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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