398 NE 100 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date h )4 * Job Address 398 1 , C , 110 7 Tax Folio 11, 3 2. 06. 013. 6
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant fl4Q1 ENEC W4RREN Master Permit #
Owner's Address
318 ALE,
Phone
757- .?9.3
ri;e6
Contracting Co. 2 f 1 l j�cuP_� � y C F�J TE2 Address /440 it1, E . a es" 7 - R
Qualifier OSC/9 A)ri`tU D.ERj SS# , A5'.2.- 6 1
State # L Pcmo 6'`/D Municipal # Competency # Ins. Co. .5 73 Ckk-
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIP'T'ION .fNS TAI/ 44/
/7457 /
Ara ;C E `7
Square Ft. Estimated Cost (value) 0 G
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: ify that all the foregoing information is accurate and tha
laws regulating construgt on and oning. Furthermore, I authorize the above -named
ii /_LJ / 1_,I C
. ure o • ser •ndo President Date
Notary as to Own lr, a db 8rfe5 ejrt, i d e Date
1J � Exp
My Commission xp CC7974 q
FEES: PERMIT3,4 ■= RADON
work will be done in compliance with all applicable
actor to do or s ted.
Sign.ir'ontractor or Owner -Bu' •er Date
N ry . ' y J�R'� .� Ider Date
: tot M o t aC Om4tn . �• II y;. - : c F .;tti .r' ate o �fFN
' m CC79j 4 97
C.C.F. NOTARY BOND
TOTAL DUE
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1 ! 13/ 1 75 - Job Address 3 -(% CJ • C- 2 6 OS Tax Folio
cri
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant MG C, b `c \
Owner's Address S 8 L \ S Phone 7- 2 S R
Contracting Co. \fie r'`11c \ -\ b WX .. �\- - ddress k b C on
Qualifier 0 •ex1\yesS SS# . CO — CO 6 6 (o
State # Municipal # Competency # Ins. Co. t dQ d Rck
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION X x_S Ckc'' N \1
Square Ft Estimated Cost (value) d. qs. 0
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 w• , wi`�:done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named co d• a wor stated.
or Condo President
Not
My
Date
f'rdent ► d a ?Date
xp:08/24/97
FEES: PERMIT - 6 0 RADON C.C.F. ' 5-6) NOTARY
APPROVED:
Zoning
Mechanical Plumbing Engineering
Building
Master Permit # sue
/2 -zo- 9J
Signature o ' ontra %+r or Owner- Builder Date
Electric
TOTAL DUE -A0C3
2- AO- 9
Date