ALARMPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 4/11/94 Job Address 466 NE 102 STREET Tax Folio �f 3240 /70
Legal Description
Lot 3f y eI k. 4/
MARK H. SMITH r Q
Owner / Lessee / Tenant Master Permit # 3' 5
Owner's Address 466 NE 102 STREET Phone 751 -2898
Contracting Co. PROTECT- O -LARMS INC Address 1123 S. 21st Ave Hollywood Fl
Qualifier BERNARD H ROBIN SS# Phone 944 -9218 921 -2202
State # FLORIDA Municipal # Competency # #EF 0000852 Ins.Co. HARTFORD /AIF
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Mt Commission Expires:
`PROVED:
BURGLAR ALARM
I /V74 7Z 210 M-01 F- s
Square Ft. Estimated Cost(value) 1,356.00
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 tha all work will
be done in complian•- with all applicable laws regulating cons u• on and 'ping. ur I
authorize the abov: :med contractor to do the work stated. I
l AU. - 4 • ti-M4
er d I •r Condo President Si ontractor or Owner- Builder
I I i iiii 1 ' NORD THRU NOTARY PUBLIC UNDERWRITERS. A li i 4\ i
Date: Dat N AT ARV nnur rr n,> n. ., .. RI. { 4 • T,�,RY PUBLIC, STATE OF FLORIDA.
Y COMMISSION EXPIRES: August 2, 1995.
Notaicy'-as to Owner and/or Condo President otary as to Contractor or Owner-Builder
My Commission Expires:
* *' * * * * * * * * * * * * * * **
FEES: PERMIT C6 N C.C.F. bb NOTARY TOTAL DUE 1
Fire Other
Zoning Building Electrical
Mechanical Plumbing Engineering