501 NE 94 St (11)° E ° 94 -cr Tax Folio ! /" 25 °A 0c ' 0 �4 09 o
III IIrrm-t(" ) 'C ozdoe5 .8 mtg 9
s& s C77®A //z
Oo S7 :64 ,4f/ Master Permit # ;
4 9“:5 f y 7,f `, Phone 5 4/3 A
U 49//k/r/A. Address P)70 A • a 7 reisT
a.2 SS4ro, Phone 4 4 ge3 4i
Competency # (C Oair6Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one)' BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ; � ,�� SS i C OL A( 44-12/) a' j / ®� ��T
Square Ft. / o Estimated Cost(value)// ®O
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 of o
Date: ()
s
Notary a 1 e and or Co
My Commi ion Expires:
** *
APPROVED:
* * 7*
CATION FOR MIAMI SHORES VILLAGE
sident
* * * * * * * * * * * * *
FEES: PERMIT ` 7' RADON C.C.F. NOTARY
Fire
Zoning Building
Mechanical Plumbing
Signature of Contractor or Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
TOTAL DUE Pe4f P 70
Other
11 / Electrical
Engineering
Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address SD/ i • c° 4
7° Tax Folio / / -3? c' 0/4 eo ��
Legal Description ,6, &T !/ 13 / &ace .5 3C `✓ ii 0,A 2_
/147 ® 7S 7 (6t A/
Owner / Lessee / Tenant
Owner's Address 50 ! ,V' C ° 4 ? Phone 5gf '(3
Contracting Co. C7 VLi Address /?7o Wee' 2 77257-
r �E 6/ 0 �f� An SSI� ® - 6 7 r 3 1
Qualifie � ����
State # Municipal # Competency #( el ns.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one)' UILDING ELECTRICAL P UMBING MECHANICAL ROOFING PAVING FENCE GN
WORK DESCRIPTION / T/9 S sC)/eE � � � �� � � / /9 0 � �� j �/ ,
Square Ft.
** *
Estimated Cost(value)
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 informat
be done i. coupliance with all applicable laws regulating con
author ab•re -named contractor to do the work stated.
No °-ary as to Owner and /or C sident
My Commissior. Expires:
NOT'A C ATE OF FLORIDA
MY COMMISSION EXP. NOV. 30994
BONDED THRU GENERAL INS. UND.
* * * * * *
FEES: PERMIT RADON C.C.F.
ary as to Contrac
y CommissgYtl'ATi/
MY COMlISSION EXP. NO V.
BONDED THRU GENERAL INS. UND.
* * * * * * *
NOTARY TOTAL DUE
APPROVED: Fire Other
Zoning Building Electrical
Mechanical Plumbing_ Engineering
Master Permit #
i
Odd —
work will
rmore, I
* **
PERMIT NO. TAX FOLIO NO. / / — 3 WO C- /4
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 otice of Commence -nt.
1. Legal description of pro
‘.2t5T10 .t.1
2. Description of improvement: � g,SSU,° tE C° L E/9N X /er
3. Owner(s) name and ddr ss: / A64 Q° s Tele ZSZ /9 " /S -0/ .721147—
/1 t(rIM 4 D /€& --- s 3 - 3 131
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and ad ress:
/ .6d.
NOTICE OF COMMENCEMENT
rty and stre• address: L d
( AJ 7 - / A7 �-
.5 A,(( , -t 3 31 Z g
m notices or other
CLERK, or
ocuments may be served a
5. Surety:(Payment bond required by owner from
Name and address:
Amount of bond $
6. Lender's name and address:
S.g
Print Ow
Sworn to an
contract
7. Persons within the State of Florida designated 0
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: S/9 /`7 6
yv7,9'
94R246412 1994 MAY 20 10 :50
-s
STATE OF FLORIDA, COUNTY OF DADE
0 HaEBV
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 e c datt of recording unless a
different date is - -) ✓ v 3 r
4/./..1 oo.SiE-e
su.sc -:. before me this day
Notary Public [�
Print Notary's Namep4A 'r,q A/c- E 2-
My Commission Expires: /7 3/1 97
NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP. NOV. 3,1994
BONDED THRU GENERAL INS. UND.
Prepared by:
prow ded
C
A ddre F / eO GCJ
Ai
2_c"
127.0152 2/99
J