295 NE 94 St (4)Date
i 00414 4 1:11.4' Jr 444 VA 1 1 VA I V A MY A AU 1 r.011.1 J. 1'i 00
1-1 Job Address <-?9 S /V E 9 / S %.
Legal Description /2 __3
7 t(o i , '
Owner / Lessee / Tenant 'r/k/ � —4/ 7'- e
Owner's Address ` 1.S Al C C / / .S
Oontracting Co. //LA. E" i -
qualifier sae 5 e., � �� - - 1 rPhone 9 �L --U 3 a U
State #1 T dc0D q icipai. # Competency It Ins.Co.
architect /Engineer IA & Address _
Bonding Company
Mortgagor t
?ermit Type(circle one): BUILDING E�CTRICA UMBING MECHANICAL ROOFING PAVING FENCE SIGN
" 40RK DESCRIPTION ` s°
Square Pt. _ Estimated Cost(value)
iARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
30 MAY RESULT IN YOUR PAYING TWICE FOR IMPROVNTS TO YOUR PROPERTY (IF YOU INTEND
"O OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
)I OTICE OF' COMMENCEMENT).
application is hereby made to obtain a permit to do work and installation as indicated above, and
,n 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
'emits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
3WNER'S APPIDAYIT: I certify that all the foregoing informati
›e done in compliance with all applicable laws regulating cons
authori - the above -named contractor to do the work stated
iigna
)ate:
, j
ure of owner and /or Condo President
' \ A,C E '8. ��'e
NOT ArY i . "F w C
1ACCUril •
itary as Ito • •' r and/or 00 U frts"i iba `
'1y Commission Expires: My Ccr:m s ;cf E a . . , . .r; . 1
** * * * * * *
(OWNER TO RETAIN COPY)
?EIS: PERMIT e ` 0 RADON C.C.P. r
.PPROVED:
Address
VC LAuIB 4VVA =Z
(rYlt r 1 Si -DES
Tax Polio /l - 3,�6j� - 1 /3 34 7
Master Permit it 39v D�
Phone /S /- / U s
Address 3
Address
— .s
s ccurate "nd i hat all work will
Furthermore, I
t
Signature of Contractor or Owner Builder
Date:
Notary as to Con -; 'br 0470 h BLLI',Ldit*
Co=.ission Expired* Cemmtss :o Ex ;:e: Jui,y 20, 1994
* * * * * * * **
NOTARY TOTAL DUE ,lee
Fire Other
j" 17 4
ZZoning Building Blectrica}, X .� Y )
Mechanical Plumbing Engineering
r.(4-(e(
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. C ���,� �� /�' / / J ) � ,� �— /
Owner's Name and Address. /..�'he �f'$1'/. / 4C C.0 d.Z `®`YQo�? / -r. - - /. 4. ;et S7/ -C
Registered Architect and /or Engineer !' / /
Employing Electrician's Name. 7 4dA �C�,4/ , , -- _lly�p,_...f. / C 2 7
/.
Location and Legal Description Lot y Block g 5 Subdivision
Street and Number where work is to be performed —No �5? -5 -- � PY 'at et/
State work to be performed and purpose of building (By Floors) ....
New Building Remodeling Addition.
®444 f eO S°ole
Overhead
Service
Underground Size Feeder -
s.... /..... C trdui � a )>r1 y
cif /4/
Type If Installation — Conduit. .. ... . ... ..,/.�'
ubiug... B.X.L ..
iin"ount of Permit $
3
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
Repairs....,/`.. No. of Stories
s
.Metal odlding.
�
(Signed) .... €... :..,
(Signed)
Date
/ &6 /O
.Main Fuses Amps
Electrical
The undersigned applicant for this building permit does hereby cel tify that he understands and accepts his oblig ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice o n. ices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, work t. . =. performed under this perm :s are
licensed by Miami Shores Village.
Inspector.
Master rician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn. upon oath deposes and says that he is the .............. .
of the above described construction, a..d he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE`P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H! : 'T.
CONN.
SPACE
HEI.;ER
STRIP
H EATER
TOTAL
CONTR
LIST
CHECK
ENT.
SW.
DIST.
CAB.
=ERV•CE
Tia•P.
SERViC.F
PERM.
M OTORS;
0.1 HP
MOTORS
1.5 HP
N e'N
TRANS.
RADIO
TOTAL
CON : R.
LIST
CHECK
r.(4-(e(
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. C ���,� �� /�' / / J ) � ,� �— /
Owner's Name and Address. /..�'he �f'$1'/. / 4C C.0 d.Z `®`YQo�? / -r. - - /. 4. ;et S7/ -C
Registered Architect and /or Engineer !' / /
Employing Electrician's Name. 7 4dA �C�,4/ , , -- _lly�p,_...f. / C 2 7
/.
Location and Legal Description Lot y Block g 5 Subdivision
Street and Number where work is to be performed —No �5? -5 -- � PY 'at et/
State work to be performed and purpose of building (By Floors) ....
New Building Remodeling Addition.
®444 f eO S°ole
Overhead
Service
Underground Size Feeder -
s.... /..... C trdui � a )>r1 y
cif /4/
Type If Installation — Conduit. .. ... . ... ..,/.�'
ubiug... B.X.L ..
iin"ount of Permit $
3
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
Repairs....,/`.. No. of Stories
s
.Metal odlding.
�
(Signed) .... €... :..,
(Signed)
Date
/ &6 /O
.Main Fuses Amps
Electrical
The undersigned applicant for this building permit does hereby cel tify that he understands and accepts his oblig ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice o n. ices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, work t. . =. performed under this perm :s are
licensed by Miami Shores Village.
Inspector.
Master rician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn. upon oath deposes and says that he is the .............. .
of the above described construction, a..d he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
Owner of
Building "' - * o
Architect
Contractor j
or Builder �`�` `•
Address of "
Building '
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Date 147
PERMIT N° 8461
Work to be performed under this Permit '
Legal Lot 11
Description I 1 Bl.
r
Contractor's
License No.
r >.
Subdi-
vision
Sq Ft r
Value of I I Amount of.
Project $ 11 Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal. authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on, the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
t� r ,
Signed • (' ''(INSPECTOR) BY
In consideration of the issuance to me of this permit I agree 4o perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, /statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done 'by either, myself, my agent, servant or employee.
'r te '
BY AUTHORITY
".f.
BUILDING
ELECTRICAL g
PLUMBING
ROOFING - 0
Owner of
Building
Architect
Contractor a
or Builder
Legal Lot
Description
)L1
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Work to be performed under this Permit
it- I
N? 3800
Bl.
t; A
DATE 19 '
Contractor's S
License No. 4. ,=
Subdi-
vision
p
% ,..
Address of 40'''' A J. - 4 ' Value of 1 Amount of '''_:7 ----
Building e..., .';
...) ' il . .? Project $ ll Permit $ c.--....--
This permit is granted to the contractor or builder named above to cons ruct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for,a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether' shown on he plans or drawings„or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. , ,1 • . ' - 4.-
. .-."
,_. of ,
„ . \ se', ..,
. ,
Signed. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder 0 with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac
cepting this permit I assume responsibility for all work done by bither, myself, my agent, servant or employee.
I .. 1
..,
1
2....4;
BY AUTHORITY
ABBOT PRINT
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building .
PERMIT N? 5843
Work to be performed under this Permit
Architect
Contractor
or Builder ,°
Bl. Subdi- ,
Legal Lot . """.. J . x ; :
Description - vis ion - ,r
Address o f Value of
Building Y" ) /�� �� ;r
„� S` Project
This permit is granted to the contr tor or builder named above to construct the building or to install the equipment or devise described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. ./- . - `' • ; 't
Signed. / . t' ,, ,. ; . - �. , x By
INSPECTO
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee:
CONTRACTOR -OR BUILDER BY
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No.
Amt. of
Permit �`�
AUTHORITY
194
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE. FLORIDA
DATF a ' 195
❑ PERMIT N° _ 3500 Contractor's
License No.
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
-4ONTRACTOR OR BUILDER
4.
Bl.
Subdi-
vision
Value of
Project $
I Amount of
Permit $ -
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. /,;'
r
Signed. /' 7 ,‘,/ .4' r y BY / ,
INSPECTOR
' consideration of the issuance to me of this permit I agree to perform the work covered hereunder incompliance with all ordinances and gulations
1 \ thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
1permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY a
UILDING
LECTRICAL
LUMBING
rchitect
ontractor. `
r Builder
egal
iescription
Lot
MIAMI SHORES VILLAGE, FLORIDA
ERMIT N° 5653
DATE
_194_
Contractor's t
License No
Work to be perform under this Permit
of ,
wilding
Bl.
Subdi-
vision
ddress of "° -* Value of Amt. of
Project
uilding Permit
This permit is granted to the contractor or builder named above to construct the building or to Mall the equipment or device described in the appli-
ition herefor in strict compliance with all ordinances pertaining thereto and with the understanding that work will be performed in compliance with any
tans drawings, statements or specifications that may have been submitted to and approved by the pro r municipal authorities. This Permit may be revoked
_ any time if the,work is not done in compliance with such ordinances or if the plans are4anged
it authorization. A further condition upon which this
ermit is granted is the understanding that the contractor or builder named above assumes ilitx,,,frigir knowledge of the ordin't' es and
lgulations pertaining to the work covered hereby whether shown on the plans or dr e erne r , specifications and thattlie assn 07 respon-
bility for work done by his agents, servants or employees. =^ ,
By
Signed•
In consideration of the issuance to me of this permit I agree to perform the work covered ,Hereunder in compliance with all ordinances and regulations
ertaining thereto and in' strict conformity with the plans, drawing,, -- statements or specification submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
A> x £ s
CONTRACTOR OR BUILDER
BY
AUTHORITY
•
Permit No
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL
PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte for the uilding or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. /
Owner's Name and Address l C--
Registered Architect and /or Engineer
Employing Electrician's Name 4 V 1 A k
Amount of Permit $
ELECTRICAL INSPECTION DEPARTMENT
No
No
g Block
Location and Legal Description Lot Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
h�/
C 4n 6 Street. A' $ 7
/
Date
< Street
Street - /e" "/
Electri i
STATE OF FLORIDA, l
COUNTY OF DADE. 1 8'.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship. R
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T•S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
C 0 l 'NJ
p 8 p4,4,
/
TOTAL
CONTR.
LIST
CHECK
ENT.
Sw.
DIST.
CA 1/
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1•3 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
(
✓l�o� ,
.1
'
//\-4
_
�� �
CHECK
s
/
Permit No
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL
PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte for the uilding or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. /
Owner's Name and Address l C--
Registered Architect and /or Engineer
Employing Electrician's Name 4 V 1 A k
Amount of Permit $
ELECTRICAL INSPECTION DEPARTMENT
No
No
g Block
Location and Legal Description Lot Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
h�/
C 4n 6 Street. A' $ 7
/
Date
< Street
Street - /e" "/
Electri i
STATE OF FLORIDA, l
COUNTY OF DADE. 1 8'.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship. R
J
Permit No
Owner's Name and Address
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. es.
Registered Architect and /or Eng ugg�
Employing Electrician's Name __
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL a PERMIT �j
3 Date " / � / q /I ,
Street and Number where work is to be performed— No._ 9
State work to be performed and purpose of building (By Floors) ______
New Building Ji_ Remodeling
My Commission Expires
MIAMI SHORES VILLAGE
.e _ S-6,5-,A.e4 Q_ 33 . e__ .
Location and Legal Description'Lotb_A es- Block
Addition .._______________________ Repairs
(Signed)
(Signed
Street
a
Notary Public. State of Florida
No. 73 Street___
h
2
Street -41
No. of Stories 1
Service -_f _
Overhead Size Feeders J Conduit" Main Sw _ / Amps. ( Main
Underground — -- p
Type of Installation— Conduit Tubing _ B.X.L. Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. _
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
■
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
ca.
� �
/
� 1 � T
��
/
/
CHECK
ENT.
SW.
DIST.
CA
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O HP
MOTORS
.,, --5 HP
NEON
TRANS.
RADIO
TOTAL
LIST
C .
4,4
CHECK
J
Permit No
Owner's Name and Address
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. es.
Registered Architect and /or Eng ugg�
Employing Electrician's Name __
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL a PERMIT �j
3 Date " / � / q /I ,
Street and Number where work is to be performed— No._ 9
State work to be performed and purpose of building (By Floors) ______
New Building Ji_ Remodeling
My Commission Expires
MIAMI SHORES VILLAGE
.e _ S-6,5-,A.e4 Q_ 33 . e__ .
Location and Legal Description'Lotb_A es- Block
Addition .._______________________ Repairs
(Signed)
(Signed
Street
a
Notary Public. State of Florida
No. 73 Street___
h
2
Street -41
No. of Stories 1
Service -_f _
Overhead Size Feeders J Conduit" Main Sw _ / Amps. ( Main
Underground — -- p
Type of Installation— Conduit Tubing _ B.X.L. Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. _
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
■
Permit No > 2 3
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ' f H J/ No.__ 4 __ S treet _ _% k
/
f 6. Registered Architect and /or Engineer 1 �L __4, ---1:.--41-
h )
Employing Electrician's Name I F �' l = ` Jam
N 'r- e Oe' - No 4__ _rS_ Street_= a_ / �_ __ ' '‘-:
Location and Legal Description Lot , -- -- t !_ / - .. Block , >>= ._f =__._ Subdivision___
Street and Number where work is to be performed —No Ah 0 . 0- 0 ,-- _h- 4A L'�- - -- -
...'ti ? / ✓e
- -- ------ - - - - --- Street •--
Repairs
State work to be performed and purpose of building (By Floors)
New Building Remodeling
• �; r ,
Date__.__ C ...___.__S:' _
. v
0 ;le r
Addition.
No. of Stories
Service Over md _Size Feeders_____ ! < Conduit___ Main Sw - _i'___ Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_
ss.
My Commission Expires
(Signed)
Main
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this ,permit are
licensed by Miami Shores Village.
(Signed)
Master lectrican.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _____�____�_�__ —
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Fuses_
Electrical Inspector.
Amps.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No > 2 3
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ' f H J/ No.__ 4 __ S treet _ _% k
/
f 6. Registered Architect and /or Engineer 1 �L __4, ---1:.--41-
h )
Employing Electrician's Name I F �' l = ` Jam
N 'r- e Oe' - No 4__ _rS_ Street_= a_ / �_ __ ' '‘-:
Location and Legal Description Lot , -- -- t !_ / - .. Block , >>= ._f =__._ Subdivision___
Street and Number where work is to be performed —No Ah 0 . 0- 0 ,-- _h- 4A L'�- - -- -
...'ti ? / ✓e
- -- ------ - - - - --- Street •--
Repairs
State work to be performed and purpose of building (By Floors)
New Building Remodeling
• �; r ,
Date__.__ C ...___.__S:' _
. v
0 ;le r
Addition.
No. of Stories
Service Over md _Size Feeders_____ ! < Conduit___ Main Sw - _i'___ Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_
ss.
My Commission Expires
(Signed)
Main
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this ,permit are
licensed by Miami Shores Village.
(Signed)
Master lectrican.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _____�____�_�__ —
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Fuses_
Electrical Inspector.
Amps.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
qr Builder
Legal
Description
CONTRACTOR OR BUILDER
I.ot.1 ,2 4 Z 3
MIAMI SHORES VILLAGE, FLORIDA
DATE ?
PERMIT N° 5
Work to be performed under this
623
Contractor's
License No.
Permit K 1 QdCo
Subdi-
vision
Project
BY
17 614A/64-
Value of Amt. off / Q V
Permi
Signed. Go • W, fl y. ; By ✓i
ECT R
397
AUTHORITY
Address of G
Building D 33 0 _
This permit is granted to the co i tractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications d that he assumes respon-
sibility for work done by his agents, servants or employees. /�� ♦..i
In consideration of the issuance to me of this permit I agree to perform the work covered ereunder in compliance with„a,prdinances and
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authdfints of Miami ShdreMilifagd.
In accepting this permit I assume jesponsibility for all work done by either myself, my agent, servant or employee.
Date � t;
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub f itted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
Permit No
Owner's Name and Address
Registered Architect and /or Engin �����.�„
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No °�C S reet �
State work to be performed and purpose of building (By Floors) QT e-e -2 3?f2. Lc' S — �� �
New Building Remodeling U"
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DARE
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
No
(Signed)
(Signed)
No cS Y Street
Additiun Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performe. under this permit, as are
licensed by Miami Shores Village.
v
Street /Y
W, 6
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
ap peared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE''
FIXTURES
-. LAMPS
S w
REFRI0.
OUTLET
�'A
IRON
OUTLET
C �
RANGE
UTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
sect
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
(
_ r
U ..-
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
CHECK
Date � t;
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub f itted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
Permit No
Owner's Name and Address
Registered Architect and /or Engin �����.�„
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No °�C S reet �
State work to be performed and purpose of building (By Floors) QT e-e -2 3?f2. Lc' S — �� �
New Building Remodeling U"
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DARE
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
No
(Signed)
(Signed)
No cS Y Street
Additiun Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performe. under this permit, as are
licensed by Miami Shores Village.
v
Street /Y
W, 6
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
ap peared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. (� Q _
Owner's Name and Address... C.— C C' A, ` O No o3...�! Street- . /V,A - -�[
Registered Architect and /or Engineer /� L
Employing Electrician's Name I. 0 4 4 A!F>_CD No••- 5- ts• Street./V W 5
Location and Legal Description Lot Block Subdivision
Street.... ki . / 1C
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead
Size Feeders Conduit Main Sw Amps lvfain Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed).
Date.
—
Amount of Permit $ .- ( Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he u rstands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub' contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Mas_/ Electrician.
STATE OF FLORIDA, l
l j ss.
COUNTY OP DADE:
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
My Commission Expires
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1
/ `
CHECK
i
i
t' 6
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. (� Q _
Owner's Name and Address... C.— C C' A, ` O No o3...�! Street- . /V,A - -�[
Registered Architect and /or Engineer /� L
Employing Electrician's Name I. 0 4 4 A!F>_CD No••- 5- ts• Street./V W 5
Location and Legal Description Lot Block Subdivision
Street.... ki . / 1C
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead
Size Feeders Conduit Main Sw Amps lvfain Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed).
Date.
—
Amount of Permit $ .- ( Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he u rstands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub' contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Mas_/ Electrician.
STATE OF FLORIDA, l
l j ss.
COUNTY OP DADE:
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
My Commission Expires
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Date 'b 3 Job Address dq 0 1 sixi Tax Folio
Legal Description
Owner's Address
Lessee / Tenant
Contracting Co%sub �! L_ Address ingeo `_ L . eftALA
SS# Phone i T `‘SAIM
State /P=15.11,U5 Municipal ttezkAIIZalpmpetency .Go.
Qualifier
Architect /Engineer
Bonding Company
Mortgagor
Permit Type(circle
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
NY Pk
)(1 P.
one): BUILDING
WORK DESCRIPTION
e‘SON;4A2& Nc WYPP ,.. M e o
Square Ft. Estimated Cost(value) 3 1 :s O Q .
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: that all the
p
be done in comael?!}erirf(°tall applicable
authorize the ge�. 4tii -
t - tor ' d
a � : �� �e
�tTt>t �
r
dr
Ow
Notary as to i e O 416
My Commission Exp�f>ts�`s.::
** * *
FEES: PERMIT
APPROVED:
*
H1
otary public, State of I
My Corornissio:i ex pires April
Commission #Vo. CC 2*4
Zoning
RADON
Mechanical
5► =� \3o A 0.53. I,i
foregoing information is accurate and that all work will
laws regulating constrsoii .and zoning. Furthermore, I
he wo rlr�tatedd «0�A;��a; . •,0,
I �� actor:or Owner- Builder
0/■
Notar : °..rp, Ft IC
� E IVI'.e11(a`'a11V�
GINS My commti' i
lorida � Qj " +raase� otary , Public, State 01 Florida
My Conirnission Expires April 6, 199?
* * * * Corr fission NAo. CC 274 **
6, 1997
598 *
Address
Address
Master Permit #
Phone
Address
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Inc (
C.C.F. NOTARY TOTAL DUE ,C
Fire Other
Building Electrical ij t ! 49
Plumbing Engineering
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
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 Co
1. Legal description of property and street address:
2. Description of improvement:
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address:
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: h/ A►
Amount of bond $
6. Lender's name and address: 11 A
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 Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Signature of Owner
Print Owners Name
Sworn to and subscribe bafore i rne> i
Notary Publi
l iK � , C \1 ubrcti.A. 33\1
C`) a Ih s
4 K .'F.. °A
INC/ A
y r s ��a�'c I�
1
Print Notary's Name c `t>c'; �,�"111�1 +'1'� t ojg, '4t I p, , ; .!;-
My Commission Expires: m c
!T"t V S
3 clay of f ligUS. , 19
(S OF FLORID!, COUNTY OF DADE
') rif. cnrif Shot this it o avo of the
o NIfile.J Ehls cftfco 0
ABU. 19
and ... ffitiol
11 �� 1f1 of Circuf►andCo7nfyCourts
dar or
5r4-RC-4. 1 '765cf 1994 Alf s 29
;;r.l 6, .3_)7
Prepared by. .\
Address: ((MOO yF alt. c
15;53
123.01 -52 2/93