165 NE 98 St (8)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address �J /Y2 7 ,. /ax Folio 1/ 2 & kr C
Legal scription /J ��
:� �� � � :� «� � �� ��/ / IA
Lessee / Tenant // o `7 � Master Permit #,0 5 7/
/G 3 /V/ P F -
Owner's Address
Phone
7
Contracting Co. C✓ 6- .e7 - Address
Qualifier SS# - - Phone
State 41r Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROO G PAVING FENCE SIGI
WORK DESCRIPTION
o .p
__-
67
Square Ft. � -'�� (‘/7, XX ` <Estimated Co t(value) f -C90
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
C G7
** * * * * * * * * *
FEES: PERMIT 3i, ' 1 RADON C.C.F.
APPROVED: Fire
Zoning (uilding
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI
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, an
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat
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 wil_
be done in compliance with all applicable laws regulating construction and zonin . Furthermore,
authorize the above -named contractor to do the work sta
i at re of
f i /
Notary as to Colitractor or Owner- Builder
My Commission Expires: / /4 - / /i'
NOTARY PUBLIC STATE OF FLORIDA
* * JAY COMNAISSION WIRES 549/94 **
Bonded thru Stembier -Adams & Sweet
NOTARY A - t4' TOTAL DUE ` '
Other
Electrical
Owner-Bui der
Mechanical Plumbing_ Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 2 / Job Address 1Q1\1,: Tax Folio
Legal Description ( Historically Designated: Yes No
'_ Il essee / Tenant ( J ,3 l y \ C_ ( ( �� Wiry; Master Permit # i 0 y 4--
Owner's Address ) /� L.; t) FT ST-V_.:_-__- %. Phone f .73C- -75 -
Contracting Co. £) W over-- kJ/4e Y"
Address ( 75 5-
Qualifier SS# - Phone
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 W oDi) _`k'
Square Ft c o S7
Estimated Cost (value) C ' U
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 • • e work stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT RADON
APPROVED: fry"
77
Zoning Building
Mechanical
C.C.F.
1./
No as to C , ` i :. 07 :1 •
y Commission Expires:C.71.A '.TILLAR
NUr .RY r' 'rt .IC ` : ' T::.fir H.ORTC.,
j '.4YcCMNIl±, :110NTI,XP. MAR.1.200Z ;!
NOTARY
Electrical
Y, o a ti
BOND N
4.‘m
TOTAL DUE
Plumbing Structural Engineer �/