1297 NE 100 St (13)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 3 Job Address 01 NET /OI Tax Folio // WP acev
Legal Description / ' 7 / A
/ Lessee / Tenant aom l') �'�'� Master Permit 4PiVWf'
Owner's Address l_q 7 N E 100 £ •r� ores Phone
Contracting Co. (9 n tiO P-13Dg Address 7 357AA)) ina44z... 0
Qualifier joa1110 1 1) 0LL( S Phone . 257 - 26)/ 2
- 2Lc /
State # 1 W) (915 Municipal # titt-'366) Competency # Ins .Co. t ft cq ape . /2 & - 7&
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL {1�OOFING)PAVING FENCE SIGN
WORK DESCR I PT ION, .(,!/1 (Q/1 itney L cl ' ?� / - ►( J / " 75 -.G �. c /JLe 5I&1
Offr 0029./P c , /Plop # 9D fo
Square Ft. _11Xk /'1 Estimated Cost(value) (& /0/ , 98 00
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 AF DAVIT: I certify that all the foregoing information is accurate and that all work will
be done i ompliance with all applicable laws regulating construction and zoning. Furthermore, I
authori above -named contractor to do the work state
Sig � /
Dat .
** *
APPROVED:
* *
or Condo President
i d/Y(6 1 a m , OFFICIAL NOTARY SEAL
SANDRA D O)ENOUR
Notary as to Owner Owner Insithari epllmt DA
My Commission Expires: COMMISSION NO. CC265272
MY COMMISSION EXP. MAR.12,I997
Li/Lila-ea ra s ar
Goo
Mechanical Plumbing 'Engineerin
nature of Contractor or Owner-Builder
Date:
464.?, l
OFFICIAL NOTARY S:s
, AL
Notary as to Contra
AT!
My Commission Expir
N NO. CC263272 IIII'
MISSION EXP. MAR. 12,1997
* * * * L * * * * * * * //- **
RADON C.C.F. e� O NOTARY TOTAL DUE f... L
Fire Other
: Electrical
7-
•
NOTICE OF COMMENCEMENT
/ � c 93R207970 1993 APR 26 15:37
PERMIT NO. TAX FOLIO NO. /1 — .3 5 W 0 — a - 1250
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: /o�q 7 NE IGO' L'nctLin.t., SA 0262.
2. Description of improvement: R D/2
3. Owner(s) name and address:
Name and address of fee simple titleholder:
6. Lender's name and address:
Name and address:
Slgnatur . f Own
Print c ners Name
Sworn to and subscribed before me this 2-& day of
Notary Public :I/ d )J L
Print Notary's Name
7 Ohn 6rac -y
.
M Commission
Y ssion Expires:
4. Contractor's name and address: ?O,» (22, ,.4
7.3G, 7 g Cr'
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
? `3S7 /)W• ikti-etrnii (7
G 7e_N0 C�u�
L.A1 L�Pp/X ramie /2 -efi- . 4 c / 4 e0
4m.,95. V 4-ite
x,7 7 NE /00 st �2 � -/tea
Interest in property:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be se
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
- 235 7 't)W L-Inuf t.L ( , �?�rn c. , <� 33/,5
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.
cT
b y Rio aNS.-
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a - v.
0 = e
c y
4 to' F CL
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9. Expiration date of this Notice of Commencement: (the expiration date is.1 year from the date of recording unless a
different da - is specified)
Prepared by: J/ .
Address: /3 76 JE /03 '
74 mar ,ri
123.01.52 2/93
d
BUILDING o MIAMI SHORES VILLAGE, FLORIDA
PLUMBING
ELECTRICAL
O PERMIT N° 8373
ROOFING g
Owner of
Building {--� ri
Architect
Contractor
or Builder ' t ,•.4 . I. r -,
Legal Lot 11
Description il Bl
Address of _ )1C
Building f / " � 1 �- �i
CONTRACTOR or BUILDER
Work to be performed under this Permit
ra iM rl.
Contractor's
License No. (-
BY AUTHORITY
'
r Jr/ let's ftilr
el/ r t .
Subdi-
vision
Sq Ft
Value of 11 Amount of
Project $ II Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants of employees.
N
Signed : -' • ' #:- " "'° - (INSPECTOR) BY
In consideration of the issuance to me of this permit I agree tq- •erform the work covered hereunder in compliance with all ordinances and regulations
-rtaining thereto and in strict conformity with the plans, drawings, ements or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work done either, fnfself, my agent, servant or employee.
Applicat on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing o. other stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Villag F orida, and all provisions of the Laws of the State of Florida, all ordnances of Miami Shores Village and all piles and
regulations of the Building Division of Miam Shores Village sh 11 be con,plied with whether her in specified cr not. A cop, of approv d
plans and specifications must be kept at budding during progress of the work.
Owner s Name and Address ___ 67//x/ /�' `eau- d \.7 2
Registered Architect and /or Engineer _. (�'/
Name and address of licensed contractor 6/ NeQ7_ AC .
Location ^nd legal description of lot to be built on:
Lot__ __ _ _ _ Block . Subdivision_
Street and Number where work is to be done_ %7Y7 - -- /0 ®_____ __ . _
State wo k to be done and purpose of ilding (by floors) ____/__!«° O/ � .
/ens -- �
Zone cubage required_
Distance to next nearest building
Maximum live load to be bcrne by each floor
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved
( Signed) _
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Plan Cubage
_Size of Building Lot
Remarks -- - ( Signed) .
/ 19__
7 --- Street -- V fOD/T -
• : . --
and for no other purpose.
New Building _ ___ ____ __ -_ Remodeling . __ ____ Addition_ Repairs No. of Stories _..._
To be constructed of _ ._ _ _ Kind of foundation _ t _ Roof Covering ■
Estimated Total cost of improvements $ . 00 _ _ _Amount of Permit $
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to _ ______
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed u..der this permit; and will post or cause to be posted for inspection o the site of the .rk such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco / act. s ✓on work to . .erformed under this
permit, as are licensed by Miai.; Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by hi teed are true.
Per:rit No. ✓ ._ Date_ d ��j _ _ Read, Sworn to and Subscribed before me.
to me well known,
Notary Public, State of Florida
My Commission Expires _ __
ING BOARD __ DATE
Chairman Member __
Member Member
Member _____ _ _ - Member -- ---_ -- __ --
Council Approved Da.e Dsapproved ___ -_ Date
NOTE: A charge of $1 00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board
A re- in_pect fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.