333 NE 102 St (8)Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 3 J22 s Tax Folio II 3agC /3 '-0l0/
Legal Description / 7 � / ' % 8&9 46' $4 /ma "6 /a-2o e,
6? 4:L. Master Permit # "
Owner)/ Lessee / Tenant
( ,\
Owner's Address 3 334 /02 j , A.77/ Phone �-��- 6 01-2_ Contracting Co. J/ L�' 1 E/l7 ildclI /7fTb age Address /Ids--/f.- 9 ichlie -ga
Qualifier 4L7 /a/2. SS# Phone .e.5". .e.5". 33lf /Z
State Mfr( 1e0'4772Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL won ELECTRICAL PLUMBING
WORK DESCRIPTION - 46i' o 4/A/c 7s
Square Ft. 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 OR
TO OBTAIN FINANCI 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. Fur II • re, I
authorize the above -named contractor to do the work stated.
Signature o f T ..3
er and /or Condo President
Date: �7/ �z
Notary as to Owner and /or Condo President
My Co, .'ssio• 'xpi •s:
•
** * �*
APPROVED:
FEES: PERMIT RADON
OFFICIAL N TARY SEAL
NOTARY PUBLIC STA.T.: Or r:.ORIDA
CONIMISSICIN NO. Cc 09066 *
MY COMMISSION EXP. UNE 18,1996
Fire
Zoning 7/c4/T3 Building
Mechanical 4NCA Plumbing
OOFING PAVING FENCE SIGN
8
Signature of Co tracto• or Owner-Builder
Date: 7/2 93
Notary as to Contractor or Owner- Builder
My Comm ss ' •'res:
Lf ;i;'_M1Es10 :C
* * * * * MY CI m:,mssICN fX' *
C.C.F. 1. NOTARY TOTAL DUE 1 05/0
Other
Electrical
Engineering
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AIR CONDITIONING • INSULATION CONTRACTORS
557.9333
1725 WEST 39 PLACE • HIALE FLORIDA 33012
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•LOG Noon Ab
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INLETS
FL•
GRILL WlF:LTER
(OPTIONAL)
SECT ON "A"
SUPPLY AM
PLENUM
CEILING
P•N •OIL ON
PLATFORM
R • TNRJ
LOUVERED DOOR
FLOOR
n.Ls.
LA PLENUM
F ANCOIL MOUNTED
HORIZONTALLY
STRUCTURE
OPTIONAL
DRAIN PAN
CEILING
WA GRILLE
WIFILTER
SECTION "B" n.Ls.
PACKAGE EMIT
ON FACTORY
CURB
A
0A MAKEUP
ROOF
5 A PLENUM.
CEILING
J. . I. OA
GRILLE I.IFiLTER
SECTION "D" n.Ls.