The URL can be used to link to this page

366 NE 99 St (16)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address ! 9 Sl Tax Folio / / 3a496 Di 3 ,CT-4 Legal Description /�/p Owner/Lessee / Tenant SUA"1N � ' -70 ') Z Master Pcrmit # `7' /g Owner's Address Qualifier State # � Dfl ©O 6 22 APPROVED: Zoning — Mechanical AA/A N-1) _S e- S S•t C 1 Historically I)esignated: Yes 3C6 Contracting Co. 17 S � � C • Address 3 DO AAA ,dA4 t Fa. A r✓ n.. otary as to 0 r and/or Condo Pre My Commission Expires: , o3 OFFICIAL NOTARY SEAL XIMENA FERNANDEZ NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC8014S3 MY COMMISSION EXP. JAN. 12,2003 FEES: PERMIT 55 / RADON Municipal # Signature of owner and/or Condo President S Architect/Engineer Bonding Company Mortgagor Phone Electrica Ins. Co. S gnature of Contractor or Owner - Buildcr No ? of-v. , - _C5 3 )8 f ct Pcrrnit Type (circle onc): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION � /A44 r `1 sa .l ✓f S 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 arc 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. -04-q9 • tary as to Contra ctor or Owner - Bu' er Date My Cotmnission Expires: 1. IQ •0 3 OFFICIAL NOTARY SEA XIMENA FERNANDEZ NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC801483 MY COM MISSION EXP. J AN. 12,2003 TOTAL DUE Date Plumbing Engineering