Loading...
SHUTTERSDat Legal Description / Lessee / Owner's Address / 2 1Q4 ,1,4 / ©L_ Contracting Co. Qualifier Aeke,,,./ n SS# / Phone ‘,9e--/4/7 State #C- DOV 9t/ Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECH ROOF NG PAVING FENCE SIGN WORK DESCRIPTION ✓/ F�L ;5 ,S Square Ft. �k 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 cert that all the foregoing information is accurate and that all work will be done in ian "P" a- applicable laws regulating construction and zoning. Furthermore, I authoriz - a , l 1 d contractor to do the work stated f•" • W ndo President � 7 • tary as to Owne and My Commission Expires: ** * APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address /6 i4 7(9/ ' Tax Folio //3 r-ge d --c0 /a 9 L O j T �j / ®Ck / (7; War ) £re5 - iii/4 /i/hy Tenant / Maste'A'ermit # 3��✓// rhl • .r! • • -E>CPC } t- - - - RICHARD A. FREIBERG MY COMMISSION N CC 270837 EXPIRES: March 14, 1997 Bonded Thru Notary Public Undeiw Item * C.C.F. 3.b6 /4W, /54 Phone 01-1T-66 Address 96'43 � r/ ( ;c/e4 Estimated Cost(value) Fire Building Mechanical Plumbing • 'Ttu e • ;! Coni •• // 1 ntrnrtor or. . • . ' — • RICHARD A. FREIBERG MY COMMISSION 1 CC 270837 .S • P,q EXPIRES: March 14, 1997 '�gt,;t14•' Bonded Thni Notary Public Undenwrttere Notary as to C My Commission or Owner- Builder NOTARY TOTAL DUE 64r Other Electrical Engineering --- PERPTT NO 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 SI14a-0 "Ni - L-C-4 't• •Q2----L. --,--- [Oct 1 _ID=14—ALC( 0 . - --I-F - G a— 5 -s2a0r) Sh 0 1( LS L VI-arnii . ... S r(Isi(?-e75 picut oo To.cla_ 4 • - - - "— 2. Description Ci?improveree ("" 6almik_. L c 3. Owner(.” name and aridri:ss• Interest in property: Name and and address of fee simple titleholder 6. Lender's name and address ■•■••■■•■■••■••■••• by Section 1 3.130)(a)7., Florida Statutes, Name and address: i AT FOETID / Dthorah Ncs ( 0 7 • 4. Contractor's name and address ( 0 145 a..-4 C71 0") 5. Surety:(Payment bond required by owner from contractor, if any) Name and address. Amount of bond 00 g-00/0 ti P t (Y1;1 S -0-es, C-c_ 3 3 13 r 3 3 04 0 - ;F ..- co -a 1.0 0 - <; 0 (:) , k. 0 • 4.. 0 0 7. Persons within the State of Florida designated by Owner upon whom notices OF other document S may be serv0 a4r 7 9 u. 0 z ° ,■ :C 8. In addition to himself, Owner designates the following person(s) In receive a copy of the Lienor's Notice as proWdedtri Section 713.1300), Florida Statutes. Name and address: 9. Exp•Asti te of this Notice of Commencement: (the expiration date is 1 year from the date of recording u ditfe ent date is pecified). tiTh c 0-?` NOTARY v :.4 &yak Print Owners Name Sv:orn to and SuLscrjbe� before me this day Print Notory3 Name .C.Arrs S 4 1 )/;- , • z.1.1•13:s:T-- NOiary Public 1.11■1 •••• inn C • • •• • o ?) c ,3,9q Prepared by: Address: