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1 PERMIT APPLICATION - Miami-Dade County

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NOTE: ALL SHEETS MUST BE REVIEWEDDEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES Herbert S. Saffir Permitting and Inspection Center11805 SW 26th Street (Coral Way), miami , Florida 33175-2474 (786) 315-2000PERMIT APPLICATIONLOCATION OFIMPROVEMENTSCONTRACTORINFORMATIONOWNER S NAMECHANGE TO AN EXISTING PERMITARCHITECTENGINEERMORTGAGELENDERTYP E OFIMPROVEMENTSPERMIT TYPEPERSON TOPICK UP PLANSBONDINGJob Address ________________________________________ __________Folio ________________________________________ ________________Lot _____________________________ Block_______________________Subdivision ___________________________PBpg_________ __________Metes and bounds ________________________________________ ____Contractor No. ________________________________Last four (4) digits of Qualifier No. _______________Contractor Name ______________________________Qualifier Name ________________________________Address_ ______________________________________Ci ty___________________State______ Zip _________Current use of property ________________________________________ _______________________________Descripti on of Work ________________________________________ __________________________________Sq.

THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Space above reserved for use of recording office.

  County, Notice, Miami, Dade, Miami dade county, Hereby

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