57 NE 93 St (8)Date J' 1-F9 Job Address 25 /V _l ' 50 Tax Folio //'" ` -2 2/
Leval Description
/ Lessee / Tenant 9 �° �,,
Owner's Address 25 4 t 4' 9 3 5)a Phone W.-02602.
`
Contracting Co. ( 60 ( ATP- Sict,0 cis - IP E.iddress
Qualifier Aiirli / D 4 9-04 ? ) SS# • - - Phone l 7
CAC o�80�S
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING / ELECTRICAL PLUMBIN' MECHANIC ROOFING PAVING PENCE SIGN
WORK DESCRIPTION ,- 1/ (. 4 '( 5/ 4746a,
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.
Square Ft. Estiiated Cost(value)
OWNER'S AFFIDAVIT: I certify that all the foregoing information
be done in compliance with all applicable laws regulating cons
authorize the above -named contractor to do the work stated.
r
M L kt
Signatu of owner and /or Condo President
Date: 7 X4
My Commission Expires:
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Mechanical
�,
or Condresident
** * * * * * * * *
*
uction
Signature o Contractor or Owner- udder
Date: �p..-i9 ..,0
" ;.vanze
j a c
lder
My Comm' s EYe E e°mm
es . Ion .xpu. t •
1-800-3-NOTARY - Fls. Notary Service & Bonding Co.
' !!!!!!!!!KU!!U!!!aaa! a!!! a!!a1!!!a !a
*
*
FEES: PERMIT RADON C.C.P. r NOTARY
Master Permit ft 3 7L
is accurate and that all work will
and zoning. hermore, I
*
c
C
TOTAL DUE g 7
**
Fire Other
Zoning Building Electrical
Plumbing Engineering
3. Owner(s) name and address:
Miar Florida
Interest in property
Nam and address of fee sirnb a titteho►der:
e.e
' STATE OF 'FLORIDA; COUNTY OF DADE
1;'1 :Eu''t CE2TI17 that this is a fruo copy of t io
r.
orfyinai 4i1:•d in ibis office on G Y
Vl1YYEE m; h r� and Of.ic'a Eca!,
;i �tl��L
SWOrn to and subscribed before rnQ this eday
pv
2. Description of improvement: S iz'r Ta>aa iv • denc� '
h*/ t)I,
'_lendin Co.
•:dCacnSVCca. :a
4. CorVactcr's name and addre :9:
S. Su'Ety:(Pay.n'tent bond ree,vired by owner from contractor, if any)
Name end address:
Amount of bond S
6. Lender's name and add'ass'
Roger D'Avanao
• hty Commission Eacpirag; •, MiDISStOB. uX ._ - ..._�
NOTICE OF COMMENCEMENT
PEAM:T NO. TAX FOLIO NO. 3 a/ 0 —o /3 -. cGA
STATE OF FLOSIDA: " - -
COUNTY OF DADE:
96IR 185'$46 1996 P1AY 01 13:13
THE UNDaPSIGNED hereby S'ves notice that improvements will be made to certain real propery, and in accordance
Chapter 713, Florida Statutes, the foltowir,g information is provided in this Notice of Commencement
1, Leal description of propery and street address: _ ,> A 9:35*
3825 Forsyth Rd.
Winter Park, FL 32792
7. Fersors within the State Of Flcrida d6s'g ^ "ed by Owner �---
by Section 71 3.13(1)(a)7,, Florida Strafes.
Name and address:
BLrI{ FT �� {dn
S. In addition to himself, designates .
!, Owner the fctlowin; persOn(s) to receive a copy of the Lienor's Notice as provided in Sec.
tarn 7 t 3. t 3(t)(b), P;orida S:atLtrs,
Name and address:
9.:Np :ra ;ion dale of th!. t , ice o'
'rot. Commencement: (the ex de:e is year from the date of recording yr, :ess a
a: date IS specified)
P NTRAL INSTALLATION OFFICE
Sears, Roebuck and Co, (5596)
3825 Forsyth Rd. ; /
Winter Park, FL 32792 6