334 NE 101 St (11)Signature
Date:
** * *
Date f /'� ( Job Address33 4 NE 10' ST. Tax Folio //J 04. /-5 - #
Legal Description 94 � ` %
Owner / t �ARCV S Elve rt Master Permit
Owner's Address 4 53 4 we 1 0 1 S Phone 9 445'
Contracting Co S � ( � € V +I A L A �Q Address2OASD Me % S CT
Qualifier A l A C.i S I e r SS# Phone 652 _ Co 04 0
WORK DESCRIPTIO N
Notary
My Commission
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
State o ! O c ipal #
Architect /Engineer
Bonding Company /
Mortgagor
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING
A/C /n.s`f� / /� o r )1,1:4"
Square Ft.
$ �t. Competency ,s�w�._ Ins.Co.
Address
Address / 1
Estimated Cost(value) 24/0* --
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 work will
be done in compliance wit all applicable laws regulating construction and zoning. Furthermore, I
authorize he above -n contractor to do the work stated.
�' �,� �b6go President
Notary
STATE OF FLORIDA
�Po My Comm Exp8 /1/' 4
ONDE
as to OMvn and/
it
►1
• C ' ' re i. ;%
* *
Signa
Date:
Notary as to
My Co
Address / l/
ROOFING PAVING FENCE SIGN
C o trac •g r
� �IVlra � ��ic .
STATE OF FLORIDA
My' Comrn E ED 4
or �O vier- Builder
FEES: PERMIT ,6) RADON C.C.F.
APPROVED: Fire Other
Zoning uilding Electrical
t �
Mechanica l' Y� bing_ Engineering
NOTARY TOTAL DUE 4 - 5 `e 4
DAJC (.S2. &ND 164 .0481
Commercial Air Conditioning
RESTpFNT<A
... !.1...I.
Job No.
•
Date
RESIDENTIAL AIR CONDITIONING CO.
20250 N.E. 15 COURT
NORTH MIAMI BEACH, FLA. 33179
i 4
1.52- (0040 si►D 764 44P
Commercial Air Conditioning f. I
BESIAENT L
Prepared for l R CU S e b e r' ' . .
Address _35 NE 101 St-
Xi 4 soo,e es
4 4s-
Job No.
Date_
Termite Control Roofing Construccion
Tent Fumigation New Roofs New Construccion
For Drywood Termites Roof Repairs & Renovation •
Subterranean Termite Roof Inspection
Control
Termite Inspection
Clearence Letters
MANAGER
P N•AEMEI ROOFING CO. INC.
& TERMITE CO NTROL
Service Of Quality
(305)858-5584
858-5585
RUBEN BERNAL 511 SW 3RD AVENUE
MIAMI FL 33130
From LEE & MARCUS
/friggy_q.,x___ P. e
i"t Ae
. 4'4.
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PHONE No. : 662 9445 Jan.14 1993 8:40AM P01
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