Loading...
157 NE 101 St (9)Date J?),-, /1/ 1 4 Job Address J57NE /0/54. Tax Folio Legal Description R.)<Eiz -H 5 FO Owner's Address /, j 7 NE 16 r ,$ Phone 7,s y - Li q/.3 33357 Contracting Co. , j , yu Address 110,3571/1v' 3 r "rj State # Municipal # 'QY-) 3y3 74 `� Competency #0270)44/5 Ins. Co. Qualifier Owner/Lessee / Tenant legs Architect/Engineer Bonding Company Mortgagor Address WORK DESCRIPTION r � S��a e (owner and/or Signs e f owner and/or Condo re 'dent FEES: PERMIT G i 9 RADON APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date .r ?p? Notary as -to Ow tei -gsldent My Commi {)✓'xp',e; ntiA ra nOwnE6 • COMIISSIOFI F1UMman 3' CC4012 1 MY CMMIsSION •EltP. OVA 171f116 Date Historically Designated: Yes No Phone `7lS•,-'c -7y4,--56 A1 Master Permit # ., Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value) /(, / /<�cv WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO NAY 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 done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. �—� lure of ontractor or O er- Builder Notary as to Contractor or Owner- Builder Date My -onim ssion= , S Y PO OFFICIAL NOTARY S :AL 1 O 0. % SANDRA raONTIEL * COC1r9ISSION F1U( )LLIA ' , Q CC4O1221 COI^.r.9I�:=: 11 •' xp. C.C.F. -C NOTARY TOTAL DUE 1.1.- r `54 Date Building - 'If 1 ` t" Electrical Plumbing Engineering BUILDING ELECTRICAL PLUMBING Owner of \ Building Architect Contractor or Builder Legal Lot Description Y MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N? 4815 Contractor's License No. Work to be performed under this Permit Bl. Subdi- vision Address of % - `_ -, Building i ) \ .• i i .. This permit is anted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Value of Project Amt. of - 4 - ~ Permit - Signed • By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the wdrk covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting i- .ermit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRAC • R 0 BUILD BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of \ Building Architect Contractor or Builder Legal Description CONT A +R • ` B ILD MIAMI SHORES VILLAGE, FLORIDA DATE C9 L Y PERMIT N? 4815 Work to be performed under this Permi Bl. Address of i 1 Value of Building S 1] � . Project This permit is g anted to the contractor or builde named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed • By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accept' t..is .ermit I assume responsibility for a work done by either myself, my agent, servant or employee. Subdi- vision BY j p t ` : Contractor's License No. Amt. of Permit 194L • Li J AUTHORITY (5)-