ALARM PERMITS• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7/14/77 Job Address 2 9 7N C 1 T O Tax Folio 1/ R 2 06 v r .4/ Yoe,
P
Legal Description � � 4 ' Historically Designated: Yes No
Owner/Lessee / Tenant Master Permit # ( "II 0®c..- C ,
Owner's Address .9-14 14 E c/' 0. Phone 7 d - 0 8? ` .
01
Address , - rrij �.1 ( O'
QQualifier al ..C2P-L;e 4 SS# / ?Phone LI 7 ? 0 / 0 6a
State # �F 0001 b 2 7 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Contracting Co. • E e ,
Permit Type (circle one): BUILDING
WORK DESCRIPTION ..�
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 -named contractor to do the work stated.
caP - 7/ 7
Signature f owner and/or Condo President Date
7// 6 /4q
ary as to Owner and/or Condo President Date
y Commission Expires:
FEES: PERMIT 41 'a RADON C.C.F.
ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
n 1
ature of Contractor or Owner- Builder
No'Eary as to Contractor or Owner - Builder
My Commission Expires:
7/161 7
Date
`/R /9 7
Date
NOTARY BOND
TOTAL DUE
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
PERMI APPLICATION FOR MIAMI SHORES , VILLAGE
Date —R Job Address d ► r Ir L l � Tax Folio / l / 3 00(0 / ` L3 Vg0O
Legal Description d__ a 1 *1 Shares !S Historically Designated: Yes No
Owner/Lessee / Tenant (eQt) ( /7'7 � / Master Permit #
Owner's Address 7Ip 1/ 6 99,9- Phone
T6F F6a
c on ac tr tin g C GOES iT Pecs' 6
ssoi Phone z/70 -96
Qualifier ( /04///r / 2
State # GWO /00y
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDIN a ELECTRI
WORK DESCRIPTION
OWNER'S AFFI
laws regulating c
Signature of owner and/or gndo President
iL L.
My C. t is s ->Tires:
FEES: PERMIT
APPROVED:
Zoning
Mechanical
Municipal #
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.
VIT: I certify at all the foregoing information is accurate and that all work will be done in comp ce with all applicable
st action and oni g. Furthermore, I authorize the above -named contractor to do , k stated.
RADON
7-1(0
C.C.F:
Competency #
Address
Address
Signature of Contractor or Own
NOTARY
Ins. Co.
PLUMB ICAL ROOFING PAVING FENCE SIGN
• Ve (
- Builder
My xpues
OFFICIAL NeffARY SEAL
LAURA NI GONZALEZ
NMARY PUBLIC STATE OF FLORIDA
COMMISSION NO. C NE
COMMISSION EXP.
- Builder
BOND
TOTAL DUE
Date
Date
Building Electrical
Plumbing Engineering