386 NE 99 St (6)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date "(� / ' q 5 Job Address 3,5 G ii/ s Tax Folio /7" 307®G -D /3 — .51:s7.5"
Legal Description % / Historically Designated: Yes No
te� K � t c�cu4 �Z. pp •�'
Owner/Lessee / Tenan �� /vB� � Master Permit # � p Z � .�
Owner's Address ? �" /`� /= 9 . Phone 7 5 3 y y .S
Contracting C/, b " Co tic Address / 74`-0 /`1 L 6 7,,7O
Qualifiers¢4•e 5 aA SS # Phone ‘S:"
State # Municipal # 7/ 4" 7 Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN PAVING FENCE SIGN
l�'n
WORK DESCRIPTION ./Z-- ds`' . „or/ '
Square Ft /.1Z' Estimated Cost (value) 5 - 6 - 1)
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 Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
IFEES: PERMIT 101r' RADON
C.C.F. � NOTARY
ature of Contractor or Owner- Builder Date
)J 6 1 - / - "ZS -
Lary as to Contractor or Owner - Builder Date
My Commission Expires:
TOTAL DUE fr0t
APPROVED:
Zoning Building / C 1 P / 4 ) 1 , i Electrical
Mechanical Plumbing Engineering
Date
Legal Description '-‘7
Owner/Lessee / Tenant <Xsy,.i Master Permit #
Owner's Address SeC /- 4 99 .{f Phone 7.5 — 4 , 4 - , $
Contracting Cor.l;tyre cz G .//L . y �v „� 0 4 c- Address // d ,e/..6 0 4'O V.
Qualifierj6* s C/A- o
State # Municipal # 7/ 1 7/, Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION / J ■zc 1,4.3,- /f.A, ..cc-. ice 4?9s , e y r
Square Ft. / 3'
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.
• .,, �. . 0,84111 •
mr §§ o x ifacIAL NOTARY SEAL
< SANDRA M MONTIEL
4, ) . COMMISSION NUMBER
,:IN' I CC401261
7 i� `r` - 4 MY COMMISSION EXP.
OF F\ AUG. 17 1998
Signatur��6 owner and/or Condo President Date
of
My C
• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
FEES: PERMIT
APPROVED:
Zoning
Mechanical
Job Address 3 O /`l .5/ Tax Folio / / --3.7e54 -0/ 3
0,5
RADON
//&<-
Date
C.C.F.
Historically Designated: Yes No
SS# Phone ‘S ' 3 0
Estimated Cost (value); .573
om
c
Q CC401261
is MY COMMISSION EXP.
OF FA AUG. 1L1996
-£5
tgn ure of Contractor or Owner- Builder Date
eN 5
Notary as to Cont. *actor nal muggs i�ld D to
M y C iofiC c aciAL NOTARY SEAL
0 <i SANDRA M MONTIEL
*i+ * COMMISSION NUMBER
NOTARY TOTAL DUE
Building Electrical
Plumbing Engineering