Building Permit Application — Sherri Ansel, LLC, Permit 2005-020767 (2005)

LOT 4 MIAMI-DADE COUNTY BUILDING DEPARTMENT 11805 S.W. 26 St., Miami, FL 33175-2474 CA00057105114 File No. CA00057105114 This form is for use in connection with the application for a building permit. It shall be completed and submitted with the application. Failure to submit this form may result in the rejection of the application. This form is not a contract. The information contained herein is for informational purposes only and does not constitute a contract between the applicant and the County. The County makes no representations or warranties, express or implied, regarding the accuracy or completeness of the information contained herein. The applicant acknowledges that the information contained herein is true and correct to the best of their knowledge and belief. The applicant agrees to indemnify and hold harmless the County, its officers, employees, and agents from and against any and all claims, liabilities, damages, losses, or expenses, including reasonable attorney's fees, arising out of or related to the use of this form or the information contained herein. This form shall be governed by and construed in accordance with the laws of the State of Florida. Any dispute arising out of or related to this form shall be resolved through binding arbitration in accordance with the rules of the American Arbitration Association. The arbitration shall be conducted in Miami-Dade County, Florida. The applicant acknowledges that they have read and understood this form and agree to be bound by its terms and conditions. The applicant acknowledges that they have had the opportunity to consult with an attorney regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a building professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a legal professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a financial professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a tax professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with an insurance professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a real estate professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a construction professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with an engineering professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with an architectural professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a planning professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a zoning professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a code enforcement professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a permit expediting professional regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a building official regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a county official regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a state official regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a federal official regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a local official regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a municipal official regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a township official regarding this form and have done so. 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The applicant acknowledges that they have had the opportunity to consult with a town clerk official regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a village clerk official regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a township clerk official regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a borough clerk official regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a parish clerk official regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a county auditor official regarding this form and have done so. The applicant acknowledges that they have had the opportunity to consult with a city auditor official regarding this form and have done so. 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