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
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