79 NE 93 St (11)Date
Legal Description
Struaze Ft.
No _ as :Owner art; Cando. sjd
My Commission Expires:
FEES: PERMIT
PERMIT APPLICATION FO
r
Address " (`
Owner/e /Te t , i( (/1
1� �
Owner's Add $ ;�. !'i /�tr
�
Contracting co. E ;- o)Lr', c c
Qualifier
State # Municioal #
Architect/En,r
:3cnding Company
Mort r go:
RADON
MIAMI SHO
ES VILLAGE
'];'ax Folio f
Historically Designated: Yep No
Master Permit # d / °,4(r.,4-5
Phone c.....Z. (� `--- " l� t.. C .
d
I \ ! .� 'ark 7 J J
Signa iand/or i t Date Sign
`31, 3 3 8 /.3 .:f ;24 p
2 �- 2 DOd
to
SS#
Address
Permit Tyke (eireie one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK, DESC ON ("c C31 • Ci X1/1 m r . 72; /1()%C -- ": ` / I 1\'` "I K:71
' ll /tea' - 9 r p
(n;j ( i tt`1va � S,��a ' Estimated Cost (value) ��� „ ti " ; �
WARNING TO OWNER: Y U MUST RECO,• i , A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SC MAY RESULT IN `:r✓CJ. T..;
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONS .12,T WITH YOUR LEND:IlI;
R AN ATTORNEY [ EFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is I_ereby trzd� to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all k
will b perform performi to mat the standards of ail laws regulating construction in this jurisdiction. I understand that separate p mits arc required for ELECTRIC
PLUMBING, SIGNS, POOLS, R vFNG and MECHANICAL WORK.
ObVI\\R'S A AVE: I certify t•°nt all the foregoing information is accurate and that all work will be dom in compliance with all applicable laws reguIat
construction and zoning. Furthermore, I authorize the above -named contractor to do the wort stated.
f Contractor or Owner - Builder ate
r5;20- .132 -• /A) 6 :°
ry as to Contractor arOwi :tut Y• •i Date
My Commission Expires:
J` V _ pC ` •
C.C.F. T NOTARY S BOND
Electrical
Phone c
•
•e
APPROVED:
Zoning Building
Mechanica:i Plumb' =n Structural lEnginer
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6Wy ‘V)3t C IN 1(4 5t
N o)Lv;73q'