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PLBD1402-0067-ApplicationContact Person: Company Name Business Address City City of Parkland Building Permit Application www.citvofparkland.nrg Phone #: E-mail: ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135 tYlw ‘\a the \\ \e,_ State Zip Phone # vc'c\ 9r- d3rN • 33y te% .S a1- L11-40 Property Owner's Name G D S e, ..7-o Owner's Street Address 11 City State Zip Phone # Pc,Y \L-kk crk 9SLi-30/ )7t// Job Site Address Lot Block Work Description: Rah V\R-W ;3/9 h cs-F-v► Li /10L -i /,.z c Master Permit Number Date Construction Value Engineer's Name Engineer's License # Phone # Architect's Name Architect's License # Phone # LiaL-006 -, /-'-,2 9 ,2ciy .iL soo. A ffr / it / � �/7.!? . 40 ,4-ij � A f 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: Print Name of Qualifier/Builder: Miall.,. 1 Jct �nS�t License number: Lf\`1S9- Signature of Qualifi �� On this Ca day of ,hyl LAN, 20 I LI ,ere me, the undersigned Notary Public of the State of Florida, persona II y appeared M iC:.1 airLi I PIS I and whose name is subscribed to and within the instrument, and a acknoyledges that t she executed it. NOTARY PUBLIQ TATE OF FLORIDA ra Ln_ ,c 'nr C, PRINTED NAME OF NOTARY PUBLIC personally known to me 01 Produced identification 01O______ Oath taken U Oath not taken NOTARY PUBLIC SEAL OF OFFICE: Application Approved By: Permit Officer Property Owner Notification E-mail: Print Name of Property Owner: . o c. v\ ne_ Owner's Address: 113.E Sc :c,rz, v Cr --i-)0xC\( Signature of Property Owner: On this '-i`firaay of Y ti'7,a'_i',_:. 20 i'T , before me, the undersigned Notary Public of the State of Florida, personally appeared and whose name is subscribed to and within the instrument, and he/s, cknowled s that he/she executed it. ( . /!c NOTARY PUBLIC, STATE OF ‘AtrIttDA PRINTED NAME OF NOTARY PUBLIC 1)32 i+r2� _L 5Jam?- o sonally known to me ❑ Produced identification ❑ Oath taken C] Oath not taken NOTARY PUBLIC SEAL OF OFFICE: Jai. 3-t —/ Date: .4)°'� •N NICOLE W. MY COMMISSION 1 FF EXPIRES: kine 2,0,, 2017 OiM1�P wownNY Mot ,7 Wits 3 5G- h00`"t� //-7cr/ 1(4_ 4_ k 001- et c{ iNn 34 NW "rl CITY OF PARKLAND BUILDING DEPARTMENT 954-753-5447 Date Received: 2/12/14 Permit Number: PLBD1402-0067 Lot: 19 , Block: 10 Subdivision: CYPRESSHEAD Job Address: 7726 SCHOONER CT Work Description: RUN NEW 3/4 FEED FROM WH TO BATH PEX PIPE Contractor: MIKE THE PLUMBER Phone: 5614605017 INC DEPARTMENT Date Denied Date Approved I Initials ZONING LANDSCAPING ENGINEERING FIRE STRUCTURAL ELECTRICAL PLUMBING , iJ ,-, MECHANICAL