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1235 NE 100 St (4)PERMIT,APPLICATION FOR MIAMI SHORES VILLAGE Date 1- (0 ' 0 V Job Address I jj J A £ /00 Tax Folio Legal Description Historically Designated: Yes � No Owner/Lessee / Tenant 1._() 1._() , - ,s _De' / J OA /1 S Master Permit # 7 4 0 9 9 Owner's Address /c7 /i 6 /00 5 ' Phone Contracting Co. Poi /C- //I r Address C.Z/ cv(/ //5 Qualifier e l) e. 1,\ l � e 1 GoA e SS# - - . ? RPhon6 .l ) 40 ?' 2r f ) State # CJ\ C 0 3 c l 3 Municipal # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION (2 /� G ✓ t- �� (Sh ;* Y /C `�u `� I- 4 id /Q CCo -0 i" - ID (a r0Dv et , P . A Z z Square Ft. Estimated Cost (value) 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 zeningr I authorize the above -named contractor to do the work stated. Signature of Ovner - end/or Condo President Notary as to Owner and/ �. ;`: SEAL My Commission ,ires:;OFFIC RAMON LOPEZ NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC750205 MY COMMISSION EXP. E 10 2002 APPROVED: Zoning Mechanical // / ��v Date —(O' oO Building Electrical Competency # Ins. Co. My Commission Signature of Contractor or Owner- Builder TOTAL DUE Notary as to Contractor or • . `� •;1 YSEA xpue�JF RAMON LOPEZ NOTARY PUBLIC STATE (P FLOgIDA COMMISSION NO. CC750205 002 MY COMMISSION EXP. 1 C.C.F. / off- 0 NOTARY . BOND Date • Date Plumbing Structural Engineer AeNcte_6 _I c- ✓l wove. A l \ 1 /C 'WcrtI1 w )4;.k. D....Igo /Ulan'•. t floct,T 11) 4ve" "' .x+62 . 4 - s'v P/ R !y � i2 .07 `^ ,i1 to 0 CtA khPly4 t J • 1 Ate_ • • AA 0? N % S De- "3 "l 33 / Q,r) 191 i7J �.0 1 IrNtaS i7 2 A' Inas+ VILLrA3` BY 0:11C °r. ': S•■• ■•.-.7. 10 cT aaa......--...,-- Skii.',.i1'..CTIO C3it.IPLif.,',Cri VS111; ALL F7.1.1E..A!.., S) C.;0 A ':•;::1.,:l.! SItF.S Ylif!:3 1,'-.SS1*-1ES NO V,Ti.S7trii.:::,:liFi.`3 ff:...! fLCURIV.ri E;Ut.IS 1.;i(g.1.1114S".;'1..AS. A.. 1 ..0q01; PN. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 i ' (z. Job Address J S 17 6 /Ob S\ r e Tax Folio Legal Description Historically Designated: Yes No Master Permit # 3 %i y Owners Address ID 3 8 / cb Phone 'SCD S 7 S 1 \ \ Owner/Lessee / Tenant LLD Contracting Co. 1 ' Qualifier ( State # CALc--,o`?. S 3 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICA ROOFING PAVING FENCE SIGN WORK DESCRIPTION a x c`C Square Ft. Estimated Cost (value) 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 co j ction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date d r')/' wner and/or Condo Pre dent Da e Not My mmission Expires: FEES: PERMIT APPROVED: Zoning Mechanical JAYNE A TURPIN NARY PUBLIC STATE OF FLORID COMMISSION NO. CC369609 MY COMMISSION EXP. MAY 24,1998 Address X333?, r1 � — ? A.R. SS # - Phone cpzsc6 - 9 cp a Signature of ontractor or 0 ,./'' Notary actor or Owner - Builde My Co scion Expires: ` JAYNE A TURPIN !NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC369609 + Y COMMISSION EXP. MAY 24,1998 Date RADON C.C.F. 2.0 O NOTARY TOTAL DUE 7c1700 Building Electrical Plumbing Engineering NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. 11 — 3 2_� 5 — — STATE OF FLORIDA: COUNTY OF DADE: 96R246742 1996 JUN 106 15:14 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. Gb Vxo —cr 4S —� 1. Legal description of property and street address: LIP \- A- I r. )-- E ■1 \ ©'O SA- (\--"\ over f 3_ F r 1 �;arf� 3. Owner(s) name and address: `-o v dig � 2I 5 (\ \moo Interest in property: Name and address of fee simple titleholder: 2. Description of improvement: 4. Contractor's name and address: 0 or \ . ©o \ IV . w — 7 5. Surety:(Payment bond required by owner from 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., 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 isspecified) Signature of Owner i Print Owners Name L.) t S o^'\A. Sworn to and subscribed before me this 6 day of 6 Notary Public Print Notary's Name My Commission • 5 STATE OF FLORIDA, COUNTY OF DADE HEREBY CERTIFY Oat this hi a Pruo cggq of fha -original filed in his offico on al y ,ofl y h 'nd and Official Sea i t tte� Prepared by: k rl0 r• ,19" \ P or`c� Address: 13 3 3 NQ3 7 \--C '1 3 l % OFFICIALNVOTARYSEAL JAYNE A TURPIN 4466 PUBLIC STATE OF FLORIDA COMMISSION NO. CC369609 MY COMMI,S,SQjJ q(P, MAY MO, S ■sl ^ej f 'F 1 1313?