ROOFING PERMITSNOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO. 11 3206 014 2130 7
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: Lot 12 & W 1/2 o f Lot 13, Block 68, o f MIAMI
SHORES SECTION 3, PB 10/37, Public Records of Dade County, Florida
731 N.E. 95th Street, Miami Shores, Florida 33138
2. Description of improvement: Roof repair
3. Owner(s) name and address: William F .
ShnrPs, F1 nri riA 1111
Interest in property: fee simp
Name and address of fee simple titleholder: sa e
4. Contractor's name and address: Grefs Construction ST F T A99 ui Corp., 1 305
Avenue, Opa— locka, Florida 33016 CCUNTY OF DADS
I HEREBY CERTIFY that thus is a true 2Y d
tne
5. Surety:(Payment bond required by owner from contractor, if any) original fil 'n this offi n.7 -- "�j
A. D.
and ono uftkiat S.ei.
Name and address: None
Amount of bond $ None
6. Lender's name and address:
None
WITNESS n
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: None
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided
tion 713.13(1)(b), Florida Statutes.
Name and address: None
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) 1 year from date hereof
Signature of Owner
Sworn to and subscribed before me this day of April , 19 9 2 .
A1
Notary Public
Fann, Jr., 731 N.E. 95th Street
JE T E. SPINNEY'10 -17 -
My Commissions res:
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92R 140040 1992 APR 15 13:33
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33 5¢"
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date b / 5 2 Job Address ' LmE q 5 si
Legal Description ��-¢� f..J e -mg S Master Permit # Pf9(
Owner / Lessee / Tenant (i(fl I 1 I Q_(1/1 FCA_Mq
Owner's Address - 73 ) NE 9 5 54. Phone 151-/- 5'f2
r
Contracting Co. (rife& 1 OOf l
rU Address I305o Ap-o 30-A -L .
Qualifier { ,A,rmi d__e p,n40 ,. ssit Phone b8/
State & i?0,Q0 7071 Competency#
Archltect /Engineer
Bonding Company
Mortgagor
Permit Type (circle
pa A/ 1 5 ti S C y ke Cra (k_N{w d a.
WORK DESCRIPTION / 3n D
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 construction and zoning.
Furthermore, I authorize the above -named contractor to do the work stated.
Signature
Date:
of Owll�er nd /or Condo P sident
- N•Q/hd/
Notary a to Owner anc1i( R oc es
P i
My Commission Expires . MY COMMISSION EXPIRES: :Aug.
* * * TR NOTARY P4WLIC UNDER UTERg
82-3122 e
W(
j
Address
Address
Address
PERMIT FEE: APPROVED: Fire
Zoning Buildings 4)/9?1,
Mechanical Plumbing
Tax Folio /f 3406 II/ o/36"
Ins. Co.
ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
Estimated Cost
Signature of Contractor or Owner - Builder
Date:
Y. Lt t-410 4..J4d
Notary as to Contract�r pr Ow er- Builder
NOTARY PUBLIC, STATE OF FLORIDA.
My Commission ExpireMY COMMISSION EXPIRES: Aug. 13, ]]��994
* * * BOeDED THRU I*'PARY PUB UNDERWR�FEI .
Other
Electrical
Engineering
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
Owner's Name and Address ^31 _
Registered Architect and /or Engineer i''...„)
Name and address of licensed contractor_at
r•
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done 4
State work to be done and purpose of building (by floors)
New Building .1.— Remodeling Addition
To be constructed of Kind of foundation
Estimated Total cost of improvements $ S ) 1,. $
Zone cubage required____.. _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the lans and specifications for said building. All notices with reference to the building and its construction may
q
be sent t o `t L 1� L� a,, r _e 1
The undersigned applicant f r thisrbuilding 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 sub - contractors employed by him
in the work to be perfonned 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 perform d under this
permit, as are licensed by Miami Shores Village. r
Remarks (Signed)A,„,!. ' ` 1 = yfy G9 f, _ , </ r . � •
STATE OF FLORIDA,
COUNTY OF DADE. j Ss.
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, 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.
Permit No 1 ? �,e+ Date l__5. " w ' __ Read, Sworn to and Subscribed before me.
Disapproved Date
( Signed)
•
APPLICATION FOR BUILDING PERMIT
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date / /f °l c d 1 �� r , 19
No. - - - 62_- -1 --E Street L- -- 1- - - - -�� -- -- - ---
Subdivision
f
and for no other purpose.
Repairs No. of
Roof Covering
A mount of Permit
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved ____Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.