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961 NE 96 St (7)Date /2 "44 Job Address 9(,o. / A), f f' ST Tax Folio I/ Sc 2 D4b / 5 UO Legal Description J / )- Owner / Lessee / Tenant CY1r 4 I`') t` s , � l tozlit.( Master Permit 4 "f Owner's Address 9 1 . 0 ( p S D .c A Phone ') S'7 " 7 OF A . n h Contracting Co. 41L/C4 f4 f 6-ri tti) rent: /r /il, A � 'CAddress c�.5 / /} 9 t ,5 Qualifier (1 .4\ V /OS /l ✓ Oct) 6 ss# ;. - - `/ hhoone 7 5 (_a c Sa State GO0,5kLb27Municipal # 3 - ? Competency # / 7 A 9 U1`ins.Co. Architect /Engineer Address Bonding Company Mortgagor Type(circle one): BUILDING ELECTRICAL WORK DESCRIPTION1 ' r OK rcnt- oh k.S. 1 h0 fi CA-S P kc t +- 0 \ to. c r & \ Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO D( SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEN: TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU] NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat 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 wil be one in compliance with all applicable laws regulating construction and zoning. Furthermore, aut orize the above -named contractor to do the work stated. S / _ 1 ignature of owner and/or Condo President Date: �a2 _4 , .2 1.nn MARYL U hERNANDEZ a. •• MY COMMISSION N AA 714214 1• "� 47; EXPIRES: Octobir 10. 1093 .•,°,'•• Banded Tiny Nu !thee Un warns Notary as to Owner My Commission Expir ** * * FEES: PERMIT ,e7) APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE r Address PLUMBING MECHANICAL FIN PAVING FENCE SIGt ,s0 oC+ cjecj . 1 nS; ` - t- , t- S. Estimated Cost(value) Address Notary as My Commis T ; C - < - 3 ? \ o 1 b . -� e I - , m o ar p G■roun S S Ctct. jy OOo < ©O Signature of Contractor or Owner- Builder Date: r +R Y ae' MARYLOU HERNANDEZ .. �•� ;.4 MY COMMISSION 0 AA 714214 EXPINS: Octobef*o, 1993 '4f .. Banded Thru No Public Undervnitora Contractor or Owner-Buil * * RADON C.C.P. L irz° NOTARY TOTAL DU Fire Other Zoning Buildin>E£ \ , )i Electrical Mechanical Plumbing Engineering fe (mons& asteimsessil stsams1 sesslops) ucd;fx Hoorl Cot Iv" A e ( lc 5 Arocti- 26 ovui 99 t`tf a: r/A / (1-7 istrwmot Frmsred aet ie.. (SA N sty Swims Fred Ilimitassise ONO Ilinisgs): • Ws *alms& it utag cauarn: Building Permit No. The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Wed ossestpuom et property (Include Sheet Address. II mad* 9cal e 9c s 421:41.(: General dealletion imenvollesill C.ontmcsor Address V AMIN TM WE KIS MONISM IIATA *girt of Tomuiturtment 011.41.11 MOUDATE) Nome • Nose Address • . • • .... • • Owner .. >.! Address / Onner's Intermit 10 she of the Improvement Fee Simple TIlle holder ill other l wasise) Expiration Date: 3 Sworn to and subscribed before me this J VW MN Tall LIN NI IMAM MU -1- A 1 . A 77; IE Re F . • • .•• • •• •• ....... Ness Address ... . .. • • • • • • • . /.6S. /7/7K a 6 cti 4" t5 I'Mi ; FI.A • 33 /56 swab 40. Address j/A MW person Sing 5 kw kw the constnicdon et the Improveinsets 1••• • •• .•, .... • • OFF. 15728PG4498 92R459379 1992 DEC 01 10:95 INC QRCTO.AN . OFFIetitlfreoltos ibo4 or DADE COU. T. ri :0 tECOC.) ERIVE • terk..ot Circuit .& County Courts Amount of bond $ - • LAM* ...... •-• • .. • P.M" Wil OS Sens et Amide designated by owner upon whoa notices or ot documents any be toned: A ..... . . Addnne • • In addition to himself, owner designates the following person to receive a copy of the Uenor's Notice as provided In Section 713.13 (1) (h), Florida Statutes. (Fill in at Owner's option). •