94 NE 99 St (4)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
Date7 A 7f i1 Job Address
Legal
Owner
Owner's Address ! /
Description /'k
Contracting Co . 4Pfel f e Address ePot 0 4-10 e-
Qualifier Ad IUe2 5474e0e4, Phone g2-7-6.0492-
State# ck
Architect /Engineer
Bonding Company
Mortgagor
Permit Type: ROOFING
9¢
Competency #
BUILDING ELECTRICAL PLUMBING
Application is hereby made for a permit to do work & installation as indicated. I understand that
separate permits are required for Electrical, Plumbing, Signs, Pools, Roofing, & Mechanical work.
WORK DESCRIPTION JI15:T* 5
Square Ft.
20 c>
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMEI'.T AND OUR 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 TF.E NOTICE. A BACKFLOW PREVENTION DEVICE
PERMIT AND CERTIFICATION TEST MAY BE REQUIRED IN ACCORDANC' WITH ORDINANCE #825. CALL THE PUBLIC
WORKS DEPT. AT 787 -1001 OR VISIT THEIR OFFICE AT 1815 N.F. 150 ST.
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.
C,
ure of Property Owner or Condo Pres.
ADMINISTERED OATH ❑
SWORN TO & SUBSCRIBED :E E THIS
�Epf
re of NOTARY to Owner /Condo President
Ni7[Y7
UIIegTaTE4 ORT
MY COMMISSION EXPIRES: July 11, 1995. ,
$OIW*D TNRU NOTARY PUELIC UNDLRWRPIUS. C C
(Print, Type, or Stamp Commissioned Name)
Personally Known ❑ or Produced I.D. ❑
Type of I.D. produced
Zoning
Mechanical
l r 577
Building
Tenant
Address
Address
Address
G
Estimated Cos
Tax Folio f /f6ze 6 /J /q ,
Master Permit # i 4-e2",
Day -Time Phone
Ins. Co .
a s nert4 wi /0
37 07-
AVING FENCE SIGN
ADMINISTERED OATH ❑
.SWORN TO & SUBSCRIBED BEFORE M'E
D 1 9QMr.
f NOTARY to ontractor
f7
/17/77//'5‘ E. /let
MY COMMISSION EXPIRES: J FLORID 1 .
RONDO? TH0U NOTARY PUDLI Musa ` 7)41.73 �3
(Print, Type, or S MA tamp
issioned Name)
Perscr Known ❑ or Produced I.D. ❑
Type cf I.D. produced
Electrical
�< I` Plumbing Engineering
t
ST,,r ; i ^`;D uOuNTY OF CAD
f. , i:_ta copy
Q11 i:. 1�t N '• .
WNLES
HAkVE
$y
6. Lender's name and address:
Notary Pubtic i / d
❑" r'- urty'Coa
DC
NOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO. //.3.)-0 (3 / b ( 1-0 3
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: Q (4 IV C— T' ST )..A I Am r S - N,Y2Ez ' 3 / ?"&
2. Description of improvement: 1'-S 7 cL CL ra Ac ,q rrz e o). t I ) 2 .—. S
AA L Le- eTRrcAt_ e_o,'.vGC'1'i oA.
3. Owner(s) name and address: CA A/cc -' AL-0 )26 A CSP(.3
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: - FR- P IC P . > ‘1 Ed1 T 4-- A r)
CSOd `f CuQsr jr
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $ /
,u
gniure of Owner
Print Owners Name C N Acz-LE S 2, A -t R 'eQc -A1 • re-s
Sworn to and subscribed before me this 3 day of . 19 X13 .
Print Notary's Name /Y1A2 /R j CANClO � ?(:f7'
NOTARY PUBLIC STATE OF FLORIDA
My Commission Expires: ra r=.0,4 P..2 7,1,fl4
EO:iDED Tt: U GENERAL INS. UND.
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
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: /U 7 A
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)
Prepared by:
Address: _S
i
1 17
LL
7
r
li
Dat
yy ! /
Legal Description / )
Owner / Lessee / Tenant qsAHDP-OK _ a Xnn
17, .
Owner's Address 7 ) � '/9 W'
Contracting Co. ,, J (1(2ci . 1,04)IO
Date:
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE r
Job Address ( (1 C -/ q 9 ( . Tax Folio i/ iotei
Notary as to Owner and /or Condo President
My Commission Expires:
Date:
Fire Other
- e /`/0 /76
Master Permit #1"0
Phone 7 (9 9r
Address /7( t2 f
Qualifier Fp/W((A) C 1O? CW + Phone ! 7t Y $"/ //Z7640 -.
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one : UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 9k �( / ( u r
A 1 Tjk.) i Oka
Square Ft. Estimated Cost(value) k OL'C)
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
authprize the above-named contractor to do the work stated.
4�'44 z. a hi(
Signature of owner and/or Condo President ignature of Contractor or Owner- Builder
Notary as to Contractor or Owner- Builder
My Commission Expires:
** * * * * * * * * * * * * * * * **
FEES: PERMIT 5/ 6 RADON C.C.F. NOTARY TOTAL DUE Q dd
Zoning Building Electrical* - 1111A/
Mechanical Plumbing Engineering
, PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
Date
Legal Description
Owner
Job Address
Po , P r9' T--e
•
Owner's Address Day -Time Phone
Contracting Co. PectslC1'( (K`f{ _Ti _ Address 0_ flO„� 47 q2 1-)/4. ,!l, g30/
Qualifier . q1204f O AfZt Phone �„,:t). 7V-ft
Statelf Competency# f O LL Ins. Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type: ROOFING BUILDING ( ELECTRICAL ►PLUMBING MECHANICAL PAVING FENCE SIGN
Application is hereby made for a permit o d o w ork & installation as indicated. I understand that
separate permits are required for Electrical, Plumbing, Sig:is, Pools, Roofing, & Mechanical work.
WORK DESCRIPTION / (J P A /c orfir 5 7
Square Ft. Estimated Cost 7 D
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 TH. , NOTICE. A BACKFLOW PREVENTION DEVICE
PERMIT AND CERTIFICATION TEST MAY BE REQUIRED IN ACCORDANC" WITH ORDINANCE #825. CALL THE PUBLIC
WORKS DEPT. AT 787 -1001 OR VISIT THEIR OFFICE AT 1815 N.E. 150 ST.
OWNER'S AFFIDAVIT: I certify that all the foregoing Information Is accurate, and that all work will be
applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contra
�
ig ature of Property Owner or Condo Pres.
ADMINISTERED OATH ❑
SWORN TO & SUBSCRIBED BEFORE ME THIS
A DAY OF Ate 19 2L ,
C Cat --0• f / A')( /1 \la
Signature of NOTARY to Owner /Condo President
InT T'`, -.. ., C^
NY Cr ,, .� c � cA - ^A
rA :=1)
31 " J C
(Print, Type, or Stamp Commissioned Name)
Personally Known ❑ or Produced I.D. ❑
Type of I.D. produced
Zoning
Mechanical
FEE
Building
Plumbing
Tenant
Tax Folio
Master Permit #
In comp,,;: with all
stated.
ADMINISTERED OATH ❑
SWORN TO & SUBSCRIBED BEFORE ME THIS
DAY OF St4rt', , 19i .
Signature of NOTARY to Cont ?actor
t21T.A.TI 'U" LIC ST.'..A" 0"' 'LC ^.'IDA
t:1 Ci TI "'.0 ? ::'. T ,,°.7,1':74
(Print, Type; or Stamp Commissioned Name)
Personally Known ,or Produced I.D. ❑
Type of I.D. produced
Electrical
Engineering