Loading...
180 NE 99 St (8)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 5 2 3- 94 Job Address 180 N E. 9 9 sr 4 NI Sio.hs Tax Folio /1 331ZO6. - 0/3 - Z Z-.3'0 Legal Description s_5 la / te5/' Owner/Lessee / Tenant Det . 4'u a /o ` • - 7 - 440 w 62 Owner's A d d r e s s t r f r r e / 0 / ✓ e . 2 A"...1 4 <1E . Contracting Co. t56) /'/f 2. 6 2 P Address c✓y u S/ s al 7/ 4' 6 41.c /c) ' Qualifier - E S u S !r f N /a Phone 6 6 S ?-s 3 State # G'6 C 00 7 q 1 8 Municipal # Competency # Ins. Co. Architect/Engineer /Q./ -Ca Address Bonding Company Address Mortgagor Address Permit Type (circle one BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION,- 4 T -r'o,t &see dF /i . Square Ft. Z 30 o Estimated Cost (value) / ? L7 S 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 i ill PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S E • V : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulati • i ion and zoning. Furthe •re, I . uthorize the above -named contractor to do the work stated. r ' f� . l -5 23-91 Signature of owner and/or Condo President 1 ate Signatur Contractor or Owner- Builder Date CrIta 5 / 3 /7 Notary as to Owner and/or Condo President Date My Co nm , 4 Z. J` .- r O �• ` i\: '.„'l r a APPROVED: Zoning Mechanical 44.77o 0 Historically Designated: Yes No Master Permit # (76)/'`�� Phone - 7S - 7 - 9777 a..„/„_-13 c?9,r) Nottiv as to Contractor or Owner- Builder Date My C N _ e .:., , I l;xpires; - __- - {t , �' r, C0 :imp � cC4�E � ( = = .r ac , r 'Jn &O. 01'pb ', -., r9G.Go FEES: PERMIT 9e3. 60 RADON ,2.3, oO C.C.F. ■a.o NOTARY .S_ 0 o TOTAL DUE Building ' 1 / � � Electrical Plumbing Engineering ,TAJ E OF FLORftA, COUNTY OF DADE f ffEREsy CERpryr ace Cas En m erne cop lof tfen ertginaI filed in this offico as NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE. TAX FOLIO NO. THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. tcf0 Nc__ cty s+. 1, Legal description of property and street address: 2. Description of improvement: Med i ca 1 Of f i ce 3. Owner(s) name and address: 41 Interest in property: Le s e c Name and address of fee simple titleholder: , 7 v� vE 4. Contractor's name and address: __p _H rYlrpozata 4444 s_ ' Auer - 4142 Miami, Florida 1315 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by'Owner upon whom notices or other documents may be served as provided by Section 713,13(1)(a)7., Florida Statutes, Name.and address: ( 3 33X` orwtvre of O« Print Owners Name HENRY B. KONOVER Sworn to and Subscribed before me this 22 day of May , 19 96 . Mai-<" S t a ✓e ms, 3 3 t55'' 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Notary Public GEORGIANA LOINAZ BAZAIN Print Notary's Name GEORGIANA LOINAZ . NOT A'T'E OF FLORIDA BAZAIN COMMISSION NO. CC250712 — � — '` T_„77.71STONEXP. IAN. /4 1997 s a.. vn.rot• 968221383 1996 MAY 22 700 V !,); wC`Ik ed .Sur & 110 Y FO4 A- eS r L),4 + (� 3 33 2ij /we Z.D. FURNISHED: FLA. DRIVERS LIC K516- 382 -46 -368 -0 Prep red by: r '✓1 ✓ Ovl'v r} 22 ■/_ 2 AVE-- Address: Ut C6 51 �e f r 13:23 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address /fro ,ae, 97' (4- Tax Folio //:301 ©6 ©/3 a lcA 3o Legal Description n /� //�� 4 4 Owner / Lessee / 20A ; A004 / ' .'t£��GigN5 - Master Permit # "( Owner's Address 9YO AM. c 4t 4W/ Gal ' Phone 75;7 -5 ,79' Contracting Co. /'', i2 ,.1J 1S4Lify Address /.53R 2 �� /�'/�,1; A/y.� Qualifier)�/ /1K/6W12 / Phone 71/7 State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION Square Ft. Sign Date: ** * APPROVED: Notary i. s to : er My Counnissi. Expir * 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. understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, R!fFING an CHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing info be done in compliance wi h all applicable laws regulatin authorize the above contractor to do the work sta esident ��� j EAL NOTARY SE. fI- A Alg eii Y I PACHTER # O dtA �gaM 1,I , o CC387 � MY COMMISSION EXP. F OF f4 ,,IURSF 77: * Zoning FEES: PERMIT ' Y74 15 4 1 5 RADON C.C.F. Mechanical Plumbing Estimated Cost(value) /ac Fire Other Building Electric t• s accu te and that all work will ction a d oning. Furthermore, I Af Signa ure of ►'• . "010' '41":41" Date :500 /471 / �1/ �A(��T EAL r CHTER Notar I to F.'t ,i t , ..: »�. My Coninissl • ,!,'< ' IT.' MY COMMISSION EXP. °P * * * * * * ** NOTARY TOTAL DUE %1i5C/ Engineering Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address /80 Att 9 Tax Folio //S.2- 4 C /-3...4 - SD Legal Description Owner / Lessee / - '" R. Rogers cam £¢/laz;41, a Master Permit # 1 1 1 '5\ !�3 Owner's Address 91%'70 ,V4. r�?� ��•v!/6 Contracting Co. Qualifier //��l/ >/te Phone 9V7-5 - 08 State # Municipal # Competency O A Ins.Co. ketzkirbost./Engineer R4C7 air'Sr/4 9f i/75' //C, Address ,v-'4 .e.= F• :T33G7 Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE WORK DESCRIPTION /il/S?f/Lz 1 S /4l6l.0 FCC g//ti � 7v MSC,/,f- �i1ZG Square Ft. Estimated Cost(value)4450 ost(value)4 7 4119 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 rstand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and CHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing inf be done in compliance with all applicable laws regulating author]. e abo - a'ed contractor to do the work s ate i_ :tu Date: Notary .I_ to 1 er and /o My Commission Expires: ** * APPROVED: ., ii y.t a: �. 01 NOTARY SEAL ' e hd CPre tg ifotekth HUMBER At CC387778 47:" r° �oli9MISSION EXP. ers 27 1998 FEES: PERMIT I" RADON * * * C.C.F. Fire Mechanical Plumbing //%dq 05 ,s Phone, - 9797 Address /533 / : -. -/ ' •d /`(41? Signature o Date: fg / lA Notary ras My Commiss is accura'e and that all work will ns' ruction an zoning. Furthermore, I to rad o2 S 1 • ' ' 7 !'s ' COMMISSION NUMBER CC387778 9 DV COMMISSION EXP. NOTARY TOTAL DUE 12 4c Other Zoning Building N, ,&' Electrical Engineering, ** J 3'2.8.V 1( 11-4 raxe r 3— F12D.``+/..PS , L II a,- is 71 /axes 111 • 0 ,4M /NVrl coAls7a -7/o4, Ai/Rea-11P 094,e e /.4oV Aft 7W.4 / /2'x /f , -%o" 4..v6ve• yOKES' E i y -cw. 0/46 U Fizmva #342,1317 34 9s7 6/4 1 414 4- 7/1 S.e 4141 /WO tr 7, C (3) i7o1077.2CG•1//5F0.49, t5 4, L P1L1/"JI9/Ly 44Th C i/ /Z/ W/244 ESC /N 6 /4" ('�EF,(��lE�) CoiiDvi7 o L RR- CEti19 /j /NC /4E. .2094€ 4S7". P. 7 scat/ %er %‘,4)/7.4.4( erfZ. , Q7$�; 004, 7,AJ ; s'�- - it9G / n t 1' , Box ( Yi x / * ArIVOMs TRw yo/ES7v144 4 At1 * 3 7x'6 .6?c75; O R .*"X &Ars /N10 .C,c70 4 /44/aRS , £7t?r! Pa t/9 ; J/D LL■-7 sc (i/.27114& ER0/1 o 74 , 1)nA CRevi7 2 (R / P 4 0 t , � ( C I R . I / 6 ) 71Y/ 1 v 2 % 4 4 1 E e4gelc 7' S'G - t'ECr,Z, 4L eomPjti .vj5' /9 C) !✓sz 2 , •2-/ CA/ G1tcx Aite itCeo2D /4/G zo c_ cyzSl2, ' — , n / 1 • cogsmAsr P9LLe" ye Wr7E P,ex/ .19R4 G N /677// - Drr° rtharowarBo 5lrm Ceara rree tmerfi t C in terp 11nc 0 nezo 291th ST. 7 7 Ll D7 1 ' u) s � G , v c amier / e f N a 4 1 . 6 : c, 4 025 .4 s 6794? C / MMIvr / 8 0 4 9 , E 99 Sr 7 e /"W/ 5 0& PERMIT APPLICATION FOR MIAMI SHORES VILLAGE N Date Job Address NO /17t._ f e771.4£7 Tax Folio //3..1-06. di3o 3t' Legal Description Owner / Lessee / / •. AWICAS J &4! W I/ Z4 aJSEh Master Owner's Address Ma iKe: p; 4 4 444/7 Contracting Co. / Qualifier )) 441W-19, Phone Square Ft. 4v OWNER'S AFFIDAVIT: I certify that all the foregoing i be done in compliance with all applicable laws regula authorize the , bove -named on ractor to do the work • 1 atu 0 0 L NOTARY 521- . AFdLEY I PACNge R ° �� 09,78 ` Q MY COMMISSION EXP. �� F OFf\ 0 JUNE ,_. S Date: Notary s to • e an My Commission Expires ** * FEES: PERMIT $ APPROVED: dent Si Date: Notary as '•o Co My Commission Ex * * * * * * * * * * RADON C.C.F. Fire Zoning Buildin Mechanical Plumbing Other Permit # Phone ,c yo3 /3 Addressia3 J ? xr z z / 9V9 - .s' State # Municipal # Competency # j Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENC WORK DESCR I PT IONA7i IL 4 lP 0/ She- 4,71/iC.g i � C0 44:2! 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 •OOFING .'•d MECHANICAL WORK. is accurate and that all work will ructio and zoning. Furthermore, I • 41 r .,TI. ..,�.. • .,., { * COMMISSION NUMBER �! CC387778 -1 ,,..z cis (Sir PAY COMMISSION VIP. NOTARY TOTAL DUE 4 o f Electrical Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date o20 —y.6 Job Address itg 0 L 77 St re eerti Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant . 774 U N E Q Master Permit # '/o9 k 2- Owner's Address Phone Contracting Co. Ca r; � �J Q Cc A Ig u s• Ai e ss c1 . Address I �f o S �C / 36 S>` # Qualifier (/ SS# Phone ' 7 /- of 7,0 ci State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUIL ING ELECTRICAL UMBING MECHANICAL ROOFING ‘a-/-/,..td FENCE SIGN WORK DESCRIPTION ' I l . t - A e /" ( _. I/_ /-/ s.'L doo fE . 4T Square Ft. Estimated Cost (value) 'Sad. . c/0 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 con tor to do the work stated. ature of owner and/or Condo President 9 - 99 e of Contractor or Owner - Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date My Commission Expires: My Commission Expires: FEES: PERMIT RADON C.C.F. r (S 7 NOTARY f: BOND TOTAL DUE APPROVED: �i� Zoning Building Electric ✓/ ' � '5 4' Mechanical Plumbing Engineering Date ( £8 I' Job Address /6 NC / g Tax Folio Legal escription /OT / gb /C /7 / Historically Designated: Yes No Owner/Lessee / Tenant Deg AAl 9 ELO /- 'i /2e=cvc2 * A4,0 Master Permit # 3 9t 47 033 a Owner's Address /8O (Y1 9.. , Phone — 717 - q 7 q Contracting Co. W t 4- T 1, -1, G Address 7 P 1 5 N' 4.4 aT' M' FLA... Qualifier /J /w Phone o 366 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE State # Municipal # Competency # Ins. Co. Architect/Engineer —' Address Bonding Company -,.------' Address Mortgagor � Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION -TEM Fb / L � � � �."r � I , E z) r G a- 11 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 is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -n. - • contractor to do the w• stated. Signature of owner and/or Condo President Date ature of Contrac .r or Owner - Builder D ate ih Notary as to Owner and/or Condo President Date Notary as to Contract.r or Owner- :uilder Date My Commission Expires: My Commission Expires: FEES: PERMIT / me RADON C.C.F. NOTARY TOTAL DUE • APPROVED: �� Zoning Building Electrically Mechanical Plumbing Engineering For METROPOLITAN OAOE COUNTY — 3UILOING & ZONING DEPARTMENT • ELECTRICAL CATEGORY 15 AFFIDAVIT FOR 180 TEMPORARY SERVICE (ELEVATOR) (To be executed by Owner and/or Tanant, Building & Elecalcal Contractor) NOTE: ELECTRIC SERVICE WILL SE DISCONNECTED "WITHOUT NOTICE" UPON 180 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the ternoorarv-- tlecaica1 Iooroval by :he Dada CJunr e 3 g do Zoning Deplrome :t given in connection with the building being constructed Yoder Building Peewit `io. /i Ind Electrical Permit No. d Ic (E3O N.F 91 s �COA Ea3 A rat Flap P. - T {1140 vN E. MO. OWNEAS is being given only for elevator construction and installation use being made In said struct Necessity shall Include the use of current elevator construction pruposes, provided the Electrical Contractor and owner does hereby agree to assume the responsibility of malntaininc the installation in such a manner that there is no hazard to life and property. THIS APPLICATION SHALL BE RENEWED AT 180 DAYS. Such approval is in no event to be considered A RELEASE of said structure for purposes of use and occupancy, and no occupancy shall be granted or permitted until final Inspections have been called for and approved by the inspection divisions concerned, and an occupancy permit obtained. The undersigned also understand that the temporary electric approval Is subject to rescission and cancellation, and electric power can be cut off at the discretion of the Building and Zoning Department and will be disconnected If the building concerned Is occupied before final inspections are approved and occupancy permit obtained. 1, At £IELO J� 71b20c.,&.) C,e 1M A >� , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections. Sworn and subscibed before me this day o(, ' 1 , t 99k . , ft�RY SEAL ' State of Ronda at Large ROS,A MARIA OTERO My commission expires: . N(YPARY PUURI -IC STATF. OF FLORIDA COMMISSION NO, CC251142 MY COMMISSION F7(P. DEC. 283996 Sworn and subscibed beta 'Say of State of onda at Large My commission expires: Rev. 8/89 State of orida at Lugo RSA MARIAOIERO My commission expires: NOTARY PUBLIC STATE OF FLORIDA CO i NO. CC'231142 MY COMMISSION 101T. DEC 28 c i996 me this s- SIGNATURE OF ELECTRICAL INSPECTOR GATE: DATE RELEASED TO F,P,S L: S;GNATUR - OF OWNER RE NOT Y 31 NAB • I, � �?/� . E�� lbe:ng rust duly sworn. depose and Electrical Contractor for a above descibe?l" property try sn t hat the - w p Q d th eie ma y uts. adons u no saiery hazard if temporary— service is connected. Sworn acrd subscribed before me this a � day ofln , l SIGNATURE OF c LIC RICAL CGNTRACTOR RE NOTARY PV61iC s y that I am the not to a L S u S PEA) h , being ;trs: duly sworn. depose acrid •say that I m the Budding Contractor of the above described property and that I 'Will not permit occupancy of this building until tine' inspections have been called for by the contractors and sub-contractors concerned and anal approval by the inspection division obtained and that I have the authority (nsofu as the owner of said property is concerned, :o prohibit occupancy until suc»z final inspections ue obtained. r � \ ■r, 1. ' -1:11 ROSA MARIA OTERO NOTARY RAM STATE OF FU) COMMISSION NO. «231142 COMMISSION p(P. DEC 28,1996 NATURE CF BUILDING _ONTR NOTA Y SIGN PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 r 1 It Job Address /' NE 97..5.7 ' Tax Folio 1 ZO ( -- O L 3 — ZL, 3rO Legal Description 497 / /7 /La T /C /Q Historically Designated: Yes No ✓ Owner/Lessee / Tenant AN q elo P 'Mows )4D Owner's Address Contracting Co. , 1610 e Lle CT CZ I 64 C, Qualifier AI D 'ts eeEeL. State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Master Permit # ,1 L Ec__ 'c{OO Lit Phone Address F o X 5 2eC6✓ 4 (• / li62 Phone 4 Permit Type (circle one): BUILDIN ELECTRICA PLUMBING MECHANICAL ROOFING � PAVING FENCE SIGN E WORK DESCRIPTION X , AP-13 ' 1/ / Nf /f � / � , A/ / . 4 `t Square Ft. Estimated Cost (value) r " 1 oer ' 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: 18. FEES: PERMIT ?,�3+1r RADON C.C.F. NOTARY 7 OO TOTAL DUE L.3 43. SO APPROVED: Zoning Mechanical Building Electrica Si a of Contractor Owner- Builder Date N o tary as to Contractor or Owner- Builder Date My C{O 1 P) 6ia b�ce J•1�taV a ,: ',L 7 —/ �-- , it. II N. f n ,,, ; © ©r5 W1 2), 1 Plumbing Engineering