520 NE 102 St (5)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
520 N.E. 102 St.
Date 1 - 27 - 1992 Job Address
Legal Description
Owner / Lessee
Owner's Address
4,
/ Tenant Donna Wilson
Tax Folio / 5,w/ / we 2"
Master Permit, 5 2 ,4 ,9
Same .as' above 758 - 1050
Phone
Contracting Co. Q t ,p p C n 1 Address ALAS iST W 17R Ct
Qualifier Tnm T.os et ter SS# - - Phone 681
State# Fla. Competency Ins. Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE S
WORK DESCRIPTION Tent Fumigation
Square Ft. 37,774 Cubic Ft Estimated Cost 875.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF i
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,
on the attached addendum (if applicable). I certify that all work will be performed to meet
standards of all laws regulating construction in this jurisdiction. I understand that separ.
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 w'
will be done in compliance with all applicable laws regulating constructio and zoni:
Furthermore, I authorize the above -named contractor to do the work stated.
O cexiincz_
Signature of Owner and /or Condo President
D
/bowl ego
Notary as to Owner andhar QC 1 .JRIDA
Mg Commission Expires: MY COMMISSION EXP. JUNE 6,1994
* * * *BONDED T*U GENERA* INS. UND*
PERMIT FEE: APPROVED: Fire
Zoning Building
Mechanical Plumbing
S _nature of Contractor o
Date: 6/-;1:3-1?-
J
otary as to Contractor or G'vnar- Builder
My Commission Expires: ,Ryl pups,' : gTATE op noR/DA
* * * *131 CO? IS *ON Ek AY 17,195
EOM= TF U GEIERAL INS.
Other,
Electrical
Engineering
Owner - Builder
c