920 NE 99 St (7)Legal Description
Square Ft.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 2 1 c V Tax Folio
Signature of owner and /or Condo President
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * *
FEES: PERMIT 0' RADON C.C.F.
APPROVED: Fire
Zoning Buildin
Owner / Lessee / Tenant 00 FrT G ` POA `'k ` Master Permit # c-, (,f
Owner's Address 20 % ‘C) V O E, l Vfi �\ • 1 \l. . Phone � s 4- V2 cl g
Contracting Co. 2C' ` Address
Qualifier SS# - - Phone
State I Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle I one): BUILDING EUCTRICA PLUMBING MECHANICAL ROOFING PAVING
WORK DESCRI PT _ \ / ;% 2
Estimated Cost(value) (CVO. °
1
WARNING TO OWNER: YOU 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 info
be done in compliance with all applicable laws regulatin
authorize the above -named contractor to do the work stat
Date: Date:
Notary as to Contr
My Commission • 'y[R>}ge>;de OFFICIAL NOTARY SEAL
�i BARBARA ANN FUOAZZI
0
�; COMMISSION NUMBER
* » a�II .5 Q CC360191
* * * F Q MY �pMMISSI•N EXP.
NOTARY l'0p \'0 MAR. 29 199
TOTAL DUE J
ion is accurate and that all work will
truction and zoninf. Furthermore, I
Signature of Contractor
A
or Owner- Builder
SIGN
Other
Electrical
Mechanical Plumbing Engineering
SuRVEY1NG Inc.
100.0 TO CDR.
ME. 9 ST.
09•
oN. E.
ti
h
WING
•
1 0.7'
0.8'
.i
CilYh
7875 S.W. 40th ST.
SUITE 225
MIAMI, FLORIDA
TEL. 266 -1894
r\
/4.0'
EDGE OF PAVEMENT ?
3
40.0'
gg th STREET 9 4°-
l3.3 • 2 STORY
C.B.S.
# 920
F/F EL. /2.3'
33
CONC.
SLAB
75.00'
COVERED
ENTRANCE
75.00'
15' ALLEY
4 O 4
.0. v'
SKETCH OF S
Scale:.:/~ 2
•
r
P)
F' 5' CONC. WALK
•
25.00'
0
N
0
• •% •• •.tt • :r- •.;.
25.00'