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1254 NE 100 St (2):e Job Address .2-5(1 t [ Dc) I _ Tax Folio 11 L 5'/,/®d S A gal Description Lo7g B//' f, 0-Zer© Master Permit #42,1M aer - / Lessee / Tenant ,,'i's. 7 / % er's Address 1�{ atracting Co. ADT SECURITY SYSTEMS Address 1052 S S. POWERLINE ROAD, DEERFIELD alifier ate!) 1MIT FOR MUNICIPALITIES OF DADE COUNTY EF0000 -100 :hitect/Engineer ::ding Company :tgagor ,pare Ft. WILLIAM KNIGTHON t!V Comaetency N/A of Owner a d/or_Condo La 7 S SI 266 _ 06 _ 5872 Address N/A -- Address N/A SECURITY SYSTEMS: 1 CONTROL, ( DEVICES President Address Phone BAY HARBOR MIAMI SHORES ®. jam NORTH MIAMI 3 SWEETWATER 7S--.07/3 Phone (305) 624 - 7770 -5208 Ins. Co. LIBERTY MUTUAL wit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIM: 2,K DESCRIPTION Estimated Cost $ 0255 0 0 RNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU TEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE CORDING YOUR NOTICE OF COMMENCEMENT). Dlication is hereby made to obtain a permit to do work and installation as indicated above, and the attached addendum (if applicable). I certify that all work will be performed to meet the lndards of all laws regulating construction in this jurisdiction. I understand that separate -pits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. :ER's AFFIDAVIT: I certify that all the foregoing information is accurate and that all work _1 be done in compliance with all applicable laws regulating .thermore authorize the above -named contractor to "do h- e . 401 // .. 0 7!Aggl i F.40i: g n rtur o £ ) ontracto.ir Owner - Builder Date: a (� 4-oroo 1 d "s OAST, 11 O 1 3 0 -9 ary as to Owner. and g• . i' r 1 �t6'eARcgfltte, bO¢nOmIDA. Notary as to Contractor or 0mg- Bui Commission F.XF�ire ;MY COMMISSIONEXPIRL+S: Dec. 30,1391. My Commission Expires: STA TE O FLORIDA * *BONIMD TE NOTARY C UNDER Wa1YE48 . Y P • MY COMPIHSSLON EX IRES: Nov. 3, 1995. * * * * *BONDED TH* NOTARY F *LIC UNDaRDhRfTFR9. :SIT FEE: APPROVED: Fire Other construction and zoning. 6:0 Zoning Building �' � � 9 Z- Electrical 0 m, S Mechanical Plumbiny