43971Mate
Legal Description
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v�/ �r
Owner/Lessee / Tenan � Y�,' ( ✓2,er ►
Owner's Address /9300 Ol/ a` Z A - Phone
WORK DESCRIPTIO
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job A,d //30C /U E o2 ji V Tax Folio // --02/ 3 6 - 000 -00SO
Historically Designated: Yes No
Notary as to Owner and/or Condo President r a
My Commission Expires:
FEES: PERMIT A10 • RADON
•° so, Chery, Beide Gerber
* "7 *My Commission CC728954
/ I4 00 , Expires May 8,2002
APPROVED:
Zoning Building
Mechanical
c)
0
My
C.C.F. NOTARY
Master Permit # 939 7 /
Contracting Co. C-- ?02701.) .c, e Address
7 693 ‘i'az /
Q u a l i fi e r L J Z ° 0 ( ' 7
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company liress ..
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Electrical
VY41
Square Ft. Estimated Cost (value) x(.00 2
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 9
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 s all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named ,,� _tor . ' o i e i . k sta
ature of
tra
.11 II
ion E NOTARY SEAL.
GLADYS 1 V LLAR
NOTARY PUBLIC OF FLORIDA
COMMISSION NO. CS7l4103
MY COMMISSION EXP. MAR. 1,2002
astoC
tractor or Owner- Builder Dat-
e a__ Date
BOND
TOTAL DUE 4 62to
Plumbing Engineering
erk
NOTICE OF COMMENCEMENT
w a• // //
" PERMIT NO. TAX FOLIO NO. 7 ? 6 0 0 0 - o o go
I STATE OF FLORIDA:
COUNTY OF DADE:
1. Legal description of property and street address:
2. Description of improvement: Ile P /c c.e. - iZo�,�, I �j 7'e S
99R0461.01 1999 JAM 26 15:22
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.
//300 At/ F WO i)
3
3. Owner(s) name and address: fi Rreit Adi v te,Y ,S2 f //305, /11. ,io V
- Pi awn . -r - 3/ /
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: (_ #i9.ST/) z>) f .vim e eo .
- Sr* /0017 / B -r/ .3a9/6
5. Surety:(Payment bond reg by owner from contractor, if any)
Name and address:
Q
, A.D. 19
Amount of bond $
6. Lender's name and address:
Notary Public
ri STATE 07 Ft ORMA, COUNTY 0,' DADE
I s:.:c-
9 1
I 4,1 6i
UY
7. Persons within the State of Florida designated by Owner upon wh
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
Ce..0p9. /JZZo/9
/3/)C.)
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided in
Section 713.13(1)(b), Florida � gs.
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 specified)
Signature of Owner / (3erit -OA/ V [ VEr12 C `
Print Owners Name 6'K Ft u U.-b s o c V Feto, /0 - -
Sworn to and subscribed before me this /1 day of .7,qA/ , 19 if .
0 4 ,,� Cheryl Saida Gerber
ifs * *My Commission GAdutfliO4
My Commission Expires: a V %me Expires May 8, 2002
Print Notary's Name ' f/'7L 23i?E14- G
Prepared by:
T
or other documents may be4s prov
v
Address: ,
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