38885PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / ,9
Legal Description Historically Designated: Yes No ✓
Owner/Lessee / Tenant An'y bh i u.¢.4.11
Owner's Address/ 906 4 E / 4
Contracting Co. CA) Cal y tiN
Quahfier304 bl E'S C:A9 C " O t I Y Phone? ¢ � (O �
StateeEDC� l � Municipal # G A p * � � sS�
p Competency # � ) 4 Ins. Co.( SI-
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING r ELECTRICAL PLUMBING MECHANIC ROOFING PAVING FENCE SIGN
WORK DESCRIPTION �Q Y b v - G +'��t 1 R Li tO Y' C.. 1� ' 1� C,
w . � i.�0 k
, e , � t - F' s
S q u a r e Ft c P a S O C O E s t i m a t e d Cost ( v a l u t 1 0It t v 00
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), 'tractor to do the work stated.
Oft I u- eirsL
Si a� ature of • er and/or Condo President
�1- gs os- VIP
/
93 Address // 0M Fa3r) -. Tax Folio 110 34 000 OW
> otary as to Owner and/or Condo Pres
My Commission Expires:
ii- CARL. ROCKWELL COX, JR.
, . MYCOhu s;ON4CC1Ba7o40
Y`t January 24,1998
FEES: PERMIT ,.w • RADON
APPROVED:
Zoning Buil
Mechanical Plumbing
//
ignature of Contractor or Owner - Builder Date
lit
i ; ti . 1
• �" ff era I�UBJ /C lh`TE OF FL0
COMMON NO. CC265251
MY COMM 7014 EXP. FEB. 18,1997
1
f A 4'5 Phone h �y
GA S` rk r
Address '''tI o. VnOrcS
Address
Address
Address
Date
/2 -/WA -
Date otary as to C o
My Commissi
7. N OTARY
Master Permit #
Electrical
yiggs
Date
(r
TOTAL DUE A� S p
Engineering
1
PERMIT NO.
STATE OF FLORIDA
COUNTY OF DADE
3. Owner(s) name and address: -- 2 7 4ra.1r r4-e Y t U.Q.r S
� moo
Interest in property O '.- 1rLQ,,r
Name and address of fee simple titleholder: S 01. wl, ° e
Amount of bond* $
6. Lender's name and address: AJ//A
Fr,,tArt 1 0 tit tve
Signdture of Owner
Print Owner's Name Fr E ► tJ t (a_—
Sworn to and subscribed before me this 2 -1 day of LL 19 945
Notary Public
Print Notary's Name
My Commisljon Expires
123.01.112 7194 PAGE 3
•
January 24,1998
OONDED7HRUTROYFAINVISil
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
TAX FOLIO NO./ a)0
95R530 3.19 1995 DEC 27 11:03
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: �J
/l.%0 /? 4:Z el tlih
Awl J3 t) / es F/
2. Description of improvement: • o
4. Co ractor's flaw .and aggress: (-DV) e.1n tNu Ir h , S \ Pt a- � v ff 1 C-6
V c t - r- & r e 1 - - t i N L l F L 3 3
5. Surety: (Payment bond required by owner from contractor, if any)
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: N/t-
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as pro-
vided in Section 713.13(1)(b), Florida Statutes.
Name and address: Ai/A-
9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless
a different date in specified) "3 ws.- 31 , 1991:
Prepared b • t1' /MP ' 1> / i
Address:/ Rtt):1,---
Ste-
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