1235 NE 100 St (17)Job Address / /00 Tax Folio // � �--oO - 0495‘o
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Leal Description oT � /�' rC f / to
/ Lessee / Tenant X.oUr J 2 7 Master Permit #
Owner's Address / -:3 b (3 Z % Phone 7 5 //
Address '4 'Q
Qualifier O c )A) a - 2 SS # Phone 7 37 — 90 //
State # Municipal # Competency 4!' Ins.Co.
1�
Architect /Engineer 0' aroti:/4 /°(.14)0 Z Address B °° 2 OV jc ��'' - L 4 *CE
Bonding Company Address
Date
Contracting Co. oc,4,Ava
E MIAMI SHORES VILLAGE 1.1MIIING MECHANICAL ROOFING PAVING FENCE SIGN
BUILDING DEPARTMENT � \ � ! le_. o c� e__/ Ay I
305- 795 -2204
Building Inspection Request 1
Date
T e Insp'
rmit N•
Name
Address
P ne# 3 C- s ?� �d ' O( )
In pection Date 6 (7
\(
A roved
Cor ction
Re -In. 'n Fee
C mpa
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
L !
. A_AAm7 A •i. .fir
do work and installation as indicated above, and
ctify that all work will be performed to meet the
,n this jurisdiction. I understand that separate
, IGNS, POOLS, ROOFING and MECHANICAL WORK.
►ing information is accurate and that all work will
egulating construc 'on = d zoning. Furthermore, I
fork stated.
Address
:stimated Cost(value)
CE OF COMMENCEMENT AND YOUR FAILURE TO DO
?ROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
:NDER OR AN ATTORNEY BEFORE RECORDING YOUR
Signature of tracto or er- Builder
Date: ° Z`Z S�
ary as tractor or r- Builder
My Commission Expires: ■77-- i 3 - S 7
4l+fr" MARGARET R. TYNAN
�• ' vi MY COMM ION N CC2e6489
* E (PI & May 13,1$97
A'', 800dee TMU No*y PubUo Undennitara
- 34 0 NOTARY OT
Engineering
PERMIT NO.
STATE OF FLORIDA:
COUNTY OF DADE:
NOTICE OF COMMENCEMENT
TAX FOLIO NO. // — 2 - c c ) J' — 0c)
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 r E p
g
2. Description of improvement: /( / 7 C ,-;*1 Q,) 52.. C) 2) .
3. Owner(s) n."e and address: / � - tcc*.) i J b
/)'S a (7e
Interest in property: S�� ,O�.._p
Name and address of fee simple titleholder:
4. Contractor's name and address: 0
5. Surery:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
948093228 1994 FEB 25 12 :10
6. Lender's name and address: /eN Afe_77f (.�e L- y��C/ �J 7Z-' i ti
/ /9V2- c,t) - <7 ae, %oc e.- i'
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 ' d)
ry^.
/, �;. j . ti ,.. a:k. :..? `
Signature 01 Owner (—,
Print Owners Name Loc.' 1 '-'1 �' `� v S fI C- �i • p -:A -
Sworn to and subscribed before me this 0J of r 6. . 19 I
� ; , , / ' Address: /Z� 3 JF CIO S 7
Public 4 &'4 �.uit rn ' i ��Q)E' J �
Print Notary's Name
• v � ___,.........,..,.................-------.1 � /� 3
t
My Commission Expires:
Prepared by: /001-1 iJ C/& r✓ ,7 -f-j'