352 NE 98 St (3)PEMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
2 (OWNER TO RETAIN COPY) if
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Date V.2
Legal Description J 6)7 „5r /Z e A y c0--59 Master Permit # 3/2-6 y
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Owner / Lessee / Tenant v � f f,
Owner's Address 3 SCR ?Y 'K6 Phone ) 32 2--
Contracting Co. /I, /”' TL
Qualifier ( /Ark E?yts SS# Z66 - 3/ - OK' Z- Phone
State# C 9 "g"C=. Competency#
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle
WORK DESCRIPTION
Square Ft.
S
Date:
Not
My *
VA v e
PERMIT FEE:
Job Address
one): BUILDING ELECTRIC PLUMBING MECHANICAL PAVING FENCE SIGN
P6D4i s cLw,v
I ` t; -F t o 5
DO
Estimated Cost '"`B 0 , �
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.
Fur iermore, I authorize the above- named contractor to do the work stated.
sia*E°N °uws &`0 dnd / o r
'Q navExpires:
*
APPROVED:
Zoning
1
1fC a,
of Owner and /or Condo President
Condo President
* * *
Fire
Address
Address
Address
Address
ignature of
Date •
/' 0 .,
Building
Mechanical ' '� ' ! Pi /
r Plumbing
Ins. Co.
Electrical
Engineering
r or Owner- Builder
o ractor or Owner- Builder
on Expires:
* * * * *
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