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1254 NE 100 StContracting Co. Qualifier et e-Wr State # , 3 unicipal # /0/4 /3/4- AI/4 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Architect/Engineer Bonding Company Mortgagor Signature of owner inJ1Jor Condo President Date Date Notary as to Ow er and/or Condo President My Commission Expires: J :' � s•, 1, r "OFFICIAL SEAL" �ap: _.. ; ; :i;= EDWIN MORALES - r� II11 . My Comm. Exp. 12/22/97 , ' , ' ?0'a ," Commission #CC 338025 FEES: PERMIT SD 79 RADON D a t e z-'/-97 Job Address / t V W' /®O T Tax Folio 3P "0 Legal Description Lo+ Li do; 1, ...c.,-)(40 S i a.Jt') Historically pesignated: Yes No ■ 86.0406, , n Plc.} 3.0 613 ;' 0 C -).4 fts,,,'. , ®� ©� Owner/Lessee / Tenant A/1 /�/¢ /4/ `r 6 C. Permit 6 Master Pert # t/ Owner's Address /2 cy /v6- /00 5'7' Phone q - y/7 .,, f - Address 9' 4 20 .s • ce, f '7 AA. v [•' ■ 9q2 —aq At ss# / Phone ids) 22/- 0 280 EA/sUie, 4 4tIca 8, OIC Competency # £- /T3 S Ins. Co. AS, Ad n Gq • Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION to, A/ G ,4rpf f-49 4 - cte \XI1 r14i - /fcA EY?_ /D /Z p le/ V 1.314/21/ / A/ CePAiCr•art, o 0 A 5'. T. 6 A J/ 4.' ride. Square Ft. 4 S Estimated Cost (value) 3 7 5 0 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. 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. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Con �; APPROVED: Zoning Building Mechanical Plumbing Notary as to Contract. or Owner - Builder My Commission Expires: "OFFICIAL SEAL" a ►' ' , ,' EDWIN MORALES -a; =,:,ter $ My Comm. Exp. 12/22/97 ' U1 O ` Commission #CC 338025 C.C.F. c2 40 NOTARY BOND ,' • TOTAL DUE 3�3. /0 Electrical Date az Date 00 Engineering NU ICE OF COMMENCEMENT PlgRMIT NO. TAX FOLIO NO. / - -' - OS - 005 -- t7C7y�� 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: La T 6L X I E4i L��Q�1 #d�t_S G] I E a o ' D c i ' /N PLAT / 3 D p 93 /1J �c c »N.l 7 toe; * /2Ss/ fvc /ov s' ni //elf - S' 2. Description of improvement: 4C /1(OVr 6 r S 7/ n/6- IM/ VE wily' rtivo £1'4 t% 16/ 4 to/ / - A - 1G - AN 6 �t �iN,S4� /iv ST.A� % c''Nc4t � Ct• 3. Owner(s) name and address: 4/4/4 Lr w ,4 L G c 7 / /Z s / NE / O e-67 T , c6 53/3 Interest in property: ` I Name and address of fee simple titleholder: /144 - 11 -✓ 4-(16j / 2 -6 - Y / 4. Contractor's name and address: Sig-A/14 c'p/V.'7' eida • C0/2 V5 .Sw 1'7 C �C- 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: /14 - 1h i e- y� • L- C_ e /25 NC rr L i1�t '' /7'O/ / , • 3'3/ 8 ��a -5 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: ni 1/- 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) att, Signature of owner Print Owners Na e 0/4 O 4-1-(-67`) �? S worn to and subscribed before me this / day of /6 , 19 / � �- -- s 'c ._ Address: 4 A A/ /D 2 S' Jotary Public _ 1 c',_pn , :c I ` L 'rint Notary's Name E //✓ /14 rg ,A , a IP ,, "% "Ut - HCIAL E Ln y Commission E e ' �_ s.. u ► 'EDWIN MORA-LIES .. . � iiii� .r , :', o+`°• �"1 Comm. Exp. 12/22/97 Commission #CC 338025 I I (�':i' '� COI 11.111 ) i'), \IF ry I 8 y fi/A- •�. � 7 1' .. ]i.... i, c' lrnr rpgy of t!w ... 4,... ...••..........e...- .....w1.,e.. w+.. ••••■■■ TC∎rcAl cn"f Ce unlyrr P,C.. Prepared by: NA-Le:1 N.41 • :• 1 1, 1 ) "1 t I ':;(• i 1111'd : 4, Ith,ck 1, 1:i,P1,ETW1 :;11()Itk:;, .wcording to ihe Plat thereof, as recorded 'in Ptat. Book 43, Page 80 . ol the Public Records of Dade County, Florida. Note: Underground encroachments and utilities, if any, not located. Fence ownership by visual means onl legal ownership not determined. 9) .... S ..-'-'•- . - . .....--......_ •-•-• ' • I 1 c., , • /5.' -,_ s•;\ \ I l ' ir•i i 3 :. 3,2 1 7 e tif i - /4742 f`h o:sea// sr< Not valid unless embossed with Surveyor's Seal. /— A /LX GTCP • ( ,91) tv ,47; •• / 1 -"? • zir- A. • 11,4 Rest !and A BOUNDARY suRvn• I hereby certify that the survey repre- sented hereon meets the minimum technical standards set forth by the Board of land Surveyors pursuant to Se(lidn 47)027. Fla. Statutet: There are no encrolchments. over,lips, easements app mg on the Piot other than as n hereto • 1. ()All Ce. •• i FLOOD ZONE: AE • 's k1 It • • • / • . 11) • ul FLOOD_INFORMATTON: Community No : 1.20652 Panel No 93 Suffix: G Date of FIRM: 1-20-93 e Bas Elevation: +8.00 N.G.V.D. I \ '1 i )) I • I • • \ • • .• • • ..r• 7 ' • As: / • . ..c • • , •••• ./ • • , • • / V • •• / • I' I • 4. • • . ic t .. /l:7/ 1 1 C;& /)/ PROPERTY OF: Allen, Matthew and Elizabeth, 1254 N. 5. 100th Street Miami, 1 'Pt\ , • • a 7 a w Certified To: M and M Title Services, inc., Commonwealth Land Title Insurance Company, Allen, Matthew and Elizabeth and Bank of North America, its successors and/or assigns as !heir interests may appear. /4/ •■• • 4. ' , / • • 1 • LA _ E. r" 't ./ • 7/) LANNES and GARd e." lit • ENGINEERS LAND SURVEYORS LAND PLANNERS Office address: 359 Alt a tar Avenue. Coral Gable. 1 looda 11154 Mailing address: P.O Box 561131, Miami, Florida 55156