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1090 NE 96 St (11)
Date - 9gJob Address Owner/Lessee / Tenant Qualifier OW/772 - .5 V 5/�-5 WORK DESCRIPTION Square Ft. ' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description /� 1 A / file 7f 44die Owner's Address ‘0q tt .� 3T Contracting Co.''`), ( ) t! ) p Address er and/or Condo President at e L -5 g_ 417-679 - O io) Notary to Owner and/or Condo President Date My Commiss GLADYS; VILLAR NOTARY PUBLIC STATE OF FLUZIDA COMMISSION NO. MY COMMISSION S"'_.''3 FEES: PERMIT TU RADON C.C.F. + 6 0 NOTARY 3 APPROVED: 6'2)1.41/1 Zonin Buildin Zoning Building Mechanical Plumbing QcQ Cfco la Folio Municipal # 200 ARYSEAL /7 -9 Historically Designated: Yes No Master Permit # 7 % � . 9� Phone c J `744 _64 Or-4 ss# - Pho(3c-�) G20— S - 7c 7 Competency # 200 Ins. Co. 62 2 7 S ( Address Address State # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE Estimated Cost (value) `V (C) (MCD 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. 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. Electrical Contractor or Owner- Builder e S,5a CA XS -0 4 ' o© N. ary as to Con actof''or Owner - Builder Date My Commission Exp es: OFFICIAL N • A GLADYS J VIUAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 ter coM! SIOIV F.XP. R.1 BOND 30 lJ s TOTAL DUE 37 Engineering SKETCH OF SURVEY Lots 2 and 3, Block 81, MIANT SHORES SECTION NO. 3, as recorded in Plat. Book 10) at Page 37, Public Records of Dade County, Florida. tz- z U1 I HEREBY CERTIFY: That the above "Sketch of Survey" of the above described property is true and correct to the best of my knowledge and belief as recently surveyed under my direction. EC 1 •4 fil a :. .cr. Y1 c., 3 !j•4 S4 L. `"TY $ D ?C 4 2.. r— u' la 4. . 4 ;o i Customer: Sandler November 2, .1978:1 , � hi III t .e w 70 R :, L . 7 t • 74 .. ' ' • Donald P. Ramsay, Registered Land Survc or ! , 1208, State of aF 1490 W. 49th. Place, 6c' +%U. . : c4 . ,; ' a is .c c y 1 5 A T Hialeah, Floriah, Phone:' 822 -6062. ! : 11 FNAi: N , DR %VE • ; a.1 \\ V / lytz r z J 75 , i 1 ":2. .2 .►- ; 1 - ` J 7