813 NE 97 St (6)•
Date
Legal Description
Owner/Lessee / Tenant
Owner's Address
Bonding Company
'PERMIT APPLICATION FOR`MIAMI SHORES VILLAGE
Job Address / 3 /V ` / S Tax Folio J/ — 5 O/Q 2 CIO
m /ooi sAiores se-' / 5 Re ID PU 3
L_64- / 4 b}1:... 6 /� Historicall Designated: Yes No
Mg. l g des h41 /v vQC Master Permit #
/ 3 AJ 17 51
Address
Li g3 n 1
Phone c ' f l a, 3 -- /IGU MG/ • 7594/741i
Contracting Co. ALL y /lQ COAv l , 5e-71/ices -Piz- Address /22- C/ / 5e-4- 6 57 m/4-13-1;
Qualifier Q 4 o.)' 1 P 4 / ss# .71.E SS/ - 5
state # C 0 1 - -173e f Municipal # r--- Competency # Ins. Co.
Architect/Engineer Jo`j u 04 °It/ Address / 2/ Pe 4o- $4
A'/4
Mortgagor _ Address
Permit Type (circle one : BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
/1.101.t, Fr 'C 6 ,ors
/ `rij
Estimated Cost (value)
PI 0 416'
WORK DESCRIP'T'ION
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Square Ft
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, ROOFIN : •7 CAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information i ccurate and that all ork will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize th ;- above -named contra w •r to d th ted.
q a/viAmtu, l/n
Signature of owner and/or Condo President Date
Notary as to Owner d/or Condo President Date
My Commission Expires:
oV P� Isis Aquino
z ,., ‹Commission # CC 761842
c c Expires Sep. 1, 2002
Ic�l
1> ^ �� BONDED THRU
OF F� ATLANTIC BOND:NG get getN C
FEES: PERMIT ®.) ? RADON
we D Feivc 1.7A5Z4k 4
C.C.F.
Signa e of Contractor or Owner--- lder
Notary as to Contracr or Owner- Builder
My Commission Expires:
,v Isis Aquino
O ,.� Commission # CC 761842
Expires Sep. 1, 2002
BONDED
r' ATLANTIC BONDING CO., INC.
2 �
J [�
(4 I NOTARY
APPROVED:
Zoning Building / (�k Electrical
Mechanical Plumbing Engineering
Date
Date
BOND ( /)
TOTAL DUE 4 `��
ch
NOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO. /1 - 3 2.04' - D/ - a.5 9 a
STATE OF FLORIDA:
COUNTY OF DADE: 99R 1 12454 1999 MAR 04 13:34
THE UNDERSIGNED hereby gives notice that improvements 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. Legal description of property and street address: (7( (y- An 1 to 1e >44ALF OF L 15 g,.,�_ 73
• i. ia,� Amt • 584orrs Seel - . D. ' L..4T • • P- . E . F .
L. • � 62.05 OF
174DE FAD R-t DR 5T R.E er 1:10r 5S — 8 13 N e- ci ? 57
2. Description of improvement: L)6 OOP rEUE,E ; D �c f y ,� 4 1>nni2S2 An D t aJ 1 01)01 .4.)
3. Owner(s) name and address: _ R.0D t = 2 2 7 A n1D LA,... Lk i 913 g3E -7 S a k.cE-r-
f ,&tLAMA 5Kore5 PL -O D A 33'13
Interest in property:
Name and address of fee simple titleholder:
M c /4/144 SN tOt?s ri 3 3§
4. Contractor's name and address: A LL - ripaC &2f) STra67"/ OA.) 56 K.vt a .Tr7
1 Slits - / R C� tit i A A)i ''L 339 24
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
Name and address:
Notary Public
Print Notary's Name
My Commission Expires:
,sPa "L Isis Aq'jinn
z a, Commission # CC 761842
fAN�es Sep. 1, 2002
i �� BONDED THRU
O F F � ATLANTIC BONDING CO.. INC.
Signature of Owner •
Print Owners Name .08642-r f- / n/)41?--
Sworn to and subscribed before me this day of 19
LvtaIDA, i Ens .
' °a((Y Ph& thin is a 4: eo copy cc P.}c
al.ira cr. _ � . day a.
9- <Larre_A , s 19
d o2.Fcfal ,1.
" o
7. Persons within 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,
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address: /�,� /A
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Prepared by:M (A 144nn4U
Address: 2 A.)E
/Rtiv(S H®
33-13
MIAMI SHORES VILLAGE
EUILDING AND ZONING D AR'I^.''t'` +=
10050 N. E. 2nd A UE
?!:. (305) 795 -2204 FAX: (305) 75 -,972
BUILDING PERMIT/CONTRACTORS REGIISTRATION CHECKLIST
Copy of STATE OF FLORIDA CERTIFICATION (DPER) cr STATE REGISTRATION
AND DADE COUNTY COMPETENCY LICENSE.
Copy of current OCCUPATIONAL LICENSE from count_: or mun_ci'ty where
business is located.
Certificate of Insurance for LIABILITY (addressed to Miami acres
Village).
Certificate of Insurance for WORKER'S COMP (addressed tc Miami
ShoresVillage) or if exempt
State of Florida LES Form BCf-204, Construction Industry Notice of
Election to be Exempt.
PLEASE SU31IT EVERYTHING CHECKED OFF
Permit Application (signed by person performing the work, licensed
contractor and the property owner, both signatures notarized).
TWo sets of plans /drawings signed and sealed by registered architect or
engineer. Occupancies by Group Classification must be cn plans and
permit application. All plans must include folio number and property
address Amended plans, in addition to the above, must also include the
permit number.
Structural Calculations signed and sealed by architect or engineer when
applicable.
V Current survey of the property.
Certificate of Elevation signed and sealed by Surveyor.
Substantial Improvements Checklist (contractor or owner).
Two sets of energy calculations.
Two sets of signed & sealed Truss Plans (Engineer).
1 DADE County or State of Florida Products Approvals for roof materials,
sheds, windows, exterior /garage doors, aluminum carports, seen
enclosures, shutters awnings, skylights, french doors and etc.
Approvals from HRS, DADE County Impact Fee Section, Fire Departrent &
Health Department (when applicable). DERM
Warranty Deed or Other Proof of Ownership if necessary.
Structural Review fee
Flood Elevation