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457 NE 95 St (6)RMIT APPLICATION FOR MIAMI SHORES VILLAGE ►b Address 457 NE 95th St. Tax Folio // J 2 l /`f 6'3 iv o , f °d'02/ 02 5'3 `7yI.4 i �-- snant Mrs. Helen Quinton 457 NE 95th St. Master Permit # Phone 893 -2388 ?ral Caulking & Coatings Co., Inc. Address 20444 NE 15th Ct. NMB, FL. 33179 Qualifier Horace S. Andrews, Jr. ss# Phone 652 - 1020 State # RX 0045107 Municipal #00 Competency # 000001374Ins.Co.American States Architect /Engineer N/A Address Bonding Company N/A Address Mortgagor N/A Address Permit Type(circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Repaint exterior walls of house. 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 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 cons ruction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. and /prII� .. j' j . MP jent fARY PUBLIC STATE OF FLORIDA C:OM :: 5;CoN NO. CCI00%3 MY COMMISSION EXP. FEB. 10 Signa Date' y ** * APPROVED: sion Expires: 3,000 /sf Estimated Cost(value) $5,000.00 * * Condo President FEES: PERMIT j 'l,S:77 RADON C.C.F. 'SO NOTARY TOTAL DUE y 0'ff Mechanical Signature o Date: Nota My Owner- Builder ,c or Ownes=13 r ed? i'1CI. LYvOIA YSE I'ATR!CK SM LTA tIlim NOTARY PUBLIC STATE OF FLORIDA COMMI.SIWN NO. CC1kO563 * MY CC t/MISSI01+k ,P. FE* 10,199E #* Other Electrical Engineering PERMIT # State of Florida County of Dade 3. Owner information: a. Name and. Address: Tax Folio Jao6 ' NOTICE OF COMMENCEMENT THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the property, and street address if available) Xe 4 �" /°do��o��' 41,k . 92R;354107 1992 SEF' 23 11:55 2. General description of improvement: f "` Fo WPL''S tl r � b. Interest in property: 6 c. Name and address of fee simple titleholder(if other than owner): 4. Contractor: (name and address) 6ENek461) (AroodyY4 6 3 C © : O I 5. Surety: � 9 = G o a. Name and Address N r o 9 G 1 n b Amount of bond$ < W is is �- L �) A 4 o a 6. Lender: (name and address) /" tl F 9 f - ▪ a O u. > m _ H V 7. Persons with the State of Florida designated by Owner upon . whom r%oicgs q,t other documents may be served as ded by Section 713.13(10(00) for da Statutes: (name and address) 3. In addition to himself, Owner designates a of to receive a copy of the Lienor's Notice a provided in Section 713.13(1)(b), Florida Statutes. 7. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) q 2E9vop 0'(` 11111446L (121 Co (� Cam: ; Signature of Owner Al Sworn to and subscribed before me this 43 day of SONS. MA LUCIA C. A E + MY COMMISSION EXPIRES 3 '%,°,u'' `` BONDED 'MU NOTARY PUBLIC RIT®tl m m i s s i o n Expires: , 1991-