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40191PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 0 Job Address /..3C0 7). £. • Z Aveiii� Tax Folio - a/ 3 ( • 0 6 -7 ::' 70,4;., a�f See r 36 TO,, nsh 5 Z Sou7F1 konrn 4l E . i,. bage_ (.b�>►Y -y Legal Description 11300 Al E Znrt 14iC ■Of-- Historically Designated: Yes No Date s Owner/Lessee / Tenant ie / U,.j V ees - l 7- y owner's Address /1300 l4 E- 2. il V &tJ v >�. Contracting Co. CO STA to FENCE. ea Qualifier — DA VIL state # 0 12,30 Architect/Engineer (34 Bonding Company IJJ ( A Mortgagor ri I k Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING SIGN WORK DESCRIPTION ?Lr!mede."- -- 5'f P,CKe� - Black' )_ /ru C°/d(gf (was > `/ ' aid —Square Ft. ( 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 6 c'wv in. ) fro 156 Signature of o . s er or ndo P es ent Dat x:lo Cti�6 W< as to Owner and/or Condo President Date Commission Expires: JULIE ANI LUTERMAN lb e COMM , # CC 335111 ' E i 5 DEC. 8. 1997 -'w"�� a Hided Through OFP.� ALAN iNSURANCE. SERVICES FEES: PERMIT /90 00 RADON L • 2 SS# Phone ( g "U 5*/ Municipal # D2 3 / L Competency # 0000 Cad? Ins. Co. 4 • Co/ ' -16 u . 135e4eittf •toraY Address 13/4 Ets7 cos 0L.M5l6LV©. I L Lrki0 3330I Address Address Master Permit # «P C? / r reddy Ulloa , Fae.iJ( ems Phone 3os' = 89 9- .3052 Address ? O. Goy (004 -88 M owl 3 3/(o2 Estimated Cost (value) 41 /3 3, 750 . ° i'' _ ead Signature of Contractor or Owner! uild Date 3 •1 C.C.F. et. 7.0 0 NOTARY as to Contractor or • i er- Builder Date ommissionExpire • JULIE ANN LUTERMAN � , i� COMMISSION # CC 335111 "' `�a EXPIRES DEC. 3. 1997 ./�, Bonded Through OF ALAN INSURANCE SERVICES TOTAL DUE P o APPROVED: Zoning Building 6/z-/vi L Electrical Mechanical Plumbing Engineering ov NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 96R340661 1996 AUG 01 15.17+ PERMIT NO. TAX FOLIO NO. 1-- .Z 1 3 G O o o - ©c7 5 STATE OF FLORIDA: COUNTY OF DADE: 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: A po r o t" w -c s c -v7 e - l l 300 N e A-tre K l c 2. Description of improvement: f iV Sla ikanor) Of Verb . Ca e ( 5/-e2( e,/ie1 ! ' Ca e d' t, h W . % I'' 40: lr / 3. Owner(s) name and address: 5e., rS t " S cic.4 ..Y 5 r(_ 331 Interest in property: OcA.J Kam✓ t o Q"' / Name and address of fee simple titleholder: 4. Contractor's name and address: CR,Q5rAtAI ft,i'OE eo. We-. P0.661( 0 A , 4Y1 i;4rhi , FLoieti3 ?3i& ? A.. (, -o5 F�,c 6J-'f2577 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: ntrDAy E • U LLI) , v P L I Tt ES /11 At,4 EfiA gl /7 - WO . ?2E / .' uc . Y y/) S /rves rt_ 33/ '/ 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), Florida Statutes. Name and address: 7 -7a c E OLL° Assoc ore__ i'f) `1300 E 2 74 A , / 1 (`51: 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) f 2 - U w v' r s ZTZ Signature of Owner I So e V r--="c,1‘ Print Owners Name Fre d e .. e, u t t c c. Sworn to and subscribed before me this trfrday of Prepared by: t ?i/4t 7 09ti Address: !: O 6'0,A7 &rota d' JULIE ANN LUTERMAN f 4', 7 ? ,e, Exf••r.t S DEC CC 335111 t 3,.3/(0 �^- Ui ded Through My Commission Expires: Dee. OY"h , / ALAN eNSUPtAing URVICgs Notary Public Print Notary's N ' Crel L i, % r S 1 , t..v .re s STATE OF PIQF^I®A COUNTY OF DADE 1 IlF2E ? CERTIFY Mot Phis is a irik of !S• rl ad in this otticn o n o; Srchat" 3(a ' Oc.v[ , 914i r p �z tt30 A' iivtiiEY i" ayC /Dv t. F� 3'Si6/ 2-0,4 Fk r n-. c 1'1 r G via f s o „� -c, 12201 -52 2/93