46 NE 100 St (12)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address NC / 2 9 _ Tax Folio// 122 /3 l°.
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Legal Description X
Architect/Engineer
Bonding Company
Mortgagor
Signa
Da
e.411,1
. KI 1� e
Owner and /or Condo President
S�(ZI�Z
Nota 7. as - Owiier an /or Condo President
M y Corti iiss'ion Ex'.pires': An. pu JC E OEN F •Fl -.1995
PERMIT FEE: APPROVED: Fire
Zoning
Mechanical Plumbing
Building
Address
Address
Address
A NI i°Iaster
Owner / Lessee / Tenant
Owner's Address x ' i /✓E /t2 phone 75Z- c 3 8
Contracting Co. 4 H RT lai kff `OU 1OI Address 5 Ma) (03rd st
Qualifier 1 IYItfl'Onel 'S`[ NNi al SS#
phone 5 1 - ) o
Permit Type (circ one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION - Fu m li D I V
Square Ft. Estimated Cost 706
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 willbe 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 inlcompliance with all applicable laws z- :,ulating construction and zoning.
Furthermore, I authorize the above -named contractor toido � e work stated.
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,ig drat ure
Date :f /
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Permit #
Contractor or Owner - Builder
2
Contrac or or Owner - Builder
Expires IARY KWIC STAIt,OF FLORI*
* Y COMMISSION EXP.'1
BONDED THRU GENERAL INS. UND.
Other
Electrical
Engineering
JOB:
BUILDING
ELECTRICAL :
PLUMBING
Inspector's Report:
r
. WORK
: DONE BY:
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: REQUESTED
The following is ready for Inspection:
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: WILL BE READY
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