Loading...
94 NE 93 St (6)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / / /yc Job Address ? ' /11,e , ' S f r 2'e/Tax Folio / / - 3 0 6 - 0 /3 - 0/50 Legal Description R e S ; W0.1 G / Owner/Lessee / Tenant FEES: PERMIT ?✓ ' ®'' RADON APPROVED: Zoning Mechanical /e,.44„ do '- ,¢vi la Owner's Address ? ' 4/, 6 - 9 3 Contracting Co. Po- 0 $7' - S e c <. ; Ty Qualifier /11 i,- T n X . Al 4/ P S a' laws regulating co s ction and z e g. F O. e. • Notary as to Owner and/or Condo President Date MkPitt{pis S ON # CC63 227 '� inn Q EXPIRES MAY 5, 2001 1` BONDED THRU 9�Or ATI ANTIC BONDING CO., INC. C.C.F. Historically Designated: Yes No Building Master Permit # Plumbing Engineering L7/4,, - Phone a 05 - y ZS "8 - D 9 9 ? Address 3 JO D 4/, c,/ , 5 'l v e X5 5 -y a ' ; - Phone SS# State #6 F00006.2 Z Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN ' ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE WORK DESCRIP'T'ION -Tel S T O /91 n'f 6 To C' ter, /40 I /° e s ,De Square Ft Estimated Cost (value) . ? S Ins. Co. OWNER'S AFFIDAVIT: I certify that all the for : • - information is accurate and that all work will be done in compliance with all re, I authorize the above -named contr ctor to do the w.y stated. "I 'or • wner- :r Notary as to . or or Owner - Builder MZ.SC G# K. TUCKER a ••� n COMA4ISSION # CC 631227 5 � h' o EXPIRES MAY NDED THR 5, U 2001 'A OF ATLANTIC B BONDING CO., INC. NOTARY BOND Electrical SIGN 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. applicable 3 TOTAL DUE /3 ,rte f 7p