273 NE 98 St (4)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address
Legal DescriptiongO*V'al e 9 14/% 16e
Owner / Lessee / Tenant 3 A7��ST
. 2_23 / e.9o
Owner's Address
Contracting Coo' gi 7 "E-0
Qualifier_? , v 4 v�IJ Oj&
State# Competency#
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION -(Jf 4 6 ) 7 »T L C- ,5 •
Square Ft. Estimated Cost "220j/
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.
Furthermore, I authorize the above -named contractor to do the work st -t d.
re of Owner and /or Condo President
Da
Not ry as to Owner 'and /or C ndo President
My Commission Expires: x41rmKY ovate ma. Od• 4144: I'i`
* * * sic MN CONtS51014 Mit- to'
mon Two swat, «
PERMIT FEE: APPROVED: .Fire
Zoning
1
Mechanical
Buildin�
Plumbing
Address
Address
Address
a FolioI( 520( 1 3 1 1 L �
aster Permit #
phone 7S ZS/ e7
ss# phone 75j - / 7 ' b
Ins. Co.
Signa- / ' or Owner - Builder
`
Date:
Notar as to Contra � cpor or One - Builder
My Commission Expires#' ' `
* * * *r1 *.,firtirf tali LICAT Pk . OF FLU h
C TIN61ON - TX'. NAR.10.' 65
Other [WV Mt firNfItAl. INS, U.
•
Electrical
Engineering
7