04-991-009FFCITY.OF.SOUTH MIAMI
BUILDING PERMIT APPLICATION 11 -
6130 SUNSET DRIVE, SOUTH MIAMI, FLORIDA 33143 (305) 663 -6355
UPRb7ECT ADDRESS:
PROPERTY OWNER:
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ADDRESS:
THIS APPLICATION IS FOR THE CONSTRUCTION OR INSTALLATION OF: (PLEASE BE SPECIFIC)
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USE: RESIDENTIAL COMMERC
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SQUARE F^CITAGE , , , ESTIMATED VALUE
I TJNDEItSTA -N*1 THAT, S- *?!AAATE PERMITS MUST SE: OBTAINED FOR ELECTRICAL, MECHANII LUMBING, ROOFING,
MiJTTERS,s,,T,I,DOWS, EXTE?tIOR DOORS, PAVING &,'DRAINAGE AND SIGNAGE. RY SIGNING TYIS AP CATION I ASSUME
Ml PONSIBILITY FOR THE COMPLETION OF THIS PROJECT IN ACCORDANCE WITH APPROVED I ONSTRU ION OCUMENTS
AND COMP WITf ALL APPLICABLE REGULATIONS.
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CONDITIONS:
APPLICATION RECEIVED BY: - -- - PERMIT NO.