319 NE 101 St (6)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address 31.1 Aw 1 / $ T Tax F io f I . oC.F/ 3 \rclO
cAqA,1
Owner / Lessee / Tenant i !/O Master Permit #J1
Legal Description )
31 / N 10 I i /!/ -STJUde Phone 30S
Owner's Address
/Vmg
Contracting Co. �U
S CN h 4 L� # Address e2WS1 /1/A5 /SC
Qualifier / R ! NOSLE SS4�_ Phone 30-S -60
State # (09b ,S Municipal # Competency # Ins .Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBI G [HANICAL 'OOFING PAVING FENCE SIGN
WORK DESCRIPTION 7
c
Square Ft. Estimated Cost(value),04g4 J (7O
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 YO,U INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOMING 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 informatio
be done in compliance with all applicable laws regulatin
authorize the above -named contractor to do the work sta
; . OF FLORIDA
Signature o
Date:
APPROVED:
Zoning
Mechanical
Notary as to Owner and /or Condo President
My Commission Expires:
FEES: PERMIT O I A 6" RADON C.C.F. Lt Q NOTARY TOTAL DUE }!7S
accurate and that all work will
n an / zoning. Furthermore, I
Nota as to Contractor or Owner- Builder
My Commission Expires:
* * * * * * **
Fire Other
(� Building Electrical
/1 Plumbing_ Engineering
Carrier
Air Conditioning
• Owb on or
Ca" er Corporat On
Carrier
Carver Parkway
Syracuse New York 13221
Commercial Air Conditioning
r
RESIDENTIAL AIR CONDITIONING CO.
20250 N.E. 15 COURT
NORTH MIAMI BEACH, FLA. 33179
:!oriri en
AIti6thelO
Scr2 l l
o Carrier Corporation — 1961
•
RA
•
Prepared for APfir ° do C
Address �L7 NE /0 / ST'
/-I _ R �s
�.t..�« -•
759 - / 0 6 o
Salesman
Job No
Date
E- 53(7 -77).
•
(905 -0411
Carrier
Air Conditioning
O Davis on of
Carr a Corporal on
Carrier
Carrier Parkway
Syracuse New York 13221
Commercial Air Conditioning
RESIDENTIAL AIR CONDITIONING CO.
20250 N.E. 15 COURT
NORTH MIAMI BEACH, FLA 33179
o Carrier Corporation — 1961
Prepared for � N /0/ E ST•
A ddress
ilia . Sf/okES
�-- 757 - 704 0
Salesman
Job No.
Date
E-53 (7-77)
(905 -0411