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HomeMy WebLinkAboutPLBD1411-0014-ApplicationPERMIT NO
SUB -PERMIT
SUB -PERMIT
SUB -PERMIT
PLBD1411-0014
PERMIT TYPE
STATUS
FEES CHARGED
JOBVALUE
WATER HEATER
APPROVED
$54.20
$1,527.00
TAL ofXALLFEE
HWH
DESCRIPTION
APPLIED ISSUED
FEES PAID BALANCE DUE
OWNER
11/04/2014
$0.00 $54.20
GREER,JAMES D & JANEY L
1
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itact Person:
r \ aniS
City of Parkland
Building Permit Application
Phonewww.citvofoarklanttd.ora i { �/ �(RI ,/
#: � •-312 L`7 (43 E-mail: Leif alo l { 51 %U ! ev
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 711135
(Wm) .A -JC. �4(( 1,9
00V�b1�1Q�
{vl,l.ff Y.
ci
Phone'#
ah f -L 614.312.261a727
'fY 4 ,11111
MAI ) 1 vole,
Phone #
OW &30160- Ogg
1\11/lrl 1 /71-"1PSD Block 02
Ltd- Ott t1 cn efee-fir: 1MC'�-16 Pi
'1ob,SrtAddfets
Work.Desjpt o•
Master:Perinit Number
Date
Construction VaIue.'
Engineer'sNa,me.
Engineer's, License,
Phone 4i.:
Architect's Name.
Architect's License #
Phone #
Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of permit
and that all work will be performed to meet the standards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be
secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITIONERS, ROOFING, SHUTTERS, ETC.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
r,..acto:r Property: Owner::
ti
Notification E-mail:
Pr}ot,Name of Qualifier/Builder:
,1--1- Pi nitY)
License number:
Signature of Qualifier
On thiso( 1 day of r O 14 -before me, the undersigned
Notary Public o the Ste of F orida, personally appeared
Kriae_14- and whose name is subscribed to and within
the instrument, and he/she acknowledges that he/she executed it.
,fid f•J� - �'L�VI
NOTARY PUBLIC, STATE OF FLORIDA
L LY) i W 1 l I i Q t'Y1 S
PRINTED NAME OF NOTARY PUBLIC
6"6ersonal1y known to me
O Oath taken
NOTARY PUBUC SEAL OF
OFFICE:
Application Approved By:
Permit Officer
O Produced identification
0 Oath not taken
LORI MINIM
Commission
=Expires: OCT 09, 2018
.....BONDED THRU
,,,,.. 1ST FLARIDANOTARY, LLC
Notification E-mail:
Print Name of Property Owner: ''j
e\i
-toe(
I�uJ ft -1 IU,1ci
I-�i rid ,ft. 3 �
Owner's Address: 1
Signature -
On this r,c ( day of 20 I Li' • , before me, the undersigned
Ngty 6upc oftP11 St p , personally appeared
(tA " and whose name is subscribed to and within the
instrument, and he/she acknowledges that he/she executed it.
NOTARY PUBLIC, STATE OF FLORIDA
L01:1 Ift111Q (11
PRINTED NAME OF NOTARY PUBLIC
O Personally known to me uced identification
O Oath taken 0 Oath not taken
NOTARY PUBLIC SEAL
OF OFFICE:
Dig ;tally signed by A. Scott Wiesel
DN: cn=A. Scott Wiesel, o= -Building
A. Scott Wiesel-----tynfParklarfOte:
email=swiesel@cityofparkland.org, c=US
Date: 2014.11.05 06:56:58 -05'00'
, tIt"":!". Lon! Williams
i :' CoAsatlnbBlFF167420
�'t�'`=ExP�s: OCT 09,2018
F�;`' . BONDED THAU
1ST PLOWDA NO'rAR� LLC