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802 NE 100 St (6)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 2 d Job Address D 2 Ol c /Pa f , Tax Folio Historically Designated: Yes No / Tenant */ `R, 9Al c '<)-- �. ���:'� Master Permit # �1 Owners Address e Phonek 3 467J 7.5'V ' 26 Legal Description Contracting Co. O W N�, Address Qualifier SS# Phone State # Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIONX / �A=T�/� / e? a/L 71/0 � 6 7Rt et f Square Ft. Signature of owner and/or Condo President Date FEES: PERMIT RADON C.C.F. Estimated Cost (value) k .� '© d 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 ELECTRIC-- 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 sta Signature of Contractor or Owner - Builder Notary as to Owner and/or Condo President Date Notary as to Coitrelctor or Owner - Builder Date My Commission Expires: My Commission E I! c NOTARY QFRCI NOTARY SEAL 1P�Y P(/ , 2 S MARGARITA MIONTIEL it (1 OOMMSnON NUMBER � 111. K CC797277 NO e COMMISSION EXPIRES � OF FC DEC. 17,2002 BOND OCR APPROVED: Zoning Building / t / l '°' ff )() Electrical Mechanical Plumbing Structural Engineer TOTAL DUE PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6/j3 )01:0 Job Address 009. toe ) OC) 5 Tax Folio Legal Description Historically Designated: Yes No , Owner/Lessee / Tenant VI PAr �j (YI (�I S 'Master Permit # 1 Q /a_ Owner's Address gpa Pik. H Phone Contracting Co. )) [ '(,� I o /Yf..- e_ Address 0 54 Qualifier SS# 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 Pan. h-k �1C F ,0 y- , LC> ," 4, A - I o,L' kc c 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. Square Ft. 0 ep 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. fan. owner and/or Condo President Date otary as to Owner and/or Condo President My Conn isSioiZFxpires;im. ce ianv SEAL Oam)na ra c;ONTIL » couMissIoV OUra.,LL ' . a n CC40920I FEES: PERMIT 'VC). o o RADON APPROVED: Zoning Mechanical Building Estimated Cost (value) Signature of Contractor or Owner- Builder Date Date Notary as to Contractor or Owner- Builder Date a a-- 9, My Commission Expires: C.C.F. ..fo NOTARY Soo TOTAL DUE 4 4 ,-. ." �o 4yAlf)AfIl 4144 I.3 Electrical - Phone Tne (fin Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 Job Address FOCI /i ce r c' 4 � T ' L 6 1 _ 1 Tax Folio /l IA% pi / 9 T Legal Description '/ 4 "�/q(lD /69 Owner / bee dG i "J S o/-* Master Permit # 5116 Owner's Address go a_ 0 rr Contracting Co•' (n) vA- 4,141(7 4 Address 'TAD lit , i�� 4--• Qualifier 17/11 c" � / p� Phone 7J ' 4763 State # Municipal # 190 ® # Ins.Co. Architect /Engineer Bonding Company Mortgagor Permit Type(circle one): BUILDIN WORK DESCRIPTION c- /��' 7 C ✓�J 00'1 Square Ft. fi 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 rk will be done in compliance with all applicable laws regulating cwt - suction and g. Furt. rmore, I authorize the above -named contractor to do the work sta Signature of owner and /or Condo President Signah�r�e or Owner- Builder Date: Date: �� � Notary as to Owner and /or Condo President My Commission Expires: FEES: PERMIT r RADON C.C.F. Iv NOTARY TOTAL DUE APPROVED: `. Fire 4D Buildin Mechanical Plumbing Engineering Estimated Cost(value) Fern * h) iota- as to My Commission Phone ROOFING PAVING FENCE SIGN •' ``b' s' EPHINE CHURCH at: ilk. i'. ti ~fit rMpaermiihn e No. CC197545 ** Other Electrical