59 NE 101 St (14)Date %I // - 020 Job Address 59 Ara /D/ at • Tax Folio
Legal Description •
Owner/Lessee / Tenant I OU /7'I o r AS it/E,
Owner's Address 59 NE //) / /�
Contracting Co. '!�f / 3 1f C�6A/ 57-k..w -
Qualifier \ Z.eG. /60 el z Phone 1/– JcPi(
State # 227 2 Municipal # Competency #
Architect/Engineer Ar f u /moo
Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one : BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION itn2d>z�' /,U) k i`r+yt,> 5 /i_ s /6 . 0s - g 5 52' d ea t
044 s144,71i4s
Square Ft. Estimated Cost (value) 2 6, ) —
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.
OWNERS 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 zo ' _. Furthermore, I authorize the above -named contractor to do work stated.
5D -e0
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE sc€ -
l
Signature of owner and/or Condo President
er.and/ a
s1,Ol eS:s MARGARITAIIONT 1 EL
S O N N U M D E R
ICC797_27
FEES: PERMIT X 50 RADON
APPROVED:
Zoning Building
Date
Date
q
Notary as to Contract
My Commission Expires.
OFFICIAL NOTARY SEAL
DELL MARIE SPENCER
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC77O476
MY COMMISSION EXP, AUCh 25,2002
C.C.F. ) . 9b NOTARY 5 BOND
Historically Designated: Yes No •'(
Phone 36S 1 /- 2.K )S
Address /3'/.5 -Z x�vPi1 T 3e
trove of ,�-ntrac or or Own a uil
Contractor or Own
Icier b
Electrical
Master Permit #
Ins. Co. •
TOTAL DU
Mechanical Plumbing Structural Engineer � S / 2 '/ V
0rz)
Date
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address 5 q ti' 7o/ 57 Tax Folio // 3g06 /3 /S '/O1r
Legal Description 171 //97 cArarv4s SSG / Arn Aar /9 100 Master Permit #
�3 c oc k /1
Owner / Lessee / Tenant 1,9,4X / (
Owner's Address 59 Avg /0 / S T
Contracting Co. () C )4JA4J Address
Qualif ier
State #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDINe ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRI,TION
dui
Cv�%vlbc.� S G>.r 1967o4
I �
Square Ft.
Competency# Ins. Co.
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. 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 au or the above -named contractor to do the work stated.
iiaa /yam
Signature o,`: Owner and /or Condo President Signature of Contractor or Owner - Builder
Date:
No - - ry a to Owner and /o / r Cop do President
M' Comm ssion Expires: i /6(9p5
PERMIT FEE: APPROVED:
Zoning
Mechanical
,19.5
6 'D id
�,d0 ter-
Fire
Plumbing
ge
Estimated Cost o ? CRUD
Date:
Notary as to Contractor or Owner - Builder
My Commission Expires:
* * * * *
C� Other
�) /Electrical
Engineering
phone 38- e-37/f/