1420 NE 101 St (13)(bDSo lit:. fr`r'
['MIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
P/O-o fV E - f 0
Legal Descript ion 1-ft t' L wL yio wsed# L�
Lessee / Tenant ? OA) A- RV 31 I 'J 1
Job Address
Owner's Address
Contracting Co. LAUD .A7c J /NC.
Qualifier bk.) M (, Le.-c>
State #CA-co 3:- . 5q
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING
WORK DESCRIPTION 12-00- A CC M 6- '` ) 7 pr A/C--
Of - S
Square Ft. Estimated Cost qS., °
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. 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.
Furth-rmore, I authorize the above -named contractor to do the work stated.
Signature.. of Owner and
Date:
Not
My
*
as
Lsion
PERMIT FEE:
/L0-b 1 S i,
Competency #
Condo President
o Owner and /or Condo President
Expires: VOTARY PUBLIC, STATE OF FLORIDA * DIY COMMISSION EXPIRIS APRIL 1V, 1992
APPROVED : BONDED THRU STEMBLER -ADAM p4,iStV&ET
Address
Zoning �� Building
MechanicaLt - Y � // ) 1nbing
Tax Folio 6 _ 49050/
ster Permit #
36 NW. 3" S-7
phone
Ins. Co. M4A.) /Lfr.W It
MECHANICAL PAVING FENCE SIGN
— iivr 1DC l
Signature of Contractor or Owner - Builder
Date:
*6 A
to Contractor or Owner - Builder
ommis Expires: NOTARY PUBLIC. STATE OF FLORIDA
* * yMY COMMISSION EXPIRES APRIL i 19
BONDED IHRD STEMBLER -ADAMS & SWEET
Other
Electrical
Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING 4(4)
if
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) //
�.•
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT/3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS /ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY T0:
_ AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
n ��
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
/�
SWIMMING POOL
OUTLETS COMMERCIAL
A
/ T D ' V
WATER SERVICE
SIGN TUBES
2
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4" TILE/RES.
VIOLATION
PUMP 8 ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
PERMIT #
State of Florida
County of Dade
k WL /0
Tax Folio
available) /k N•;
NOTICE OF COMMENCEMENT
2. ° General description of improvement:
3. Owner information: 727016/11A f
a. Name and Address: G
b. Interest in property: c( ff P.)r (1 eP-
c .
Name and address of fee simple titleholder(if other
4. Contractor: (name and address) o1CC)
5. Surety:
a. Name and Address
. Lender: (name and address) it,ci t4
b. Amount of bond$
the date of recording unless a different date is specified)
R7C0
J ( i/` C cO 1.x(7 I-I t
My Commission Expires:
91. R491R411104 1991 NOV 22 14 :55
THE UNDERSIGNED hereby gives notice that improvement 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 . Description of property: (legal description of the property, and street address if
�KG F - e,S
21 4 1).64
I /.,.,..
a 64 c-crvdc "zt- cAt
than
7, /2-e P.Alz D y
4 s G P r N c c40 2C F4
C cry c'F l''l1 4141 St-402(
(015o A*. Avg.
M (M 1 s- 1 P L-.
owner):
Sig ature of Owner
3`5,66
7. Persons with 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)
3. In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes.
l•
Expiration date of notice of commencement (the expiration date is 1 year fro
worn to and subscribed before me this day of / )O�f��J�/eY/
a�
NOTARY PUBLIC. STATE OF FLORIDA
MY COMMISSION EXPIRES APRIL 16. 1992
BONDED THRU STEMBLER-ADAMS & SWEET
MARSU U AD=1
STATE OF FLORIDA
COUNTY OF DADE
HERESY
CERTIFY that this Is a true copq 04 t410
this office on ---�
original fil ^' i�j , A.D. 1
WSF?lEgS my
hrn:] attd Cif c S :_'_I.
Clara Circuit c^ :; +a
i
SY
D.Ca
s
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date Yi Job Address I � ( � ND rot 5.T- Tax Folio // jWS' 4S 2 /
Legal. Description y L AY J /B' #74147:1 / 2/g, 9j a/M Permit #
Owner / Lessee ena In 1/1.4 hGY 7 () ( VJ �
Owner's Address ) A ) [c)( (S
Contracting Co. � w=1i ' Address
(OtJN /
Qualifier SS#
WORK DESCRIPTION
Competency #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Signature of Owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
* . * * *
2 ,___H5 Z, ( 6 9171,11
f1 50
Phone
�► _
Phone
Ins. Co.
Permit Type (circle one): B ELECTRICAL PLUMBING MECHANIC PAVING FENCE SIGN
c c� P (�L�P,�.�l .)-■I- r e c}'(`?
Square Ft. Estimated Cost eitT\
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.
Signature of Contractor or Owner- Builder
Date
i�. /! ✓iii' i!� ✓i./
N: aryfas to Contractor o 0 ner- Builder
My Commission Expires: •' /4
* * * * * * * *
PERMIT FEE: APPROVED: Fire
Zoning Building
Mechanical Plumbing Engineering
Other
Electrical
Kfi-14?s