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810 NE 95 St (2)Date / Owner/Lessee / Tenant Contracting Co. 7C0 W Qualifier State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION Signature o Notary as to My Commi FEES: PERMIT PERMMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address XS JD 4) ET, et s Tax Folio Legal Description � � � 6 Owner's Address ® dV E LI 5 M r'c e FL 3 Address Address BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING P �? 0. C 7 ce -N c I Fe li C,e 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 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 a 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 zoning. Furthermore, I authorize the above -named contractor to do the work stated. :1 • e owner O " r and/or Condo President MARIA T. CASTIL Life c : MY COMMISSION $ CC .53 �'"� WIRES: May 19, MOO ♦ Bonded Ttlta Notary Pubtle Mesa= t ondo Pje o� ct Municipal # RADON Building y -nt Date Signature of Contractor or Owner- Builder Date Date APPROVED: Zoning Mechanical Plumbing 9 Historically Designated: Yes No Address Master Permit # Y 5 9 3 S 6g 57 / ©a lb`rS Pcuc Z, e (Li Phone ?oS '7 5 ' (25' 'c? SS# Phone Competency # Ins. Co. Address Notary as to Contractor or Owner - Builder Date My Commission Expires: C.C.F. ► 6% NOTARY °'— BOND Electrical SIGN Engineering 7 /0 9 /9 /3 70 _ — - e 1__1,1. . _ —4-- I t 7 14ir/4 17 7 67 .t/ 1 5 23 41 24 3 Lf 5' 2 !c f0 94 1 "..5 T.. role/ ,°4•J « 10 9 e / I� 27 I 29 3e .• •' C • • ro G1+1 RC' 1 ,;) FIO 0 4 2' E.eae - te . 3b 70 27 70 Go /3 /2 re A p o 10 9 0J 2v ' P4t.,? 25 ' P,� yo •s u.> D E_ I /\ 1 L. . 1" = 30' CERTIFICATION:I hereby certify that _ the survey of the property described hereon is true and correct to the best' of my knowledge and belief, as recently • surveyed under my direction, and that there are no encroachments unless shown or oted. ►• �� / , /\. 1, � / / I2. 0,.e1 -9 t 10 ?r- P l. - :. , OQ, f33' *teas. \n Rag Surveyor No. 1O15Stote of Florida, Date . 4T r.1r711"711,,, 17-rilyr7it ?17I4I '}*r�?!-t v !i '�rf ti ■ i VACANT ■ DONALD 5T. d a Y ro Q /24.fl�fo 2."° . SKETCH OF SURVEY • 8 .4 N 7 /00 95TH o R N 4 Le 5 4 61° 0 N N tie 5 F 1LOCATION • L. o r a -- F3 L c c_ k 0 N I 1--� E= I G- --1 T LL /\E E of HIN - t \ E \ORE I AEJ E. .OL..) • P am. ' AccordInp to Plot BocA : Pope '��' 1 L of the Publlo Record. of Dodo County, Flo. PREPARED BY W. MoINTOSH ASSOCIATE:•, INC.' 5 81 N.E. 1 S''. ST. MIAMI SHORE (� , FLA. 331138 r• ��•� r� O r N