826 NE 92 St (14)•
PLR-fiMI:I' APPLICATION FOR MUNICIPAL' 11ES OF DADS COUNTY
(OWNER TO RETbtr1 COPY)
Date` 9 Job Addreee
State O
ignat
Data
legal Description
4 411er / Lanese /
Owner's Address_
Contracting Co,
tualilisr �� E
b1ORK DE$CRIPT N
Notary as to
Hy Commission
PEItMRT TIP
1
Pere i5, 19 9 1
Tenant, N
NE
S t:yav
M.
r ® / /, ndo President
kiv
Mechanical
dd president
wner and /or Con
Exp i r d e t Nu1ary Pultc
* , * Sta*t Florida at ale
My Cafeaton Wes in 3, fl
ggpROVEDs •
Addisea
88G - / Rhyne
� "'(5_
0'Competency o �) C t,
Architect/Engineer l ilia /e
Ijonding Company
Mortgagor
ferTnit Type (carols one BUILDIN ELECTRICAL PLIJHBINO MECHANICAL PAVING ! MM SIGN
i` �,.---- e, �� dam•- --
97°
aster Eormit, /}
Phone 5 I � C1
Tax Folio 1 t - 3Z8�
Address
Address
Squats Ft. EOiimated Cos
WARNING TO OWNER! YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
00 SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU
INTEND TO OBTAIN FINANCINd, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICP! QF COMMENCEMENT)∎
Application is hereby toads to obtain a permit to do Work and installation as indicated above, and
on the attached addendum (if applicable).; I aert &1, that alb work will be performed to meet the
ltandarde of all Litre regulating oonstriot oti !a t, ii jurisdiction. I understand that separate
permits tie required for HLBCTRICAL. PLUMB/MOD 61491 POOLS, ROOFING, and MECHANICAL work.
OWNER'S AP'FIDAVITI i certify that all the foregoing,
information is accurate and that ail work
will be done in compliance with all ippiieabib' /awe regulating .ne ruction and coning.
furthermore I au horibe th. •ope-�'FI. .� • nttraator to • • itot:k
Signature of Contract
�iOTA i1 f*Olc ST= OF. P&ARYDA
UV COAIIIISSN)t? EXE,._41411,26,1994
E 1 RU/ •E$ERAL
O Ru il d or
16tary as to Contractor or Owner-Builder
Hy Cormniaeion Expires' * * •
* * *
F rs other
gu�lding, . Eiactricab
Zoning I
P lutab in
.1!
�J ( 0 Engilteering
. I
*
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