366 NE 99 St (10)•
Date I - 2.3- 4- 13 Job Address 344 M E . 6 t 4 104, 5.4r.
S cc :12 1R r• 10 -"1 O 1 0 - V 1 3 +
Legal Description rA in w SLore-5 ,
Contracting Co.
Lessee / Tenant ri1v. ► A RS ar+ r
Owner's Address 3(' 1.E . r M.S. � R'L, . 13132' Phone
Qualifier .-- Bez,b c0
State #C13(O3'0 Municipal #
Architect /Engineer
Bonding Company
Mortgagor
Square Ft. 1 )4 c Q
Notary/ as to Owner �a
My Commission Expire
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
•
Zoning
Address
Address
Permit Type(circle one): UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
c L.
WORK DESCRIPTION - X-- AS t+..Ae,rk br■c‘<_ pav alv- tv2Wc.1
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 informatio
be done in compliance with all applicable laws regulating con
authorize the above -named contractor to do the work stated.
Signature of owner and /or Condo P
Date:
or Condo PrAmiripnt
1. = MY COMMISSION 0 CC 222790
�� :;; EXPIRES: September 22, 199$
F;,0..•' Banded TMU Mowry Public U
� F �
SS# Phone
Competency #
3
FEES: PERMIT .;01 RADON C.C. F . 3 .i19 NOTARY TOTAL DUE
Fire
9 *
Estimated Cost(value)
My Commission Expires:
NOTARY PUBLIC, STATE OF FLORIDA.
MY COMMISSION EXPIRES: Dec. 29, 1995.
r.- . .r,t..
* * * * * * * **
Tax Folio 1 1 a.1474, S 60 51
Address
Mechanical Plumbing
Master Permit # 3fffe
Address R'Z() mE.ZA' )e. 2..C21
- 7 B -4A44
Ins.Co.
/ 81 o0
ccurate and that all work will
ion and zoning. Murthermore, I
Si_na ure of Contractor or Owner - Builder
Date:
11'1,14, Ii , t H/JI ;, / /LJ.
Notary as to ontractor or Owner -Bu
Other
1/ Electrical
Engineering
6. Lender's name and address:
My Commission Expires:
IA
Notary Public G. feki
Print Notary's Name N.'4yES C. 64N0
NOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO. I 3 3-0 Co 13 5Sr..10
STATE OF FLORIDA:
COUNTY 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.
1. Legal description of property and street address: IM 1(�lty► ► Shol - rS sec A ICI P'p lc� a
3 6, 4, +ci S e ± Yht a.w■ S c L nreS 1 �l.- 3
2. Description of improvement: .I v s-l& \\ 1 h,\ l0 ►vita �h1UC a '/ e �J r 1 t► 2WG�
F � Qk
3. Owner(s) name and address: R Yh RS • C- 4 . . t Sk
3 L ( o ,E . • ' R 1 C k J u 2 ' . nA; o:v ∎ ► 3 ores . 3 3 3
Interest in property: d Ca h e S
Name and address of fee simple titleholder: a / A
4. Contractor's name and address: �onk Ca.ns 1 _ 1 r . c .
e b Lo uE z ta�ve. � 5u ► E 2_03 1'`r ltaw►s Lames ) �{... '� 313g
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: / / P
Amount of bond $
7. Persons within 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: f /1
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: N 1 Fl
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Signature of Owner
Print Owners Name , A0Z4o4 Cage. gj6 /i's' -7;_.
Sworn to and subscribed before me this o'day of Aggr 1943
HIVES E. CNIO
MY COMMISSION / CC 222790
a DARES: September 22,
�• ' , Bonded TAru Notary Palk UndenwItere
Prepared by: t . 00k c. r
B ob Cook I P r- -
Address: r 1(1. Lo 7-Irl)C .
MIA t S\ not . 3313$