5951 SW 69 ST_GREEN MISC CITY OF SOUTH MIAMI BUILDING PERMIT APPLICATION
6130 SUNSET DRIVE,SOUTH MIAMI,FLORIDA 331443{- (305)663-6355
PROJECT ADDRESS: S 5{ -.�t�C s y� cl ,1 l L Qe
PROPERTY OWNER:-�e l 1 t Cam- H- 0 PHONd�
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ADDRESS: -sq 5r UaCt
WORK TO BE PERFORMED BY: CONTRACTOR OWNER/BUILDER
CONTRACTOR PHONE
ADDRESS:
THISA PLICATION IS FOR THE._ CONSTRUCTION OR INSTALLATIO OF: (PLEASE BE SPECIFIC)
USE: RESIDENTIAL V r COMMERCIAL
SQUARE FOOTAGE ESTIMATED VALUE v��
I UNDERSTAND THAT SEPARATE PERMITS MUST BE OBTAINED FOR ELECTRICAL, MECHANICAL, PLUMBING, ROOFING,
SHUTTERS, WINDOWS, EXTERIOR DOORS, PAVING & DRAINAGE AND SIGNAGE. BY SIGNING THIS APPLICATION I ASSUIGTT:.
RESPONSIBILITY FOR THE COMPLETION OF THIS PROJECT IN ACCORDANCE WITH APPROVW-t-;3N-STRUCTION DOCUA ENi;S ,
AND COMPLIANCE WITH ALL APPLICABLE REGULATIONS. > >
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SIGNATURE OF CONTRACTOR/QUALIFIER SIGNATURE OF�PAOPMRTY OWNER
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NOTARY: NOY: S q
ZONING DISTRICT FLOOD ZONE MASTER PE IT NO.
APPROVED DATE DISAPPPLX DAT& tCOMMENTS ' ' ' '' FEES
ZONING CITY
CODE ENF Z71 COUNTY
STRUCT. RADON
ROOFING
BLDG. . FINE
PLUMB. REVIEW
ELECT.
MECH. TOTAL
CONDITIONS:
APPLICATION RECEIVED BY: PERMIT NO. -�
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BY
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