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890 NE 100 St (2)Date Job Address P9e) A)-- /D. Tax Folio ) ) 3 0 6 ( ! O©/ 1 Legal Description n\ S S PG d t& v, /4- / i Ili storically Designated: Yes No Owner/Lessee / Tenant ‘4=44. t 4 CJ 1�� yi Master Permit # 7 ( 1 Owner's Address ( 1790 1/e /d0 / 5 7 ,,,,A. 4.' f 1 /J/ Phone W ;�' 757 ' 3.5 Contracting Co. 1',. k / r. ,,e Address 57j ( Ai /-5 0+ Qualifier „A , ,,/ ! SS# /?d.) ' 5:57 4,6?'r FEES: PERMIT I U PERMIT APPLICATION FOR MIAMI SHORES VILLAGE State # £� )O 9. Municipal # Competency # Ins. Co. Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING E1 CTRI WORK DESCRIPTION RADON PLUMBING MECHANICAL RO FING PAVING FENCE SIGN Square Ft Estimated Cost (value) ,; . pit ' 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 contra or to do the wo stated. ./1 of Notary as t.* tractor or • . -Bur ' er Date My Commission Expires: C.C.F. -. 6 6 NOTARY 0 BOND TOTAL DUE D �% APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering Date ' Job Address Legal Description Historically Designated: Yes No Owner/Lessee / Tenant ape( - 4,/ 4 i l / p . Master Permit # Owner's Address 7f 2 87o nl loo 5 Contracting Co. ,2/ H yOl PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /14-/00 Tax Folio 7 ` o3 b c l to Qualifier U!/ lL 4'— SS# .. ' Phone 6 S - '31c 8 W State # t`0/30D 90 Municipal # Competency # Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING E PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION FEES: PERMIT 3f- a'.' RADON Address Square Ft Estimated Cost (value) OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and laws regulating construction and zoning. Furthermore, I authorize the above -named con C.C.F. 1 £ v NOTARY APPROVED: Zoning Building Electric Mechanical Phone - 757 OS/,K Address .sxr AIR / ,Sr //' Ins. Co. 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. all work will be done in compliance with all applicable to do the work stated. Notary as toyR'er and/or Condo President Date Notary as to , : ctor or O ' er- Builder Date My Commission Expires: My Commission Expires: BOND TOTAL DUE Plumbing Engineering