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237 NE 100 St (2)Date Q 31, Job Address cz 32 A/E (O© Sr Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant (A/ /7 E.l �01�1 ,_ I1 c-(k A T 1 o Master Permit # Owner's Address S 1 #9 `-- Phone Contracting Co. 0 /V E (& Address Qualifier SS# Phone State # Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION FA C 0 4 f t7 R PMA T d ¢. etc /70 L(J i Square Ft. Estimated Cost (value) /(96 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date My Commission Expires: My Commission FYpirPs . -- =1 qY oFF cIAL NOTARY DEA6 1 C (((1 sa -.1A PJ VOXTIE6 tk c )i CO:: '.'SCION a bl�'l d '9DEVI � ",, ti ` , „Y ci ',..FN V:C, ' :13:31311 .axp. ,_50 FEES: PERMIT 4: "(e2 RADON C.C.F. , NOTARY (7 J TOTAL DUE 4 /f APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Building 04,crec, Sign Electrical - 75'— co'f Tne r.-, A Z ._tr /'O0 t„cft -( =fiE To vcNz7p Contractor or Owner - Builder Date O r' Plumbing Engineering Date - 7 / / /yg Job Address , 77 )? E• /? G t ( Tax Folio // Az&6 /3 7.0 Legal Description ®f' /7 '63 /6 /4, S %J J /' 19-A,Z) Owner / Lessee / Tenant 7 it- r 7411 10JA Master Permit 3'i Owner's Address 3 7 - fl• i e= G Phone Contracting Co. de(7)461r /e.aalc, Address Qualifier SS# - - Phone State # Municipal # (1, -- y # Ins.Co. Architect /Engineer (- ✓-- Address Bonding Company Address Mortgagor Address Permit Type(circle on BUIL LECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION 1 j ,,,. /2 - z Square Ft. Estimated Cost(value) /7O 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. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Signature of owner and /or Condo President Signature of Contractor or Owner- Builder Dat /'® e: 6 , J- Date: Notary as to Owner and /or Condo President Notary as to Contractor or Owner- Builder My Commission Expires: NOTARY PUBLIC STATE OF FLORIDA My Commission Expires: MY COMMISSION EXPIRES 5/09/94 ** * * * s onded thrr Stembpr•Adams # Sweet * * * * * * * * ** FEES: PERMIT (1 0 RADON C.C.F. /A- NOTARY .570 TOTAL DUE APPROVED: Zoning / 1- j 6r. Fire Other I� Building Electrical Mechanical Plumbing Engineering