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WS06-3034Passed Inspector Comments Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled re-inspection fee is paid . until Inspection Date: 03/06/2007 Inspector: Grande, Claudio Owner: DOWER, DANIEL AND CARLOS Job Address: 113 101 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Permit Type: Windows/Shutters Inspection Type: Final Work Classification: Window/Door Replacement eL Block: Phone Number Parcel Number 1132060131910 Lot: Monday, March 5, 2007 Page 2 of 2 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION /"Wfg,"' a tyro PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -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: /✓ /6 5* 1 /2-- - r//�1 &d& 3 S1- / AHD Pe /0- PP /r m i ;- 4i it 2. Description of improvement: 3. Owner(s) name and address: Interest in property: OW Name and address of fee simple titleholder: 4. Contractor's name and address: 5. Surety: (Payment bond required by owner fr contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 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., Florid tatutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statu s. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differe Sworn to and subscri.ed before me this Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE 4 8/02 fied) Signature of Owner /�� Print Owner's Name �r /i" det 2 mica I liz exof Pt 4/Y j1 fI'/V! �1i E�p 1CA S 4839 ' sv M`I gl obet .1s r firsP day of ,20 111111111111 11111 11111 1111111111 111111111 1111 Address: CI' F 2006R1245721 OR Bk 25119 Ps 0990; (1P9) RECORDED 11/21/2006 15 :52 :25 HARVEY RUVIH, CLERK OF COURT MIAMI -DADE COUNTYp FLORIDA LAST PAGE s� / ” 138 Prepared by A/ VI d#/ V" - v m if Nit- ("V »*5 Issue Date: 12/22/2006 Expires: 06/20/2007 Owner's Name: DANIEL AND CARLOS DOWER Permit Type: Windows /Shutters Work Classification: Window /Door Replacement Job Address: 113 101 Street NE Additional Information Miami Shores Village, FL 33138- Contractor(s) HOME OWNER Phone Primary Contractor Yes Type of Work: windows Additional Info: No of Openings: 5 Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $3.00 $1.00 $5.00 $150.00 $9.00 $3.75 $171.75 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Parcel #: Block: Section: Permit Status: APPROVED Permit Number: WS -12 -06 -3034 Phone: Total Square Feet: Total Valuation: Required Inspections 1132060131910 Lot: PB: 0 $ 5,000.00 Window Door Attachment Shutter Attachment Final Shutters Final Invoice Number WS - 12 - 06 - 27066 Total: Amt Due $171.75 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Tenant/Lessee Name Describe Work: Notary $ 6.00 Contractor's Company Name Contractor's Address Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ['Addition Submittal Fee $ Permit Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (30 a 4,,,)('a 305) 756.8972 BUILDING DE 8 2006 j Permit No. 5Q 7 — 303 PERMIT APPLICATION BY .tJ - - - - - -- Master Permit No. FBC 2004 - - -- Permit Type (circle) Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) . /`e2.— (..DQb-/4E. —. Phone # 3d 594 54 Owner's Address ii I e !U/ / City 4 /4 State f Zip 3 g Phone # Job Address (where the work is being done) ! /J Ale' /0 / .S1 City Miami Shores Village County . Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated S NO City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. ['Alteration ❑New Bond $ Code Enforcement $ Double Fee $ Structural Review. $ � - viewabk �hc W&) re tt�c-em�s avo ew • � ot/A Phone # Phone # Square / Linear Footage Of Work: 1.212.2 '2 ❑ Demolition Total Fee Now Due $ talithb ******, * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * * * * * * * * * * * * ** * * * * * * * * * ** * * * * * * * * * * * ** CCF $ ' Q CO /CC Training/Education Fee $ 1 • 00 Technology Fee $ Scanning $1 190 Radon $ DPBR $ Zoning $ )11.15 See Reverse side -� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not - app oved and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledge • befo - me this 21 The foregoing instrument was acknowledged before me this day of 0 , by , day of ,20,by who is personally known to me or who has producedD6r0115vho is personally known to me or who has produced 4 ✓I identification and who did take an oath. as identification and who did take an oath. NOTARY Pi NOTARY PUBLIC: * * * * * * * * * * ** Sign: Print: My Comm sion Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) Signature `,11111,, Mabel W arf,: "'� PFlYPGA ' - Commission##DD231' ; r Iires I 1 %,^;'Sign: edJhn g Co., Inc.Print: My Commission Expires: / Z 2.--` dc/ Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: Dew i < L— dpOCV -72—. DATE: 1 7 2-7 Ce ADDRESS: / G / 20/ (7, ML( I 8 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. Initial 1. I hold title to the above property and I am planning on doing this construction 2. I understand that as an owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial 3. I have an understanding of. the 2004 FBC & 'FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code —. only if the structure meets the minimum code. Initial 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible: and liable for any wrong doing from this unlicensed company or person. Initial 7. I understand that if any person gets injured on my construction project —they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my properly with out first obtaining the proper permits by licensed contractors. Was acknowledged before me this an day of BY/3001 Pr D I WO' 0 who was personally known to me or who has Produced there License or 0 6OV / 0 as identification. OWNER Initial k o 00 Calculated Parameters Type of Structure Height/Least Horizontal Dim 0.60 Flexible Structure No , Zm Zmin 15.0011 Izm Cc * (33/zy`0.167 0.2281 Um r(zm/33y`Epsilon 427.06 ft Q ( 11( 1+ 0. 63 1(Min(B,L) +Ht)/Lzm)"0.63)) "0.5 0.9359 Gus12 0.925* 1 +1.7•Izm *3.4 *Q 1 +1.7 *3.4•Izm 0.8913 1 W • • .•. .. •• • • • • • • • • • • • • • ••• VyIND02 v2 -t6. • :°: ; : 8 200 Detailed Wind Load benign ( 2) pbt'ASCE 2 • .•• � - - - -- Analysis by: Vicente Franco Company Name: Shop Drawings Express, Corp. : Description: 113 NE 101 ST, MIAMI SHORES • • • 78 5979 • • • • • • • • . ser Input Data Structure Type Basic Wind Speed (V) Struc Category (1, 1I, I11, or IV) Exposure (B, C, or D) Struc Nat Frequency (n1) Slope of Roof Slope of Roof (Theta) Type of Roof Kd (Directonality Factor) Eave Height (Eht) Ridge Height (RHt) Mean Roof Height (Ht) Width Pop. To Wind Dir (5) Width Win dth Paral. To Wind Dir (L) Building 146 II C 1 3.0 14.0 Gabled 1 10.00 20.00 15.00 25.00 30.00 •. mph Hz :12 Deg ft ft ft ft ft • • ••• • • •. •• • . • • • • • ••• • • • • • • • • ••• +c • alculated Parameters Importance Factor I 1 1 Hurricane Prone Region (V>100 mph) Values 900.000 9.500 . 05 IIII I1 J �'f'Lr /Iii%i1V 1.000 0.650 0.200 500.00 ft 0.200 15.00 Bt- Bm = c= Epsilon = min = Gust Factor Category 1: Rigid Structures - Simplified Method ustl IFor rigid structures (Nat Freq > 1 Hz) use 0.85 Gust Factor Category 11: Rigid Structures - Complete Analysis N4 /0 DEC TERvg nFr. 200 ust Factor Summary [Since this is not a flexible structure the lessor of Gust1 or Gust2 are used I Fig 6-5 Internal Pressure Coefficients for Buildings. Gcpi Open Buildings Partially Enclosed Buildings Enclosed Buildings Enclosed Buildings Max 0.00 0.55 0.18 Developed by Meca Enterprises, inc. Copyright 2008 Shop Drawings Express, Corp. Gcpi Max 0.00 -0.55 -0.18 0.18 1 -0.18 0.85( 0.85, ft 12/6/2 ► 06 VICENTE FRANCO P.E. DEC 0 5 2006 LIC # 62531 Page No. 1 of 2 Comps Width (ft) Span (ft) Area (ftA2) Zone GCp tnd Press (Ib/f A2 Max Min Max Min WINDOW Z4 10 1 10.00 4 1.00 - 1.10 54.66 -59.29 WINDOW Z5 10 1 10.00 5 1.00 - 1.40 54.66 -73.19 DOOR Z4 19 1 19.00 4 0.95 -1.05 52.38 -57.01 DOOR Z5 19 1 19.00 5 0.95 -1.30 52.38 -68.63 WINDO21f2 -16. • • • .. - Detailed Wind Load )egi (Msthad :2) pbi'A E 7-02 Fissure 6 -11 - Exteh1far ressure Coefficients. GCE, Loads on Components and Cladding for ciyiildipgs w /.Ht <= 60 ft .•...,.• .• .. : : : : .• • a= ••• .• •. ••• • •• ,. '. • • • • • • • • • • . • • • • • • • • • • • 000 • • • ••. Ht ft 3.00 2.5 ==> 1 Double Click on any data entry line to receive a help Screen ote: ' Enter Zone 1 through 5, or 1 H through 3H for overfiangs. a • 1' `.. 2 1 2 1 1 1 1 1 1 1 • 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 a a a Gabled Roof 7 <Theta < =45 Developed by Meca Enterprises, Inc. Copyright 2006 Shop Drawings Express, Corp. 12/6/2006 VICENTE FRANCO P.E. DEC 0 5 2006 LIC # 62531 Page No. 2 of 2 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Issue Date: 11/21/2006 Expires: 05/20/2007 Owner's Name: DANIEL AND CARLOS DOWER Permit Type: Paint Work Classification: New Job Address: 113 101 Street NE Miami Shores Village, FL 33138 Contractor(s) HOME OWNER Phone Primary Contractor Yes Additional Information Type of Work: Exterior Additional Info: Color: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $4.20 Education Surcharge $1.40 Notary Fee $5.00 Permit Fee $60.00 Scanning Fee $3.00 Technology Fee $1.50 Total: $75.10 Building Department File Copy Applicant Signature Permit Status: APPROVED Permit Number: PT -11 -06 -2829 Phone: Parcel #: 1132060131910 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 7,000.00 Required Inspections Final Invoice Number PT - 11 - 06 - 26803 Total: ,060 c,c) Amt Due $75.10 Amt Paid A ®d 2 8 NA NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Inspection Date: 03/06/2007 Inspector: Grande, Claudio Owner: DOWER, DANIEL AND CARLOS Job Address: 113 101 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Monday, March 5, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060131910 Lot: Page 2 of 2 Passed b7 Inspector Comments Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 03/06/2007 Inspector: Grande, Claudio Owner: DOWER, DANIEL AND CARLOS Job Address: 113 101 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Monday, March 5, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060131910 Lot: Page 2 of 2 r Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING hyo U PERMIT APPLICATION FBC 2004 Permit Type (circle): Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 1, 1VI4 2— .. O Phone # 3 • sz /I Owner's Address /1 3 /VC /U/ c9 • City fl(eti 1 J`7'. State Zip 3 / S Tenant/Lessee Name ate), f //1/ 6"02— Job Address (where the work is being done) City Miami Shores Village County / Miami -Dade Zip FOLIO / PARCEL # � �� �/ � ! ` Is Building Historically Designated YES NO Contractor's Company Name c Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 7-61-zru Type of Work: ['Addition ['Alteration ❑New (( / Repair/Replace I] Demolition Describe Work: fm,vr //(/ Or ex m- /IZ_ ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * ** ** * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF $ 4 Notary $ Training/Education Fee $ I - 0 Technology Fee $ Scanning $ '� /l J Radon $ Square / Linear Footage Of Work: DPBR $ Master Permit No. Phone # Permit No. !'i g2TEVE IM NOV 2 0 2006 u BY- NaCct 06 CO /CC Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 10' J� See Reverse side —> N11 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that.no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not bfapproved and a reinspection fee will be charged. Signature tY v v Signature Owner or Agent The foregoing instrument was acknowledged before me this day of NW _, 20 V�o , by�i al - who is me or who has produced f NOTARY PUBLIC: _ NOTARY PUBLIC: Sign: Print: My Commission Expires: Sg \0 el .ob * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) As identification and who did take an oath. , day of ,20 Contractor The foregoing instrument was acknowledged before me this who is personally known to me or who has produced as identification and who did take an oath. Sign: Print: My Commission Expires: ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer t N . Zoning a Date: / 1. a Owner's Name: l) /lov" DC' Phone #: mrve Job Address (where the work is being done): City: Miami Shores Village County: Miami -Dade Zip: ll ' l36 Is Building Historically Designated ?: Contractor's Company Name (if applicable): All elements on the site must be listed and indicate the color to be p:.inted Walls: / sr t a Fascia: Tv -- V i �• riEs Drip Cap /Drip Edge: P % �}! i /" Soffit: �G� /t4 1 5 Roof: T i CU7u ( ST Flower Bins: /v /-4 A14 Shutters: Awnings: Chimney: Doors and Door Jams: Garage Doors: � Railings: .A-/ Other: Miami Shores Village Paint Color Approval and Agreement J - 0 3 Lt F Nt I S egrr Decorative Metal: / o p &K,#1 779' 7 L ' Gl I ( Hfl1/ A ll brick (simulated or regula , GL{0/T) Stucco Banding: Any other Stucco Features: APPLICATION APPROVED BY: Accessory Buildngs: ,Sf 6 /is Owner or Agent P & Z OFFICIAL 1141 - /a'4, NO Phone #: OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance ith all applicable laws regulating construction and zoning. Signature: Date: it it) • �� Date: I/ Z.1 * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION ** 1" 1 (iv Pr 2, Amount of bond $ 6. Lender's name and address: 123.01 -52 PAGE 4 8/02 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. I / )v `o 0 /) -- // 0 STATE OF FLORIDA: COUNTY OF MIAMI -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. 1111111 111111111111111 111111111111111 11111111 CFN 2006R124-F;721 OR 8i~ 25119 Ps 0990; (fps RECORDED 11/21/2006 15:5225 HARVEY RUVIN► CLERK. OF COURT MIAMI--DADE COUNTY? FLORIDA LAST F'AGE 1. Legal description of property and street/address: / i / 6 5* V � i rme� &/ 1 ' S' I AID f' ia -9.o pp is moot i;--- 4414 it 2. Description of improvement: ex1 PMA474V 3. Owner(s) name and address: //WI Interest in property: oWivw� Name and address of fee simple titleholder: 4. Contractor's name and address: di-%r f .3 )38 5. Surety: (Payment bond required by owner fr contractor,-:if any): Name and address: 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., Florid tatutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statu s. . Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differer2t )sfied) Signature of Owner Print Owner's Name (11`e Prepared by Sworn to and subscri.ed before me this Notary Public i Print Notary's Name My commission expires: C.0 ! c3 ZWer day of , 20 _.. 0 04CAUS WVADOi 9 g 5 IV �MM\S$IOtt � 2 C 4 2009 8l5 o,�a.drn� Address: A/C /o /I y 1 Jl1I . ))/3 3