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541 NE 94 St (8)Legal Descriptionn .77 7 b. /0 - 3 7 ekingri Lessee / Tenant /e/1P f \,7 J.�a n� / C; Master Permit #J'/ X* Owner's Address . / /Vz I S:4—d Phone - 2 S 7 -OO4O Contracting Co. ( �S7f^Lc j tCA 4.1 L�✓G , Address /` Qualifier ?oDc_,f' (100e ss# Phone 75 State Architect /Engineer Bonding Company Mortgagor Permit Type(circle PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 6 arc, 6144 Tax Folio / / .3 czogo /4 0S70 / 96 Ng c 2 POG j /i ac,3 Municipal # e9n. Competency # oa ito Ins.Co./ M/ C .c /• // Address y //-- Address N //9 Address one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN PAVING _)FENCE SIGN WORK DESCRIPTION —./---/714; l/ /itb/" loc kfn( !l - ,pgv e r/ t/P_ c / °5 ° Ace &)c/574,4 rC/ S74 vt �/ i'�` L Lie coQ S / S Gam/ i9 5 Square Ft. (/ O # Estimated Cost(value) A S 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. Signajfj(lre,-gf owner and/ (r ondo President Date: Sa Notary as to 'owner nd /or Condo My Commission Expires: APPROVED: Zonin Mechanical Plumbing S OWNER'S AFFIDAVIT: I certify that all the foregoing information be done in compliance with all applicable laws regulating con autho the above -named contractor to do the work stated. President MARILYN RIVA STATE OF FLORIDA My Comm Exp2/17/96 * * COMM I�BR 181283 FEES: PERMIT 3 /'- 49 RADON C.C.F. J -f1 NOTARY accurate nd ction an • on t all work will Furthermore, I gnatur ate: 7 My Fire f ontractor or Owner- Builder . /I // 1 / %/ C � / / /.i/ / Notary as to Contractor or Owner-Bui Commission ExpiAg ;gyp "r1Ty�, t corRr,�Y§s: r: ,; ::: °:a; IDON1 77env �i3 T P7,7 * * * * * * ** Y TOTAL DUE / 0 / Other Electrical Engineering M IM I {121 w. MIL _.0UkAe+40 ∎E. tie„ cTitt.6 f EiNtti, '. \f 1 - .-_-_ . i r I T o 4 44,60...4.g. - E AIE; : � 4tot • 477.71 fife : Diu IL (CM. • H calif. ... c:y toc)2s: PERM I X* 3' c /i5 TAX FOLIO NO. (1 3.249( / 1 c `7 State of Florida County of Dade 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:(Iegal description of the property, and street address I f available) / ' /2f�t � Dores �c ' "1 P. B.-/o -3 7 :s 5 IV l N E . f 4 ,E-L .5 . 1 , ;..m ; S ores W , 2. General description of Im rovement: // // L r•-) P lti7S / /�► r �nU K .fY75' 64'1 GEC fi o •'p 3. Owner information: / a. Name and Address: f � eAde ! 44143 b . Interest i n property: QA.) k7e,� .r4`/ /Yi 'f 4 ,Z,_, /24.5' -L . jtifa c. Name and address of fee simple titleholder (If other than owner): i 4. Contractor: (name and address) ad 69/1S4 , A..ZW�. 96 z0,veZ4 S a r T om ' ac8 SA o,r?c , • 33 atr 5. Surety: a. Name and Address b. Amount of bond $ 6. Lender:(Name and address) /1.)//- 7. Persons with 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) ")//4 8. In addition to himself, Owner designates " /�' of to receive a copy of t e Llenor's Notice as provided In Section 7.13.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date Is 1 year from the date of recording unless a different date is specified) V /e- Sworn to and sub r Ibed. bef• .. eNeffbY,0 '. day of �'u 199,9. STATE OF FLORIDA 7 M Comm Exp2 /17/96 JIP Notary P u b l i c 4:1'o I ss I on Expires #kr 'c S7i41'E OF RLOFf1DA, COO OF DAME 1 '100 CQRTOY tit !tits 9s o; r®o _.24� it, ®,ifitt4 • • :I'D : "• d Oi�h5a1' HASP 6th, cif et C ott nr!dbrititt. NOTICE OF COMMENCEMENT SI 411 LX-e/ .•nature of 0 p • 8C04,1,.., P/% ?J • L:ao/c G'.TS�i -, o. / 4. o /W / f9ve✓. ] 3 _ 11- - 0 33/A' ro I BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING ❑ PERMIT N° 9941 ROOFING- ❑ Owner of Building f r V Architect Contractor or Builder Legal Description Address of Building Lox r" r 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. Signed • w. (INSPECTOR) BY In consideration of the issuance to me of this permit I a tee to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dray ngs, 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 B1 L Date— --` Contractor's License No. Work to be performed under this Permit Subdi- vision Sq. Ft. Value of 11 Amount of Project $ ' /6 II Permit $ BY AUTHORITY MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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 ViIlage 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. Date_ A r - 3 (z) ,19 G% Owner's Name and Address, � No Street Registered Architect and /or Engineer Name and address of licensed contractor____' S • \.11. ` ' S ___ N ■ Z A • Location and legal desctiption of lot to be built on: Lot_ Block Subdivision Street and Number where work is to be done • 9 State work to be done and purpose of buildin (by floors) _ PX2 ( - 1 !C- _--- e..,1\61011 v: - 4 -- 1 ' _ ' 2 1 =-NAe .. 4 ---- - - - - -_ _— and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ \ \ ©s___E Amount of Permit $ 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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, Pennanent 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 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. Remarks ( Signed) STATE OF FLORIDA, COUNTY OF DADE. 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._— ___fg . Date y Read, Sworn to and Subscribed before me. Disapproved (Signed) Date_ Notary Public, State of Florida Building Inspec 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.