260 NE 95 St (8)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 5/440 Job Address Z.G.o /08.— 4 57' Tax Folio
Legal Description Historically Designated: Yes No V
Owner/Lessee / Tenant • f /t.#5idc N S fC: 0 ') Master Permit # $ '�
Owner's Address 2 t o A 9 0'' 5 r' 44 (A"-, / ,,;(-/vd(- " phone 3 & ?9 ZB /7
/� GL
Contracting Co. /"EX/ me 5 /n1L Address / 4 a Lk.. 5.k--) / 3? CDL°C/`
Qualifier /4'h 446 " /.(o
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor , , Address
Permit Type (circle one): UILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION (j 7' ' 5 ee
Q / v7 ,1/2 Wt.) A 7 ��T
Square Ft. 6 i Estimated Cost (value) 1T r ef
GQAI./G /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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all will be done in c pliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT RADON C.(�: v %° NOTARY — 0 Wifliff
y E �`' -. .,.�
APPROVED: ' �• ' �r�+
Zonin g / •� o
�
Electrical '
WILLIAM H. GRENFELL
My ern &P. 5/11/04
No. CC 935857
11 Nrsonyy Know 11 UMrer I.D.
tractor or Owner- Builder
TOTAL DUE .) �
Mechanical Plumbing Structural Engineer CAV
Date
os
Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 5 f Job Address .2& J'e 45 5' Tax Folio
Legal Description /ar ,s-I i /c/T 7 4 la t / `Histori Desi Yes No
Owner/Lessee / Tenant CIO /�> n1/ 5ei✓
Owner's Address .2190 N E 45 Il l 4m 1 '5 L
Contracting Co.
Address / z itt 6 5. et) • / 39 Co t.427
/ / 33 / 8;�
SS0 - Phone 3 ®,c
Mtnticipal 0 Competency q Ins. Co.
Address
Qualifier A / / G-r £tea'
Master Permit ty
Phone ?O5 /75 ' .
State 0
Architect/Engineer Nd
Bonding Company "f9 � "" Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
/IUST GG. t3/a' S sus "er' i ki
WORK DESCRIPTION
Square Ft. Estimated Cost (value) / � � 00 . 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). 1 certify that all wotk
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.
OWNERS All-DAVIT: 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.
/
tur of owner and/or C President Date
/('
Notary as to Owner and/or C Prrsi.dent
My Commission Expires: Ate-■ )O )
Date
CHUNAE KI
Commission # 1217776 Z
Notary Pu • i I lifomia
C.C.F.
Ni
M
NOTARY
Zoning Building
ontractor or Owner Builder
ntractor or Owner- Builder
on Expires:
Electrical
Mechanical Plumbing Structural Engineer
WILLIAM H. GRENFEIL
MY Comm Exp. 5/11/04
{{4nnNN CC 935857
TOTAL DUE
0� 5/2/00
Date
Date
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
�
State of California
c"
r County of „S.Ati ,, 1G-61 0
O n fl �� t a 9 D 0 , before me, CJ iAE KIM , N oTA1'�`°j �� 3U Cr
Date Name and Title of Officer (e.g.. `Jane Doe. Notary Public')
personally appeared cON� { IC RA &I
5
i i
t Description of Attachelocum nt
Title or Type of Document: Y'VV� it
Document Date: .5 6 —
6
Signer's Name:
_ Individual
Corporate Officer — Title(s):
p _ Partner —1. Limited 1 General
S ` Attorney in Fact
= Trustee
- Guardian or Conservator
Other:
h
Signer Is Representing:
h
t• , c,�..=c, , c=cx- vc.cx =<x -c = "cx:.cx:.<x t, c _Ax:/,•c , ,, , =c.0 c‹,,c4,,,cc .r-c, , r cry, • c =<,'C VL4c. x.%c,Cc mac e.(,,C(,Cc rc.
1997 National Notary Association • 9350 De Soto Ave. P.O. Box 2402 • Chatsworth. CA 91313 -2402 Prod. No 5907 Reorder: Call Toll -Free 1- 800 - 876 -6827
Place Notary Seal Above
Signer(s) Other Than Named Above:
Capacity(ies) Ciaimed by Signer
SS.
Name(s) of Signer(s)
personally known to me
proved to me on the basis of satisfactory
evidence
to be the person(0 whose name(0 Q /afe—
subscribed to the within instrument and
acknowledged to me that /sloe /tUey executed
the same in 63,heritlaeir authorized
capacity(ies), and that by hi ?her /their
signature(0 on the instrument the person(), or
the entity upon behalf of which the person(s)
acted, executed the instrument.
WIT►. S - • y hand and official
OPTIONAL
Signature of Notary Public
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
10\TCOC 1�Y rY l w.: -S)VlvveS
Number of Pages: k
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
/ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 5I (!F /u t) Job Address a ° � 9--4 SJ` Tax Folio
Legal Description Historically Designated: Yes X
No
Owner/Lessee / Tenant h) £S6L 4 SS J Master Permit # 61 �// " P
Owner's Address G O /l/ C 1 s t /4' 1 l s47676&s Phone
Contracting Co. / Ll ewV O PAL / T A c-c //QC- Address / 3 7 4-//19 ` 6 (-&/
,ff /5 i2
r� i 4�, p ‘ , 3
Qualifier . 1 i C►� .6 ft L - Phone gcti 7- es
State # . ; , 1340 0 Municipal # t' 3 D
kevYtenje eiet_Sr ■vrj 43 recce::
Competency #
Address
Address
Architect/Engineer
Bonding Company
Mortgagor Address
Ins. Co.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING /PAVING/FENCE SIGN
WORK DESCRIPTION i tzf r ie t t..c c, i A PWQ I I (S - /9-
a. p enzeprry_ac
Square Ft. Estimated Cost (value) _a & I D c -S;
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YCZ^'
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDEI"
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 \ : ork
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 wr done in compliance'th all applicable laws regulatins
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stat P
J ,J.
Signature of owner and/or Condo President Date e of Con or or Owner - Builder.__ __ Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT RADON
APPROVED:
Zoning
Mechanical
NOTARY
Notary as to Con
My Co mers o
.fc
or or Owner - Builder
reSd.-FLclai. NO) ARY SEAL
o t°7���
OF F\.� F:':• ;. 5 7,2002
Date
BOND
•
TOTAL DUE , ` >)
Plumbing Structural Engineer
(` 2. Description of improvement.
,+;.,i:I : 1y i'1
PERMIT NO _
STATE OF FLORIDA:
COUNTY OF DADE:
4. Contractor's name and address:
Notary Public
Print Notary's Name iG 43 -1 1er -
My Commission Expires: A
E13E`;1:4r ROI I WOLFF
NOTICE OF COMMENCEMENT
TAX FOLIO NO.
•
5. Surety:(payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
00R252217 2000 NAY 25 11:25
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: 2Cpc.
33
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder:
SYF\Y 1 OF FLORIDA. COUNT OF d
1 PIER OY CaRTIFV that this
's office o
7. Persons within the State of Florida designated b ,., W,TNhSS m ,f
by Section 71 3.13(1)(a)7., Florida Statutes. By — - r.t
Name and address: ,
S.gna ' Owns+
Pan wners Name C. M/ 4/44iI41 heel
Sworn to and subscribed bef me th is * day of Q.i.� K-2°U
ETHER JINA KIM
Cu., , fission * 118001
Notary Public -California
San Diego County
My Comm. Expires Apr 17, 2002
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 7 Florida Statutes.
Name and address:-.
9. Expiration date of LtIs Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date Is specified)
•
ument _ '. _ he` ived as provided
t ica‘e.bo MAie,'
Prepared by: A /74Adelii E.4104 •rL AI `
l3
// /v (]
Address: " Lt. j )L ,l 4 C.h
Date
Legal Description Historically Designated: Yes
Owner/Lessee / Tenant d ,i' �) Pfnl 5 4I'll
Owners Address 2hO A/6 f5 Gj7 Mittaxlifoxes
p - % -r ;9 c_c 1 4ddress
Contracting Co.
Qualifier SS#
State # Municipal # Competency #
Address
Architect/Engineer
Bonding Company
Mortgagor
Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN PAVIN a FENCE SIGN
WORK DESCRIPTION
Square Ft.
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
w 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.
OWNERS 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 wvrk stated.
Notary as to Owner and/or Condo President Date
MyCotnrnission Expires: Aunt_
FEES: PERMIT
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ,Zb( AJ 9 � j% Tax Folio
RADON C.C.F.
s>`� c e c✓
NOTARY BOND
Master Permit #
Phone 30Sf 75 Y `erg /
/ 3`976 L1 Li/- 64-v6'
/,vEtT O 46-eic
Phone
Ins. Co.
Estimated Cost (value) J � ' 000 'b 0
Signature of Contractor or Owner- Builder Date
Notary as to Contractor or Owner- Builder Date
My Commission Expires:
TOTAL DUE
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Structural Engineer
PERMIT NO.
ADDRESS:
MIAMI SHORES
BUILDING / ZON
VILLAGE
NG DEPARTMENT'
SECTION
BY
DATE
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subfed to compliance with eft Federal, State,
County. Village Ades and regulations. Waage assumes
no responstblttty for accuracy attar mutts front
these plans.
Z Thls copy of plans auat trs evallabte on
building site or no Inspection rdtl be coadccted.
t - 6® .go 75
At?I e,w 4 f s A X55-
JOB ADDRESS
PHONE It
APPUCAT1ON #
SHEET OF
MISCELLANEOUS
DATE
CHITIQUE SHEET
. Peck q p ke-ezi ®9‘. GA R s r viii nv
afrocte A. t- 4 gi-k Ve &
2 mil' 7 CO d e va i it ;.S f 4 tJS' q, ( ®4 c i
or Gl@( - A res � , Aci ,, C'c 0h r
es R. D corker pqritil
' for paves 4per®aA
eziC 1 7Q( iy11. Y9
L % _
COMMENTS
7T/
(71
4/
INITIALS
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
fi
r
State of California
County of ,■L) 0
On rr - A. p° 0 , before me,
Date
personally appeared
CHUNAE KIM
Ccmrnissiort # 1217776
Notary Public - Califcmia
San Diego County
My Comm Egires Apr 30, 2003
Place Notary Seal Above
Description of Attache
Title or Type of Document:
Name and Title of Officer (e.g., `
�oNr' ?QT(�t S YLS r3
Document Date: 5 - (� -- O` 0
CN UFJRG i 4 ,
?QoT `f �L SU C-
Jane Doe. Notary Public ")
Name(s) of Signer(s)
_, personally known to me
. proved to me on the basis of satisfactory
evidence
to be the person() whose name(,) ( 9/afe-
subscribed to the within instrument and
acknowledged to me tJ t Oe she/they executed
the same in ) tier /their authorized
capacity(ies), and that by her/theft
signature(e) on the instrument the person(s), or
the entity upon behalf of which the person(s)
acted, executed the instrument.
OPTIONAL
WITNES ' y hand and official s
Signature of Notary Public
Though the information below is not required by law. it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Number of Pages:
Capacity(ies) Claimed by Signer
Signer's Name:
_. Individual
Corporate Officer — Title(s):
Partner —. _ Limited IT General
Attorney in Fact
Trustee
Guardian or Conservator
Other:
Signer Is Representing:
Top of thumb here
Signer(s) Other Than Named Above: " ° r4.0_,--
RIGHT THUMBPRINT
OF SIGNER
G 1997 National Notary Association • 9350 De Soto Ave. P O. Box 2402 • Chatsworth. CA 91313 -2402 Prod. No. 5907 Reorder: Call Toll -Free 1- 800 - 876 -6827
I
L911
t I
II —A
u
14
L
114"
4 A !•
iiia
=
p
w
7 N
i
A
, 'f
L'4iI
II
I
tl
_Zo
I
ZFi'
ZI
II
ZZ
Q 5�
a N
II
Fir Iizl
I•4o I b
o.I V �I,. � .
1'.
i[ CI
..
Coe - 513K
Zoo
100
zA I relei -441
•a2
A
N
rf
- tip
,.4a1.k
WOO
(( 1 o,So
o,4 Rand lltgr\)
PP'
Der
37o ••. •
- -tOK
•
Z-1,90
-- •
250
34,0G
°) * A >I-1N- E
z9.00 A
I oho
s
N
N
Ioio,
1 0.1 o :
O •
,
7 1
•
3
N
4 PROPERTY OF:
.Uf S '.11uNr1t f' IIIE .NA ruisi:
AND rut: ORIGINAL 14LLSED SEAT. OF
R.uuIDA IJt'CNSEU .si iis'C1 tilt
ZO +Nu\urrsl
111-
Q
0
a
- -Zq .. 00 (I`1)
u
= 15
Rasmussen, John P., 260 N.E.
A BOUNDARY SURVEY
l nereov certify that the survey repre-
sented hereon meets the minimum
techmoi standards set iorth by the board
of Lune Surveyors in chanter 6101: -6
Florida .Admmtsrrauve Cone pursuant to
Sec ton 4 _QZ. Fla. Statutes. There are no
encroac'ments. overlaps. easements
appean on the Plat other than as
sho.
This property described as:
The West 1/2 'of Lot 8, and all of
Lots 9 and 10, Block 28 •
AN AMENDED -PLAT OF MIAMI SHORES
SECTION NO. 1,
according to the Plat
thereof, as recorded in
Plat Book 10, Page 70
of the Public Records of
Dade County, Florida.
LocATIoN .. K -1 F1 . _Nits • •
125 00
nu, mnlv►roI n0. Z 4 FIELD DA I••: scALF:
iA 7
95th Street, Miami Shores,
Florida 3313
L.. NNF :s..NI) (;AIt('l.. INC.
209M
til R- F :lORS- :11.AI9'ERS- 1.a'1) I'i..s'sNFR'
ERNESTO E. ESPINOSA #2946
Office address: J5'I Alcazar.srCnur. ('ural ( ;ablrs. rlurida 33134
IJIJ51 bbo - - 'm'► 1954) 52) -3bl J
DRAWN BY
z n
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address 2 60 r\/ E SS ta 3 / Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant TD /4 A 1 ri lU S S e %1/4.) Master Permit # ,) g ;
Owner's Address Z GAO Al (2 c 5 sr m r .9'YY+ I Phone O S 7 s < Z Sl ^ r/ (
Contracting Co. A -RITE INC s` � ' Address L ° `� I1 7111-'6- 3330949925
AAA RE/ /t ..-- �.� Pion/ /'
Qualifier �' *t =�' 4' 4 Phone 9r7 7 ' `(-3/
State # Ode 4 Sio 0 6 Municipal # Competency # Ins Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION -7A1) e;(25' 1 tli S T% L—L—Pc 1 is 0 AJ
Square Ft. Estimated Cost (value) , 00
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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wil 'th all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the w
Signature of owner and/or Condo President 4 Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT RADON C.C.F.NOTARY
APPROVED:
Signature of Contractor or Owner- Builder
Notary as to Contractor or Owner- Builder
My Commission Expires:
BOND . e c
TOTAL DUE , ) •�
Date
Date
SA)
Zoning % /� O/�/� Building Electrical
Mechanical Plumbing Structural Engineer
PERMIT r4O.
STATE OF FLORIDA:
COUNTY OF DADE:
/11 t;'1/4ZkC6
3. Owner(s) name and address: JD
2. Description of improvement:
8. Lender's name and address:
Print Notary's Name elf-id P. - ' :; r, et-
My Commission Expires: 1,
NOTICE OF COMMENCEMENT
TAX FOLIO NO.
1. Legal descriptio property and street address: . 0 —
IMAM
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond 3
• • r Owner
Print Owners Name ( /O /f1V )�fi-6/44k5"51.1
Sworn to and subscribed before me this .2` day of N ca 1
Notary Public
I N C C SS �U m g y � h .
,.;. lei VEV HUV f `.. 7p'r, o
/ •
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.
l
00R257133 2000 MAY 30 10 :46
/4T f �(... A- Oa) (!>�� ✓`- /�
Interest In property: _
Name and address of fee simple titleholder: ' STA -RITE INC. t
280 W. Prospect Rd.
4. Contractor's name and address: . Ft. Lauderdale Fl
.2h0 it/ 5r 10r r4-otc 964.t's FL-34/3g
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:
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienors Notice as provided In
Section 713.13(1)(b), Florida Statutes.
Name and address: —
9. Expiration date of L'ii9 Notice of Commencement: (the expiration date Is 1 year from the date of recording unless a
different date is specified)
2000
ESTHER JINA KIM
Commission # 1180058 Z
Notary Public - California
San Diego County
My Comm. Expires Apr 17, 2002
STATE OF FLORIDA, COUNTY OF DANE
I HEREBY CERTIFY that this Is a true �agy of the
mngmal bled I t Ise the on / Oa or
A ! 20
ty Courts
D.C.
Prepared by: •
6 i+ 7 SS G-L __
Address: (Iv -✓
O8/25/2O1i0 ' 11.50
30
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ST Tax Folio
Date
Legal Description
Owner/Lessee / Te ant V 4 ,J
Owner's Address _
Contracting Co.
Qualifier -''' 4` L r -
State 4 (_"fkV C- C1 8 Municipal #
WORK DE>C'RD'TION
Signature of owner and/or Condo President
Notary as to Owner aryl IOf Condo President
My Conunission Expir:s.
FPES PERM/T �' RADON
4PPRO VEp'
TO 30dc
&U of c"
8TA -RI'I" E INC.
Attrhiteci/En Oliver Address
Bonding Corapanv Address
Moilgagor Address
Permit Type (circle one); BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE !SIGN
rj IV
Square Ft Estimated Coat (value) _Z_O
WARNING TO OW'f!R: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR F.A I1.1 IN: r DO j SO MAY RESULT IN YOUR
PAYING TWICE F: tR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINAN(I r ONSIJLT WITH YOUR LE %T R
OR AN ATTURNE't BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Applic.ation is hereby r•iade to obtain a permit to do work turd installation as indicated above, and on the attached ,J,:: ,! t: I I}tp Itcabir I I der t that all work
win be terfcRrrtr�cl to m: et the standards nf all laws regulating construction in this jurisdiction [understand
i7.UM1lINC ;, SIQNS, '001,5, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVf I : I certify that all the foregoing information is accurate and that all work wal
crnrstruc tion aril instils S. Furthermore, I authorize the above -named contractor to do the w ; r led.
Elate
Date
--/). - 4)
:otwtg 2,/, .; >_!y building
G•
C, - s% Hsi fs 7-71 Phoue
Address
C.C.
ONI 31IidI d1S
MIAMI SHORES VILI.,; .' RAI;E )1/ 01
Historically Designated: Yes _._ No
Master Pcrnw #
Competency i!t
otary as to Contractor or
My Commission Expires •
OTARY
Electrical
L
3
Signature of Contractor or Ckvrrc;:,D tit; T Da!e
7 l)UE _ Si? -�
#4
23
95EZ895b56 60:IT 000Z/SZ/50
UI c ::0 :' t'tth all appltcablc laws 'egt lating
udder Dote
DONALD MACKARA
COMMISSION tr CC594962.
EXPIRE.; OCTOBER 21, 2nri
BONDED P . M ( '
ATLANTIC;
Date .--/1S7/J'D Job Address ThO N '75 57 Tax Folio
l
Legal Description Historically Designated: Yes No
Owner/Lessee I Tenant 3 4 4( ��,,,� , �
Owners Address 20O N)e 9j �✓ 09) tM 1 446 Phone 3 05/7,577. +,2 �
��rr Address -- C c 64-)
Contracting Co. ��hT � � ./�`
11716e-0 61(
Ins. Co.
Qualifier /
State # 0S
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION
Square Ft. Estimated Cost (value) — 7 I 0 0 0 . !)
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
«ill 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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all II be pliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the
Notary as to Owner and/or Condo President Date
My Commission Expires: n-t L., 30
FEES: PERMIT
APPROVED: g 5-/t9
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
RADON
Municipal # Competency #
Address
Address
C.C.F.
Address
Notary as to Contractor or Owner- Builder
My Commission Expires:
NOTARY BOND
Building Electrical
Master Permit #
TOTAL DUE
FENCE SIGN
ture of Contractor or Owner- Builder Date
Date
Mechanical Plumbing Structural Engineer
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
h �' �' �'- c�' �'- c�' �' �c<'- c<' �' �'- cY' �'- c�' �' �' �`- c�'- t�' i�'- c�'- c�'- c�' �'- c�'- c�' �' �'. c; r- c�' �' �' �'- c�' �- c , �'�'- c�'- c�'•c�'�'•c�'�' -c�'��
State of California
n
fi
A
fi
County of of kze, a
On 10A, ( . 8 1 c rO ° , before me,
Date
personally appeared �oNN
Place Notary Seal Above
CHUNAE KIM
Commission # 1217776
Notary Public - California
San Diego County
My Comm. Expires Apr 30, 2003
OPTIONAL
Name and Title of Officer (e.g.. "Jane Doe. Notary Public ")
cK ■SHnvsS;
Name(s) of Signer(s)
personally known to me
proved to me on the basis of satisfactory
evidence
to be the person(] whose name() Q/af'e --
subscribed to the within instrument and
acknowledged to met ]she /they executed
the same in I her /their Athorized
capacity(ies), and that by Is her /ttreir
signature on the instrument the person(a or
the entity upon behalf of which the person(t)
acted, executed the instrument.
WITN .ft'►' hand and official eal.
Signature of Notary Public
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
P Description of Attached Document
p Title or Type of Document:
PA Document Date: Number of Pages:
Signer(s) Other Than Named Above:
C a acit ies Claimed by Signer
Y(� ) Y ner 9
fi Signer's Name:
8 Individual
Corporate Officer — Title(s):
• Partner — =. Limited = General
I'S Attorney in Fact
r Trustee
P Guardian or Conservator
fi _ Other:
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Too of thumb here
0
is
S
is
is
S
3
is
is
is
S
'5
'5
is
S
;r
S
is
S
3
is
is
;r
� i
C=, 1997 National Notary Association • 9350 De Soto Ave. PO. Box 2402 • Chatsworth. CA 91313 -2402 Prod. No. 5907 Reorder. Call Toll -Free 1- 800 - 876 -6827
• J441,k
Ii r
, 4 0 I '
o Gl..
oZo
This property described as:
c:N - The West 1/2 of Lot 8, and all of
Lots 9 and 10, Block 28 .
AN AMENDED -PLAT OF MIAMI SHORES
SECTION NO. 1,
according to the Plat
A thereof, as recorded in
Plat Book 10, Page 70
of the Public Records of
Dade County, Florida.
%or \.SLID nrl HIM I IIILSI( ;;9A rilKE
a.1D'r11E IIKII:LIA1. R.ILSED E.U. S o
11.0111DA IJCL'4 D. Iii VEN on
PhD .IArrtl
A
PROPERTY OF: Rasmussen, John
•
11
= I�
40 1
LOCATi -! �K�I G� Hrs
• - -Zggo (1-1
•
125 oo
260 N.E. 95th Street, Miami Shores,
A BOUNDARY SI:RVEY
I nereor certify that the survey repre-
sented :lereon meets the minimum
technical standards set forth by the Board
of Land Surveyors in chapter 61C17 -6
Florida Administrative Cooe pursuant to
Seaton a. _or. Fla. Statutes. There are no
encroac'ments. overlaps. easements
appean on the Plat other than as
sho hereto.
AIH.Mveyps Ir 6M•rpra w ?f • Fl F:LD l).-V11... SCALE
1 ,2gc_r -577) e,i3ior Z I I _G -00 I Ill = 7n
I DR.A■1■ BY
'7A
Florida 3313
NES :1.541) (::1UCLA. INC.
211911
til :l -1 1•:1 ORN-NIAPPERN-I.AND FRS
ERNESTO E. ESPINOSA #2946
OIfh r address: JS'► Akaur .leruuc. ('oral l:ables, r'luritla 33 13.
IJQSf 6(,a - 91r► 0541 SJ -9enJ
II
0 : I i ::
n
�
h...■ft.
14411
an
50
7
,
u
ti
/
II
5L
a N
11
2F,
o'J
t 7
_ 20
_ Z.I
_ ZZ :
• J441,k
Ii r
, 4 0 I '
o Gl..
oZo
This property described as:
c:N - The West 1/2 of Lot 8, and all of
Lots 9 and 10, Block 28 .
AN AMENDED -PLAT OF MIAMI SHORES
SECTION NO. 1,
according to the Plat
A thereof, as recorded in
Plat Book 10, Page 70
of the Public Records of
Dade County, Florida.
%or \.SLID nrl HIM I IIILSI( ;;9A rilKE
a.1D'r11E IIKII:LIA1. R.ILSED E.U. S o
11.0111DA IJCL'4 D. Iii VEN on
PhD .IArrtl
A
PROPERTY OF: Rasmussen, John
•
11
= I�
40 1
LOCATi -! �K�I G� Hrs
• - -Zggo (1-1
•
125 oo
260 N.E. 95th Street, Miami Shores,
A BOUNDARY SI:RVEY
I nereor certify that the survey repre-
sented :lereon meets the minimum
technical standards set forth by the Board
of Land Surveyors in chapter 61C17 -6
Florida Administrative Cooe pursuant to
Seaton a. _or. Fla. Statutes. There are no
encroac'ments. overlaps. easements
appean on the Plat other than as
sho hereto.
AIH.Mveyps Ir 6M•rpra w ?f • Fl F:LD l).-V11... SCALE
1 ,2gc_r -577) e,i3ior Z I I _G -00 I Ill = 7n
I DR.A■1■ BY
'7A
Florida 3313
NES :1.541) (::1UCLA. INC.
211911
til :l -1 1•:1 ORN-NIAPPERN-I.AND FRS
ERNESTO E. ESPINOSA #2946
OIfh r address: JS'► Akaur .leruuc. ('oral l:ables, r'luritla 33 13.
IJQSf 6(,a - 91r► 0541 SJ -9enJ