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
to the provisions of the Code of Miami-Dade County, Florida. ... Surety: (Payment bond required by owner from contractor, if any) ... Owners designates the following person(s) to receive a copy of the Lienor’s Notice as provided in Section. 713.13(1)(b), Florida Statutes.
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