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75 NE 92 St (8)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 7; 7 /V /F. 9 2N U 5( Tax Folio Legal Description (�� / Historically Designated: Yes /�No / Ten, rnt Gt .�7 rn�l g (LgiV/ //J fl (t Master Permit # `/ C' (P & 3 Owner's Address Phone 754 4 ' O ( ee,/ Contracting Co. NL- w Address ets--/ Qualifier S. Phone State # Municipal # / Ins. Co. Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN (value) � 20 © o0 Estimated Cost value p WORK DESCRIPTION Wm/7 /167U6&":. 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 her.;by 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 AFFID AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating con itruction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date My Commission Expires: APPROVED: Zoning Mechanical Plumbing Signature of ontractor or Owner- Builder Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder My Commission Expires: r Engineering Date FEES: PERMIT 1 40• RADON C NOTARY . BOND TOTAL DUE Electrical Buil , :.� " ift' PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 2., Job Address Ib ►vE ( 1-- 3 Tax FolioIi 3::,a(ro/3 Q Legal Description Mani 5hoCS Sec, 1 /WO P!" 1 1 0-in L 2/ E `"a 20 elk '"1 QW ni - i , 5/ Lessee / Tenant fAnTIct B an ld' Ii Master Permit # Owner's Address 15 KIE (la 5iree+ Phone qS6 0960 Contracting Co. eP/Wee ,,4/// Address Qualifier State # Municipal # Cot ns.Co. Architect /Engineer Bonding Company Address Mortgagor Permit Type(ci one,: BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION IIL '41( Signatu APPROVED: Zoning SS4� Fire Buildin Mechanical Plumbing, Phone Address Date: Square Ft. Estimated Cost(value) ` ?. 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 FIUANCING, 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 a:!1 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 regulating construction and zoning. Furthermore, I au , orize he above d co tractoflto do the work stated. and /or Condo Pres ent Signature of Contractor or Owner- Builder Notary as to Owner and /or Condo President Notary as to Contractor or Owner- Builder My Commission Expires: NOTARY PUBLIC STATE OF FLORIDA My Commission Expires: MY COMMISSION EX Sweet ** * * * *Bonded tht�► Stotler * * * * * * * * ** FEES : PERMIT , tO RADON C.C.F. NOTARY TOTAL DUE �S Other Electrical Engineering