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1051 NE 93 St (3)
BUILDING ELECTRICAL PLUMBING Owner of Buildir a_ Architect Oontra :tor or Builder Subdi- vision MIAMI SHORES VILLAGIE, FLORIDA PERMIT N° 10628 1 Work to be performed under this Permit Legal Lat Bl. Description Address of Value cf Amt. of � Project $ Permit $ 'j ..� ' T .. Building Z , ■ 4 ,C '" , 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 application herefor n 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 t'.ae work is not done in compliance with such ordinances or if the plans are changed without oriz 4 A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes th ponsibdlity r g h knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans o4 drawings or innlfEeAtattoients oi,lci eci i tions and that he assumes responsibility for work done by his agents, servants or employees. v, ; , : r . -_ Sigt ! 1 ' `,! I , + +it 41. .� ,. ' BY ti., l , �'� �'1. , 1 { �' 0 INSPECJ "OR In consideration of the issuance to me of p n; Ert his e,l Lygwe C perform the work cove;-ed hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with t1tC pl rawings, statements or specification• submitted to the proper autho,:rie: of Miami Shores Village. In accepring this permit I assume responsibility for all work done by either, myself, my agent. servant or employee. CONTRACTOR OR BUILDER DATE - 195 Contractor's License No. BY AUTHORITY Dates, Job Address Legal Description Historically Designated: Yes No Om:ter/L,essee / Tenant O A.e.f 6 Master Permit # q Owner's Address t S7 t `/ �° ? 3 Contracting Co. Address Quidifier SS# - Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address a r =n Ty cne): KIM LECICLRIICAL PLUM IING MECHANICAL ROOFING PAVING FENCE SIGN W O %:K D .SCI° ` ''II'IIOIY FEES: PERMIT APPROVED: Wain?, Mee`.a+.cal IIDIEII MII'Ir AIPTLICA'II'HON 70 Sc Ft, Estimated Cost (value) WARNING TO OWNER: LY©<J MUST" RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IIN \YOUL AlY 'IFW110E 1FOR IMPROVEMENTS '11' YurwUR ?RC "ERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT' M'iT.I'[ 1ICUR LENDER OIa AN A'II"ITORNEY 3IE74 ORE RECOREING YOUR NOTICE OF COMMENCEMEN " I'.) Application is hereby made to obtain a permit to do work and installation as indic :.ted above, and on the attached addendum (if app: :icable). :: certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand thrt separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING aad MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with El rpplicable laws re: ating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 9../ec'sVCS4ALA-es4 ////e4? ature of ovine {and/or Condo President Date Nctzry as to Owner and/or Con'o es nt Date My Comsnisa',91,54p3Tes :,,,�. „•. :r.rr��t»>li+ oq �pV Peo Cafleen A. Murton i •sy, Public, State of ,Teruo ssto- Nc. CC 609929 os F' sFOr, Fxp. 12I25I2C33 ; j r -.n - . �:cc S. Coidios Co. RADON Building % n,67 MIAMI MilAMI S 'O ". VILLAGE Tax Folic Phone (2 0 c. Signature of Contractor or Owner - Builder Notary as to Contractor or Owner' uilder My Commission Expires: • imilr i / / //n 1.w/iiilh 'N,WN/.wm.weimv. /S qP�� P v0 CO ie'n A. 1V:u ton Notary atilt, $trte OI'FD 15:. Cornreisica No. CC 609929 ''once My Caws i :vn Exp. 12/2512C3C 14.",3.3- NOTARY 71:). ,'a.: ^l Diu & Tea ;:'ring Co. < NOTARY BOND Electrical l i/ 4/ 7 Date //// Z /»7 Date TOTAL DUE S - " 4 ■ Plumbing Engineering