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9600 NE 2 Ave (12)f P PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 31 y \c\■ Job Address 1 �I 1 6 54 Tax Folio Legal Description Historically Designated: Yes No Owner/i essee / Tenant &J C tt Rd\2 Q 0 I2 Owner's Address 11 47 1 6 S+ Phone S --c) ' 39 00 Contracting Co. \r-)vi s - I Y$ A \-( Address 31 c O faR't, Cant r a` 131 l Qualifie obe 5 SS# , Phone G n © -0 30 0 State # FO (300'1 `'k Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION r -1 k \m( nn 'M asset 1 to J ► cA. • o Square Ft. Estimated Cost (value) I � • 0 0 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 laws regulating construction and zoning. Furthermore, I authorize the above -named co Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Conunission Expires: 1.LES: PERMIT --C ` RADON C.C.F. Building Master Permit # 3137 Signature of Contractor or Owner- Builder Notary as to Contractor or 0 My Commission NOTARY APPROVED: Zoning Mechanical Plumbing Engineering be ce with all applicable / Lc:1U ate er- Builder GHT MY COMM b / CC 474919 EXPIRES: June 21 9wtten PG,t Bonded Ttw Nifty Pub.° Electric /( Date TOTAL SEP 12 '95 08:16 FR WS5 POMPANO BEACH FL 13059700334 TO MIAMI I. ` .7 :- +7)tien H st' lly Designated: Yes _ No Owner /'Lessee / Tenant .� � ��' �" �l\ 1So 1,t ^4 Master Permit # Owner's Address ► `1 °N I\5 E ° s b .S+ Phone 1 S C i ` 3 9 O O Contracting Co. \ tsk:nt`.ov, Address3 6 10 P p• I L Cs: rd. \ el d� Qualifier \ert S, ■Q SS# Phone state # EEo O r l Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Addre Permit Type (circle one): BIJILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 11 ).neo)kow Square Ft Estimated Cost (value) d�1 S • 0 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MA RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCINI CONSULT WTTH 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). certify that all work will bc performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separa 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 bc done in compliance with all applicab laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. ■\qb Signature of owner t Date TRACIE M. WRIGHT MY COMMISSION/ CC 4749 ' "'' • • EXPIRES: June 21, 1999 -A • Bonded Thin Notary Punflo Undeiwdtere Owner rnr4 Notary as to My Commi FEES: PERMIT APPROVED: Zoning Mecutical 1`IIb 7a��a: �s V") PERMIT APPLICATION FOR MIAMI Fw',n�„r�c� Tr"- ()/4—) /9 (• nr f nn�e ' • te RADON C.C.F. Tax Folio Building Signature of Contractor or Owner - Builder Notary as to Contractor or Owner - Builder My Commission Expires: Electrical P.01 /01 NOTARY TOTAL DUE Date Date Plumbing Engineering ** TOTAL PAGE.01 **