47447Date
Legal Description
Qualifier (0
t/>)
State # 000 4/4 V
Architect/Engineer
NOiary
My Co
122
APPROVED:
Zoning
Mechanical
1 11
(1 � • . •l dent
k
.tit+ ACEVEDO SOTO
slip MY COMMISSION sit CC 841281
� or y1, 0* EXPIRES: May 31,2003
1 ' WOTARY Fla Notary Sanaa & Banding Co.
ter
ture of owner and/or •' President
to Owner an
FEES: PERMLI 2 r go 6 VRADON
Colt 7
S ,. V
Si
Address
y
F
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
eZ Job Adder 112611 " c Tax Folio C - 2 /.�� � b - Q0
Owner/Lessee / Tenant I Q Ve Master Permit #
Owner's Address 1/3 60 1i5 a //t/e.
Contracting Co. .1 4 Bo /Vei c J Se-r `c �S
4)1 I44 ,...•
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate : that all work will be done
construction and zoning. Furthermore, I authorize the above -named contractor do the work stated.
"�
Historically Designated: Yes No
Municipal # Competency # Ins. Co.
M t /7 1 07
Phone 30S 3 d c
or Owner - Builder
Address a SW /32 ' e9 ,I/5'
SS# / Phone � 36.s - 23S Ji(
Bonding Company Address
Mortgagor Awe
Permit Type (circle one): BUILDING
WORK DESCRIPTION s roll 04
�;dl t �rf 6c.4d, ;2/.
Square Ft. Estimated Cost (value) f4
LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
v ' - l•s•➢ c h i , "Veto-)
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 OF 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. • r- _ d that ;.: to permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
Date "Notary as to Contractor or Owner - Builder
My Commission Expires:
0 1 . Helene Debowsky
*WON Commission CC803056
•4,../ Expires March 18, 2003
pliance with all applicable laws regulating
6-10
Date
NOTARY BOND 3 DO /
TOTAL DUE 1 6
Building Electrical
Plumbing Structural Engineer
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 CUTLETS
PROCESS AND PRESS PIPING
I NTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
MOTHES WASHER
MOTORS 0- 1 HP
`
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT/3 COMP.
MOTCRS OVER 3- 5 If
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SI NK , S•CP
MOTORS OVER 8- 10 If
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
-
FIRE SPRINKLER SYSTEMS
ARIN
MOTCRS OVER 25-100 HP
.
COOL I NG TOWERS
EATER CLOSET
MOTORS OVER 100 If
VIOLATION
INDIRECT WASTES
A/C WINDOW
• RE INSPECTION
RATER SUPPLY TO:
AIR COND I T I ONS:RS
•
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 CO NERCIAL
WATER SERVICE
SIGN TUBES
EWER CONNECTIONS
SIGN TRANSFORMERS
TILITY -SEWER
SIGN TIME CLOCK
T IL ITY -WATER
FIXTLRES
EPTIC TANK
ANTENNA
FLAY
TELEVISION OUTLETS
IAINFIELD, 4' TILE/RES.-
VIOLATION
JhP & ABANDON SEPTIC TANS(
REINSPECTION
JAKAGE PIT W. FT.
"''tt=' 'M i°"xf) rir
,7:42.-
d�/ )7 C•,
/3q
is
Nap
.a-y
0(0
!.
ATCH BASIN
I SCHARGE WELL
:MESTIC WELL
n'°
REA GRAIN
:OF INLET
,- /
iLAR WATER HEATER
'RE STANDPIPE
AL PIPING
•
INN SPRINKLER SYSTEM
$ RANGE
.TER SET (GAS)
S PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A RASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
PERMIT O. TAX FOLIO NO. // - 2 / .3 - Don - n( .
STATE OF FLORIDA:
COUNTY OF DADE:
008422 2000 AUG 30 16:02
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: %`7 QZt7/ �1s�,1ft/S, j � - / 4i ;
2. Description of improvement: --.Z 6 4 , ' 'w es
3. Owner(s) name and address: ) /v` (h,,
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: BA, .60 /Vert , _er-4U, ar S
/a -sue /3 f^i #i /y ���„�, �� 3.51 rr
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
W. 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 _ it,./ a ' au ' i e A' A./ 4i, 4 /3 o
14 16 kn i oreJ,ra_, 33 /4,/
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 specified)
• NOTICE OF COMMENCEMENT
Signature of Owner
Print Owners Name Toi ,.+ tt 6.44 LA 4444 A - f
Sworn to and subscribed before me this2Q" ay of 9art y® r_ot.
Notary Publi
Print Notary's Nam
My Commission Expires: 1444y 3/, 7.0 p 3
STATE. OF FLORIDA, COUNTVOF Out
I HEREBY CERTIFY that this is a true copy of the
orrgrnaf filed if this office o / 3,0 j daay of
f�l.fri% , A D 200
WITNESS my ha T d and Official Seal.
H ARVEY R v V N � f Circuit and County Courts
Y
OYN,PAONICA ACEVEDO SOTO
3 4 , MY COMMISSION* CC 841
ve EXPIRES: May 31, 2003
1 ' 8004 -NOTARY Fla Waxy &Woe & Bonding c
Prepared by: .
gjj CAL ACEI- b0 S
Address: 113 L .E zlok