1208 NE 99 St (2)Suburban Propane
April 27, 2001
MIAM! SHORES VILLAGE
10050 NE 2 AVE.
MIAMI SHORES, FL,
To Whom It May Concern:
This is in reference to permit no.: 48309 ( 1208 NE 99 Str- ✓e would like to cancel this permit we
were able to repair the existing gas line. AndweVe no longer in need of this permit to install new gas
and tank.
If you have any questions please fell free to call me at 305 -891 -8393
Sincerely,
Sullivan C. Palermo
Service manacer
1491 N.E. 130th Street • North Miami, FL 33161
Office 305- 891 -8393 • Fax 305- 891 -0834
http://www.suburbanpropane.com
Date % Job Address /00' NE. g g s-
Lessee / Tenant /\ d�I YLIS4 nl
Owner's Address /i .7 /1!E q ti .
Contracting Co. 4klok ( nl?S-j)-'(A.cy,t), -- Z.
Qualifier .O
Legal Description
State
Signature of
Date: '-� -�--
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APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
cet
4rgCo.fg9O¢ Municipal # Competency # Ins .Co. r��yh.c/
Architect /Engineer
Bonding Company N <i�
Mortgagor N (
Permit Type(circle one): :
*
No :r as to Owner and /. ndo P Ki Y
en
My Co' ission Expires:' '��
Address 94:;442 /t/- ;Z lgUC 5344 ZG3
ss# - - 7,s? - 1441
ELECTRICAL PLUMBING
WORK DESCRIPTION P2.- //'S ‘ ,41 , / 1-1,-.0 o ms PX0 /2
Square Ft. 6e) Estimated Cost(value)' / zoo.
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 's ac urate and a all work will
be done in compliance with all applicable laws regulating cons uc 'o ar)ion g.J'urthermore, I
/
authorize t e - -named contractor to do the work stated.
A __ _
A'f Contractor or Owner- Builder
resident
MY COMMISSION EXPIRES
May 16, 1995
BONDED TNRU TROY FAIN INSURANCE, INC.
FEES: PERMIT .g 7/57) RADON C.C.F. 0 Q NOTARY TOTAL DUE 3.6>;5
Address
Address
Address
S'gn. ure
ate:
Mechanical Plumbing
Tax Folio /' ,U16 /oAaa ?5
Master Permit # 139#
Phone 7 S -24-1
MECHANICAL ROOFING PAVING FENCE SIGN
0
air2S,
Notary as to Contractor or Owner -Buffer
My Commission Expires:
NOTARY PUBLIC, STATE OF FLORIDA.
MY COMMISSION EXPIRES: Dec. 29, 1995.
BONDED THRU NOTARY PUBLIC UNDERWRITERS.
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