1470 NE 101 St (7)Qualifier pA-1/4/ t n Co1"ri=../
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one)
WORK DESCRIPTION
FEES: PERMIT Lo,. RADON
PERMIT APPLICATION FOR MIAMI SHQRES VILLAGE
Date I ■ {{{ I Sl r Job Address ‘, 1 t k0 % j Tax Folio
Legal Description Ike t(e A t. Historically Designated: Yes No
wn r essee / Tenant hAckA to kAH N Master Permit #
Owner's Address ‘ N. 101 Ak Phone boSr "I SQ" IS I a'
Contracting Co. L_ Address I 1 / a0 0- 3 tk 64,4
State # CPc.'coal Municipal # Competency # Ins. Co.
Address
Address
11.A A—
Nl �
N1
SS# Phone —4
Address
LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Square Ft. Estimated Cost (value) 'J —
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.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be do th all applicable laws regulating
construction and zonin:. Furthenn e, I authorize the above -named contractor to do the work stated.
1 1 S dv��-
Signature of Contracto �j,� er Date
. EL C011E O3io35
�
COMMISSION # D 5
ES: lune
Date
BOND /
TOTAL DUE � 0
APPROVED:
Zoning Building ! (� Electrical
Mechanical Plumbing Structural Engineer
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2002 -1964
Printed: 11/15/2002
Applicant: CYNTHIA
Owner: KAHN
JOB ADDRESS: 1470 NE 101
Contractor ALL FLORIDA POOLS
Local Phone: 305 - 893 -4036
Parcel # 1132050240060
Building Permit
KAHN
CYNTHIA
ST
Contractor's Address: 11720 BISCAYNE BLVD
Legal Description: MIAMI SHORES BAY PK ESTS AMD
Page 1 of 1
PB 56 -86 LOT 10 BLK 1
Fees: Description Amount
FEE2002 -6474 Building Permit Application Fee $60.00
FEE2002 -6475 CCF $2.40
FEE2002 -6476 Buildier's Bond $300.00
Total Fees: $362.40
Total Fees: $362.40
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 5/14/2003 Construction Value: $3,400.00
Work: RESURFACE SWIMMING POOL
If there is no permit pa
fee is $50.00, which mus.
This Permit is granted to the ci
ordinances pertaining thereto anc
and approved by the proper muni
authorization. A further condition
ordinances and regulations pertai
by his agents, servants or emplo;
Signed:
In consideration of the suancl
with the plans, drawing , state
myself, my agent, sery _ nts • : err
Signed:
ALL FLORIDA DISTRIBUTORS, INC.
11720 BISCAYNE BLVD.
MIAMI, FL 33181
PH. 305- 893 -4036
PAY
kAtee.V\u.../44.4 \-%
TO THE
ORDER
OF
SI „„ J11\,<
• rn re -,„i •• nrr n1n, 77•• 1. o
COMMERCIAL BANK OF FLORIDA
NORTH MIAMI OFFICE
12255 N.E. 16 AVENUE, NORTH MIAMI, FLORIDA 33161
03 -1037 4
660
'e DATE
h
o \t \1914.}.»)—
n no 1 ❑ 11■
30 DAYS
ORIZED SIGNATURE
AMOUNT
3c.a
30383
9
3
3
5
I
MP,