525 NE 101 St (11),
Legal Dose ption , Historically Designated: Yes No
Owner/Lessee / Tenant /4/7 6/Le _ Master Permit #
Owner's Address .P- 5" ,? • /0 1 eel /)J 67o-X6 /35' • c_30— .5 ?651 - w9 7z
Contracting Co. ( et Lre4 eil'[ Address 50 r �ee.1 /`/ �Sl
Qualifier
8" Phone '-9.5-0 S�� Municipal #
Architect/Engineer mss
Bonding Company Address
Mosgagor Address
Permit Typo (circle ono)' BUILDING ELECTRICAL
�' PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORT( DESCRIF`I`ION P_ 1 e9rO' 4 t C� /
Square Ft.
PERMIT APPLICATION FOR MIAMI SNORES VILLAGE
Job Address g P-5 '/ve / pig Tax Folio
WARNING TO OWNER' YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT'S 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
cacti 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, PIANO, 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.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT
APPROVED:
Zoning Building
Mechanical
A-friac Ad
RADON _ C,C,F,1 ` Z L NOTARY
Plumbing
)2,11cf
Competency # 7( 9
Estimated Cost (value) .��
Signature of Contractor or Owner- Builder
Notary as to Contractor or Owner - Builder
My Commission Expires:
Electrical
Engineorin
Ins. Co.
Date
Date
BOND�b
TOTAL DUE 4 le' 24
J. PERMIT APPLICATION FO
1°1
Date O Job Address s 2S
Legal Description
Owner/Lessee / Tenant
Master Pegnit #
( 3 -Z _
�r Phone
Contracting Co. Q ` \ 5 • c � '� J c c , R; OG Address $.51 t . .
Qualifier p, f,/ � , � .261_ - y - _ / / - Phone
State # unicipal # Competency # EM 9 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Owner's Address °S 2 S ►JJ .
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Notary as to 0 er and/or Co P esident
My Commission Expires:
OlY Pj DAMARIS NEGRIN
'Z+ COMMISSION # CC634008
411% EXPIRES MAR 27. 2001
‘ $),. 1/41\ t e
BONDED THROUGH
I� ATLANTIC BONDING CO.. INC.
FEES: PERMIT RADON
N
lb( S _ c
0
M SHORES VILLAGE
Tax Folio
Historically Designated: Yes No
Address
Square Ft. ' �
S '/ Estimated Cost (value) -306
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: cert r that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws r gulating an nd ning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of Co
Notary as to ontractor or Owner -B
My Commission Expires:
DAMARIS NEGRIN
� 4 Nt, COMMISSION # CC634008
EXPIRES MAR 27, 2001
1„ THROUGH
OF 01- ATLANTIC BO DING CO.. MC.
C.C.F. NOTARY TOTAL DUE
S� 69
54.1.. c. oJl\
3�(CG
'SF 9 2
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
.1,
•
/4 "