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330 NE 97 St (6)PERMIT APPLICATION FOR MIAMI SHORES VILLI Date 7 • ? Fl -Job Address 336 ge 9 7 S �-- Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant i25' ,4m Master Permit # Owner's Address 3.30 /VC. 7 -S C o n t r a c t i n g Co. pc, .•vf... 4712 5 4,- Cta F 7 4 : & J dress d3 5 7 . Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL P LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION � i � 04 X / 1/ 'r - O 1' - 4. / /6 / U p Square Ft. Estimated Cost (value) / 9 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 • • the work stated. Signature of owner and/or Condo President Date o N ot at as 16 e Co President y C APPROVED: Zoning Mechanical s sio q� P I IA NOV Y hEF,IL !i SAN 1/ FM WML - ); y, CO; P'! Z iON NUMBER u, ''' q Q C ©409209 - ` @ 5 b COf_��"ISSIOu -TIP. FEES: PERMIT r,G,^ ✓J � RADON 4 Date C.C.F. Signature of Contractor or Owner- Builder -r?'- c�����) �) . f , =Y / s w otary as to nntraanr r Q Wi n„ - --=_ ;; Date My Co n iciAt. t. ©'p e O`"A!. L. Y 0 . SAMDOA as nomyirak. COMIZSIOM E CP 3 . C©C4 02619 I, cat° cOf_7nsetOLd .mtr. )' NOTARY Phone 3 o_C— 7S) — 6 /7 0 Electrical TOTAL DUE -� 6- 5, 1 Date Plumbing Engineering