800 NE 98 St (5)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address DG® ^iG - (, 5t Tax Folio 113 a of 6 0/4. ,25
Legal Description L o'f 9, /c PA. 810 r4 Historically Designated: Yes No /K
Owner/Lessee / Tenant II/I) f, Master Permit # 4 /0 / 7 3
Owner's Address ff /
Contracting Co. � �, . &/ / P /c C f) rp
Qualifier
State # Municipal #
Architect/Engineer
Bonding Company Address
Square Ft. pro Estimated Cost (value)
v .lam 5. U:.Q-> 7, /6,14
Signature of owner and/or Condo President Date
J, C. C/ Y6-/
Notary as to Owner and/or Cond �r eside
My Commission Expires:
z
FEES: PERMIT .ZOO. 0 RADON
APPROVED:
Zoning
Mechanical
n AIM
11)1
COMMISSION # CC 485922
c EXPIRES AUG 3, 1999
BONDED THRU
4* OF f\ ATLANTIC BONDING CO., INC.
Building \- �
Phone `� 7- 2 C/35
Address a/34/ V'A I �L ! y D . ?J%1 ,
SS# ' Phone 6,2 5 //
Competency # q3 S C'C 6 /a Ins. Co. t" K
Address v
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MEC CAL ROOFING PAVING FENCE SIGN
AA/64)e
WORK DESCRIPTION
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.
Signatur of Contractor or Owner- Builder
I 1 ')
Notary as to Contractor or Owner- Builder
My Commissiexpires:
t,EITH S. STRACKE
N Y COMMISSION # CC 293211
;5• EXPIRES: June 8, 1997
•
&' Bonded ihni Notary Public Underwrlters
C.C.F. 0 NOTARY
Electrical
7 - fc� —�rU
Date
,'
Date
TOTAL DUE Z v:3- .i0
Plumbing Engineering
6. Lender's name and address:
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. 1/ 32o c7/y 2 .; 7o
STATE OF FLORIDA:
COUNTY OF DADE: 96R326396 1996 JUL 25 09:06
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: Vz o p OT ?, Ado 44c of arc lo i /,A.✓o /2 133U1 73
o F is sa/ SNoRFS ; ,EG /p BOOK PA- -F. 37
goo ,v, e 9 S t miAmi Sf/ORE FL 33 /32
2. Description of improvement: Hurricane Shutters
3. Owner(s) name and address: 77 '9/E (}Lki ER
goy nl.E= ? st' AI.i,4A,i ,56 F/ r 3373 . g
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: Meta 1 Shield Corp
2139 University Dr. #302 Coral Springs. FL 33071
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
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:
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 this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
_DOV2R S . UL!QI Q 1
Signature of Owner
Print Owners Name DALE E UL M ER Prepared by: 1 M t( .H, Li
To L.7 , 1 9 C nel/ Si -//Gz.. /p L AR4
Sworn to and subscribed before me this /6 day of
PIM
Address: ,2/3(1 U/1/l //Pk i/.5%) S/'
` Ir HAIM MICHAELI
Notary Public � �N✓` ✓"� �(�� � rnt tui iO CC 4860 ^
c EXPIRES AUG 3, 1999
Print Notary's Name sONDEDn1Ru
1 ` ATLANTIC BONDING CO., INC.
My Commission Expires:
Co /4 L S PiQr/+A&' FG 33091
123.01.52 2/93