FENCE PERMITPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
TO RETAIN COPY)
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Date ,f5 q/ -Job Address
Legal Description � / U'
State ¢
Owner / Lessee - -- /—Tenant
Qualifier
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Owner's Address 73 D,4/1/9/ s
Contracting Co.`s, 1 fT2 ; ` e
Competency 0
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
WORK DESCRIPTION ell £ e - r a / a-7 � �� �� —
Square Ft. / . (I 'c _ � � - Estimated Cost jP4t
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WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
JO 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
ZECORDING YOUR NOTICE OF COMMENCEMENT).
1pplication is hereby made to obtain a permit to do work and installation as indicated above, and
>n 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
,ermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
111 be done in compliance with all applicable laws regulating construction and zoning.
'urthermore, I authorize the above -named contractor to Bo the work stated.
ignature of Owner an /or Condo President
ate:
ory as to Owner d /or Condo Preg d t '
v Cccirucission Expirillr PUBLIC STATE OF FLb�ti
. * * WI i0r.NISSION,k)(P. nAR. 1992
BONDED THRU GENERAL $PASO ED.
E'RMIT FEE: APPROVED: Fire
3 v ieq /s- . Tax Folio t3a AU19aa(1
L/r , 5 tik In-'eiz a `. Master Permit # / /a./
lent-, r, 6 e. ;? L
Zoning Building
Address
ss#
Phone
Phone ,s 7 / /9)
Ins. Co.
PAVING FENCE SIGN
Sig re of C6Araotor or Owner - Builder
Date:
ary as to Cont "ctor or Opt,= Builder
My Commission Expirattilt PUBLIC STATE OF FLORIN
* * * GY (*IRISSI0W P. HAR.34,1092
BONDEQV, W RtEM. �S EDo
Other fr
/
Electrical
Mechanical Plumbing Engineering
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LEGAL:
BUILDING & ZONING - ADMINISTRATION
PLOT PLAN
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NO SCALE
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SUBDIVISION AS
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METES & BOUNDS
FOLIO NO
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TERR. AVE. CT. PL.
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NORTH ARROW
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