399 NE 98 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address NE SJ7TaxFolio
Legal Description Historically Designated: Yes
Owner/Lessee / Tenant
My Commission Expires:
FEES: PERMIT
APPROVED:
Zoning
Mechanical
Sect Mr o
nIE
Wnz
(mil +ir gUp L4v`
Owner's Address
Contracting Co.
Qualifier
State # Municipal #
laws regulating construction and zoning. Furthermore, I authorize the above -name
Signature of owner and/or Condo President Date
RADON C.C.F.
Building
Plumbing
Address
SS#
Competency #
Address
Phone
Ins. Co.
Y.Pfo,‘A fl Ovi S hu4,4"1? .
U
Square Ft. , Estimated Cost (value))( �d Q
Notary as to Owner and/or Condo President Date No as to on :
y Commission
BOND
No
p _O
TOTAL DUE
Master Permit # 9 yN
Phone S 6 • S (Ci z—
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Q c/t i ✓t W L t C i C� tA-s
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 t all work will be done in compliance with all applicable
actor to do the work stated.
•
uilder
tor r��•� -Buil . er
x•
OEy
NOTARY REIZC Ra
Coll
MY COp ISSICA IMP
Date
Date
Electrical
Engineering