320 NE 98 St (5)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 2.1( 9° Job Address 320 foe ] � � . Tax Folio
Legal Description L (Y' 4 2 — Historically Designated: Yes No X
Lessee / Tenant 11 Q )JbOr€ L . Lu r) tnA Master Pennit # ` �" y a ' f 7
Owner's Address Phone 305 . 6(453-
Address
Contracting Co.
Qualifier Phone
State # Municipal # Ins. Co.
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (cirdle one): BUIL3 ING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION A11 IAOr' id emAn t i \-) (* . 101) v d S ,
i • Cif . ctedbo. cal, 1N, (11) 'w SP. .
Square Ft. Estimated Cost (value) Z� S
WARNIN TO ci =WNER: Y U 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 an
laws regulating construction and zoning. Furthermore, I authorize the above -name
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President
My Commission Expires:
FEES: PERMI
RADON
APPROVED:
Zoning Building
Mechanical
SS#
Competency #
Address
Address
Date • I otary as to Contractor or Owner- Builder
My Commission
C C
C.C.F. 60 NOTARY -C BOND
that all work will be done m compliance with all applicable
ontractor to do the work stated.
•
• ntractor
ite
xpireQFF tAL ..' - q , SEAR.
dabs ;
COMMON Mk PS
RAY COMM SSVYMTXF. NAM Mt
Electrical
L
TOTAL DUE
Owner- Builder Date
N Lie
Date
Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address 2M I t - Tax Folio
Legal Description Historically Designated: Yes / No
f Owner/Lessee / Tenant -� Master Permit # 7 b
ILO 4 ,
Contracting Co. MA' Cs
Owner's Address
Qualifier
State #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUIL
Square Ft.
A) 1 OD
Municipal #
, 6
WORK DESCRIP'T'ION � ' ^-
Vfg Ag g t /
ete of Florida
My Comm. Exp: 08/04/0
Comm #: CC669180
FEES: PERMIT 3 s . RADON
ING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
APPROVED:
Zoning Building
Mechanical Plumbing
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.
C.C.F.
Phone ac m 96-
7'
Address Ng 3' 7 '
SS# /Phone 3 �r CS/ -7Is 7 •
Competency #
Address
Address
Address
Estimated Cost (value)
Ins. Co.
gnature of Contractor or Owner- Builder
Electrical
Date
L
otary as to Contractor or Owner- Builder
My Commission Expires:
V - 703 - 0
.577: t/ Al !, . CDC �r a
Date
NOTARY 5 BOND ?0 C.)
TOTAL DUE 3 6
Engineering