336 NE 98 St (11)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Jab Address 33 to /I/ f - le S Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant) ) S / /3 / t Master Permit # S , S
Owner's Address 3 3 b Ai Phone l- 73 3 b
Contracting Co? c, f Address
Qualifier
State #
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): t: ILIDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
/ e
My Commission Expires:
Signature of owner and/or Condo President
Municipal #
Notary as to Owner and/or Condo President Date N otary
M
FEES: PERMIT ((1 RADON
SS#
Competency #
Address
Address
Phone
Ins. Co.
Square Ft. Estimated Cost (value)
WARNING TO OWNE : YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMP'', OVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFO 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 wo k tated.
to Contracl
GLAD
NOTARY MMISSION NO. - �h%-- r i MY COMMISSION CI? . gg
Date Xignature of Contract
or Owner -B
7
� C/•t
C.C.F. NOTARY 5 BOND
Date
APPROVED:
Zoning Buildin
Mechanical Plumbing Structural Engineer
Electrical
TOTAL DUE
S24-/f Address 33b`Y
Date
Description
Owner's Address �� 05.
/ Lessee / Tenant
Contracting Co.4424,V
Qualifier SS# -
State # Municipal # Competency #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
i
ppp, 0 2
WORK DESCRIPTION
"f
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.
Signature of ,owner and /or Cond
Date: J, /. .(/
Ni a / as to Owner a
My Commission Expire
APPROVED:
PIERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Zoning
SOSEPHINE NORM
• 1!. x • y+ c ai ..�. caul
`5 •' Vn � ) ITIIMJSIOITC�P - ..
p: ;o, o " °' t o. CC197545
•
A .r.e-
q7-
esident
*
FEES: PERMIT3'2'5D RADON C.C.F.
Fire
Buildin
Mechanical
Plumbing
Tax Folio J 3a Cle /3
•i A
Master Permit #1/4".1
Phone /,CV-- 317
Address
Phone
Ins.Co.
Signature of Contractor or Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
* * * * * * * **
NOTARY ■5 -4-1 TOTAL DUE « ° 49.
Other
Electrical
Engineering,
7 512
j