Loading...
431 NE 100 St (5)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 oZ) 30 / ' 1 Job Address `t ? 1 Iv G 10 ST Tax Folio Legal Description, Historically Designated: Yes No Owner/Lessee / Tenant TOk h (t� y -le ' a FI R /IV ( TZb N Master Permit # 4 Owner's Address 1 4 3 ( E o ©S / Contracting Co. 'j e Address Qualifier SS# State # Municipal # Competency # Architect/Engineer Address _ Bonding Company Address Mortgagor Address WORK DESCRIPTION Signature of owner and/or Condo President Date FEES: PERMIT RADON C.C.F. Phone 3 7 s -S O Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft Estimated Cost (value) 7 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 W1TH 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 co r ance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the wo /? Signa e of Contractor or T er- Builder Date Zdata iszth0/92 Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner -1 udder I d" Date My Commission Expires: My Commission Expires: . PaY P� Q ,. P&<9 NCL' . 7 sr=t.� J ( O. <. 'APi - 9AF C)e\o °y CO�C. (: �'. . O N y li i i it L a E� f. /.,,tn. , NOTARY BOND APPROVED: Zoning Building Mechanical Plumbing Engineering � q7 Electrical Date ■ /�� Job Address 7 .3//f/ �! d a S / Tax Folio 1, , sW/ fo Au; Ph /1.57.1 .5/ / Lessee / Tenant ‘- )1 '`Z' CI< s e.bE it.) Master Permit # 3 2 T 7 ? ( Owner's Address ' 7 3 / C /Co s/ Phone 75 ' 3 7 z Contracting Co. 5 e / / Legal Description /4 Qualifier SS# - - Phone State # Municipal # Competency 4 Ins.Co. Architect /Engineer Address Bonding Company � Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCIRIPTION � i�i�.• � /'��J✓ /c..� GcJrf- ��S /Sv•c -r/ CS g 17ol: Square Ft. c3-00C.) 5 7 Estimated Cost(value) gr 4S 0,p7lkh2.T 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 done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authori "r -re -named cam, ractor to do the work stated. , ; ✓ 1 e /36 ggaJ/6 ignatu Date: APPROVED: PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) FEES: PERMIT RADON C.C.P. Zoning Mechanical Plumbing Address Omer and /or Condo President Signature of Contractor or Owner- Builder Date: No y a- /to Owner and /or Condo President Notary as to Contractor or Owner- Builder My 'o mmission Expires: NOTARY PUBLIC. STATE OF FLORIDA My Commission Expires: ICY COMMISSION EXPIRES APRIL 16, 1992 BONDED MU SWAB/ER -ADAMS & SWEE1 ** * * * * * • * * * * * * * * * * ** NOTARY TOTAL DUE Fire yy�� q Other Building /1lo / Electrical Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) / Job Address I/3/ / E /0 0 S T Fol' .o?6'f� J7 ,S,e Legal Description / � 7Permit # Owner / Lessee / Tenant ♦ ;://' raZ f J Owner's Address Contracting ('o.` ,� ► A ddress Qualifier SS# - - phone State # 7 Sigtistu'r Date: No My PERMIT FEE: APPROVED: I 3/r" Zoning p �,. F00 1' 4l echanical 35 Owner and /or Condo President phone Competency# Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL PAVING, FENCE SIGN WORK DESCRIPTION � �/ , „iG e G Square Ft. Estimated Cost / ezt) p ' — 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 C)BTAIN 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. 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. AO di/ c ' ry / s to (', ner and /WinAd8L18,ediTfdiftiRt.ORIDA Notary as to Contractor or Owner - Builder ommission Expires M COMMISSION EXPIRES APRIL 16, 1992 My Commission Expires: * * * BONDED TURD STEMBEE (DAMS & SWF * * * * * * * Signature of Contractor or Owner - Builder Date: Fire _ Other Buildin Plumbing Jam' Electrical Engineering