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485 NE 96 St (9)PERMIT APPLICATION FOR MIAMI Date 9 ;1-1- ? ` t� D3 `�J Tax Folio _ Legal Desch ion • Owner's Address C . C c Owner/Lessee / Tenant V C_ Historically Desig S Master Permit # /2 ©use Butterfield 897 Contracting Co. °- ( Address Qualifier SS# State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Phone ' S � S � � l g . 7 Phone Permit Type (circle one): BUILDING ECTRICAL PLUMBING MECHA ROOFING PAVING FENCE SIGN WORK DESCRIPTIONS & CAdLt tic -4 A Do ra ®®rs P6s 3ecerd s) Square Ft. Estimated Cost (value) WARNING TO OWNER: Y ^ • U 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. Signature of owner and/or Condo President Date Signature of Contractor or Owner - Builder Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT .6 RADON / a C.C.F. / ' NOTARY Electrical Date otary as to Contra t r or Owner - Builder Date Commi BOND TOTAL DUE /0 6 APPROVED: Zoning Building Mechanical Plumbing Structural Engineer Date,? r ,f /j✓ G ob Address 3 \ . / � Tax Folio /1 ...S9 / ego A Leg Description /9,1 A P / f Owner / Lessee / Tenant Y' I1 .a9 Owner's Address Contracting Co. Signature of owner and /or Date: ‘/ /00 APPROVED: PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Zoning `i85 v E 96 s- t" CHURCH to of Florida s. " eti4n ission Exp. April 30, 19 Na (X151545 Fire Building Address Nota f as o Own - r and/or PCyrfdlar cp reslidentf Norary Public My • mission Expires: Personally known ❑OR Produced LD.[t Type and number I. roduced: ** * * * * ❑ lia DI take a oath, or*, v DIDI NOT take an oath. F PERMIT 7” Q RADON C.C.F. 1 ^ ®o NOTARY 1 Qualifier SS# - - Phone o 53- el ).,C? State # l% # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost(value) .IARNING 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 contract• to do the work sta -d. ignaturo o Contra ate: - / /f / 9y a�y�s Mechanical Plumbing Master Permit it f� ��7 l Phone 76 [ 0 c∎ /8 . • 4 74:. JOSEPHINE CHURCH e .Notary Public, State of Florida • 4, /Ad/ of to Contra &it rYptorOwnerrnBui,Ider 1'ubt'; y Commission Expir `Sf n '' l 'S 1 1O Produced LD. } a A Produced: ❑ D fo c) D take aziodrh, or* ** _ D NOT take an oath. q/ r - TOTAL DUE ) 1i0 f,, ] q �y Other /e /� 1 Electrical Engineering 9° Lic. and Ins. CC 8133 I V r 1361 N.W. 198th Street Miami, Florida ober* tt Miller Complete Painting Service Roof Painting Pressure Cleaning Roof Painting 0634020