352 NE 98 St (15)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date �� Job Address /IJE" 1 7N s T
V
Legal Description T L a� LOT 4 .4/07S S R LIZ- 4 Master Permit #
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Owner' / Lessee / Tenant j�r� 4 5 C /-f,4 4. -t C'
Owner's Address
Contracting Co.
Qualifier SS# / - - � ' Phone - 1.11-0(14)6
State# Competency# Ins. Col )/ 7lf tIIV.( ) •
Architect /Engineer /\/0ti6
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION ,/BEM o1) cZ (< c "rc ''A/ £ —m' (/&w ad,
ez / '' 1 -
/ ' C � "/ 64 C E L; ./7 /s„ c.r.,— / C77/ /
Square Ft. z ( " Estimated Cost --- Oa)
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 la s regulating construction and zoning.
Furthermore, I authorize the above named contractor ••'the yo k stated.
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Signatuk-e of Owner and /or Condo President / 'gnature of - Contractor pr Owner- Builder
Date:
11/
weir
M Commission Expires:
* . * . * *
PERMIT FEE: APPROVED:
Mechanical
y as to Owner and /or Condo President
7 /3, / 9 .
* * *
Fire
zp PP 5- Zoning Building 1
pars 9+A PI
Plumbing
Address
Address
Address
Date:
M
Tax Folio //- - q 32_06 -
Phone
Address 1 7 / 6. -/(/l l� Yd' j ,e - Nu4,14) f —LA--
%rte_ 2 ∎ P
ary as to o
Commission Expires: /3, / 7P
* * * * * *
Other
Electrical
Engineering
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^R :�,,UrU',. 0.:; BUILDING PERMIT
:Af•!A.:',:E; .) LISTED !N "REMARKS"
MIAMI SHORES BUILDING AND ZONING
UNLESS SPECIFICALLY LISTED BELOW.
AND COUNTY LAWS MUST BE COMPLIED
Auttiori7ed Signature Date
WITH NO VARIANCES • 'r.h.•i
NO OTHER UEVIATIO''S FROM THE
0,7DINANCES WILL BE PERMITTED,
All OTHER APP' IC.AB!.E STATE
to ITH BY ALL PARTIES.
FIRE DEPARTMENT
PU3LIC V.'OR:;S
POLICE DEPARTMENT
c.iJILDING DIRECTO:;
�'t$!
i
1
4
PLANf;ING & ZONING BO ': :!)
VILLAGE COUNCIL
APPROVAL
PRELIMINARY: FINAL'
REMARKS:
.COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED 'C
BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & I
SUB CONTRACTORS ARE CHARGED WITH THE KNOWLEDGE OF ALL BUILD-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. �.�
PERMIT #
9IRI8Ik27
State of Florida
County of Dade
4. Contractor:
b. Amount of bond$
(name and address)
Tax Folio No. (7- -,2 9(' -/3 - S 9'e -7
NOTICE OF COMMENCEMENT
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, to , lowing
information -is provided in this Notice of Commencement.
1. Description of property: (legal description of the property, and str i!bt.:
available) L W I i (E'% !eCa"'TK .S 7 :(6 Pal V4-z /r -1 4 -s- -r 4,;,, 5 °
2. General description of improvement: ___ �t07
3. Owner information:
a. Name and Address: 19,14 F}i C - Are
b. Interest in property:
W
— Q LL 4
c. Name and address of fee simple titleholder(if other than owner): Q 0
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LL r
O > co —
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W L W •
Infeki - ` ( 7 e2 °
5. Surety:
a. Name and Address
6. Lender: (name and address)
7. Persons with 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)
S. In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is 1 year from
7 S
6/
date of/ r ording unless/
Z. - /ti< r ti L. 7 1 JGCC,4
3 47 •
/ lv J it • -' S �
V_ /� (! q ig 3 3: J-3? �3 Q
Sworn to and subscribed before me this day y o f 1991.
'
different date is specified)
Signature of Owner
My Commission Expires:
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