860 NE 98 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Date `P I Job Address Wig i1/4)i -I sI' Tax Folio
Legal Description /Z 4 COf 4 / 4(1 - �fi - Historically Designated: Yes No tito
9 0 0 " 1 a8 I
Owner /Lrezee/Tenet
' cr ® o oY i� - 2 Z V ° Master P erm i t #
Owner's Address L " IN qg S‹.
Contracting Co. P` - r��
Qualifier -30} L e
State # Q 6 C 011 c.^,1 O $ Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE 13 $50.0 AND MUST .IE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL
WORK DESCRIPTION: ?P46-12. em-:b 1 Sit, s
Square Ft. 1 bO
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 ANY 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 all disciplines.
OWNERS 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, oning. Furthermore, I authorize the above named contractor to do the work stated.
X
nature of own
FEES: PERMIT
APPROVED:
Zoning
Mechanical
Notary as to Owner and/or Condo Presidpgt
My Commission Expir
z
it%, Patricia L. White
�Cotntnission # CC 946000
Expires July 30, 2004
Bonded Thru
Atlantic Bonding Co., Inc.
RADON
Plumbing
Date
SS#
Phone 30,5 70 l i ) W
Address .SL8 ij 1 4 ) d INV& F4 I- i F1 .33300
PLUMBING MECHANICAL ROOFING
d ated Cost (value)0
7/ 3 fr
L1./c i Buildin /
>OLureeoZ/6.4.,-f Contractor or Owner Builder
Phone q L ? 7C' _ I / D 8
va tiM
Notary as to Contractor or Owner Builder
My Commission Expires AVkYa Patricia L. White
4' ;; , :Commission # CC 94600P
�� : e E rpirea J uly 30, 200'
...�� 0 ru
i g` ; Banded Thru
' ',, � •`�� Atlaatie Bondin Cc
C.C.F / ° 0 NOTARY BOND _,,
TOTAL DUE eg " /
Electrical I
Structural Engineer
Date
Date