1310 NE 101 St (2)02/13/92 10:31
1 305 428 2987
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
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/ Tax Folio / t Ja 1L a3 M'I
Date (0 1 9 a- Address
•
Legal Description MIAMI
B S %4 O R S UAy ?/i f � FST• MASter rermit p 7 ° 05,
, ,B L.oc,
Owner / Lessee / Tenant
LbT' f OIC . 4 / S /C4-f
Owner's Address 1310 IJ •
0
Contracting Co. A.b.T. SECURITY SYSTEMS Address _1O57 g POWERJJNE RflAll
Qualifier WILLIAM KNIGIITON BSI? Phone 1195) 624 -7770
State{/ EF0000100 Competency# Ins. Co. LIBERTY )1[UT1!AT,
Architect /Engineer NA
Bonding Company NA
Mortgagor NA
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
r. -
• ICRE :11 CEcE2e
WORK DESCRIPTION BURGLAR ALARM SYSTEM: l CON
Square. Ft
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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE.
RECORDING YOUR NOTICE or COMMENCL''MENT) .
Application is hereby made to obtain a permit to do work and installation as indicated above, and
,n the attached addendum (if applicable). I certify that all work will be'performed to meet the
standards of all Iowa regulating construction in this Juribdiction. I understand that separate
perwite.are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work,
WHIM'S AFFIDAVIT: I certify that all the toregviug information is accurate and that ail work
7111 _be done in compliance with all applicable lays regulating construction and Zoning.
7urthirnore, I authoris:t the above -named contractor to do the work st =tad,
3ig.nature of Property Owner cr Condo Pres..
)ate : .,
Iotary as to Owner.and /or Can pp -
fy Commi9saion Exp1r ARM P SSION E � ' A7E s R l9993
* * MMISSION EXP. AP ,
.BONDE THRU GI NERAL IN uND.: yk
.EERMIT FEE;
/
1 Zoning
7,ta
•
APPROVED: Fire
building
Address
Addrouu
Address
Dater
► ,� ►� i 6 4 ore t- .s
PDT,S.FLORIDP
Phone
eo , 4 A)
P.01
`7 5
Estimated Cost $ .24?'O.0
a u e .f C• tracto or i•ner- Builder
Notary to Con y or Owne fBUilder
7�t, i.Qo�a— rQ• ��.�-
t r actor
2•!y Commission Expires : NOTARY - PUBLIC; STATE OP F[,ORIDp;
* * * MY CO*IIISSION PINPI:'.ES: Na 3 199%.'
BONDED THRU NOTARY PUBLIC UNDEBORI*.P
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