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62 NE 93 St (2)ERMIT A PLICATION FOR MIAMI SHORES VILLAGE Date �,� ' 'i Job Address (r'' .U�: ''/) j •� Legal Description jtJ Owner / Lessee / Tenant '- -" -I'vc> ! Master Permit #r I I._ n � - - .> - Owner' s Address t J �� 1) 7 1 Phone 7 " t i '`, -, '� Contracting Co. OL• - - ' -- Address Q ,alifier SS# - Phone State r ~4' Municipal # Competency # Ins.Co. Architect /Engineer '� Address 3ondi^ng Company Address Mortgagor Address Permit Type(circie one): I.UILDING ELECTRICAL PLUMBING . MECHANICAL ROO:? :r G PAV'NG F :SCI; SIGN WO :DMZ DESCRYPTION C ;, , ✓ 1,'.. V1t _ \, ;i I 1 °i 1l; Tax Folio Square Ft. Estimated Cost(value) WARN I NG TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FR ',sl ;E T In SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (:A? Y3U INTEND '20 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOW : NG YOUR ;�O r ICE OF COA' MENCEMENT) . App ± icatiorn is hereby made to obtain a pewit to do work and installat:.on as ir_dicaae. above, and ©n the attached addendum (if applicable). I certify that all work will be performed ...c meet the standards of all laws regulating construction in this jurisdiction. 1 understand `:r separate ermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHAN:ICM, C' 'ER'S A:?FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in comp: iance with all applicable laws regulating construction and zoning. ?:zrt :`:,er+nore, authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President: My Co =mission Expires: 73:73: PERMIT W V 1 , 7 " RADON C.C.F. 1' -0 NOTARY _57_,/- TOTAL CUE , w: ?P:30VED: r Fire Other &mina) � Building _ � � I Mechanical Pltunbin& Engineering Signatur of Contractor or Ct'rr:.er ; uildor Date:- , / 'till kF I4t11C4 s. Btu, Pub : Si v. Fiondt nary %as to r i t4 4 Commission x 1.3I�7S4h ovismommiromem r is ** Electrical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address Legal Description S 1' Owner / Lessee / Tenant '''4_'.... ; Fs W ; Master Permit 4F %' /,i Owner's Address`. €,_- Phone 4' / ,. Contracting Co. - y --ri. Address el Qualifier SS# - Phone State 1fr Municipal # Competency # Ins.Co.__ Architect /Engineer ' %� Bonding Company Address Mortgagor ' 2A Address Permit Type(circie one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING 1 ?ENCE SIGN WORK DESCRIPTION a i $ A O "' QA; Clair'. Square Ft. Estimate. Cost(value) ., WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMI NCE:MENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT'S TO YOUR A (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNE'' 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 tat a :.1 work wi :_1 be performed to meet Cie standards of all laws regulating construc'.:ion in this jurisdiction. I understand t'iat separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all tie foregoing information is accurate and that a:.1 work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 6 _. Signature of owner and /or Condo President Signaturof Cpi,tractor or Owne;--Builder Date: :,yateo 117 Notary as to C htradtpr or pwr `££01iid My Commissio#15E i2 c..:i'!i Notary as to Owner and /or Condo President My Commission Expires: * * * * * * * * FEES: PERMIT ' RADON C.C.F. APPROVED: Fire Zoning Mechanical Tax .'?olio l/ / i� �� / '. Address z � * * sk - :i. F`) .. '� * ��.' ".i. i. 1 .* ** NOTARY _'' TOTAL DUE iL- ` s Other Building (�' % :3lectrical Plumbing_ Engineering 0 co PLAN OF SURVEY 0 .oZ L‘.g. Scale: I" 2.o p l- J 24' PLM2.v...tuu 46,y } I 4 a 21 I 0 1 75.0a - SW.. pc,t-ah '3 Res. Q.° (.02. - 9 , 4 0 1 0. Ga. 7.5. oo' • kt.)130A I 94e Wocri, 4 10.0'2 c4 0 ) .5 4' T can'. ferice_. cJ 3.s 9° u 4.-% ef rA - 0,014 .PoPS ALL.