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35106Architect /Engineer Bonding Company Mortgagor WORK DESCRIPTION r\\ Sigiature f owner and /or Condo Date: 143-- IS- 9 3 ** * APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE e Date 1 O 10e 1eVb Job Address it Ce00 ' 2- Pr,/t_ Tax Folio 1 2 %310 00 00 Legal Description *- e 3 k " - I1€. X 4 4 sk' Se..dr� vi R 1 10,,.•�e,Li f S2 IS ‘ l L t 1 6-ANS a Owner / Lessee / Tenant QAr( J ,f. % •rum, ‘ Li Master Permit # ,9 Owner's Address 11'A-0 1-%L Z Nrvc- Phone Contracting Co. \ -o••. (2Aezc_. kv q_ t X� c_. AddressIPSS` p \)roIf-4 1ko 4i i ,. -.0- Qualifier C elcz.t✓wlo m 4-0,n cE SS# Phone 61--V 2....b■ O State #Ge.- oo0.0W-4S Municipal # Competency # Ins.Co. NiN t4 f A Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN lovI ... , .N.) (AAA...5 ‚‚ , N 41,," r cAts_c. 1A D i4c..v) T - \ �..�., S 40 140■6 ,1 \410, a,., 04- 1 =No o v.w, Estimated 1st(value)T 1801 ivx k. \cz,{1 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 con uction and zonin ?: Furthermore, I authorize the above -named contractor to do the work stated. Square Ft. * * * to Owner ssion Expires. o i n ' OFFICIAL NOTARY SEAL COMMISSION NO. CC30143D MY COMMISSION EXP. JULY 13,197 Address r�r Address Address Signature o Date: G r4 &AS -4 o rz 7#,,P5 43 r . DS (I-P‘c-\'‘ r Owner- Builder Notar as o Clintractor or Owner- Builder My Commis n Expires: OFFICIAL NOTARY SEAL MARY PETPT NOTARY PI#BLIC STATE OF FLORIDA COMMISSION NO. CC262264 .My CoMMISfIEGiF. . 20,1997 ** FEES: PERMIT 17 RADON C.C.F. NOTARY Fire Other A t Building Electrical Mechanical Plumbing_ Engineering NOTICE OF COMMENCEMENT ` PERMIT NO. TAX FOLIO NO. 11 Z 1 3 , ©O 0040 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: LPA CAI '3 Y o Ni t-t-sr s I 1 1 1 000 Nf 2- v P " \ - L `'Nc4- 6 F `/14 o - - ' /¢-t Stec.-N1 0•-% 3b ko.? 4 e 1 / 4 .. u fl+ Jeo . f- 2. Description of improvement: tv.5 , \\ a� ©� � CC- qr & P ,:5v".". - r- ` „ A'N nr'■V -c S ic-S l (t4 t q�h k) v' G� - k x } V �l� - 'S1 A.- 3. Owner(s) name and address: - � y 4—cc. t 7?,O z rt &. 2 / AA vs- doiez -tee, L-i, l b \ Interest in property: ®" Name and address of fee simple titleholder: C "v4. 4. Contractor's name and address: 1 i ro v' (L\ (4, \ Q 4.-.,.N r, � Vi (LZ 4o \\..1 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), 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) 1'2./31/13 S&gnai of owner Print Owners Name `z -e40Y t Ulf o y Assoc up Prepared by: Sworn to and subscribed before me this 1 day of Notary Public s ° Print Notary's Name � �. 1 , A, My Commission Expires: 0 ! '7-)17 ovricuq. 1 6.'” L` >_ ' ° ...'...`1 , 40 Address: