42131State # O n P - 5°
E /377,4CNE - D
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /0 h 2 /97 Job Address / /5 AT AA F. g qvf- Tax Folio
Legal Description Historically Designated: Yes No
/Tenant PARR y UA,I Vpi' s l T' f Master Permit # N/ / 4t�1
Owner's Address // 3) ® A/.f 2 A vF. Phone ►'�
Contractin Co. ELECTRIC' :5 e.P-V i [' 1= CO.
M u n i c i p a l # e pern /3 2 'R 3
Signature of owner and/or Condo President Date
FEES: PERMIT�i ®® RADON C.C.F.
APPROVED:
Zoning Building Electri
Mechanical
Address (QI Oo / j, F 411 COL.
Qualifier J ppni P. R/ t r A i,u' SS# - - Phone - / )(4.
CumPeteneY # C000 I l 2 R Ins. Co. /be r ,
Architect/Engineer A/ 49 Address
Bonding Company N/A Address
Mortgagor A/ A Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION P rpL QE C(m) orTO'WS
(+s R id P Pdioa:i E
Square Ft. Estimated Cost (value) '7 2 14 ® X
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 RI .ECTRICAL, 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.
Signature of Contractor or Owner - Builder Date
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date
My Commission Expires: My Commission Expires:
1
NOTARY
BOND
c S
TOTAL DUE 7 '
Plumbing Engineering
Date `t1) Job Address \l� ' J “; V , A.Nr V, Tax Folio
Legal Description Historically Designated: Yes No
Master Permit # A,
416.
Architect/Engineer r( / -A1
l3onding 1"C) is.
Mortgagor
FEES: PERMIT RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
APPROVED:
Zoning
Mechanical Plumbing
/ Tenant
owner's Address ®Z) Air �.
C.C.F.
Phone
Contractin Co. e �� f14 - Address Uz ®® VC o \ N
Qualifier — 1 S , - - ` \Q V
SS# Phone. � �®\
State # 19 &S Municipal Competency
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
Address
Address
Address
otary as to Contractor or Owner -B
My Commission Expires: 4$
NOTARY
ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft Estimated Cost (value)
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.cons Action and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
0
:4 I •,;
of Contract or Own
Date
der 1117,1% Da
!'tC CONAUGHY
NOTARY PUBLIC STATE OP R..0
COMMISSION NO. CC73
MY COMi!ESION EXP. AUG. l
BOND
TOTAL DUE
Building Electrical
Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
_
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE (
.
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
VIN SS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
_ IERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP •
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 1P
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
_
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO: -
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER IP
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES. -
VIOLATION
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
•
LAWN SPRINKLER SYSTEM
GAS RAID
METER SET (GAS)
GAS PIPING
•
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. \ \" v4 1310 - ®x - 80'
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: N \S �� � A E •
C'--, es ri ‘ S -, 4 37-.)'\■sx\
2. Description of improvement:
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address:
5. Surety:(Payment bond required by owner from contractor, if any)
t•ri pes
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 b rvedas.provided
f • �l
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: lsC J A
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:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specifigd)
, )t
Signature Owner
Print • =rs Name
Sworn to and subscribed before me this j day of , 19 c i r 7
Notary Public
Print Notary's Name S
My Commission Expires: 4 � 1 ' ' 0 14e
Nf�
9784 854 69 1997 OCT 24 10:46
BY
LIC STATE OF FLORIDA
MISSION NO. CC4 675 —
MMISSION EXP. AUG. 28
ur
OF
SATE OF FORIDA, 1 s ° 1r
RYCE �
1 MERE RTI f"r ` o,ii o on -�
.. l4.na filed i tti A 0
ad .O,f`iciai Seal.
W S qty. h• ,d•
HA ; i 4013. `RW, a
nAD
Prepared by% '
A dress GacT,N, 1Y.F .
OFFICIAL NOTARY SEA1. � +Cit t 3 13`S
STEVEN ,,. *04
_ �•,��
123.01.52 2/93
1P ,� w
NOTICE OF COMMENCEMENT sl:c DFF• . L``33
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. \ \"` v. \3(0 - ®f5-6E) ()
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: \VS ?' OS . S . AY •
2. Description of improvement:
Interest in property:
Name and address of fee simple titleholder:
3. Owner(s) name and address:
4. Contractor's name and address: B.5‘,2`•..rckc Cx 'uz
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: W A
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: 1•f / A
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: N ! 4
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specifi�d)
signature • Owner
Print • =rs Name
Sworn to and subscribed
Notary Public
Print Notary's Name
My Commission Expires;'
3 \ ■\
lts
it in
. ECOROECC I ;d OFr=ICJAL RECORDS soox
DADE COUNTY, ELORIOA.
F4 E0.3}20 VERIFIED
1 . .
1
,y f , 19 ° S ' 7 •
Al. I , y
s a c• _
—ook ' • LIC STATE OP FLORIDA..
— �s`,4✓. _-,ate tl _ _ i� � 'z , MISSION NO. CC4357S --
,..', 1 � U ! *•MMI�,ION W AUG .2 195)
97R45469 1997 OCT 24 10:46
1 1 E RU V 14
rtK /RCUlT CC 'P!!
Prepared by 'v:��
.
Address (a°ltb .
•vt�S� l �
123.01 -52 2/93
CLERK OF CIRCUIT & COURT
OFFICE OF THE RECORDER
CLK /CT 611 12/92 DADE COUNTY, FLORIDA
RECORDING'
( DO NOT USE THIS SPACE )
PEES
OFFICIAL RECORDING RECPTT 244195
97R485469 DEPT 21
1997 OCT 24 10:46 OP:09 TR:024
RECORDING FEE
6.00
fISC REVENUE
0.32
CERT COPIES
2.00
TOTAL
8.32
CHECK TEND
8.32
CHANCE
0.00
INTANGIBLE
TAX
.J
z
°
DOC
STAMPS
W
N
0
Q
W
O
R
O
(3
W
(t
SURTAX
REFUND
PAYMENT
ACCT REC
THIS RECEIPT NOT YAUD UNLEBB VAUDATED
TOTAL