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1241 NE 91 Terr (9)w Date 0 }' Job Address Legal Description /67 3/ d/ 04. ( w to 1 Designated: Yes No Owner/Lessee / Tenant ✓o Ar / / " 4 //( //e 9 ( Owner's Address Contracting Co. & / 5 PERMIT APP Qualifier ] -C` ASS( C State # C 0(u u 0 r Municipal # Architect/Engineer Bonding Company // / Address Mortgagor Address Permit Type (circle on BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION pb0C. °.'e'N — Square Ft. 9. C 3 J F .2y ;6,,g Estimated Cost (value) 4 v 0 C) 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 all w.rk '11 laws regulating construction and zoning. Furthermore, I authorize the above -named aryas oO er Commission Ex d ent D ignature • ownej an• Pre Date egE$+lNETH §HERlit OF FLORIDA NOTARY PUBLIC, STATE 24, 1999 My Commission Expires May Commission # CC 467719 FEES: PERMIT /3p / RADON APPROVED: Zoning Building Mechanical Plumbing C • TION FOR MIAMI SHORES VILLAGE Master Permit # L-136„5-8 Phone 270 O 7 3 A d d r e s s too U & /)'t J / SS# b� - C X2-99 Phone (��l O Qd c) Competency # Ins. Co. 1Z-e44 0 c.,/ `'-/ Address t3 S c✓ 7 71c • ittatiNVIKSHERMAN NOTARY PUBLIC, STATE OF FLORIDA My Commission Expires May 24, 1999 Commission # CC 467719 C.C.F. NOTARY Tax Folio 57/ Electrical ne in compliance with all applicable stated. ate BOND 3 ®® TOTAL DUE ( "I Engineering Alleo ded 12/3 i / fiff 4 ,/,47z_i /0(4- 3 jitAv wcs,) © d C4aS /02'1 /6"--eK_ 0/1 '74_, /14 g/c 48 r rb r crio ,o-o ,,(2fii 467 eZAX f u4_1 Quality Pools and Spas 1800 N.E. 151st Street, North Miami, FL 33162 North Dade: (305) 949 -0000 South Dade: (305) 253 -4673 Fax: (305) 949 -9171 e-,4#,(, 04e NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 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: /,2 `{ f I c ?r 7t:e-- v 14, sty-vice 2. Description of improvement: 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: • 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: #974 c ( # / a fir. 7I / C��f �� ✓L7�. 14..en 149i'744 A -vi 9 l '7'� Ili S' It O tij ss � 9o3 1'c /Ma ' 1 sr 1 CJ 1 // f%/ 7. Persons within the State of Florida designated by Owner u on 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: , ij1 9. Expiration date of this Notice of Commencement: (the expiration date i different date is specified) Signat a of Owner Print Owners Name Sworn to and subscri Notary Publi , Print Notary' ame My Commission Expires: bet s /5 day of ae —t , 19 NETT SHERMAN My Commission Expires Mn 24 1999 U , miss on # ,C 467719 Address: STATE 0 FI ORIOA, COU•'TY 0 :DADE 11,e I HEREW CtRi!fY i'.o tI, 1 is a fr" rn of 01pooflocis s0 or A 0 i9 W r.'J: .nI h r•.1 ;rr.rr (Aldo Lcol. 11A0.- i u lltjy. i+ 1 ..r 1- C r t rp4ha' f ^ V.y,. • J l.• 98R509,592 1993 OCT 16 10:42 ar from the date of recording unless a Prepared by: 33 /L 1 24f o W 4>✓ /r7S 3 /Z 123.01.52 2/93