740 NE 96 St (5)Date 6 1 Job Address 1 - l 0 e Tax Folio
Legal Description �U /
Owner / Lessee / Tenant Dr\ :.) �1
�Z��• - \ Master Permit # ��-�°
Owner's Address - 1 q 'N 0 * Sk k 3 Vt kI x k • l7 � i Phone
Contracting Co. NQ I-�O (� \ \'c0Al� (G Address �`7C� CILO 1 v`IOWtik.
Qualifier .01\1t';l`(� \ Phone b�-�` "k(0 c7
State # Municipal # Competency #\,CC)'kP 0Ins.Co. \-k & '0
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION � �C1�Y� �j r‘PA-0 CQ (1'\
.\-r)y\S kt) t(t),)
Square Ft. Estimated Cost(value) S � C)3
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.
Signature of owner and /or Co
Date:
Notary as to Own
My Commission Expires:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
1/4, sf
and or Condo President
President Signature of Contractor or Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
** * * * * * * * * * * * * * * * **
FEES: PERMIT C ( RADON C.C.F. e3 NOTARY TOTAL DUE q47/
APPROVED: Fire Other
Zoning Building Electrical
Mechanical tte- ` i I Plumbing. Engineering
■
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
>b s NO OE -1 (� & .S AM)/ Tax Folio
ecai Description
ner / Lessee / Tenant
.rmit Type (circle one): BUILDING
ORK DESCRIPTION
- v -rw w u
3nature of. Own r and /or ondo President
ce:
A
p • Y Pc,, OFFICIAL NOTARY SEAL
i , _ '! _ ZENAIDA LEON
as to Owner . * . „ OOMMISSION NUU Q
y r do 114
Commission Expire sit ',t'",' .p MY COMMISSION EXP.
:tc ., * ,OF F1. * JULY *13,1998
EMIT FEE: APPROVED:
&'n %nq QW rr
IIC&
J i g/'24/rrS 'phone
•wner's Address
ontracting Co. adropokt' Q �, e �'/ �/ i Address Mgt/ �W 7 Y �/i 6 � , e it / oN/
ualifier rieth gn e �# C / `, q
phone o��P t`QY
ate# Competency# exC(3Rlq G Q/7)/
I l�s . Co .
rchitect /Engineer
ending Company
}rtgagor
Fire
1 Zoning Building
Mechanical
Address
Address
Address
Notary as to
My Commission
�H( *
Master Permit #
ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
-X, - 2 4 , e- 9 /a Yews
/uare Ft. Estimated Cost MA -Ob
ARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMEK
i SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TOYO RDPROPERTYI(IFEYOU
:4TEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
.CORDING YOUR NOTICE OF COMMENCEMENT).
'plication is hereby made to obtain a permit to do work and installation as indicated. I certify
at all work will be performed to meet the standards of all laws regulating construction in this
:risdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS,
, OLS, ROOFING, and MECHANICAL work.
«ER'S AFFIDAVIT: I certify that all the foregoing information
.11 be done in compliance with all applicable laws regul
rthermore, I authorize the above -named contractor to do
Electrical
at
Date:
i
wor
'• ice/
•
Own .p-:u IDA LEON
1.=-41 * COMMISSION NUMBER
' I *CC392 *19
- rde• " tt MY COMMISSION EXP.
OF FLO JULY 13 1998
EAL
Contractor
Expires:
* *
Other
Plumbing Engineering
is accurate and that all work
g)construction and zoning.
stated.
actor o r Owner - Builder
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
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:
2. Description of improveme t:
� o�
3. Owner(s) name and address:
4. Contractor's name and address:
6. Lender's name and address:
ngTl n-661 c''Qi ✓
Print Owners Name v ( '�
sworn t4) and subscribed before me this i day of �Q
Signature of Owner
Notary Public
Print Notary's Name
My Commission Expires:
94R422370 1994 SEP 06 11:02
(lohs9an� 9-u shores FI 33/38"
Interest in property:
Name and address of fee simple titleholder:
Wto lrTar� k9l
�' �uJ 70-h Gt,u,e ictiRrl'!l 33 65
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
/40 .� , i,r; ;
7. Persons within the State of Florida designated Iaec A i n no y � f ; dr of oeuments may be serves a`s provided
by Section 713.13(1)(a)7., Florida Statutes, .,
v = 04:
Name and address:
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:
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)
,19''1
RY Pf/ OFFICIAL NOTARY SEAL
ei ZENAIDA LEON
4 COMM3ION NUMBER
+a % ` . 4c Y3 CC392419
MISSION EXP.
OF FA JULY 13,1998
Prepared by:
Address:
12ao1.52 2/9.