134 NE 102 St (9)• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date id °O 4 4(Tob Address / 3' PC lO 1 S Tax Folio / / - 3 7 0 6 — / " 8 v
of i c(re�¢a S �S S&C7— 1
Legal Description 4 aD / -- / / ! oc k 1 Historicall Designated: Yes No
Go w�
Owner/Lessee / Tenant
Owner's Address / 3 C 7 I(}6 /0 Z S t
Contracting Co. �j , 7 /1,f 0`'4 / /1% Address
Qualifier C 1._ Le z C 4-fV O SS#
i
Notary as to Owns r and/or Condo President Date Notary as to Contractor or Owner - Builder
My Commission xpires: My Commission Expires:
r- Builder Date
Date
TOTAL DUE
APPROVED:
Zoning
Mechanical Plumbing Engineering
Building
Electrical
• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
_ /3 ! / >_ �- __ t� 0� if . � 2-°6 X19, . rS n .'1
Date
Legal Description
Owner / Lessee / Tenant C r �r�� �- Master Permit l
/3 `f Ae (O . [� �l t Phone 73- 7 - 3 7OC-‘
Owner's Address
Contracting Co. INTERNATIONAL ALARM SYSTEMS Address 101 NE 3 Sytreet
Qualifier Carl Lezcano SS# Phone 728 -9974
State #EF0000683 Municipal if N/A Competency # N / A Ins.Co. ROYAL INSurance
Architect /Engineer N/A Address
Bonding Company N/A Address
Mortgagor N/A
Permit Type ELECTRICAL
WORK DESCRIPTION BURGLAR ALARM INSTALLATION
WITH
Square Pt. 4 Estimated Cost(value) -2-`'f
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 AFF ►AVIT: I certify that all the foregoing information is accurate and that all work will
be do i • liance wi all applicable laws regulating cons ion anZh zoning. Furthermore, I
Ir auth ri ve a•ove to do the work state•
-� : !� £
Signature of owner rand /or Condo President
DAVID P WOODS
My Commission CO425482
es Dec. 08,1998
Date: °�►► P ' 4 e4,
Notary as to
My Commissio
** *
APPROVED:
Lot ( o -6- it R Io A L 4_ &(( '- r} cc o„ti 1
PEES'•.PERMIT RADON
DEVICE POINTS.
Address
Signa
Dat 4,
*1;4,9
ntrac or or Owner-Builder
DAVID P WC+0DS
My Commission CC425482
No UbmGQIykgict or Owner - Builder
My Cofr ° is si8841 -4 S ]eires
* * * * * * * * * *
C.C.F. NOTARY TAL DUE
Fire Other
Zoning Building Electrical
**
Mechanical Plumbing Engineering