MECHANICALPERMIT NUMBER:
STATE OF FLORIDA
NOTICE OF COMMENCEMENT
COUNTY OF DADE
THE UNDERSIGN hereby gives notice that improvements will be made to certain real ra
Chapter 713, Florida Statutes, the following information in provided in this Notice of Commencement accordance with
Legal description of property and street address: / q �i • q
Description of improvement
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Owner(s) name and address:
Interest in property. L 1,LJe11,
Name and address of fee simple titleholder.
Contractor's name and address:
Surety. (Payment bond required by owner from contractor, if any)
Name and address: A)
Amount of bond. $ N fit
Lender's name and address: /11/ � -
Persons within the state of Florida designed by O W wryr 1:n w
provided by Section 7 13.13(1)(a)7., Florida Statutes, 6y'
Name and address_ N/ `1
in addition to himself, Owner designates the following person(s) to receive a copy of a Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes,
Name and address: Al
Expiration date of this Notice of Commencement (the expiration date is one (1) year from the date of recording unless
a different date is specified)
REV 1/97
SIGNATURE OF OWNER
Print Owner's Name:
Swom to - - . subs ribed before me on this / 8
day of
Personally Known, or
Produced iD
Oath taken,
Oath not taken
(4 Nf,L
TAX FoLIO NUMBER:
s or other documents may be served as
Prepared by: L4JA)y GElkhtel
I
is
Alf r
AUOE C. FRANKS, III
806735
EXPIRES: a dW A til 11, 2003
Pf h Thru NotaryyubNC undawriters
2.
Address: 2-0
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Notary Public:
Print Notary's Nam
Commission Expire
Pang 1 1 rif 17
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PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date C � t Job Address 1/19 /v e 99 Sr ' Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant .#iT /c / Will 7' a 1) Master Permit # 3 D 7
Owner's Address / / f ,v E / f 5 ' i Phone 7,s -s S ,
Contracting Co. G 4 A7 /Z C '.2 J, Z' G Address ,� J / N� J']" r� • •
Qualifier /NA, ,4 RD /1/p J E77 E' SS #, - - Pho -- -- � �p , :; 21 7 1.35474
State # 0/QC/)�.3. 1/ Municipal # Competency # Ins�co�uSairW
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
alma.. x i. G+4,
Si ture of owner Condo P
otary as to Owner and/or Condo P ident Date
My Commission Expires:
FEES: P
ild T ent Da e
F/
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING HANICAL ' OOFFNG PAVING FENCE
WORK DESCRIPTION RE 1 L. A) i
Square Ft. Estimated Cost (value) / lQ
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 co or to do stated.
•
otary as to Contractor or Owner -B
My Commission Expires:
❑ PERSONALLY WOMEN
q PRODUCED LO
RADON C.C.F. /
actor or Owner - Builder
TOTAL DUE
PA Stale a
gtyCerra.E Dsc.7,91000
Corn.: 5987A6
ALLY KNOWN BY ME
L, �.vNr+irD�D.
APPROVED:
Zoning Building Electrical
Mechanical ✓ D Plumbing Engineering
Owner's/Agent's Signature
Signature
5104 APPENDIX "F"
APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner
with the required roofing permit, to provide the owner with this appendix and to explain to the owner the
content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern
the minimum requirements and standards of the industry for roofing system installations. Additionally,
the following lid should be addressed as part of the agreement between the owner and the contractor.
TO owl* ' a* - e.asijacent box indicates that the item has been explained.
" 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
providing that the roofing system meets the wind resistance and water intrusion performance standards.
Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic
issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as
part of the agreement between the owner and the contractor.
. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually
concealed prior to removing the existing roof system)
1 1 3. Common Roofs: Common roofs are those which have no visible delineation between
neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing
contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking
can be viewed from below. The owner may wish to maintain the architectural appearance, therefore,
roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the
option of maintaining this appearance.
5. Ponding Water: The current roof system and/or deck of the building may not drain well and
may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
structural distress and may require the review of a professional structural engineer. Ponding may shorten
the life expectancy and performance of the new roofing system. Ponding conditions may not be evident
until the original roofing system is removed. Ponding conditions should be corrected.
' 0 Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
scuppers in accordance with Chapter 23 of the SFBC.
/7 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not
be reduced. It may be beneficial to consider additional venting which can result in extending the service
life of the roof.
Date
BUILDING ❑
ELECTRICAL 0
PLUMBING ❑
ROOFING ❑
Owner ng of4 a Leo vi FT
Buildi
Architect
Contractor
or Builder
Legal Lot
Description BI
Address of 1111' '
Tr
Building .
Signed
MIAMI SHORES VILLAGE, FLORIDA
mdefilePor
PE \ N? 9886 lcetasc '�s , al
Work to be performed under this Permit
istipp•NA dx. .Air
Subdi-
vision
Sq. Ft.
Value of Amtsu t of
Project `+ Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or deviee described is 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 rally 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 complianoe with such ordinances or if the plans are changed without authorization. ♦ further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a th • . -thaw of the ordinances and
regulatiins pertaining to the work covered hereby whether shown en the plans or � .gs or in the statements or spec ° ` ` -7 an that he aesQmdb rages-•
sibility for work done by his agents, sere
CTOR) BY
In consideration of the issuande to me of this i t I agr perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the ens, draw • _. - atemento or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work �A' either, myself, my agent, servant or employee.
AUTHORITY
19___
MIAMI SHORES 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
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot____ Block Subdivision ' ; V :
Zone cubage required_
Distance to next nearest building
Maximum live load to be borne by each floor
Street and Number where work is to be done L L c
State work to be done and purpose of build' g (by floors) ___,__
P. M . 1 NMI. CCATT
vi . T STREET
, and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation oof Covering
Estimated Total cost of improvements $ a 0 0 0 Amount of Permit $ _______ ____gt_6_
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
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 5966, 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 subcontractors, on work to be performed nder this
permit, as are licensed by Miami Shores Village.
Remarks _ ( Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
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.
Permit No •g` Date (
— 4` ^ Read, Sworn to and Subscribed before me.
Disapproved
( Signed)
�
Building
Date
Chairman _____
Member
Member __ _
ANNING BOARD DATE
1� I9 _la
StrdL7
___.Plan Cubage
__Size of Building Lot
Notary Public, State of Florida
My Commission Expires
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 :. ,iice for inspection or faulty
materials and /or workmanship.