59 NE 101 St (4)Job Address
L' OLK1/ /n4J S rb.
Owner/Lessee / Tenant E L L, II /U /Y1.0 2/A -Si
Date
Legal Description
Contracting Co.
WORK DESCRIPTION
2
1
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Owner's Address 6 y �e L //0/ S T ,
� m6, f Q �],
7q TaxFolio 1/ 3,66 --0 1 3 - - /c o
f A-//c 1 C
Square Ft. Estimated Cost (value)
Notary as to Owner and/or Condo President Date
My Commis • OFRCIAL NOTARY SEAL
O G 00 5 MARGARITA MONTIEL
}}
11 n COMMSSION NUMBER
t (} � CC797277
71. QC MY COMMISSION EXPIRES
OF F. ' DEC. 17,2002
G
FEES: PERMIT ' 1 RADON
Historically Designated: Yes No
Si
Master Permit #
Phone
363 23 -0256 5_
Address 60 /0 A) (Ai' /53 ST
Qualifier b Kl{r leer 1 q8 771 '
State # C46(9 3 2 t..3 Municipal # Competency # Ins. Co. � X 14
P P Y ( ,ft//kL r
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL OOFING PAVING FENCE SIGN
e-w74-nAzaarr te(r7-7//c- ro,vpexi_rbe
(Yr
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 cert that all the foregoing information is accurate and that all work will be done in compliance with all applicable
law egu . A •ti• g. Furthermore, I authorize the above -named con tor to do the work stated.
/AMA
Signature of o er alley • ondo President Date
ature of Contractor o
o22 e. b7L/
Notary as to Corntractor or Owner- Builder
My Com mss IpcplroFFrclAL NOTARY SEAL
O ' P 6 G s MARGARITA MONTIEL
Z j w n
COMMON NUMBER
Q CC797277
7 t h ,
wner- Builder
N� MY COMMISSION EXPIRES
OF FA D EC. 17,2002
Date
Date
C.C.F. J ', NOTARY 5 TOTAL DUE
APPROVED:
Zoning Building Electrical
Mechanical /11-6 Plumbing Engineering
A
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
Job Address
Legal Description ►M��},,; SLd 5 5,C (A vh Lod- 1c12 //Master Permit #
e o
/ Lessee
Owner's Address
Contracting Co.
Qualifier
Aev_ A/C.
State# Gl4
Architect /Engineer
Bonding Company
Mortgagor
al)'/IA /D / <co k fM .
Square Ft. l C /O
Signature of Owner and /or Condo President
Date:
/ Tenant Q k Pgfis( �ncly�
(t)C /O i sf
(OWNER TO RETAIN COPY)
Competency #
SS#
Address
Address
Address
Address
Tax Folio
phone
Ins. Co.
Il ?2o /3 FR /o g'
,3? - 37/42
46 7 7 cSW /7 -�-
phone ?7
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANIC , PAVING FENCE SIGN
WORK DESCRIPTION 1/j/J Xc� 3 Teti S '1 , / �
tary as' `.o Owner ancii ondo President
nummEWHAMM
My Comm sc ion. -xpi es ;=N � EXPJLLYiq
* * .. - --- *. - m *
, ; ,r ye , . .•.� =armorials
PERMIT FEE:, APPROVE Fire
Zoning
Estimated Cos
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 a - orize the above -named contractor to do the work sta
Signa ure
Date:
Building
MechanicalAli •r ` /Plufn n
Contractor or Owner - Builder
tary as t'f Contracto'r or Owner - Builder
My Commission,,Expire'.: ,:NOTARI�PU8l1CSTATEOFFIARiDA
* lf- :J: . ; *WC9" ,r. EXPJLLY3O, M *
:. TMRU
lith = • AI M 9ocimoFIDTM1�i
Electrical
Engineering
•
�cu C4' At"
L
) . A XE, ' C� .
r cf.,.
_,. Vii; ,
j , 6 '10 C f' n-.
Si nn a.�,,. S � .� 2� s � t_ rA 2
THESE PLANS ARE APPROVED
FOR ISSUANCE OF A BUILDING PERMIT
VARIANCE(S) LISTED IN "REMARKS"
fu11IAMI SHORES BUILDING AND ZONING
ur I.ESS SPECIFICALLY LISTED BELOW.
AND COUNTY LAWS MUST BE COMPLIED
Auno►i?ed Signature Date
• WITH NO VARI0.'!CF' 0 WITH
NO OTHER DE'IIATIO 'S FRO:4 :NE.
ORDINANCES WIC!. BF P".....11 i EP
ALL OT!1ER A.PP: IC"D' E ::T'.TE
WITH BY A! L PARTIES.
FIRE DEP••. : ?i,.:i::;i
C :0 ul,".;C1O
• X 41 `
PLAN:.I.:G & 7..), :i,.0 . , . .
V,1LLAGE COUi''! :It.
APPROVAL
PRELIMINARY: FINAL:
REMARKS:
"COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
BY MIA;4I Si :ORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER L
SUB CO TRACTORS ARE CHARGED WIt' • "•" Kt :O'WLFDGE OF ALI. BUILD-
, ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.