131 NE 101 St (14)t
BUILDING m
PLUMBING ° ❑ PERMIT
ROOFING ❑
0
Owner of Dck\ii Building
(v i . Architect
tK1 (--(, Contractor t j�
or Builder S'Y } et i'1 Co l 6,, i Tr oc. t i ,- 1
T' Description Lot
11 Bl.
Address of 7 y
5' 3 Building 1 1 NC_ 19 2 ST reel
MIAMI SHORES VILLAGE, FLORIDA
Date C!a —
CONTRACTOR or BUILDER BY
44375
191
Contractor's
License No.
Work to be performed under this Permit rJ ' Cr t'' ev,.1 t' t 0 t ' e
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 or employes.
2 Iorj '1 n01 c Fri rvi t `f
Subdi-
vision
Sq. Ft.:
Value of y � ,-��
Project $ 4 COO
Permit: 4
CCF: - 7 i . 64
Notary: C 0
Bond: Soo. r'`
Radon: 4 4 . 0' e l
Amount of �
Permit: 1 } O / 6 . 9
Signed• 'K"r"" (INSPECTOR) BY
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
//Vie - • 0109A200 0 /O'l /9?T03L 1100.69
AUTHORITY
3
t
Qualifier
State # C.& OS83.S Municipal #
Square Ft.
4
W.r4�l�in _ 1 /
�Signa
e of owner and/or Condo President
APPROVED:
Zoning
Mechanical (1
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/a
Date Z / l ! /CJ S' Job Address
Legal Description le 4 " l/2 Lor i4
Owner/Lessee / Tenant i4jM12- , ` i Master Permit # q 8 75
Owner's Address l6/ ‘' 4() 60 a. ✓ -3 � . j Phone r 305. 556 - /V7-0
Contracting Co. 5.1/21-4/4.) eews (,
Phone 3e:6 45: roi - '- 335 3
Architect/Engineer 14642 e. Azakl-t-7 mor Address 1 ). &U vJ 1Qr' - 1."k ft
95g - ZZ/ - 4195Y
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
/� -
WORK DESCRIPTION � A'L rn / ! / �`'�
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 zoning. Furthermore, I authorize the above -named contractor to do the work stated.
ary as to Owner and/or Condo P sidcnt Date
My Con
'Fb c- D
1-1-1DEle
n Expires e t li
� l
•
a� a 6C9
- � � MY c0M SS1ON EXPIRES
� OF FAO DEC. 17,2002
/Of 5t Tax Folio
Building
/.. ' Ali
Plumbing sty
•�
Historically Designated: Yes No - X
Competency # Ins. Co.
Address
Estimated Cost (value) . 286 OO
ntractor or Owner-Builder Date
0 Y3 - 0 02a9S
NOTAgYSFAI. — 9 — 9 /
ntractor cdBlfi
IMIff f IALICSTATE OF FLORIDA
COMMISSION NO. CC714103
MV COMMISSION EXR MAR 1,20 02
ignature of •
$
- — 41'04
Not. stoC
My Commissi
FEES: PERMIT ✓ 6 4 (0_ RADON ✓ "I u , O / C.C.F. i 7 !� 60 NOTARY v 5.
Electrical
Engineering
Sir cc f: `7/4
to f
Date
BOND 300.
TOTAL DUE II g 0, 9
NOTICE OF COMMENCEMENT
• A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. l /". O 0/3 " / / 3 c
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. (3 / A /6. /D/
!, :„ • - • • •
1. Legal description of property and street address:
2. Description of improvement: 771 (fl,7 S/r /4.[el
3. Owner(s) name and address:
Interest in property: e9u),7,
Name and address of fee simple titleholder: Oe&rler
4. Contractor's name and address: 5
/hider R. D%t/j /6/6.5" A(& f Q. /c , X 33/
/ id a/ea lit 7 pa . '3 3 OP/
5. Surety:(Payment bond required by owner from
Name and address: N/4 •
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 ma
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: 0c�) err n n /y
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: 0,A) /t e /'' 01
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
6, 2_,r90 0
different date is specified)
�7'T p '' . M - ems
Signal
Print
D 100 3 3 ( = — s - - / -
.ly E X . .0/10 t
Sworn to and subscribed before me this ' day of »'7C� � , 19 7 7.
OFR *AI: NOTARY
1 Orwner 1'
wners Name
Notary Public
Print Notary's Name
My Commission Expires:
RY PG
8MA„.
•
p
lit TA • i
Q CC797277
• \ O
• FL
DEC. 17,2002
EL
99R236306 1999 IIAY 06 14:50
(.cyi s Qa; D..) ty yp I thvy
011'E OF FLORIDA, COUNTY Or DADE
HEREBY CERTIFY that this is a tryeic 4' of the
origi•ai in this office on
Prepared by:
be served as provided
Address: /6 /Os y 6# - a t�c_
3 � b /tail
fl
12301.52 293
Date /
Legal Description Lo T 3 f /!' / /1
Owner/Lessee / Tenant )/AG r t'
1( X11) H y 'avP . $53 / a/P f/
Owner's Address
• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address /31 /Vt /0 / $7" Tax Folio
Contracting Co. lPtil n taL/ a , s. _ _ L e g Address
Qualifier n o a /G'/ 1 r r-, .So SS# PhonY' ‘ 8 O —SSP' /
• State # ( \Ci 0 .. 3 S 8 Municipal # Competency # Ins. Co.
Architect/Engineer �Q ,i'� 5a t) ( -4�ch , j/e f Address /0 q '� £) l` 6 - t i c 4 la , (ma d I �/•
Bonding Company Address 7 ' 57a 4 - cq - 73S- cR /D?)
Mortgagor Address
Permit Type (circle one : BUILDING ELECT CAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION a-- cr Grc i cc , C k e,. ckD i.
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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will- be•dane in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to d .the Work stated. //// 77 et- I C( Rich 4 r el
211 " I rM: re A -
e of • or Condo President
/-3 `1c0
Notary as Owner
My Co ssion Exp
FEES: PERMIT
APPROVED:
Zoning
Mechanical
CIA! nfrrrAPYcrj•
r ConoSIASMOVILLAR Date
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MYCOMMISSION EXP. MAR, 2
RADON
te
6
Bmilding
Viol 77
Historically Designated: Yes No X
Master Permit ite7W 7.5) �p o T O
Phone 3/25 - 6:5‘ • 7i /-2-r)
c3 57 5') / .izde.
Signature of-Con . : ct . r or Owner - Builder Yq.9./OVI 01.10
.)
/O or
Notary as to ontractor or
My Commission Expires:
C.C.F. NOTARY r ite? BOND
TOTAL DUE a 4' `t
Electrical
�ICIAL NOTARY Sk
GLADYS J VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
I W COMMISSION EXP. MAR. 1 ,
Plumbing Structural Engineer
MIAMI SHORES VILLAGE
BUILDING AND Z NING DEPARTMENT
DATE: ///0 0,,D
Gentlemen:
Re: Property located at (address and legal description):
/3/ A/5 /d( rc.e lex. / (
As legal owner of subject property, I request the ancellation of
permit number Lie/15/75 to 4.4
on �• , f r th9 following reason:
42 lel
I hereb apply as owner-build or authorize
Very truly yours,
STATE OF FLORIDA)
SS:
COUNTY OF DADE)
"HOLD HARMLESS" LETTER
The undersigned, being the first duly sworn, deposes
and says that he /she is the legal owner of the above
property.
Sworn to and subscribed before me this /0
Notary Public, State of Flor a at Lar.e A pAir
OFFICIAL NOT —.
GLADYSJ LAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EXP. MAR 1
e ei
to apply for such permits as are ne ssary to construct or complete
the construction on subject property.
I agree to hold cow' 5oy� V: l4 e Y �� Q�f 'v/ rm e s and relieve
it from any responsibility or liability f
any legal action or
damage resulting from the cancellation of the existing permit or
the issuance of a new permit. I furthermore assume responsibility
for the correction, if required, of work performed under the permit
for which I an requesting cancellation.
Vt" V'1
Y ofia/kkuQ 4 a2'00D
tei- v
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
4� bQ -vie's ?Loas� , - /e-oo
a-vl 1 S4-044,44) 6-1441$444Z;-,A) ez:Xotta—
N) 8 3 - fr l t r : t , £ -s ® v i , 1 / Cif S rZa ; �7-r'✓
i )14lAWIL
y r -" -
PERMIT
Work to be performed under
Architect
Contractor
or Builder C-.014 S t 11
Legal Lot
Description
Address of J
Building /3/ /1/ • /0/ 3
CONTRACTOR or BUILDER
•
MIAMI SHORES VILLAGE, FLORIDA a
Date
J/ 1rl./ r' --44C
I BI. ' •-
•,,! • 461140
41 4 yog
Contractor's
License No.
!_ •?
4 .. . 6711 I r - 1 C 1 ClV ~.
Subdi-
vision
Sq. Ft.:
Value of
Project $
this Permit
44 ;4 r)
It ".•iLii
5718A200 01 /26 /00TQTL
Permit:
CCF:
Notary:
Bond:
Radon:
Amount of
Permit:
. OD
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 or employees.
�d . Signed- (INSPECTOR) BY
In consideration - of - the,,isauance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining „thereto and in strici� conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I . afsume responsibility for all work done by either, myself, my agent, servant or employee.
80.00
2., 0 049
1