798 NE 98 St (4)Date 5/20/91 Job Address
Legal
PERMIT APPLICATION FOR MUNICIPALITIES
(OWNER TO RETAIN COPY)
798 N.E. 98 STREET,MIAMI SHORES, T FLA.
Owner / Lessee / Tenant
Owner's Address 798 N.E. 98 STREET, MIAMI SHORES, FLORIDA
Contracting Co. SECURITY WINDOWS.
Qualifier
State # CBC 9454
Architect /Engineer
Bonding Company
Mortgagor
Square Ft.
Signature
?ate •
( 2&,Dd
Description__ � ,9 / g �y(i Master
SEYMOUR GOTHELF -- CBC 9454
t1
143.84
STACEY KAUFMAN= 756 -5673
Competency #
lotary as to Owner and /or Condo President
!y Commission Expires Expires:NnnrnucsTATE OF FLORIDA
k * . *
r .
NU
'ERMIT FEE: APPROVED: Fire
Zoning
Mechanical
Address
SSA 263- 46 3980
Plumbing
Permit 1
Phone
5100 N.W. 72 AVE. MIAMI, FLORIDA 33166
Phone
CBC 9454 146' Ins. Co.
Address
Address
Address
Estimated Cost
My Commission Expires:
* * * *
Build s " ,•1
Other
Electrical
Engineering
OF DADE COUNTY
Folio 41 - o /9 - a90
756 -5673
591 -8990
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION REPLACING 13 JAL WDWS WITH 13 ATW IN EXISTING OPENINGS. NO STRUCTURAL CHANGES
2496.00
7
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.
JWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
gill be done in compliance with all applicable laws regulating construction and zoning.
Furtherre, I authorize the above -named contractor to the wo _stated.
STACEY KAFMAN (OWN =j/' SEYMOUR GCTHELF
Owner end /or Condo President
Signature o w.retractor or Owner- Builder
Date: 5/20/
LAWRENCE BLOCK.
Notary as to Contractor or Owner- Builder
POTARY PUCLIC STATE OF FLORIDA
NY CO SSION EXP *L ' 25,1991*
ea::D£D NRU GENERAL IPS. LID.