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NOTE: ALL SHEETS MUST BE REVIEWED

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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.

ELECTRICAL, PLUMBING, SIGNS, POOLS, MECHANICAL, WINDOW, SHUTTERS . and . ROOFING WORK . ... Commencement must be signed by you, the owner contracting the improvements, and not by your agent. The Notice of Commencement form, provided with this information packet, must be completed and recorded within 90 .

  Electrical, Contracting

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