1260 NE 97 St (2).-PERMIT APPLICATION FOR MUNICIPALITIES OF DADS COUNTY
(OWNER TO RETAIN COPY )
Date Job Address 1 / " •F ? Q 2 5
Legal Descriptionh)L2.5 / S
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Owned / Lessee / Tenant � �� y� 11� t NE:1 ' ® " ° V
Owner's Address
Contracting Co..J4 . Crns - g a-c -V4LJ 66.140 Address
Qualifier 4.4 A 40 A. /200,a /6 cep ss# - 74 - 8 06
State 1 2320
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING
WORK DESCRIPTION 'kt'eT H L. i n.l (A ,J W f L1
�b /1 LU d � w G �-
w e L o s -z, -9_I
Square Ft.
Signature
Date: 51._,9
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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.
0/4-
/A-
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_, T authorize the above -named contractor to do the work stated.
PERMIT FEE: APPROVED:
Owner and /or Condo President
Notary a to Owne.j .I 1 -, ;.,@ c1104tonidtnt
My Commission EXphirellIsiMISSION EXPIRES: OCT. ID. R�TER9• 9998.
y * BONDED IRU NOTARY�,PUBLIC UNDE�R
Mechanical
Competency # /9 2_ . 3 7 0 40/
ELECTRICAL
Fire
Plumbing
Address
Address
Address
336.0
PLUMBING MECHANICAL PAVING FENCE SIGN
Estimated Cost
Tax F - e &» a
aster Permit 11_ V f7 r
Phone 202 '7 - .25 LS
e.419 Gc% / illropoert.
Phone 4
Ins. Co.
j /
/0, 0(-0-
ure of C ntractor or Owner-Builder'
Date:
otary as to Contractor or 0 =idt er . �l '
My Commission Expires: q
* * * * �'I114 • * *
Other
Zoning Building 0 7 , ) �D Electrical
Engineering
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ATE 17 FLORIDA
"AMY OF DADE
F1EREgY CERTIFY that this is a t
'rigin l filed in t�h /office on
LA/ , A. D. 19
NITMES'S my hand and Official Seal.
Jlork Circuit Court
3y
'State of Florida
:ounty of Dade
/t�X &A
rotary P blic
PY Of Co
y of
D.C.
3. Owner information:
a. Name and. Address:
b. Interest in property:
5. Surety:
a. Name and Address
b. Amount of bondt
6. Lender: (name and address)
.PA /1'1 CL,I'.
Tax Folio No. 3.,2p 0 C 0S —f ) O 0
NOTICE OF COMMENCEMENT
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: (legal description of the property, and street address if
available) Lo1.S w •S /q fts C. ,z�' )f 1314/ FCnTfe7 Shorc -,
2. General description of improvemen9 W /0)90yvs /suS14- omwesL l .2 5rA4r/,a.l
4-1 a) T / )iG (hu 7e dei o . .c.d D C= ,a -eE
. Yea 1—h \ 1)-4“7 N E _ r) ST
; corn • Sh OF es ( C
c. Name and address of fee simple titleholder(if other than owner):
J44,r een. 3T/uc 76'7
4. Contractor: (name and address) JCI4,u 4. / 3 3 6. c) GO s <. G✓y, /
'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)
8. In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes.
Expiration date of notice of commencement (the expiration date is 1 year from
the date of recording unless a different date
:/worn to anr subscribed before me this //
9 ..R 23 9 4 83 1991 JUL 12 09:4
is specified)
My h' Commission E x i 1R RY PUBLIC. STATE OF FLORID
p M� CUM �4aSS�otd ISXPtBEs nT 10, 9991
BONDED THRU NOTARY PUBLIC UNDHRWRlm r
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BEARINGS HEREON (IF ANY) ARE REFERRED To AN ASSUMEDVALUC Or - FOR
. SAID BEARING 15 IDENTICAL WITH THE PLAT Or RECORD
ACCOROING To THE N.F.I.P. THE SUBJECT PROPERTY FALLS WITHIN FLOOD ZONE: A E