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818 NE 92 St (4)
Date Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Owner's Address l �� e FAr / f FI Contracting Co. ©ltd /A. 1f ' Address Qualifier SS# - Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIO e /a We o /'S�V C7 /S�/ 7 .`J/Oce- Square Ft / 0 X. 2 O e a - Gvl 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. 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 authorize the above -named contractor to do the work stated. Signa : of off' d/• ondo President Date Signature of Contractor or Owner- Builder Date //' r '�� - 37 86.E -- � otary as to 1; er :' d/or Con • • resident ate Notary as to Contractor or Owner- Builder Date My Commission Expires: My Commission Expires: FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 2/ g / V e 92- sr Tax Folio ia re Set- - 4heq/o loaf ir iJe 2. a ,4i ,G45. I Q,v'/JZ ( Wail; WPr& aJl tj /42 77;04 cZ aeL) Estimated Cost (value) — 7 /6) RADON Address Master Permit # 1'3 / t Phone S 7 S - 6 / C.C.F. o !O 0 NOTARY ' BOND l` TOTAL DUE TES APPROVED: Zoning Buildin: L_ .�,. i...i:� ..�. fCectncai Mechanical Plumbing / Engineering • ti • 0 2 74 Zt8 ,'" ;,-✓ • eoit • /1. k f4® m I fi /rig : p 7E 0 q1 /9.70' CAS ---„ 0 o� ° 0 0 0 0 t o r o„, s fltr