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NA.5 on 12/12/19. - City Clerk
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6477 - Submittal - Commissioner Joe Carollo - Permit Application
6965 - Submittal - Commissioner Joe Carollo - Permit Application
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record for item(s) DI.5 and
NA.5 on 12/12/19. - City Clerk
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„yr' BUILDING DEPART2vIENT
Einaliboldingernitreigov.corn
Phan= (305) 416-1100
BUILDING PERMIT
APPLICATION El I
BD19009373001
El Coo_ actor 21 Owner Builder 0 Architect/En_gm: eer(For 40 Year Recertification Only)
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As applicable to my role in this permit, I hschya.greeto'-iirIflitm=thelolliiny.ing:..i..:tt,-
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• [Permit holder and Owner] thatitnideEae petaltyforp-erjury, 1 declare-tati•alttheladimiliclii contained in this permit application
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. is accurate. ..,,,,li-'i3F,Y-"f „..-:-.--- „..----474 I
- [Permit holder and Clygerf rhilliQ.4•-ar oriffisTfillitipwill commenqpnorfoithe insiiianceesofiAnit
• [Permit holder anclg.)pnerrth_atieptr4ptras moyegnir4190E*Sal, Mec1arilicitf2lui1l1riiVas and Roofing work, as
well as Signs, Po doss SELikt' ciiind othIt work-hx-ms, uizlesslpsT- ificaily coved hy,Sia,g.ellinit `.,,:::
- [Penult holdepid.fifvnefiThalithere miite_adaftgierainits
._rec4ne-d'--frizukotliefgVetardeitt_ elittiesIMI,
- [Permit hoIderiVal Lai; respcgAlger ihrt4-r:vsslowand-cortitileilen oftheItIt!pCtionF,41d yiillediureillatiall?tork is performed
in accorda,Wwithijiiera.p_ e- of the mniftiitttitibp,Oillaneitheity of Ig_anliTs CoVati.d "fitainances, hislifd.mgZoniag, and a
other fedc: ,..•$fatandicplaktY-41mg'.2aditregnIfittirtligggoliplicataT..,'"47--,1- a--11:1-'''F,--17.71 1/4, i,-..,,•' • ••:7•
• Ownerle.Aitjapi- I arab- e ' - 'tlatioirifikaiiIaliorfis-to'rreciVitaieitteltifies- the iforementonenZantractor has the
authonzaticin tdpefform_the'w.ork as speCified ingiiediiicumeuti .Pfkl. -0 - 0
- - - - - . '11-5' -30-ti -.7=4:', IP, qr.4.-7 - ',Cr •.-0-4',,, • ttnarl witalindStedo M35..,LIVitLegite4_ c ferfEr, .1.,,,,,Tot7- c,"..1.94s4T-e;-.co.:ns" enr...m. ' -2"fioi 4i.1111-'im-gafion from ct-wner'of- "edtstfb" to perform
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znecormactor as specified:melts dootraient?-'•4-, ,i-L4.4.---•'' ?..k-1,..c'-. .•;.,:,.. _, ..
. conkEdr' kidavit -6-1.1;nfm- . t,,=..;,-4,41:Fritirwrrwtial,,t4v-F4,7-.rge.qifh7,....t -•_vg-
the kbik:ani tra_litir t de-coritractorr.. ssp-e-Eifiairithis--cdratignect trIm'l ',:.- ID::‘7.--7-ii-0:-... :451g;1407
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crori.cmnertnatifeishhas•fulhconseatarintWofirefirinsfrom owitir oKsiabjectprop0A•to perform
- Eng-i1611.ts ifff-dorfikn V • -e-2:7"-,"1; ....*,3-1g= 0 1P-7!-4;t1‘.-41-.2k--,-;.;-...4 -Z4.,'
thgviirl fici to hire th s....tnetneetp.intilesi '. litafIe4heKsfnut..: tans'. -:e"nI..an"alanth..nzg"' don from owner.of subject role. -
e gontractoraslspecifiedia this docciniehr wk":2: ' '4? - Ps"' - i'-"'-':J perform
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• ArCiiiti4eSgAfEdaVit Arrchitect certifies that he/she has fi il-consent and authonzattbilfrom ownii- of subjectprop&t.,. , pi perform
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the :w_ork and to hirp_ the contractor as specified in this document
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First Nain: EMELIOT
Last Nana: 601.:V.,AIEZ A
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Phone:
-Signature:
Date:
NOTAIY
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State of h-, Conn of 1
Sworn to and subscribed befdlectoPih-yr
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Personally Icnstwn or.Produced Identitfication
Type of Identification produced:
APPLICATION CREATED 5/I 5/2019 3:53:09 PM
1-42ualAeriLicense:
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ompany Name:
-•g9ualifieryitst Name: rgrY
Nit ntiff er LastName: •2:-:6
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mpany Address 1:X.,
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._453.rigAorgres'ubralTed$iftielie this
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Personally known or Produced Ideutitfication
Type of Identification produce&
I HIS IS NOT A PERMIT
Submitted into the public
record for item(s) DI.5 and
NA.5 on 12/12/19. - City Clerk
Page 6 of 12
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Phone: (305)416-I100
Ciip of ACiami
BUILDING DEPARTMENT
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BUILDING PERMIT
PERMIT ISSUANCE
PERMIT NUMBER •
11111111111M11111111111111111111111E1111
BD19009373001B001
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Financial Transaction ID : 606604
LM Reference Number: BD19009373001B001
Job AddressAddress 11110111111111
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Submitted into the public
record for item(s) DI.5 and
NA.5 on 12/12/19. - City Clerk
Page 1 of 1
Cap uf Uanr
„ BUILDING DEPARTI=
If" - Neemunbruieov_donVinTilding
E-raga btuldinzentI2mIgov-eorn
Phone: (305)416-1100
Job Mdress:U
Legal Address:
Fplio Number:
Building Name:
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First Nagfe: EIvEcI10 T 1 't
Last Narac.CONZALEZ
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Please be:50:elth-at all ,of %rour dOutaeli'
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DECK REPAIliZt.t,
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BUILDING PER/VLET
APPLICATION
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BDI9669373001 •
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APPLICATION CREATED 5/19247I9 35309 PM
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THIS IS NOT A PERMIT
Submitted into the public
record for item(s) DI.5 and
NA.5 on 12/12/19. - City Clerk
Page 2 of 12
Cup of ffilarrri -
BUILDING DEPARTMENT
3 ,� •` www.miani¢ov,com)building
E m2ti b dinKemiamigov.com
Phone: (305)4I6-1I00
BUILDING PERMIT
APPLICATION
'WOOD 0R.41i° ECIQb0.NcIREIESi• 3.
PROCESS NUMBER
if li lilllff sllall1I[I1[IIJE
BD 19009373001
. NOTE: The a lieant a reel thatif there is a d sc- to r : V n. •
pp g is rejiancy;�efis�een:fii�e�ob DescripiionD�s lisfed`above and theinfolwation
presented in the.subniitted dfaivIngs, thelluilpingg_tficia1;is°authorized to make-changes.to this application. Thisinat affect
the total cost offhe pelpit and_tlhc amount Of :the iipfroni i'ee,tharged _ '- ,
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APPLICATION CREATED 5JI52019 333:09 PM
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t'HIS IS NOT A PERMIT
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Submitted into the public
record for item(s) DI.5 and
NA.5 on 12/12/19. - City Clerk
Page 3 of 12
Crty pi Olfami
BUILDING DEPARTMENT
www.ininmigowtrn/lrni;ding
E-mail: Maid ne0mierni¢ov.arm
Phone: CM/5)416-I1OD
New/Addition Sq. Ft: 0
Remodeling Sq. Ft: 0
Total Sq. Ft 0
II Legalization
T i4
Permit Affidavit
�i Interior Remodeling
0 Exterior Remodeling •
BUILDING PERMIT
APPLICATION
New/Addition Cost(): 0
Remodeling Cost (5): 2000
.Total Cost()): 2000
: DITIONALOP ONS
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APPLICATION CREATED 5/I5/20I9 3:53:09 PM
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THIS IS NOT A PERMIT
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PROCESS NUMBER
1111.111.11.111111111111111111111111.
BDI9009373001
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Submitted into the public
record for item(s) DI.5 and
NA.5 on 12/12/19. - City Clerk
Page 4 of 12