74 NE 111 St (7)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address 74 NI, -E.
Legal Description /
/ Lessee / Tenanto1j
Owner's Address
Contracting Co. f 00 . C L,% \ L&c c JG Address
Qualifier ¶ b � k ss #Z , phone
State /b G'BG o3e1o4-
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL (PAVING) FENCE SIGN
WORK DESCRIPTION f ,
Square Ft. o 4 4 Estimated Cost g3
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. 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 - e work stated.
Sj. nature of wner and /or Condo President
/ ate: L Z / fZ
No y a to Owner an RbA �� . Notary as to Contractor or Owner - Builder
My ommission ExpirWA£ OMMISSION EXPIRES A RH. 1992 My Commission Expires:
* * * ,DND£D THRIWTEMBLE&AD IIS & SWEET* *
PERMIT FEE: APPROVED:
? W Zoning
e�
- 4 $0 Mechanical
',D/
/ 9/
- 74 i ,E.
Competency 2.5 Z 1 S / Ins. Co.
Fire
Address
Address
. Address
S'gnatur/1--/ e�of ontractor
ate: 7 9Z-
Tax Folio 1/ ai,(p o 'f av /0O
Master Permit # 30207
phone 75 -7.1401
- 74 NE. k
Other
Plumbing Engineering
7s
Owner - Builder
D' Nti�� ,