873 NE 98 StPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY) /_
ate 5/08/92 Job Address )3 e/?-}_ C� // Tax Folio )-66 ` y
=gal Description t� /4-4M I / :,� WS, jMa ster Permit 3
:trier / Lessee / Tenant /J e- / 1 ?u -+2 (/0
4ner's Address (P)> A 4' 9/ ' Phone 71.9. -- )/ 7
SECURITY WINDOWS /SEYMOUR GOTHELF -CBC 94549 QUALIFIER. 33166
)ntracting Co. Address 5100 N.W. 72 AVE. MIAMI, FLORIDA
'alifier SEYMOUR GOTHELF -CBC 9454
Late #
NO STRUCTURAL CHANGES.
Iuare Ft.
CBC 9454
Mechanical
214:02
/ r. 7v3 x -
SS°
.;nature of Owner and/or Condo Pz s
Le: :b/
Phone 591 -8990
Estimated Cost $ 2123 :00
Contractor or Owner- Builder
Other
Competency# Ins. Co.
•chitect /Engineer Address
ending Company Address
,rtgagor Address
rmit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
ARK DESCRIPTION REPLACING 13 ATW AND 2PWF WITH 13 ATW AND 2 P/W IN EXIS'T'ING OPENING
rtRNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
3 SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU
'TEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
CORDING YOUR NOTICE OF COMMENCEMENT).
.placation is hereby made to obtain a permit to do work and installation as indicated above, and
the attached addendum (if applicable). I certify that all work will be performed to meet the
andards of All laws regulating construction in this Jurisdiction. I understand that separate
rmits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
NER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
11 be done in compliance with all applicable laws regulating construction and zoning.
rthermore, I authorize the above -named contractor to 8o the work stated.
G -341- 780 -32 -281
UALI
GOTHELF-CBC9454
-2-6
= ary as to Owner ! /or Condo President Notary as to Contractor- P OC n B u tl A e l z in
Commission ExpireilitiTARY PUBLIC STATE OF FLORIDA My Commission Expir •` OM.MISSIO FXP JULY S, 1995
:MIT FEE: * * 4 COMMISSIO*EXP JULY *5,1995 * * * * g l ^Q THR6E.tiERP,L. Ii11*. Ui;D. *
• BONDED THRU GENERAL INS. USD.
APPROVED: Fire
Zoning Building 5 1 q(Z-/ Electrical
•
Plumbing Engineering