ALARM07/08/91 10:22 MSV 001
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
`� (09‘1 I �h� _ 6o7e
Date l - Job Address 1 A V • EQ I RC Tax Folio /i - c 3,2W - ts -
Legal Description /M o Ap1 j / Master Permit #
Owner / Lessee / Tenant 11 R .'Nir ; FaNlmpo AtiQ, finis ,cve /tic Z
Owner's Address IU;�► NC 9 3 STee — c Phone 15 - O3 c ? �
Contracting Co. ARESSCC) I '3C-- Address /29O' 6_( -0, 33 CoPeir—
Qualif TER. ss# - - Phone ,25.3- 94a4
State# F F 0000 0(6 6 Competency #
!/.1
Ins . Co. /1E - SD OzzouNA
/-vs ,
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): B1ILDING EI.HCTRICAi. PLYING MECHANICAL PAVING FENCE SIGN
a r- 4 /4n)-77 a!5,72E
Ca � T2 a (_ 3 J �C
WORK DESCRIPTION t Al'/ G
Square Ft. Estimated Cos
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 separ-
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 wore
will be done in compliance with all applicable reg Cfng.construction. and zoning.
Furthermore, I authorize the above -named contracto
Signature of Owner •and / r C• f1
Date • • ! f
Notary as to throe . and /er Condo President
My CaMMi Expires: pires: ' 1 T41*o , IKoeipk
* �Iti � AM U&
PERMIT FEE: APPROVEDr -
be
resident
Fire
Zoning Building
Mechanical Plumbing
A-) ) SEc -v,e / Ti
Signatur
Date:
Notary as to Cont
My Commission Ex
* *
Other
Electrical
res :MY COMIHSSLON EXPIRES: Juin 11, MIL
Engineering
ERFIYT 4
tate of Florida
jaunty of Dade
• Description o f property:
General
Owner information:
a. Name and. Address:
Surety:
9 11 :?;.3t; :37 1991 JUL lit 14:47
a. Name and Address
b. Amount of bond$
otary Public
07/08/91 10:22
Tax Folio No. MSV // // c� � /J 02 � (�S — Q(�
-1..' HE UNDERSIGNED hereby gives notice that improvement will be made to certain real
ert
- ro
p y, and in accordance with Chapter 713, Florida Statutes, the following
% nfdrmation is provided in this Notice of Commencement.
T
description of improve inat
al) W-
NOTICE OF COMMENCEMENT
(legal desc iption of the roperty,
be u cQ (Yt/,
i
and
street
address if
STATE OF FLORIDA
;.. OUNTY OF DADE
v b. Interest in property:
Lg
N
0 . Contractor: (name end address)a'PESJC-) f &fi a &C J
the date of recording unless a different date
c. Name and address of fee simple tlt)eholder(if other than owner):
• In addition to himself, Owner designates
to receive a copy of the Lienor's Notice as provided
Florida Statutes.
‘s
EREEN CERTIFY that this Is a trite. copy of the
nal filed in t is office on ay of
, A 0 19
d Official Seal.
s specified
ature o
. Lender: (name and address)
n Persons with the State of Florida designated by Owner upon whom notices or
other documents may be served as provided by Section ?13.13(1)(a)7., Florida
Statutes: (name and address)
of
in Section 713.13(1)(b),
Expiration date of notice of commencement (the expiration date is 1 year from
urn to and subscribed before me this / ' day of // , 1991 .
NOTARY FUBLIC STATE OF FONDA
MY COMP -SiON EXP. O;:T. 1,1333
My Commission Expires:
BONDED TF,i ;U ± R ,L 1;;S. •.i :.