PAINTBUILDING
ELECTRICAL
PLUMBING
ROOFING
eo, T
Owner of
Building
Architect
Legal Lot
Description
Address of
Building S t "
MIAMI
0
0
$4-r w►> fin Aft)
PERMIT
9 tr'� t ai
SHORES VILLAGE,
Work
Contractor
or Builder A t 1 4. k i ar + £ L. ZA ^i 1 i7 ck
B1
Signed:
N? 3053
to be performed under this Permit
BY
FLORIDA
eG.e.4 v iL��►
DATF J" 2 - 0 195__L¢__
Contractor's -
License No. // n 6,
Subdi-
vision
Value of o a Amount of
Project $ I+ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances per aining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or ifications and that he assumes responsibility for work
done by his agents, servants or employees.
BY
INSPE �R
In consideration of the issuance to me of dills permit I agree to perform the wor covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
AUTHORITY 6461110
PERMIT APPLICATION FOR MIAMI SHORES VILLAGI
Date 11/ 4 Job Address S3 N 6 5'49 Tax Folio
Legal Description Historically Designated: Yes No �\
Owner/Lessee / Tenant JA i c. EN & - fit- - 6- Master Permit # 3 y ?.--
Owner's Address S A- f Phone 7 Y — 70 C( 6
Contracting Co. 0 w w.. 6 Address
Qualifier SS# Phone
State # Municipal # 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 4, L7 e bye v w
Square Ft. Estimated Cost (value) /1L "
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
laws regulating construction and zoning. Furthermore, I authorize the above -n. :d •ntractor t
FEES: PERMIT WO , RADON
APPROVED:
Zoning
Mechanical
Building
at all work will be
Electrical
the)v
e in com
s ated.
Signature of owner and/or Condo President Date Si a ature of Contractor or Owne - Builder
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder
My Commission Expires: My Commission Expires:
t 0.,., ei '^ f':' A t . rc.ON 'tEt.
4 ,. f � � �S. C -.,Ic ... ..':":n gad �a,>23 i,F,Ft
CfOW231
<r C 1e \ .ASP. t
e with all applicable
/- /G - S'(
Date
Date
/6 — 9�
C.C.F. 0 NOTARY `� TOTAL DUE
Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address 53 /vE 9 8 Lr ee` - Tax Folio
Legal Description Historically Designated: Yes No t/
Owner/Lessee / Tenant Master Permit #
$a k k. T os 1/triL.3
Owner's Address / / S3 1JE r Mi Q
L
Contracting Co. , �e nit s '4'` , ' / �
Qualifier /�c U
State # Municipal # Competency #62A 9 Co. .6U 2 L -7a .../A), �v
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL UMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION EV ( eft / (] r rJ ( N G
Signature ofowner
d/or Condo President Date
9479k
Notary as to Owner and/or Cond PreZen t Date
My Commission Expires P OFFICIAL NOTARY SEAL
1P 1141 BARBARA ANN FUGAZZI
O 1 Ei 0 COMMSSON NUMBER
CC723468
MY COMMISSION EXPIRES
MAR.
FEES: PERMIT 4 e 7 ✓ RADON
APPROVED:
Zoning Building
L p t-es Phone ( O. -1 S (o - 9 213
Address /SG 2 7 S 4-0 a / r
30-s 2 «/ y 3 ,/
Square Ft. Z O 0 0 Estimated Cost (value) / ?O d -
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,
CQNSULT 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.
ature of Contractor of Owner -
\\ H ug 0 �cb
cc543623 . „1"
C.C.F. / NOTARY
Electrical
BOND
TOTAL DUE 2O
Mechanical Plumbing Engineering