315 NE 98 StPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ,> Job Address 3 / S 'Li/= e n 3-1 Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant 7o4 ) 6 F -) Master Permit # '10731
Owner's Address 1;4. , .4 , Phone S O - 6 /e
Contracting Co. C 47 i' r r Address a
Qualifier /6A--?z, r 1 (.r I P /7 ) Phone J / - C f 6J
State # (' ACCT ,r�'� r
Municipal #
Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ROOFING PAVING FENCE SIGN
WORK DESCRIPTION p,„ 0Ch7C / -c �-Q )J , r 19 7 /0 Ot°ir4p
— 1c
A-1 )/ /S r t/�17f
Square Ft. / IA' 2() p
Notary as to Owner and/or Condo President Date
My Commission Expires:
j6a4/ Yee 't
FEES: PERMIT & RADON
Estimated Cost (value)
WARNING T r 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.
_ M //
V ature of owner and/or Condo President Date Sign tune of Contracto or Owner- Builder Date
Ge------..-v4%-e-z-- „ . ) - - 6 o-z.
N otary as to Contractor or Owner - Builder ate
My Comx ns`sii�$ E p are s . , .. . 2
C.C.F. ° (Q NOTARY BOND
TOTAL DUE 02 S 7 , 6e)
APPROVED:
Zoning Building Electrical
Mechanic Plumbing Engineering
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date „L1 2 Time
Type
Permi .. 91 /7
t�
Name ,
\ Address
Company A / ,0
Phone # .3L O - 1r
For Inspector:3,742 Nam
� Z�z
Approved � 1)4 �
Correction ❑
Re- Insp'n Fee ❑
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date ‘ Job Address S/cIVE
Tax Fol io J) ,�O /(72
Legal DescriptionE / 'f /J yl m fg 4 •J /41/4,9Master Permit #
Owner / Lessee / Tenant Ar- 4 /lag elL74- d;, 65_1.
Owner's Address SOT / V` C lggA Phone %/
Contracting Co. S�G'�o 4IA . Address � � �
—
lb ;"114v,
Qualifier et, Phone R ' WV 5
State# 60W ?iTIP Competencylfr &' 7g / Ins.Co.
Architect /Engineer 4deae--( Address
Bonding Company /00-1,-( Address
AA''
Mortgagor /�dz0 Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION J:4/ %" j / �' � ( Sp/i r)
4 dt,4 -, c (F 6eJ ) Ca me ivel
��
Square Ft. Estimated Cost / 1 75 9-4:-
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.
Signature f-Owuer and /or Condo President
Dat -.
4I
No ry a to Owner and /or ondo President
My Commission Expires:
* . * * * * *
PERMIT FEE: APPROVED:
Mechanical
Zoning
Fire
J2 Building
y c " k/ " bing
Signature of C'ntracts i or Owner -Bu der
Date: 6 , i q/
a �C / .. !.tr:. / . /el
Notary as to Contractor
My Commission Expires:
* * * *
Other
Electrical
Engineering
16
ner- Builder
s
:RM I T 0 .1 / 3 ,41,
ate of Florida
unty of Dade
b. Interest in property: 2 M.3 (' I
Contractor: (name and address)
Surety:
a. Name and Address
'ic
0
STATE OF PLORIDA
COUNTY OF DADE
1 HEREBY CERTIFY that this is a true copy of the
original filed in this office on_ ■ . day of
, A. D. 19
WITNESS pAy hand and Official Seal.
Clerk Circuit Cain
BY
Tax Folio No. 1/ l3 Ci5 �-
/l /7
NOTICE OF COMMENCEMENT
b. Amount of bonds 4
Lender: (name and address) /`
D.C.
Owner information: /.
a. Name and. Address: ()4/' /6"" •
(60.
Signature of Owner
14)�75
as
?$i( .Ct •� a/. ; l 3 y z
e (o-,zi-(1.
E UNDERSIGNED hereby gives notice that improvement will be made to certain real
operty, and in accordance with Chapter 713, Florida Statutes, the followirO
, formation is provided in this Notice of Commencement.
Description of property: (legal description of the property, and street address if ON
ri
available) • E /5- /L i L C 4 I / n''t - S �c, 1 (1 900 .
N
IX
General description of improvement: �.Lk- 4/1/ 6✓L 4 )4 ��L V d ct`
c. Name and address of fee simple titleholder(if other than owner):
Persons with the State of Florida designated by Owner upon . whom notices or
other documents may be served s provided by,ection 713.13(1)(a)7., Florida
Statutes: (name and address)
In addition to himself, Owner designates 't of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes.
Expiration date of notice of commencement (the expiration date is 1 year from
the date of recording unless a different'date is specified) 6 -71- t 21-
orn to and subscribed before me this ( 7)\. day of . \v'1E , 1991.
My Commission Expires: rj-Q,LI -Cik4