333 NE 102 St (12)Notary as
My Commis
Signature cf owner and/or Condo President
,ifte
APPROVED:
Zoning_ Building
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 5/1 /96 Job Address 333 N.E. 102 STREET
Legal Description , — S // - / 2 Historically Designated: Yes No
Owner /Lessee / Tenant CARLOTA ANGEL Master Permit #
Owner's Address 333 N.E. 103 STREET Phone 305 - 759 -6052
ContractingCo. HORIZON SECURITY SYSTEMS Address 2305 WEST 77 ST. HIALEAH, FL
Qualifier JORGE T. TAPANES JR. SS# Phone305- 362 -6767 # 208
State # EF 00530 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION INSTALLATION OF RESIDENTIAL BURGLAR ALARM SYSTEM
ONE CONTROL PANEL AND ELEVEN (11) DEVICES
Square Ft. Estimated Cost (value) $ 1,180.00
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.
j- 30 ,6
Date
!.� /-96
.. er an d/or : o P e ident
on Expires:G%
OFFI L NO'f i Y 9 AL
MAGDA Tk:RIOE
NOTARY PUBLIC STATE OF FLORIDA.
COMMISSION NO. CC271665
MY COMMISSION aP. MMt. Z PAY> I
FEES: PERMIT Lac. � 'U RADON C.C.F. /- 0,0 NOTARY
TaxFolio 11-3206-013-5070
Signature Gr6ntractor or Owner- der Date
Not
My Coninission Expires:
Electrical
alo
to Contractor or Ow B u�e:�4/ ,iQq i/ Date
OFFICIAL NOTARY SEAL
MAGDA T'A2R l;
NOTARY PUBLIC STET F. OF FI ::JRii)?
CO,MM,S5ION NO. CC271651;
MY CCMM!:,.1 :0IZ FXr..MI\Ft. 24,149
TOTAL DUE L37 .)
Plumbing Engineering