9301 NE 9 Pl (10)PERMIT APPLICATION FO MIAMI SHORES VILLAGE
Date � 94b Address /? ) A 1 & 7° r6-- - Tax Folio
r '. 'r 1 C . ,& a �'t -ztr GAT 4 .
n_r,
Legal Description (17T 1„c„7 E. 1 7"/.0T °F oV iZ ,2 storically Designated: Yes No
4 L, -T 5 st. bbl sto,J . �'� S n
/Tenant 111Z. �l'��.� ��.ir� �Z ®,NC.4 � Master Pernrit#
.1 7/2
Owner's Address
Contracting Co. ' 7 'J c4:),07/9.4C.7 �i r- Address 122-0 Pt �N ? 7 - ' ° 4 / i z-
- Phone j° tai
State # C 67C " oS S c) # Competency # • • Ins. Co.
Qualifier Q. o A. -tJc,.,. .77 7 )
9 ?'c 1 d L. c i FL • "/ e g//-I Gt aiL8c, 71 Phone — f , C) B ° 436 X13 E
gin eer I £ €7 R-o u N�
Bonding Company
Date
as t er and/or Condo President Date
ires:
CM G`:: °
t� lC
(;=;°.',`)',
,sb A3: i0 ,1W'°
FEES: P u I 2)-it RADON
Not
My
APPROVED:
Zoning Building
Mechanical l •/ Plumbing Z
Address X2.4 5 C OV t2� K.4
,4 ,,FL
Address
Mortgagor Address
Permit Type (circle one) BUILDING ELECTRICAL PLUNgNG MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ADD/ OiL) (Gi t .4 Ll 1 67 - td tad', ) 72%-a044,
f-X i /6.,0 _
Square Ft. S Cet.) 07 - A)&7a 3 Estimated Cost (value) C CZ)
:AT Th is'r,'C
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TELDO SQ_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 o e attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction s jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MEC WO
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all
laws regulating construction and zoning. Furthermore, I authorize the above-nam . contras
Signs �'
Contracto • r 0. er -B ' lder
will be
to do the
C.C.F. 1/6 ° NOTARY
o Contractor or Owner - Builder
ommission Expires:
pn:1�
a� C CC 061912
r �' c' EStPSEs >'.AV 10,1989
r BONDEDTHRU
`�
'F � ATLAN•iC BDiNG CO., ;NC.
Electrical
stated.
e in compliance with all applicable
Date
crd
Date
BOND Q
TOTAL DUE 1411'.
- 4 4 c i ? t om 7 7 : c 7 ' u 4 N / 6 4 , 7 8 2 . a l 7 4 E m
PERMIT NO. TAX FOLIO NO.` 1/ � /
98R 16938 1 1998 APR 14 15:47
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: a (it lC,a • SI) OTr iL4 7.-AST 42 %• ca-b O
•••• .1
3 0 l N Q ',V+ P(. . V `.AA4,i S2,4) JZ$ L.
2. Description of improvement: -1117 » ' /r 0 7 , � 7246E G1eg160 /�, / n,��,
@jG7 L4/La L IVcI.l�G7 , / G 5 kc7�14 A 1 - ( 72 12c q
3. Owner(s) name and address: \ 2 4-. 1" I las _-tiu
Interest in property:
Name and address of fee simple titleholder: ■, L.
4. Contractor's name and address: S/ G TA N CoAiTeacievz 4 LiJG
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) —
sg
NOTICE OF COMMENCEMENT
.C ORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
oz- t rfL,i' , - FL . 33 /6€
of owner
int Owners Nam
Sworn to and sub
Notary Public
Print Notary's Name
My Commission Expires:
t2 A) - 0 0 S c . • i,(.1)
d before me this
C. COMMISSION 0 CC 461912
FYPIRFR MAY 100999
GONCED MAU
OF pC AT"ANTC BONOINQ CO.,
STATE OF FLORIDA, COU . !Y Or„nP i
r ;[: ^Pav f'. i:2F: ?7 �iit' .,,.. IS 5: t•�r .�� �.
WY \I. 5
Q9
44144c/2 1
L- ic. •
rs y , ♦V lI..r) , L
6
■
123.01.52 2193
t
Prepared by: i 6 N '57
T -6�a, / co,/j%6c7 (7' .TA-k
Address: '2:ZZ (. f LA.) . S 6111 mi ll