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600 NE 101 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date � 3 - ,'( Job Address 600 N. 6> /0/ Tax Folio 7/ — 2-06 - O / 7 - /� Oa is A zy Legal Description 1. 01 /2 ¢,4r /,' /// 151k /03 Sec ej Historically Designated: Yes No ssee / Tenant L. Po 71 a q-ct F f'YJcY i /* Owner's Address 6o0 /'/ E /U/ .514. Phone 75'/ ^ g/ R- 3 Contracting Co. o c9/4 JE /‹. - Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer ig. A Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / T? i C // /Gf{ 000p Square Ft. 0 O Estimated Cost (value) 2 a a0 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 contractpr to do the work stated. 1 Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: l'BES: PERMIT ? . O 0 RADON Master Permit # Sigr_ature of Contractor or Owner- Builder Notary as to Contractor or Owner- Builder Date My Commission - Expires — _ _ _ � :0Y F'u :Vr'_uC IAL onv,:l A L7 7O.'t9•PI L u �`r ©CF ©-f;: 1 • •;3` Ply co. ^_5.:::3:: :;N •attee. C.C.F. /. 0 0 NOTARY �,Op 4` - r_ Date TOTAL DUE 'et . o O APPROVED: Zoning Building ✓ "' g Electrical Mechanical Plumbing Engineering z t t� i r 34 n r " ,,, ^s +n' +�. } Fti,,i t-zy.4 r ax.- +t ♦ ti ^�' ♦aV ^s : 'tea l . Yc- wr�• -eY=*. .t, y k.»y,.in:. .no: 'r , �. :. �}- ti:itit�F.• FIRE DEl''A.R i r'•:E ANT PU1 LIC WORI■S POLICE L`_PA ! NI:N i BUILDING DiI:ECIO PLA11,4114C1 (A ZONING APPROVAL VILLAGE COUNCIL PRELIMINARY: REMARKS: THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING NR PERMIT " p W ITH NO VARIANCES 0 WITH VARIAN CE(S) LISTED DEVIATIONS FROM THE MIAMI SIICFES BUILDING AND ZONING NO I N AN R S WIL FROM WILL BE PE Y,1T'iED, UNLESS SPECIFICALLY LISTED BELOW. ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED WITH BY ALL PAP :NES. Date A�.; ":fir 7e.A S Rnature FINAL% A ,- n �• It:�lG .O.DE A$ gQPT�Q ,I I ECT BDILDEE COMPLIANCE WITH THE `;t`UTII � 1 C ,.:;1�: ; �L �, ` tpp G j�� p ' �g � 1 54 krr • QI 7 L LR: BY MIAMI SHORES vll_l_ /iGi !: l ( !� O`� LX:VC4. SUB CONTRACTORS r ^.i l" C, ".`:.: ING REGULATIONS WHETHER OR NOT SPECIFICAI.LV !N I% kkO O