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PLBD1410-0185-ApplicationPERMIT TREE City of Parkland PERMIT NUMBER PLBD1410-0185 PERMIT NO SUB -PERMIT SUB -PERMIT SUB -PERMIT PLBD1410-0185 Spa -4 -- PERMITS 1 PERMIT TREE PERMIT TYPE STATUS FEES CHARGED JOBVALUE WATER HEATER APPROVED $55.60 $747.00 TOTAL of ALL FEE DESCRIPTION APPLIED ISSUED FEES PAID BALANCE DUE OWNER HOT WATER HEATER 10/24/2014 $0.00 $55.60 SPRATT,FRANK L & KIMBERLY A FEES CHARGED FEES PAID BALANCE DUE JOBVALUE $55.60 $0.00 SCAB Printers• Ttiacriav 7R (lrtnher 7(11d $55.60 riots o''�''� 1 of 1 $747.00 elw S Blank ti Contact Person: `"t.9 1 1 WOliaffis City of Parkland Building Permit Application www.citvofoarklannd.orgg )QLJ Phone #: ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135 (Company Name 1)(Y1S 4 Pit Minna' \AI - CWoo Business Address City State Zip Phone # Property Owner's Name V, r l evrl`lYZH-J-- Owner's Street Address Lt- `� j \ j� a City State Zip Phone # kla►'' 1 n� � Qr - o k Z2-7.- / 71) W (vqi•J- NUJ I2 oDl av i Block ,XQ(» C`P(' TJ@ �61.t+ O -F` ) 0.) 100 .i� I%. V V CL-Ier ✓ Job Site Address Master Permit Number Date Construction Value Engineer's Name Engineer's License # Phone # Architect's Name Architect's License # Phone # air, ('.� ! / -°i's $7 / DC) Work Description: 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 Contractor Notification E-mail: LA) i Pr' Name of Qualifier/B Ilder: �t / G, / B) J (' 02, License number: CR: � / r Signature of Qualifier: On this n7 3 day oft_)C21-rte,r20 H -before me, the undersigned oDta{y Pul2lic of the State of J1'1orida, personally appeared (�•-:[�.���v�and whosea name is subscribed to and within the instrument, an he/she acknowledges that he/she executed it. NOTARY PUBLIC, STATE OF FLORIDA k I i,tr n.r_>r\ l t PRINTED NAME OF NOT Y PUBLIC sonally known to me Oath taken NOTARY PUBLIC SEAL OF OFFICE: Application Approved By: Permit Officer Produced identification ❑ Oath not taken /*coils Ann Ingersoii --- NOTARY PUBLIC STATE OF FLORIDA Commit FF164208 Expires 9/29/2018 Property Owner Notification E-mail: N.1)(4 , Print Name of Property Owner: Owner's Address: ' ed f le W ;Aarl ) Sig ure ofrP .p �!!� 'ner: 2 / On th s y of _i%�M(il ' :, 0 1,9' , before me, the undersigned Notary Public of he State of Florida, personally appeared r -Q 3(OJT) d whose name is subscribed to and within the instrument, a the/sI1e acknowledges that he/she executed it. NOTARY PDBLIC, $TATE OF FLORIDA 't cc L l,v PRINTED NAME OF NOTARY PUBJIC Personally known to me O Oath taken NOTARY PUBLIC SEAL OF OFFICE: roduced identification Oath not taken Nicole Mn Ingersoll NOTARY PUBLIC STATE OF FLORIDA ConmK FF164208 fres 9/29/2018