1245 NE 92 St (2)Date g- l Job Address ha L i 5 N i ?,2
Legal Description 5 4 1/w8 /r L
/ Lessee / Tenant /`-1 2-
ti
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
Owner's Address
Contracting Co. 69 - rte s R ___ Address 13c) 5,0
Qualifier J(/ctji44D SS# ? ,Phone
State# Rea et/4 4;7 Competency# -X Ins . Co .
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one) BUILDING L ECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION /, *3D q 0 f'�/�- (OPJ?eS y?// <;,. 5 QJ4y
-e s e ao e%
Square Ft. 5(2 fri Estimated Cost /f , / L °
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 contractor to do the work stated.
Sign
Date: it
f
Notary a to
My Commission
* *
wner an
Expires:
* *
PERMIT FEE: APPROVED
9 700 //M'3
wne and /or Condo President
(OWNER TO RETAIN COPY)
Tax Folio// ,col t 7
Master Permit 1
AVi` Phone
Signature of Contractor or Owner - Builder
Date:
N � 4 U B L r I @ tF FLORIDA. Nota " y : s t •�Contrac f or or 0 ' - Builde
MY COMMISSION EXPIRES: Aug. 13, 199 y Commission Expires OTARY PUBLIC STATE OF FLORIDA.
BOND( THRU NOT Y PUBLIC t fiRWRITE Y COMMISSIO EXi)ERES: Aug.*1, 1994.
* * ONDED TttfRU NOTA mimic UNDERWRITERS
Fire Other
Zoning Buildin ,) Electrical
Mechanical Plumbing Engineering
State of Florida
:ounty of Dade
3. Owner information:
a. Name. and. Address:
b. Interest in property:
b. Amount of bond$
. Lender: (name and address)
Statutes: (name and address)
'ERM I T .# Tax Folio No . /•'f 0 5 7 I'c2
91R292640 1991. AUG 21 13:45
HE UNDERSIGNED hereby gives notice that improvement will be made to certain real
)roperty, and in accordance with Chapter 713, Florida Statutes, the following
.nformation is provided in this Notice of Commencement.
Description of property: (legal description of the property, and street address
available) / 7c+/4
.�S 8 g 1..444(2, ,?/,?!
?. General description of improvement: � 4('in 7 /X'N /4.40 fit ( /Q h
A- s 1 -t 9'T 1/0-/ /t ._T- / A 5/ ry es r v"1,1 1i -ezve Jam.
O
( ) L i)/)��'
c Name and address of fee simple titleholder(if other than owner):
Contractor: (name and address) c (C IS ? oo :17 /30 So /l/GJ 30 flvL
; . Surety: J
a. Name and Address
Persons with 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
In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes.
Expiration date of notice of commencement (the expiration date is 1 year from
the date of recording unless a different date is specified)
Ware, 6y xl /t(e.7/e a Q
/3O5V w w 3 o Ave --
g /OC'i�`/� � 3305/ Signature of Owner
worn to and subscribed before me this 9 f day of Ati9UST , 1991.
otary Public
NOTICE OF COMMENCEMENT
x /7//. 6'
if
NOTARY PUBLIC, STATE OF FLORIDA.
MY COMMISSION EXPIRES: Ang. 13, 1994.
My Commission Expires: BONDED TNRU NOTARY PUBLIC UNDERWRITERS.
0
MATE OF FLORIDA
COUNTY OF DADE
I tiov FRTIFY thati tMs Ps a intamiSpy of th
or1ri. i in this .c3 oncg12% .?L
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