DRIVEWAYDate ..S Job Address ka4f0 ct 4 "Sr O ✓ -011
Tax Folio i ' 5 ��� 'OW 0 �� '
Legal Description i 3W I FO - 10
Lessee / Tenant 60-1.. C • <
I
Owner's Address 5 AtNne Az o'ela,1/4)E Phone 1 )
Contracting Co. ‘€?'Vt {t X(I.S∎ 0 t!? Address
Qualifier ViC124- Itiftetbri< 9 45 - 4C - 7- SS# \ Phone
State fpebL p e7 Municipal # Competency #41k cr iiIns.Co. 1
c) a °A
Architect /Engineer ' Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION C.,: 6t..Pt3 �` oa��...:,�►�
Square Ft. D• 5 Estimated Cost(value) 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.
OWN " '. AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be •r e in complian -- with all applicable laws regulating construction and zoning. Furthermore, I
amed contractor to do the work stated.
nature o ' o er and
Dat•:
Notary a
My Comm
** *
APPROVED:
o Owne
ion Expires:
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
tNot icylasblid?>6ieteid`ei t' '
My comm. expires June '7 1 ::
Comm. No. CC 387
Bonded thru Alan ' :11 °
and /or Condo President
* *
N GOOINF.',
Fire �
Notar to Jo•
My Commissi
LaT kg Pcx t.\ 5 C L
Master Permit #
Other
ractor or Owner- Builder
SUSAN CODINEZ
Notary Public, State of Florida
rac tsar N e j alder
xpied thru Alan Insurance Services
* * * * * * * * * **
PEES: PERMIT 3/ RADON C.C.F. 1,4 NOTARY TOTAL DUE
Buildin ` /�� Electrical
I
Mechanical Plumbing Engineering
Interest in property:
PERMIT NO. TAX FOLIO NO. k r aa5 ` - Q \ F v
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: P►`. V 1444, P 6 4 v
Ucei \ cl AoO CC Ay'
2. Description of improvement: Gv>JiZ1�(�c. S`P ‘J t2'Pi
3. Owner(s) name and address: '8 \\.\ -- L- . /■ L. CnJ ' G1J�7I�1�
src - M; p, N1
Name and address of fee simple titleholder:
'fl - \c C e..v0 1a.+ At .' €C
\ 1 5U44al% t 3 9‘25, 0 1Q
5. Surety:(Payment bond required by owner from contractor, if any)
4. Contractor's name and address:
Name and address:
Amount of bond $
6. Lender's name and address:
NOTICE OF COMMENCEMENT
7. Persons within 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 Statutes,
Name and address: _T
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:
i•nature of
9. E tion date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
date is �pe.ifed) S�c�i�G4J` \ ∎ t5
Print Owners Name
N
Notary Public
Print Notary's N a m e / C - - 7 0 W e . 2--
My Commission Expires: 6.27 - ' 6
9 1. ,
\ 1A N
Sworn to and subscribed before me this / `i day of , 7aitI- , 19 %5 .
SUSAN GODINEZ
Notary Public, State of Florida
My comm. expires June 27, 1998
Comm_ No. CC 387856
Bonded thru Alan insurance Services
948442669 1994 SEP 19 12:11
Prepared by: V1 »L._ QECZCZ_
AddressR \ \ -
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1
FL.,6\ht
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