1250 NE 97 St (5)Date 'V/ Y Jab Address I ? SU rs,/ qt 57- Tax Folio
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Legal Description E r /a L . 1 (Q 4- w . So ' Ca I S r3 K y Historically Designated: Yes No >,
Owner/Lessee / Tenant (Al i / 1 ia rn I< o n K Master Permit # 4 S b ri
Owner's Address 0 SO N4, Q 1 sr /14 (4 - 5 tiores , AA. 33'37 Phone - 7 S`I — (o 9 YS
C o n t r a c t i n g Co. U. S . /�' ri' cK + 773 /ocK 5y- 311ms / , 1 . Address IN1 1 , 1 SA- Pc/ 7, /or / 1on AZ. 333/?
Qualifier J F c �vn d
State # C U c. o S O a 8 r Municipal # Competency # -11 to (o Ins. Co. A yes e r i co Skit 4.17
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECIHANICAL ROOF f G PAWING CE SIGN
WORK DESCRIPTION /(I S t4 (1 ar 1 K Tot- r S To
4reo r P104
£ 5 t-. i v <w /
Square Ft. l (o a Estimated Cost (value) '4 7 C O . CQ 0
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.
� (sawi Kon c,Jick J arfc5 (J O n o/
My Commission Expires: My Commission Expires:
FEES: PERMIT /o. RADON
0
C.C.F. 30 0 NOTARY
SS# Phone T51. 79 a - 007c0 ✓
(JG < wcy
Signature of owner and/or Condo President Date Signature of Contractor or Owner - Builder Date
4rrc€ S E F AIT.4 N F'D
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date
BOND .y0'D
APPROVED: TOTAL DUE 3 Y 3.
Zoning Building ti ' 7 1 V1)1? Electrical
Mechanical Plumbing Structural Engineer
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 711195' Job Address j 5O $) I , g77 ST' Tax Folio
Legal Description gAS — WT /1 404 I/06Z I D r Historically Designated: Yes No X
aroC I — W c LI
Owner/Lessee / Tenant WI ',Li 4d. KO N Ci Iz4fL Master Permit # " 0 r7
Owner's Address D a.56 N) t E, c/7 t- f, I t'1I'1ift ( Si J/ $- f- 331 P e 30 75-v-095
Contracting Co. U . S . COW i e t0 <-c 5y S'TP144 5 / AJC. Address q f - STyr& 2[6s ) /140T Oe f PC 35510
Qualifier ) ` M. S 3OAJ0 SS# ,)� Phone c r 5 7.7
State # 0 9
5 Municipal # Competency # ' - 1 I b2 Ins. Co. AMEv2 -1 CAS- SC1 ?E7Y
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN PAVING FENCE /
WORK DESCRIPTION //1)S! kW 62(c4. Pte Et• S Tv
Square Ft.
0/1-�� L)A--r 4 PER 'c4i"
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.
)_5IG
Signature of own and/o
Notary as to
My Co
er and/or Condo President
ion Expires:
s;i4 Mark L. Natters
¢:.Commission # 00 311334
Expires Feb. 21, 2003
'f= Bonded Thru
• �!''' Atlantic Bonding Co., Inc.
FEES: PERMIT RADON
Date
/i/fr
Date
C.C.F.
APPROVED:
Zoning Building
Mechanical Plumbing
(
f l 57(A)& IV / v/ . //"y
Estimated Cost (value) 4 4 126 6 0 60
Contractor or Owner - Builder
ssion Expires:
Mark L. Waiters
� .Commission # 00 811334
r F'' Expires , 21,
n Atlantic Bonding Co., Inc.
NOTARY BOND
Electrical
TOTAL DUE
Engineering
•
99R364-8 4- 1 1999 JUL 14 12:43
PERMIT NUMBER: TAX FOLIO NUMBER:
STA TE OF FLORIDA
COUNTY OF DADE
THE UNCERSIG.E Hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713. Florda Statutes, the following informaCon in provided in this Notice of Commencement.
Legal description of property and street address. 64S t...01- /t. z k)Est- 56 ' tor/5' - ecock y
/ TO r)) .E, 7& 3=6, / - ivti s'/ S fc ��(3
Description of improvement //V 57 , R/2lt' (� � M0 -02.5 7f, ,/S7--i /06�
Owner(s) name and address: (,J (LL[ M / OA)C.1 -4 iC 125'0 NE q--1
Interest in property. G C3 A) E€ .•.,' S ho r Cam,.,
Name and address of fee simple titleholder g
Contractor's name and address:
� ( / / J . 5 � C'K1Ct / ,15COC,�! YS7/Eii s . , I /ILk ,
-!L! J TE � P` / ��r�471C,v / 355/?
Surety. (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond: $
Lender's name and address:
Persons within the state of Florida designed 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:
In addition to himself, Owner designates the following person(s) to receive a copy of a Lienors Notice as provided in
Section 713.13(1)(b), Florida Statutes,
Name and address:
Expiration date of this Notice of Commencement: (the expiration date is one (1) year from the date of recording unless
a different date is specified)
REV 1/97
Oath taken,
SIGNATURE OF
Print Owners Name: (13 ( � (� \ /- )0W -(04- ( Pre area PS Inc
by: � , I
P Y
Swom to and i subscribed before
day of � t " r
Personally Known, or
Produced ID
NOTICE OF COMMENCEMENT
me on this Address: _21( AAA, 3
19_74
Jr FLORIDA, COUNTY OF DADE
T '. R EBY CER ' Y that this Is a Pro
orl.in• land his office on
ESS my/h", .d on. Official Seal.
VEY v (' • �` ' . i ircuif and County Courts
A.
( g r,,, /I a's i--4.
Mark L. S .tters Notary Public:
= Commission #00 811334Print Notary's Name:
d z Expires hb. 21, 2003
X Oath not.` en Bondod Commission Expiration
,N Atlantic Bonding Co., Inc.
v of fho
LOT 7 c e 4 1:57- / - 0/ ,c ,k0 4-. r; /.o ♦I/C.)i -.Cr • : ✓, • .wow%.•.
E
SUIDI4►ISION Ea --._ - G = A..'c.,�
ACpOPDI$G TO T)IE PLAT T1FEREOT AS RECORDED I!I PLAT mmOE
rusLIC RECORDS OF ela=,c COUNTY, FLORIDA.
DATE: /1<44; / G / % 7 7
Lc) CA Q I "J /
.a A SA/C S . rL. •s . •
1
/C:• /N j4aRC.�.r;,S:•s
�,2C ltd A. 4 '=
, 'b
SCALE 1" = 200'
/5. p
-r r
27.2.
C .
�
C.
/- 5 /5
PC . g
is
NO. AT PACE NO.
FOR : bA. V / J v./C; .yc
I hereby certify that this sketch of. -
iucvei_ iaf thzbove •d.e,ctiddd property
!is true and correct to the best of ■y
4novledge and belief as recently surveyed
and platted under my direction. I
'further certify that this survey meets
the sinimum requlreaients adopted by the
Florida Society of Professional Land
!Surveyors and the Florida Land Title
Association.
There are no enc oachments
egistsced
Eng e r
Lan ry
"lt
Bred S
State of Florid/
N e; 9 7 T •S'b
1
5. . ! ' ;- 31
/7 e, fl
con c
/>..7 r•
/r+•-.i•JT —r _ E 6ti/A T`LL Lim - .
V 'I
1
•
A _ -
668 \
yor 01961
•
\.J" 1‘1 arYVl \'<Co✓1C.kG K
2 50 N€
yvl to , O R t2 5