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1044 NE 97 St (3)0 Date ` !� A`� Job Address ,e,- f�4 re Legal Description Owner / Lessee / Tenant h Owner's Address Contracting Co. Qualifier �!r' State # Architect /Engineer Bonding Company Mortgagor /f Square Ft. t / yam " Signat Date: ) Notary as My Commis ** * FEES: PERMIT J ��,� APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE of owner * * * �� - j r mac_ and / Condo President C ',, loo°= OFFICIAL RC➢' l-S(SE71- RENEE L DAIL NOTARY PUBLIC STATE �'I'ATE OF COMMI3S ON A° to Owner nlifair)194 d ie p. ; j sion Expires: * * * * d0 unicipal # Competency # sta * RADON C.C.F. Address Address Address Tax Folio /05 e'/ ; &At') (' Estimated Cost(value) Fire Zoning (Buildin Mechanical Plumbing Master Permit Phone ` %'Address F e1 E",'4 1, - .7(,ti /, -:; Phone '95" E, 75 Ins.Co. Permit Type(circle one) BUILDING ' ELECTRICAL PLUMBING MECHANI ROOFING PAVING PENCE SIGN WORK DESCRIPTION ; : , ' l P � . J?1 //) 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 informa ton is accura a and that all work will be done in compliance with all applicable laws regulatingstruction az aning. Furthermore, I authorize the above -named contractor to do the work Notar as to My Commissio * * * r Owner- Builder ■ i' Owner- Builder atry Public, Stab of Pc!!!!" Gomm. apes Mar 15, IC :7 4. CC2FFV© ** NOTARY TOTAL DUE- Other Electrical Engineering FLA. 1967 LAWS FS 713.13 State of Florida County of - Dace The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accord- ance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property / 6)(1 l e N E '1 7 S t . 7 .„ /ill arm i 31 c' v F� ”13g Rev PL 'Am SHORES SEG $ LOT g PB 43 -5/ � $LK /S,( to vH -due. ; P f - �w General description of improvements Z g!ge .. 'iog4 -te bay A voo i _oo r: Kam WT?"4. ae'• Owner KAn+leyA) N. 1?0TOLO. 6IRCOLSONI Address / 0 4 4 /\'/ q'7 &Yee /00 Owner's interest in site of the improvement Fee Simple Title holder (if other than owner) Name Address ContractorT I '»' C7 raZp e0 NSfrucli O Address 0 , 1 A 3 - N / fp a S- rt ter 33 ) o Surety (if any) Address Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name Address — In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name Address THIS SPACE FOR RECORDER4USE'ONLY NOTICE OF COMMENCEMENT E (PREPARE IN DUPLICATEI Amount of bond $ Sworn to and subscribed before me this day of A 0 Notary SEMINOLE FORM 408 19•..90 bhc OFFICIAL TA NORY SEAL LA TOSHA T JOHNSON NOTARY PUBLIC STATE OF FLORIDA( COMMISSION NO. CC2918O3 MY COMMISSION EXPJULY 13,1997 2 55 ORAL AAMI RASCI CIRCLE 3 IT 1 H 0 M A S J. KELLY, I NC. 6RWD: (303)779 FAX: (305) 441 6494 LAND SURVEYOR SURVEY OF LOT '9 BLOCK4I SUBDIVISION Favor p S I1L Or %ACT I/o ThAtT U}IA AV TFAcr 101 NE OM' OF r}1a NEVI p of ACCORDING TO 7N PLA EOF AS RE 'SRDED IN PLAT BOOK No.. 1, AT PAGE No. _61_ PUBLIC RECORDS OF Vb COUNTY, FLORIDA. Tat li-iIG J. DATE : C! CO I FOR. TP71 hl:.. 1-1 G► I1 LOCATION SKETCH SCALE: I"= Io0 30 (FLOOD ZONE THIS IS A FLOOD HAZARD ZONE COMMUNITY PANEL No PANEL No. 1-tr °Y1 &r: 175 ,0d -� 100 7 4' - s.. 11 o 10v I Qf ( rb. 1014. -.. 0 -. °l7M y 1 IAT11 _.. Fl., _ 33 I3z, rb ; QO- oz 4 2a 75' t- a 7c' SURVEY NO `2-I60I(49 SHEET OF . 7 THIS IS NOT A FLOOD HAZARD ZONE DATE OF FIRM' HIGHEST ADJ. GRADE • 250 S SUFFIX BASE FLOOD ELEV.: '( 4 — LOWEST FLOOR ELEV.: All NOTE: UNDERGROUND ENCROACHMENTS, IF ANY, NOT LOCATED. . / F-4/7‹ ED: I hereby certify that this sketch of survey of the above described property is true and correct lo the — best o my knowledge and b ief as surveyed and platted under my direction. I further certify that•thls survey meet the minimum requirements adopted by t Society of Pjefe onal Land Surveyors and the Florida Land. Title Association and also CH 21 NH-6 F.A. code. There ar o encroac ents, ex et as shown. Notes: 1. If shown, bearings are to an assumed meridian (by plat ) Jd$ A. EREA (Dote of Field Work) 2• If shown, elevations are referred N.G.V. Datum 1929 .10rofe ianal Land Surveyor # 4858 3. This is a land survey. Closure obove I :7500 " of Florida (Not Valid Unless Imprinted With An Embossed Surveyor's Seal) SCALE I 29 1 5 ALHAMBRA CIRCLE- SUITE 404 CORAL GABLES, FLA. 33134 TH OMAS J . KELLY, INC. DADE= (303)444 -7692 BRWD: (300) 779.- 3280 LAND SURVEYOR FAX : (305) 441.-6494 SKETCH OF SURVEY SCALE:I ° =Zpl SURVEY NO. ° Z'IGI(" SHEET Z OF Z