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1140 NE 98 St (11)Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 1/ 4 k) /V 5 Tax Folio Legal Description Got 2/ 13 /0� /s / 8 n Historically Designated: Yes No Owner/Lessee / Tenant (krL , -e r ,V - Master Permit # ( ) 4 )7337 Owner's Address if 9 /l� � ? 01 Si- /'/ / 44,: i itri.14 —• Phone Contracting Co. r Q( cd ��. - (P.c�f fC S *iaoess 5 11 Sc.() 1 C1 S - " , 3 ?7 Qualifier PCB- - w ��r/!?�t� ss# Phone g 877 State # E t 3 S 3S Municipal #30 I Y10957 Competency #) E00o (, Ins. Co. S1A4C_- c+�1rrt Architecnginee/ yt IGT4 K i9-- VA- S o / v / • £ Address '5o o Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 44-rr) (c - U yQ Square Ft. Estimated Cost (value) gi 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. ` OA A) Signature of owner and/or Condo President Date My Commission Expires: APPROVED: Zoning Mechanical Building Electrical ' /7 /d Date s 4 11 1 1.61.:M■ Notary as to Owner and/or Condo President Date No : ' rContract,r or Owner -Bui der Date My Commission F,xpir�s ANGELA MASS MO TANI �' NOTARY o My Comm Exp. 5 /26/2001 No. CC 767554 I Personally Known e ther LD FEES: PERMIT RADON C.C.F. NOTARY .�' BOND TOTAL DUE Plumbing Structural Engineer 4) ' l V. w' i2, ert... Ary /goof o t Dd // /'inl _ % o Poo L Fv onie,✓t PA ...7F S/S G rdvw>t 44 l, k� "// T � f " / C,,s/, o1e of Gvor< P ool F u( /,t2ei.) 7`fGc mo o n-10 Set ' x,S7 ,yob: C4r1 f3/4r,, l!yo Nr E. 985 3 1ior,=Si . �, - 2 oh/.. w fZ, seiz %A/'v 1 %O POO Ff vp,✓f 5/$ GtddM Z4 k iv w / / t C "a v 4i iu r G C jci $Ti7 5Cotoe of /.lfori(' �oOL Ff u,�irze,..) t l) 1 , bo A rlo Job; Car/ /9.4A-r,v -J //yo 4) 0,44 M S '10/`,_ S FA PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7- (o - o 0 Job Address // 10 N -4-- l Sf Tax Folio 404 Legal Description 2 / ..6 oic / Historically Designated: Yes No Owner/Lessee / Tenant ( " 6 .- AM Master Permit # •A Owner's Address /1 q 0 A( E 9 8 Phone , o 5 7 5 7- L 9 5 Contracting Co. A ,2l.e 5 -' yo c. o Address 7 / D /V 7 o "re tt Qualifier ifl A l21 t?S 1' Y© c-o SS# Phone 95 9 (o /— 14 State # x,054, 93/ Municipal # Competency # Ins. Co. Bdc e� Architect Enginee, 2 le--7 169- V 4 S D _3/ c1 tC Address (aS o o uw a �,,¢-c-1 t Pq to Bonding Company Address Mortgagor Address LUMBING MECHANICAL ROOFING PAVING FENCE SIGN Permit Type (circle one) UILDING ELECTRIC WORK DESCRIPTI Poo L 7; e ( Sf Square Ft. Estimated Cost (value) / L/ 7 5 U 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 OF 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 Alt. 'DAVIT: 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 wor ted. Zo RADON 4 Aid rErip Building Signature of "own . and/or s President Date 110 Notary as to • er and/or Condo President Date My Commission Expires: OFFICIAL NOTARY SEAL GLADYS J VILLAR �# ( ! QO NOTARY PUBLIC STATE OF FLORIDA 5 D MY COMMISSION EXP. MAR. 1,2002 , COMMISSION NO. CC714103 A ES: PERMIT APPROVED: C.C.F. Signs 03 Notary . to • 1 ntractor or My Commission Expires: NOTARY ✓ e ANGELA MASSIMO TA My Comm Exp. 5/2612001 No. CC 767554 ersonally Known 11 other I.O. / -5 G✓ yOc_o - BOND3f) 0 TOTAL D 6O �� � Electrical V / d 11 Date 7-5-o0 Date 0 1,14- 4 1 -e5 y0 c,b v - 7 o 1.1-7 v 7--er - -lu'D, 3 3 30 244 Permit # Tax Folio # NOTICE OF _COMMENCEMENT State of Florida, County of Broward The undorslgned h.r.by gives notlea that Improvement will b. made to eclair reel property. and In •ccoulencs with Section 713.13 of tr Florida Statutes. the following Information k prov4,d In this Notice of Commencement. 1. Description of Property: Legal Description: Lot (7 ( Block' SubdMrislon r I (a -'24.l OtMr 6. Lender Name and Address: of ' ATE 0'= I:!_O;2IDA, COUNTY OF DAD2 I -'EC'E8V CERTIFY that th s is a the cony of the pn7mal bled in this o/hcc on d, of n , 2) �� W, TNESS my hand and C;bual Sea). HARVEY UVIIG, CLER), of Cfrc n: and County Curt • D.C. Signature of Owner: Signature of Notary' RI PtInt.d Nem.: 2. Ganes.' Description of Improvement: ' POP 4 I°,3- Jr,2.. 00R3+62479 2000 JUL 27 11:42 VACS *Mot NOM ioa le SOWN 00111 MGM. 3. Owner Infotmat. n: Full Nam.: Maan9Address: 1 1 Lip (L t - 9 d 'W 51 t'7 (,4(-1 ( 500-4t5 t �c-- 3 i S Phone c5,o I L 5 1 _ Y9,7 Intetett In Property: ( fee almple 1 ) Name end Addr..a of 1...tmple titleholder (If other trier% own.rl: hq --,e[ eS w y r■1 4. Coo Nuns+ and Addrese: '7 / 0 /J - 7 0 T f- '1 I/ y .?-/. 3 5•.2 2 - )L 6. Surety Nam. and Address: Amount of Bond • 7. Parsons within the Stets of Florida (Nam.$ and Adflsasas) deslgnated'by owner upon whom nodua of oily domnonts may be sarvad is provided by Becton 713.13(1)(4 7., Motlds Statutes: •, 8. In eddhlon to ttlm••ll, Owner dwlgnat.a to raoetve a oopy of t . Liana's Notka ea pr ovid.41n Secdpn 713.13(11111. Florida Statutes. • . Expiration date of Notice of Commencement; (t i explratbn date Is on. yam from date of receding unless s different data le ep•cl(I.d ) Slpn.tw. of Owns :: (/�- ✓� �' Printed Name: (a r 1 P•t'y't.,�� T Printed Nom: �/ SWORN TO AND SUBSCRIBED afore 1 this , / day of My Commission Expires: t tl 0 HUrac ANGELA MASSN40 TANI f Lamm bp. /2001