31606PERMIT APPLICATION FOR MUNI.CIPALI.TIES OF DADE. COUNTY
(OWNER TO RETAIN COPY)
Date . `> Job Address
Legal. Description;, 4/
Owner
Owner's Address
Contracting Co.
Qualifier A I k e i s ie r sS _.-3 - Q #f 7 Phone 65" -604 0
Tax Folio4 "3 t9S* ®N%6
Master Permit. # J/611
State Statefele COqr Competency S Ina. CoGeole-0543 N
Architect /Engineer
Bonding Company
Mortgagor.
Address
Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
WORK DESCRIPTION
l
PAVING FENCE SIC
i6A -FP.UE(geiel WN/L)
Square Ft.
1
Estimated Cost 2100""m°1
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE T
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (II' YO
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, an
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat
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 wor .
will be done in compliance with all applicable laws regulating construction and zoning-
Furthermore, I authorize the above -named contractor to do the work
6
Signature
Date:
Oh
,� ^s
ft-ti J_ L..!f,4.i.
President
Notary as to Owner and/or Condo Presiders
My Commission Expires:
* * * * *
PERMIT FEE: APPROVED:
*
Fire
Building Electrical
Plumbing Engineering
Notary as to Contractor or Owner - Builder
My Commission Expires:
* * * * * * • *
Other