RF-18-1070A
NOTICE OF 6 t5
COMMENCEMENT
• A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
Nap -PERMIT N' tl -I I -/6 l0
STATE OF FLORIDA
COUNTY OF DADE
TAX FOLIO NO.
111111111111111111111111111111111111111111111
CFN 2018R0286326
OR BK 30976 P9 52 (1F'9s)
RECORDED 05/14/2018 11:46:26
HARVEY RUVIN, CLERK OF COURT
MIAMI-DADE COUNTY, FLORIDA
THE UNDERSIGNED hereby gives notice that improvements will be made to
certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement:
1. Legal description of property and street address: CAL- . \r •
2. Description of improvement:` \'\Q \ l /9 Q
3. Owner (s) name and address:1��(�
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: ��`t�1 �Lfl� /-� (:).�),
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond: $
6. Lender's name and address:'
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13
(1) (a) 7., Florida Statutes:
Name and address:
8.In addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713. 13 (1)
(b) 7., Florida Statutes: _ y ' "
Name and address: (� V't- #8etikA:L
9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified)
Signature of Owner
STATE OF FLORIDA
ss
COUNTY OF MIAMI-DADE
Sworrr4o or affirmed nd •ub cri ecl before me thif ay in the year 20 by
who has taken an oath
and i s personally known to me or has produced as identification.
My Commission Ex
7,tiPpy'p�e ,�
ELISA I POUSO
Notary Public - Slate of Florida
Commission #-GG ad939b
n
oFmayr,,,,, My Comm. Expires Oct 17, 2020
Prepared by:
Address: \oc
C* t/\TE Of T i. t'i .10A u :1 t t)
t I- RE' :' C. P, tYY that 4« r2 two copy of r''.2
0144'14,4ligei in this C v = on (d;; 4 U!
1ry
AY 1 4 Ltti8 AD2O —.
t44Th 3s d and total Seat.
HA Y i1v , CLERK, of Circuit and County Caets
B D.C.
Fenn 104 8!18/2017
Miami Shores Vinage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RE: Permit ## \ \& \ Th O DATE:
INSPECTION AFFIDAVIT
1 \Ni-\-��: WMC��� licensed as a (n ontractor Engineer / Architect,
(Print name and circle License Type) FS 468 Building Inspector
License #:
On or about
U 572 S/
, I did personally inspect the roof deck nailing
(Date & time)
work at\.N\ , \`-k;9-)-1.‘k S `RCi� � "S `\-z,rb
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual (Based on 553.844 F.S)
Signature
State of Florida
County of Dade:
The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for tfre above property
mentioned.
Sworn to and subscribed before me this mil' day oft��\
Notary Public, Sate of Florida at Large : ,,sAP� ISA I Pouso
_ °l Notary Public - State of Florida
i <,, ii , Commission # GG 039395
%o,F,,, My Comm. Expires Oct 17, 2020
*General, Budding, Residential, or Roofing Contractors or any individual ,; .<. ,W . o ;w•::., , : , , ; photographs of each plane of the roof with
permit # and address # clearly shown marked on the deck for each inspection
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