739 NE 94 St (11)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
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Job Address
Legal Description ■ A/0ae 444 .67 /0-sS.s2r.3 Master Permit #
Lessee / Tenant 2 / G /
Owner's Address 739 A26' 14/1 S?- «T
Contracting Co. (30/C aitS Address 7# Ael// 3+
Qualifier ai,6 SS# phone
State # G ' f 3 C 63 6 4 6 T Competency # ZSZ 9g / -Q
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one
WORK DESCRIPTION
Square Ft. ae 0 Estimated Cost 4z /00
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. 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 contractor to do the work stat
Signature
Date:
of Owner and /or Condo President
Notary as'
My Commiss
* *
PERMIT FEE
1
Zoning
Mechanical
Address
Address
Address
ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
;?.;Aotti.- 7 /4 re ext5c4 / vev-04. w
W
to Own r and /or Condo Presidnt
ion Expires YOU LHC, S'TA'TE O E0?IIIDA,
�dY COMMXSS[ON EY��=fiLc2S:
* *ONDED THk *NOTAIIY P*LIC UNDELIViattLx.
APPROVED: Fire Other
Building
Plumbing
Si- ature of Contractor or U'iner- Builder
ate:
Notary as to C. tractor or Owner -Buil
My Commission Expires NOTARY PUBLIC, STATE 0 FLORIDA.
* j COMM' ,r,0N E+XP +S: Dee. E4i3.
'BONDED TRIM N 3TAt:'_Y PUBLIC UND R.. :'SEEPS
Tax Folio /./ 8?" / c20 ®O
phone 751-4f93
7Y2-4441
Ins. Co. irdiyhteat
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Engineering
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