EXPIR1S APRIL 11, 1992
* BONDED RU STEMBLERADAMS i WET
APPROVED: Fire
Mechanical
Address /U //`f'
SS# - - p
Competency# Ins. Co.
Address
ress
Address
Permit #
MECHANICAL PAVING FENCE SIGN
Estimated Cost -1 °076
Zoning Building dOp Electrical
Plumbing Engineering
OF DADE COUNTY
110 // J0'/ ' o Oa-ye
J277/
phone 75Y• a o3 e
elf) /o2 # 55'7
Notary as to Contractor or Owner - Builder
My Commission Expires:
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Other
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