602 NE 96 St (7)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
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Date
Mortgagor
4 Job Address
Legal Description
Owner / Lessee / Tenant 4-0
Owner's Address
Contracting Co.
Qualifier
State#
Bonding Company
ig `71?
4te A/g
Architect /Engineer
Co /petency # I f / W i
Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION,L■4
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Square Ft. 1 Estimated Cos A P-A 0®®, t)
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.
7
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Signatu of Contractor oli Owner- Builder
i__4 q Date:
-' as /� Pottery Public, gob of Florists Date: rebut, State dried&
V Commission Expires Des. 1, 1991 �,�t. • . & racrZ' My Commission Expires Dec. 0991
Not as to Owner andTor C rd f b18 "C° Not y as
My Commission Expires: My Commission Expires:
* . le . etc * * etc * * * * * * * *
Fire
in! of Owner and /or Condo
PERMIT FEE: APPROVED:
•
Address
Address
Tax Folio,/ I2 Dd / </ 1yfQ yf
Master Permit #
Phone
/ 2 / 4/ea /3gS5 ,
SS # Phone e6,8 63 9 1
Ins. Co.
Other
Electrical
X umbing Engineering
pEHNIET -# Tax Folio No. 1/ � D /7#'
State of Florida
County of Dade
NOTICE OF COMMENCEMENT
91R219404 1991 JUN 27 09:53
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
9405 Park Drive
available) - Folio 11- 3206 -014 -1270 Miami Shores Sec 2 PB 10- Lots 1 Thru 8 Blk 59 fi
• Lots 1 Thru 5 Blk 62 & Th of N.E. 95 St. Lyg Bet Blks Closed Per ORD 50 -195
2. General description of improvement : Up G4.4DIE Of 1 A /RCew,oil/a fAve-
ysre
3. Owner information:
a. Name and. Address: MIAMI SHORES PRESBYTERIAN CHURCH 602 N. E. 96 St. Mia,F1
b. Interest in property: Owned by MSPC
c. Name and address of fee simple titleholder(if other than owner):
4. Contractor: (name and address) Cg4 J2 /y(l( awn/0.4.a. 2,2/ Nk/ i 41 I0
����_ �//ff ,t/) Mop e.4 • 331
S. Surety: / G!'u�u � � ' '�
a. Name and Address
b. Amount of bonds H
a/f
6. Lender: (name and address) gO.0
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) AA All
8. In addition to himself, Owner designates /1lQn/1rs of
to receive a copy of the Lienor's Notice as provided in Section 713.13(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)
Trustee of MSPC ' Delbert Noel Signature of Owner
worn to and subscribed before me this { 7 day of
,lotary Pui is
r Notary Pudic, S
My Commission Expires: MY Commisslan Expires Dec. 1, ) 4a:
D oolocr tiro Troy Fain • Insurance inc.
STATE OF FLORIDA
COUNTY OF DADE
1 NEREDY CERTIFY that this Is a
original flied his office
WITNE
Clerk Circe
BY
hand and Official Seat, -
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of Eta