Transcription of 1 PERMIT APPLICATION - Miami-Dade County
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1 PERMIT APPLICATION - Miami-Dade County
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) 315-2000 PERMIT 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_____City_____State_____ Zip _____Current use of property _____Description of Work _____Sq. Units _____Floors_____Value of Work _____Owner_____Address_____City_____Stat e_____ Zip _____Phone _____Last four (4) digits of Owner's Social Security _____Address_____City_____State_____ Zip _____Phone _____Name _____Address_____City_____State_____ Zip _____Phone _____Name _____Address_____City_____State_____ Zip _____Phone _____Name _____Address_____City_____State_____ Zip _____Phone _____*See reverse side for Building CategoryApplication is hereby made to obtain a PERMIT to do work and installation as indicated.
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.
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