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1225 NE 101 St (9)
Square Ft 4 4 Date S/5/98 Job Address / 2 -2 S F /u / Tax Folio Legal Description f r frc.- IS Historically Designated: Yes Owner/Lessee / Tenant firA4 /2ii0, f Master Permit # Owner's Address / 2.2 S it1 £ /0 / � �7• iO' , fro -�J Contracting Co. 47 /74// Qualifier i f State # C,4 G 05 2 9.2 7 Municipal # Competency # Architect/Engineer Address Bonding Company / / Address Mortgagor A // Address Permit Type (circle o BUILDING WORK DESCRIPTION Tj(71 Ii o X11 f., /i /,,. coM and/or Con , , Pr- '�� - :. , ; V P 0 OFFICIAL NOT FUGATli o �P ' ! / a �� BARBARA ON NU MBER 2 . ^ '� 4 CC723468 '~ N EXPIRES MY Ate/ Notary as to Owner My Commission Exp FEES: PERMIT / d (• LI PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ) RADON APPROVED: y� � Zoning Building qq > G/ Mechanical Plumbing Phone • Address 2 7.S = S'kr t SS# Phone (6[) 2.T6 " /r.f? / LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Estimated Cost (value) // J2o s' 02 S" 66 4 Ins. Co. No 305 75 -- `28(01 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. Signature of owner and/ ondo President Date Signature of Contractor or Owner- Builder Date - ‘842e4Y2 Notary as to Contractor or Owner - Builder Date My Commission Expires: �p RY P�6 OFFICIAL RGOY, ': SEAL O <i SANiDRA MOAITIEL i COMMISSION NUMBER `. N' . ' - ' ,1 . ,r, ©C401261 '- 1`,9V Co ..i13SION •E3TP. C.C.F. g - ._ — .- • OND Electrical TOTAL DUE Engineering NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 98823 1998 MAY 19 14:15 PERMIT NO. TAX FOLIO NO. // 3 2 O5 1).2 S DODO 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: Z/oc ij /S /J Z 3 A/4 ion 2. Description of improvement: / 2 5 A' /o/ - Et f7r-s.r,/ Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: f{ /'m 92 -" J -t -/ 9 r ti 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: different date is specified) Notary Public �Gk(U atf,14 Print Notary's Name My Commission Expires: /72 /yirec -)E J 4 o _-Ff F rr4 7.C/ e i 3. Owner(s) name and address: /771 J9 F/ Z,C v,'r P /77 r. Jo 4 N ; H F F'�ri�n Sipe of Owner Print Owners Name 3- ,A NJ LT L. A'M ( T K. \J *0 Sworn to and subscribed before me this 4 day of i9)6 ` , 19 9 . / 7 " .-4 4 , , ` 7 J�C R✓w��' 6 c C/A.. mi l — Z.41- '4',- eyr 2/,y .0141 OF FLORIDA, COUNT' 0" DAUt this f1. WeE3B9Y CGflr to t s Is 0 frue'c of fhe day a� on 0 ,l ,.na. f�lof 1 ' ,A0 W NESS h d icla Seal. iQ�il . : ¢li1Vl �LE � 1 of C j uit a . County Cod 7. Persons within the State of Florida designated by Owner upon whom notices or other docume by Section 713.13(1)(a)7., Florida Statutes, Name and address: • i cP P V 6, BARB RA FUCAZZZ C1 COMMSSION NUMBER ,QS.' Q CC723468 O� MY COMMISSION EXPIRES 11 MAR 29,2002 • ay . be served as provided 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 Commencem nt: (the expiration date is 1 year from the date of recording unless a Prepared by:/ s/ /'<// /ace,L / L _ ss: 75 //.E Z? C 123.01-52 2/93 MIAMI SHORES VILLAGE spector BUILDIN". INSPECTION DEPARTMEN' APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detiled statement of the plans and specifications herewith submitted for the build- ing or cr her , tructure her i. described This tit licatic . is made in compliance and con with the Building Ordinance of Miai.ti da Shores Village, 1•'or , and all provisions of the Laws c f the State: of Florida. all o dinances of Winn Shores Village and all iules and regular ions of the Building of '.,ianu Shop . illage h '1 ,e ^ompl,ed with, whether herein specified or not. A copy of approved plans and specifications must be kep■ at building during progress of the work. Date _ , 19 Owner'; Name and Address.f = _✓ � < No. ___ Street_ r✓_ _ ._. �. 7 ..._ Registered Architect and /or Engineer _. _ Name nd address of licensed contractor _ Location and legal description of lot to he built on: Lot _ Block._ ___ Subdivision__ Street and Number where work is to be done __ . _- _y__ .. r k ) 6 1 ati purpose 9 building Y f t State work to be done and u ose f buildin b floor s) / A r .. of ' it and for no other purpose. New Building. _ _ Remodeling _ ..__ _ ._ Addition__ __ __ ___ _____ __ _ Repairs. - - . . No. of Stories .. . To be constructed of - - . _ - _ Kind of foundation Rooffovering .. Estimated " .tal cost of improvements $. ., _ Amount c Permit $._ _ Zone rubage required __. .Plan Cubage Distance to next nearest building_. _ _ ._. -Size of Building Lot Maximum live load to be borne by each floor hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent t' _ .. The undo signed appli. ant for this building permit does hereby certify That he understands and accepts his obligations as an employer of 1 bor under he Florida Workmen's Compensation Act. being S •tion 5966, Corip1ed Gem - al Laws of Florida, P, r. anent Scipplc rent, and h s compl ed with he prov•.ions thereof, and will require similar corm in iance from all contractors or sub - contractor, cplo'•ed by him in the wo k to be p rf -met under th s permit, and i11 post or cause to be posted for inspection on the site of the work such public note e or .otices as are requir d by the Act. The u. th r ign: d agrees to employ only such . ubc•ontr, ctors, on work to be perform d der this perm;.; as are licensed by M am. Shores N ihage. Remarks. (Signed K �C " / , . :�' STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths ..nd take acknowledgments, personally 'p- Seared .. _ and c'ho, being by me first d ly sworn, upon oath deposes and says that he is the .. of th abov. de i. ibed cstruction t, i 1, has carefully read the foregoing application, and that he did sign the same, and that ..li facts therein by him stated are tree. Permit No._ .._ ____ _ / � - o Dat: _ 5 3'NS Read, Sworn to and Subscribed before me. Disapproved . (Signed) .._ . _. Notary Public State of Florida My Coin:nission Expires. to me well known, PLANNING BOARD DATE Chairman .. _._ Member Member Member . Member __ Member Council Approved Date Disapprot cd Date NOTE: A charge of $1.00 will be made for making corrections et- '..!lunges to this application after approval h cs het n nbta,ned from the Planr'ng Board. A re- inspection fee of $1.00 will be charged when such re- inspection is m: le necessary by improper notice fc,r inspe or f,o ity materials and /or workmanship.