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39779PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTI1 (OWNER TO RETAIN COPY) Date 5 -16 -1991 Job Address 1245 N.E. 97 'St. Miami Shores Tax Folio /f igo 0a©a Legal Description Master Permit.# Owner / Lessee / Tenant Owner's Address Same as Above Phone Contracting Co. Active Pest Control Address 645 N.W. 128 St N.M. 33168 Mrs. Louis Cirrotte Qualifier Tom Lostetter State# SS# Phone 681 -4848 Competency# Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE S WORK DESCRIPTION Tent Fumigation Square Ft. „�,� Ft n0lL Estimated Cost $7 %0.00 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 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 construction and zoni. Furthermore, I authorize the above -named contractor to do the work stat =d. Signature of Omer and/or Condo President Date: / J: // 9/ Notary as to My Commission 4i smw. 'er and %or Condo President PERMIT FEE: Expire T `L.O!'&13:i f a''!,a > k .f. 7� 7� BONDED TFTU G�rJ�_�.�di�e.,,, • APPROVED: Fire Zoning .10► igarAlly.arLi■ore4ijilijiTatik of Ir7ntreotor or Owner- Builder Date: /3" 9/ 2t /f)S ,6 DS 7TP12.- Notary e< to Contractor or Owner-Builder My Commission Expires: * Other C I�t1,iJ vu ;/: J L ;, Jv N V \ y( X I * Building Electrical Mechanical Plumbing Engineering 4 *iteito Seaga* Swot/4a g449144 Af(4v10 SujtKaect, St«ee 1949 1830 W. Broward Blvd. West Linebaugh Avenue Fort Lauderdale, FL 33312 Tampa, Florida 33624 DATE : 2 2 ( 9 I ATTN: BUILDING AND ZONING TO WHOM IT MAY CONCERN: PLEASE CANCEL THE FdLLOWING.:PERMIT, :DUE TO THE CANCELLATION OF THE SYSTEM INSTALLATION BY THE CUSTOMER. NAME :Gi rco- -1 2e5OC'1Cc ADDRESS : \ 2'4 5 ti S� �f CITY: v\z\ i C✓.1� - S PERMIT # : 3 `'t -1-19 ' . • THANK YOU FOR YOUR ASSISTANCE IN THIS MATTER: - SINCERELY, MI :TEL BRAUSER, VICE PRESIDENT QUALIFIER STATE ,.;F0000044• STATE OF FLORIDA COUNTY OF BROWARD SWORN & SUBSCRIBED BEFORE ME THIS DAY OF , 19� , AT FORT LAUDERDALE, FLORIDA BY ROBERT BRAUSER, WHO DID P tESENT HIS DRIVER LICENSE AS jDENTIFICAON. A NO AR P IC ' GE MY COMMISSION EXPIRES: �p RY PUS OFFICIAL NOTARY SEAL 0 ., ei KIMBERLY LEWIS y y * COMMISSION NUMBER ` ` "M` o� CC5 os44 Op f`C� MY COMMISSION EXP. OCT. ) 0.1909 Broward: 467 -7660 Palm Beach: 276 -5150 Dade: 945 -2135 'West Palm Beach: 738-7660 Fax: COMMERCIAL,•RESIDENTIAL & INDUSTRIAL • LICENSED & BONDED • UNDERWRITER APPROVED Hillsborough/Pinellas 800 - 325 -4288 305 -523 -2363 2(-1- 9--gS .Z, ti, c4.4+01-- 0 Date Legal Description Owners / Tenan Owner's Address ! p.e.A 5 i% fF' 1--7 Contracting Co. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 1,A4...5- %1 f, 651,2,zte Tax Folio / 1^. VQrj` — 2 CQ e Historically Designated: Yes No State # 6 41)06 t.- Municipal # Master Permit # e777 Address L.L/. o sau SS# - Phone �JS 435 Phone Competency # Ins. Co -924, -�-) Architect/Engineer \ Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDINLECTRIC. WORK DESCRIPTION PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value) 3 *7C 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 re tang construction d zoning. F ermore, I authorize the above -named contractor to do the work stated. 1 1/ I ggnature of owner and/or Condo President S • ature of Con, or Owner- Builder di as to Owner an • �� . i ide�.f INA 3 My Commission Expire 44 ; . 1 * e:Ortsllit :LION NVW1®EIi i11' - a C0348648 p� ' ,,'.' 4∎ MY COMMISSION EXP OF F\P _ MAR, 1,1 98 FEES: PERMIT g OP RADON Notary as to Contracto My Commission Expir C.C.F. / r° NOTARY Date '+ • AFIINA AI KIRSCH 1 ate \j! * COMMISSION NUMBER CC348644 C. MY COMMISSION EXP OF \.0 MAR. ,111198 APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering TOTAL DUE 3 �s Aree7g1 BUILDING MIAMI SHORES VILLAGE, FLORIDA ? _�� 96 Date 19 _ ELECTRICAL PLUMBING ❑ PERMIT N2 39779 Contractor's ROOFING ❑ License No. Owner of Building 0 Work to be performed under this Permit Architect Contractor or Builder Legal Description Address of Building �/ 3x9 c'07 ow° Subdi- t g /- 06 • vision Sq. Ft. toer.: (t) Value of ''"r Amount of 2'f " Project $ 3 I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion berefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit h granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or empl,, ees Signe,.1 -/ —,,,w,,?' /%"�.►f j%,, NSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accep ;ing� this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CON tAC'i;`OR or U DER BY AUTHORITY