953 NE 91 Terr (9)Square Pt.
FEES: PERMIT I/O
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Datfl 10/) Z, CI _ Job Address 4 11S.5 N PI
Legal Description /445Y ) 1
Owner / Lessee / Tenant % . 11/1()N1 1()(\( P Tt
Owner's Address q 52 N q 0
WORK DESCRIPTION 0.(P 4boo
Notary
My Comm; s s,ion..g.x Em STAF O, OftO
.• ORAE ROM •.GUE2
COMMISSION ::O C :204119
** * e.' v�� a : * MY CO MI`VO:.: £Y.PPiES
MAY 27, 1496
a
resident
ident
RADON
* * *
C.C.F.
Fire
Zoning Building
D
Tax Folio // ft0,
Estimated Cost(value)
Notary as
My Commiss
*
Master Permit # -130?-/f
Phone
Contracting Co. ee9• • 5h2.peacai QCO Address 4 Y�)U.) 20
Qualifier cAriel a 6hwoia ss# (C'S&0 %5
State 4k ee Municipal # Competency # 10o IS Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL AN, ING PAVING FENCE SIGN
eWiFazt
Other
1/5/v4
l4 • a
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
a.ithorize the above -named contractor to do the work stat •.
ALVvL
o Co •f •
atu e
Owner Builde
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C d r � � ;Ail
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a RDT�P�I �F
es: ORA E. R it RDUE r
r
COMMISSION O: CO204119
u COMMISSV: WIRES
* MAY 2., 1598 *
� ,DgRk
er
NOTARY TOTAL DUE 4 1/ 7 ,5 4D
**
ZI Electrical
Mechanical Plumbing Engineering
K €A!TE•t'€ Ftt)fa fi t+
tAER §t-14T lV'/
bil�,rFdl flied ���
l71(i1F fnti tior.d Olti:,ial Seal
@IPfk P4it feWR
PERMiTo
Sta'..e of Florida
County of Dade
.ddre_s If avaliabl)
3. Owner Information:
a. Name and Address:
b. Interest In property:
1. Contractor: (name and address)
5. Surety:
. Name and Addre ;:
b. Amount of bond $
5. Lend • : (;dame and address)
• ej
TAX FO�_ 1 O NO.
NU'i I CE OF COMMENCEMENT
u
THE UNDERSIGNED ncrcby gives notice that improvement w i I I be made to certal
real property, and in accordance with Chapter 713, Florida Statutes, the
following Information is provided In thls Notice of Commencement.
1. Description of property:(legai description of the pro - ierty, and street
of
Zusoh " "c
2. Genera, description of Improvement:
Ci
r
c. Name and address of fee simple titleholder (If other than owner):
Sign
lbed before me this
Notary Pub I ' c ° ":;y Comm
xi‘d ?J-1-
7. Persons with the State of Flor'da designated by Owner upon whom notices
or other documents m y be ser . d,as provided by Section 713.13(1)(a)7.,
Florida Statutes:(Nam6 and aduress)
• In a d d i t i o n to himself, Owner c:;:.3 I gnats; s
to receive a cJpy of the Llenor's Notice as
provided in Section 7.12.13(1)(b), Florida Statutes.
9. Expiration date of notice of commencement (the expiration date Is 1
year from the date of recording unless a different date is specified)
COMMISSION Nat CC2O4119
I s .i"ofl
Ex p Ii4 ?7 ,1993
of
199/'
• - 4
r4
f
013L (s1