260 NE 102 St (7)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address U/ Z /v � /O Tax Folio 11 ? 3 ZO (p
Legal Description LOT y O ) , I 7‘ SEtr.-.1
Owner / Lessee / Tenant 20 77946 M/ Master Permit # (03
Owner's Address
Cont racting 11 Co , 0'J3 Li GP--
Qualifier N
k — —�- � C HI-T - e
Square Ft.
2 r o 0 -r-
L_DC,
Signature of owner and /or Condo President
Date:
SS#
Address
Phone '7 4 7,
Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle on ): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFINGr PAVING
WORK DESCRIPTION A I LO �C c Q_ —L- 0
f � o'O
Estimated Cost(value) 1J 0 X
FENCE SIGN
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 and zoning. Furthermore, I
auth • the b amed •ntractor to do the work stated.
Signature of Contractor or Owner- Builder
Date:
Notary as to Owner and /or Con: o 'r '$�tOFFICIAL NOT s � : ry as to Contractor or Owner- Builder
My Commission Expires: mmission Expires:
�i BARBARA ANN FU
ZO 4('' * COMMISSION NUM
u> Q CC360191
FEES: PERMIT 731 RADON C.C.F. NOTARY 5 TOTAL DUE f
APPROVED: Fire
Zoning Buildin
Mechanical Plumbing Engineering
Other
Electrical
• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date
Legal Description.
O Lessee / Tenan
Contracting Co.
Job Address / `� /�/ E / b�� d" o Tax Folio 1/ LW / ` ` 7 , 2
Owner's Address 7 ��� 74 /C-
�( 7 /? ' /i2A GebLfl giell)'JMaster Permit itJijryv
55 4 7 - n g ,t&/
Qualifier
SS# - -
oeC
Square Ft. Estimated Cost(value) /G ..z/ "" 7 3�
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 and zoning. Furthermore, I
authorize the above -named contractor to do the work state
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
** * * * * * * * * *
FEES: PERMIT 5 RADON C.C.F.
APPROVED: Fire
Zoning Buildin
Mechanical Plumbing
WORK DESCRIPTION /2.P/� rl
56e �v o
Address
Signature of owner and /or Condo President Signature of Owner- Builder
Date: Date: 005r
w ,
Notary as to Owner and /or Condo President O•tar as to C.
My Commission Expires: My Commission L.1 ,.
* * *
Phone FZ "7 3 < /
Phone
**
NOTARY ) r TOTAL DUE t 4 1 5 4 6P
Other
Electrical
Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /2 Job Address 66A.16 t Tax Folio =? 1 , /
Legal Description S� / 4/4D P 19 ^ 7 1- 6q 4
- e l Ce 3 • , eR
Master Permit #
Owner / Lessee / Tenant I / /I/' (� / /
Owner's Address i o�/'. /� 6.4e,4 L//.� -��-_ Phone !� (o C� 757/
Contracting Co. AA14 Address
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle on BUILDING) ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ,/ /U GC U �/� /�v �/`� S Lc_s
Square Ft. D
Estimated Cost(value) /
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 and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Notary as to Owner and /or Condo President
My Commission Expires:
Signature of owner and /or Condo President S Contractor
Date: Date: / y
otar to Contractor or Owner- Builder
y Commission Expires:
** * * * * * * * * * * * * * * * *
77,� RAD ON C.C.F. I NOTARY S CO# TOTAL DUE *�i D e
FEES: PERMIT. �
APPROVED: Fire Other
Zoning Buildi g /4i)5 Electrical
Mechanical Plumbing Engineering