960 NE 92 St (2)Date 07 -2 -93 Job Address 960 N.E. 92 STREET Tax Folio) -°( 2 / //0
Legal Description I q4- 1 AhLiii / 614
Owner / Lessee / Tenant KENT & MICHELLE BONDE r Master Permit 4�V 4 7
Owner's Address 960 N.E. 92 STREET Phone 754 -7542
Contracting Co. BURGLAR ALARM SERVICES, INC. Address 5830 STIRLING ROAD
Qualifier BRUCE L. HOTCHKISS SS# Phone 963 -3366
State #EF0000228 Municipal # Competency # Ins.Co. SCOTTSDALE INS. CO.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING C LECTRICAL PLUMBING MECHANICAL ROO FIN PAVING FENCE SIGN
/
WORK DESCRIPTION INSTALLATION OF BURGLAR ALARM SYSTEM G A!
Square Ft. Estimated Cost(value) $540.00
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 cons ction and ng. Furthermore, I
aut o ize the above -ned contractor to do the work stated.
Signature of own r and /or Co do President
Date
�No
y
** *
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
L
a y as
Comm .sioon Ex • res:
* *
o President
y Cammiss on Expires Eet;. 1W5
Matted Bonding ABenat
7
FEES: PERMIT ge RADON C.C.F.
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Si e • ractOME1cYt{Ql�Plider
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/ t aito NOTARY PUBLIC STATE OF FLORIDA
COM SSION N • . CC190117
r Oy„� SSION 1 . MAR. 31,1996
Notary as to Contractor o•fOwner- Builder
My Commission Expires: Mar.3/ /9910
NOTARY TOTAL DUO C940
5
Fire Other
Zoning Building Electrical
Mechanical Plumbing Engineering