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FENCE PERMIT
PERMIT APPLICATION FOR zz` MIAMI SHORES VILLAGE Date ° / ` Job Address `CC �' E 9,R sr k!. Rc '"1 axo lio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant J ? r - r/i/eVe Master Permit # I28 p� s' Owner's Address B ®/� ,A; _ %• / `� 37 �l�ni � 336' Phone ( © 5 aRI.3 Contracting Co. N • , Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION flan"' ea •CS'/ VIA) CiM/ 4JNk Frfocc EAT SA 4-44. A EPA y % d .C' woo F s° E 9 PANT liaise \Geis"' / t *PR R sr ri Square Ft. Estimated Cost (value) 96 , `" g, sD £G' b ' 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 authorize the above -n. - sl tractor to do the work stated. � I anima 1 . 1 ► Signature of owner and/or Condo President Date Si;. atur •of ontractor or_O er- Builder Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder My Commission Expires: My Commission Expires: \P9Y P UB OFFICIAL NOTARY SEAL O , , SCOTT W DAVIS -, t * COMMISSION NUMBER �f m \ a CC255237 F e. MY COMMISSION EXP. F FL JAN. 7.,;,, PEES: PERMIT 0 ,119 RADON C.C.F. %-- NOTARY Electrical Date )/i /4 Date APPROVED: Zoning Buil Mechanical Plumbing Engineering .71 j ,„ 1 CE 202 Nona Pitrurtjurs Inc SKETCH OF SURVEY Scale 1"= ZS, 40 a_ 90 I 06 �;eC= 3`l 33 35,46 T 2506 N p a 0 LAND SURVEYORS , -zofk.e., ( vs.,/ , A. 20� ,r b a /e>‘-7g //..A- ,%/,s1-P) SURVEY NO 95 37 73 SHEET NO OF 2�r . 6 096 p_ St 6 3/,35 4 4/ c : . 4 \ 2. , ..J