MECHANICALLegal Description
** *
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f //% � ad111
.s to ' r and /or
ission Ir pires:
FEES: PERMIT gf
a l
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
NYE Date S ° Job Address tO G9 O J T , Tax Folio / / 3 /Se' 3g, 00/0
Owner / Lessee / Tenant boss (� es
Owner's Address (030 t o q,R L((
sr. afl\) (7/3 Phone 7431-0410-0/1)
Contracting Co. Sep. CS Y 0.0.- t-t-C 1 * CO Address ' A S03-ep &AV. firk
Qualifier <��.tfl 1 e �1 . V , Phone ( --475
i
State C'O( 2iunicipal 1 Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor — Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION E�� 4- 1 - 0
5.. � 11 1- it) ,
Square Ft. Estimated Cost(value)
WARNING TO OWNER: YOU MUST R 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 complianc- all applicable laws regulating construction and zoning. Furthermore, I
author hem a -named ontractor to do the work stated.
moo
tip �
, Pres iY CAVE
-.A MY COMMISSION # CC 827664
4 : April 19, 2003
`. Bonded Thru Notary Public Underwriters
ature of•wner
i
Co
y
and
Condo President
9 //
Signs
Date:
Fire
Master Permit #
4/plogC0-go
r Owner- Builder
Notary as to Contrac£ or Owner- Builder
My Commi
VMAN GARCIA
My Comm Exp. 3/14/04
* No. et 919390
, 11 11 Perso,wb Knowm 1'Caw IA.
RADON C.C.F. • a 0 NOTARY "'
**
Other
Zoning / Building Electrical
Mechanical � �'`� (�- L/. o' Plumbing
Engineering
••....v` yr warunCr116PJVIENT
A RECORDED COPY MUST BE POSTED. ON THE JOB SITE AT TIME OF FIRST INSPECTION.
PE Il ISO. TAX FOLIO NO. ,//Z
STATE OF FLORIDA:
COUNTY OF DADE:
00R49.9305 2000 OCT 17 0932
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: /036 /VG
3/3X
2. Description of improvement:
3. Owner(s) name and address:
/030 9 9' 7‘7'
Interest in property: (VWt1QQ •
Name and address of fee simple titleholder:
6. Lender's name and address:
re of Owner
P Owners Name
Sworn to and
Notary
Print Nota
My Commission Expires:
subscribed before me this
Mite_ IsmifirtM
.e
I22/ 0/77/ Spar
N l
r/V
day of
•Rr;,
Y COMMISSION # CC 827664
April 19, 2003
Bonded Thou Notary Public Unawriw.
STATE OF FLORIDA, COUNTY OF DADE
1 HEREBY CERTIFY that this is a tr py et the
original filed m this office on _ d ' of
•e T , A 20
• WITNESS my hand and Official Seal.
HARVEY ' IN, CLERK, . f r rcuit and County Courts
By P� � • L L D.C.
4. Contractor's name and address: Gea.<'S Ppoijvc ►ID .
3Bas c�x°sq*. Pd. UJiri+er .R F). 3 amaa
5. Surery:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
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,
Name and address:
8. In addition to himself, Owner designates the following person(s) 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)
G �G
20 $33620)30 Pre ared by:
Address: 3Qa 5 : U31 n�•ec kck 3a
LOVIN01(Y OAVC
123.01.52 10,9e
�/Z
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building'
Architect
Contractor
or Builder
Legal Subdi-
Description Bl vision
Address of Value of Amount of
Building / / Project $ 'f'' ' _. 11 Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. i
Signed ' ` f
? INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with - all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
ceptinq this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
Lot
Jchl • <0 1 /7,r /0.?'
i CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE 19
O PERMIT N9 7552 Contractor's e:-. r ,
❑ License No r -
-
❑ Work to be performed under this Permit
BY AUTHORITY
AU•OT
Permit No
Disapproved
(Signed) _
MIAMI SHO 1 VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address - 1 '3 C4A V ss No 10 3 0 Street _ -
Registered Architect and /or Engineer
Name and address of licensed c o n t r a c t o r _ _ P _ _ ! t _ I _ _ _ _ _ R __ � J / 0 4 1 4 0 6 Co . Z ■N G • 986 S it P C f
Location and legal description of lot to be built on:
7 /, AL 4.
Lot_--- - - -___ Block /7 Subdivision K / NN>°
Street and Number where work is to be done ! 123 P AA _ �r y sf •
State work to be done and purpose of building (by floors) ___________ 57.1z. G A T /p4/
p.O__Ck Pe' Lie vS e 1
and for no other purpose.
New Building_ Le" Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ /So e2 • ' O Amount of Permit $ 6 • o
Zone cubage required ____ — ______flan Cubage
Distance to next nearest building ____Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to__ -_ -- ---- __,ft1_LZ c1n_.i.e4 1 7 1 /O.t2/iv .e
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such s on work to be performed under this
permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss •
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally tip-
peared ---
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Date___ sr
Date
(Signed)
Date 5 — 2
2 Z7 °'M Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
7e',(j
Building Inspector \ My Commission Expires
P A 1 NING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.