970 NE 100 St (9)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Dalt' I / Z (o I R'r Job Address c' 7.0 NE ho O ...dz. Si . Tax Folio
Legal Description � 3 (Al �3P..C' /70 Hi storically Designated: Yes No
Owner/Lessee / Tenant v f )'YLcic -1L I Master Permit #
Owner's Address q 76 /y' E Ia c Phone 7 --6 1 `/O 2 7
Contracting Co. i c a C Address 66 / /1/ let/ /// . 4L
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Qualifier --� /f
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Phone
State # Municipal # Competency # 424, FD
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING
WORK DESCRIPTION Jh .LL 2 z .6 ' - / , //iar
Square Ft. Estimated Cost (value) J��o -
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 . • zonin : urthermore, I authorize the above -named contractor to do the work stated.
Signa
otary as to Owner and/or Condo President Date
Goinmission Expir
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APPROVED:
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o Contractor or Owner - Builder
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LEGAL DESCRIPTION
LOTS 3 AND 4, BLOCK 170, SECTION NO. 8 OF MIAMI
SHORES, ACCORDING TO THE PLAT THEREOF RECORDED
IN PLAT BOOK 14, PAGE 33, OF THE PUBLIC RECORDS
OF DADE COUNTY, FLORIDA.
FLOOD ZONE: 'X' 125098 0093 F
DATE FIELD WK: 01/04/93
COMPLETION DATE: 01/05/93
INVOICE NO: 6822
CERTIFIED TO: MICHAEL E. AND RENEE T. KEALY;
COUNTRYWIDE FUNDING CORPORATION, AND /OR ASSIGNS
AS THEIR INTEREST MAY APPEAR; GULFSTREAM TITLE
COMPANY
PROPERTY ADDRESS
970 N.E. 100TH STREET
MIAMI SHORES, FLORIDA 33138
rl..
MIAMI SHORES ;'
: 'CLUB.;\
ASE BIATIONS
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SERVING
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MARTIN • ST. LUCIE
COUNTIES
'TARGET SURVEYING, INC. TRAWERS
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