1195 NE 98 St (9)Date 3.24 ?19
Job Address
Legal Description �,`y Historically Designated: Yes No
0(74 Lessee / Tenant 1'R L ,1�Q ,��) Fern r c e z
Owner's Address 1 ) " I is
Contracting Co. CA R l /i I rl - ord I 1 ()r)
Qualifier : I �" Grit 1 >? ss #
Phone =c
CAL ROOFING PAVING FENCE SIGN
Ins. Co.
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 ce + a <. e foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulatin: ; j %s ,� an• zo ' �� + ermore, »utho e the above -named contractor to do the work stated.
tor or Owner - Builder
Notary as to Cofactor or Owner - Builder
My Commission Expires:
O�PaY PU B NATIALYE BROWN
[117, n COMMISSION NUMBER
'•+r o CC666107
7! ( p MY COMMISSION EXPIRES
OF FLO AUG. 2001
C.C.F. � NOTARY BOND
Electrical
co( ti
3/L,,y9
Date
ate
ga
TOTAL DUE 7
Plumbing Engineering
PERMIT NO. TAX FOLIO NO.
STATE OI FLORIDA:
COUNt Y 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.
I1 NL 9gsl / /liQ,�. Store
1. Legal descriptionof property and street address:
2. Description of improvement: Ck \C� - t i on v 7'f -Lrt Lf 1„
3. Owner(s) name and address:
Interest in property: C(
Name and address of free simple titleholder:
4. Contractor's name and address: ( � (��' r
(
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other docu(nents 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) 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 thi Notice of Com w nce
different date is _Aid
Signal ro1Owner
Prin Owners Name t� 1 ' K C I i t if) (. (' 2_.
Sworn to and subscribed before me this day of
Print Notary's Name IU/�- 7 Ly�, Pr Q W
, 1
My Commission Expires:
Notary Public . -
ivu 1 ILt ur UuMML NVtM1N 1
•Ct' i'0 e.
W NESS my
HARVE i R
By
J\-
99R 153203 1999 . MAR 24 15:46
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*1 Y C‘ I O i:3i.::: If /
1 «.. 'Y)Lt ( X5. I �=
nt: (the expiration date is 1 year from the date of recording unless a
,4
.4
-\P VB OTAF?1FSEM.
NATALYE BROWN
0 � (0 COMMISSION NUMBER —
+ Q CC666107
OF FL Oc p MY COMMISSION AUG. 19 EXPI ES
TATE OF FLORIDA, COUNTY 0: DADE
' , a ' this is a true coy f tho
1 H @RElY CERTIFY d of
o ij Clod 'n r s or`ice o /
A 0. I
and Official Sool.
CLERK .i rcuif and County Courfs
D.C.
Prepared by: Id) I -t (1_ �.'i c f; r
Address: 1. O 3-)X
04 -i ) te ar'
MIAMI SHO EIS VILLAGE
BUILDING INSPEC ION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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 Mrs • Dorothy Gray
Registered Architect and /or Engineer..._..
Name and address of licensed contractor
,di riiy Tuttle
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors) Central air-conditioning, he a t i n & cooling„
6 supp..y 1 return as per elan,
and for no other purpose.
New Building Remodeling. Addition Repairs No. of Stories
To be constructed of
Kind of foundation Roof Covering
Estimated Total cost of improvements $ 2 Amount of Permit $.... .0.0
Zone cubage required _Plan 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
The undersigned applicant for this building pennit 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 .. on actors, on work to be p ormed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signer. _•� ' t •° d f
STATE OF FLORIDA,
COUNTY OF DADE. J ss
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 arefully read the foregoing application, and that he did sign the same, and that all facts
therein by him to ed ar true Permit No J 7 1 Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman
Member
Member ..
Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
Date April 25th, 19 74
2.19.5 ytiyi._ N,_ ..... BStreet...Mit am.Z. .33136
Tel: 7589931
Co., Inc. 2175 8.7. 8th. St. r'iami, 33735
Member
Member
Member
Disapproved Date
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.