460 NE 93 St (8)PERMIT APPLICATION FOR MIAMI S'
Date 419/P Job Address - 1 b O t e
E r3 ` Tax Folio
Legal Description Historically Designated: Yes
Owner&asaeef .tTm t
Owner's Address (-1 b 0 £ (a
Contracting Co. E t E Address
Qualifier SS#
State # Municipal # Competency #
Address
Signature of owner and/or Condo President
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT L (0, RADON C.C.F.
Estimated Cost (value) § JVc
Master Permit # ` —
Phone
Phone
Ins. Co.
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION f1 klse 1otc A k‘-i TICS M S di t rE R.S to . 3 Vot X'. I -e er
J.(l4rlr_ FA Scr,4
Square Ft.
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 regulate - and zoning. Furthermore, I authorize the above -named contract. t the work stated.
7-
zfig/q7.
Date
ature of Contractor or Owner- Builder
Notary as to Contractor or Owner - Builder Date
My Commission Expires: - -- r= =T--g<
� v rUn (v; / ca;ah C ;/.6
NOTARY S BOND
TOTAL DUE 4/-
APPROVED:
Zoning Building
Mechanical Plumbing Engineering
Electrical
JOB ADDRESS:
L / a /ci& 73 5T
APPLICANT:
APPLICATION:
r
ZONING CRITIQUE SHEET
PERMIT #
DA E COMMENTS
6 Fe,i ee Or D44(4.41 /iv
INITIALS