MECHANICALDate s° ° Job Address
Tax Polio/ ,gA j jr' ()Z40 0\
Legal Descriptio D E eq, ,i ' % M4 j�1 �/ a
Owner / Lessee / Tenant iJA7' � 'N z Master Permit # ..V/
Owner's Address €P- /t/ O, , ' ' °
Contracting Co. .41 2A '
Qualifier Za
WORK DESCRIPTION
Notary to Owner a
My Cos ssion Expir
APPROVED:
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
"o JUAN PEREZ
STATE OF FLORIDA
** * * * J * r My + p o 28/95*
FEES: PERMIT .5 '7 RADON C.C.P.
Phone
Address
State # Municipal # Competency # /I / Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor
Address
Permit Type(circle one): BUILDING ELECTRICAL LUMBIN
2, ce Lica- 1 .5 78,1 72Wey
Square Ft. Estimated Cost(value)
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 a 0 MECHANICAL WORK.
OWNER'S FIDAVIT: I certify that all the foregoing information is ac
be don : n compl with all applicable laws regulating cons -rim
autho e the o arced contractor to do the work stated.
Signa
Date
Nota
My Co
*
NOTARY
ROOFING PAVING FENCE SIGN
co
ate and that a
dzo = rg Pu
01,
ntractor
rk will
rmore, I
er- Builder
6A24 -
- Builder
sion Expires:
' JUAN PEREZ
My Coo **
GA c :ZE tea• ��
Fire Other
Zoning g Buuilding Electrical
< echanica .01 i/ /1�'j,umbing Engineering