61 NE 102 St (4)PERMIT APPLICATI (0R MUNI CITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date a s? y Job Address ‘ 67 ,E /40.2 J Tax Folio / %30 dd. /00
Legal Description p��1 / � Master Permit # K� �oe
Owner / Lessee / Tenant /eke a.(s�J�N1 /Zt / ( � ////r/l(z z/
‘7,A4 " r /57 Phone
Owner's Address
Contracting C
Qualifier
Square Ft.
zapP
c oa
Architect /Engineer
Bonding Company
Mortgagor
State!) .F�44' d •615/9
Permit Type (circle one): UILDING
Add
WORK DESCRIPTION A./0kt
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 authori e he above -named contractor to do the w k stated.
ure of Owner
of c?! as to (owner
My Commission Expires:
PERMIT FEE: APPROVED:
'Zoning
Competency# Ins. Co.
Address
Address
Address
AL PLUMBING MECHANICAL PAVING FENCE SIGN
r • JULIO ROBLES
•
My Commission Expires
June 4, 1996
r
'4 irk t Com No
m. . CC 2O5 53
and /or "Condo President
Mechanical
*
*
*
Fire
• Address
jfJthone #,Ot • v
Building
Plumbing
Estimated Cost
•' gip•• . OFFICI J S F,4I
rnerDAWAKES
My Commission Expires
June 4, 1996
� ; of d ' : • Comm. No. CC 205953
ry to e' retractor or Owner - Builder
Commission Expires:
* * * * *
Signatur
Date: i
My
*
Other
1ectrica1
Engineering