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59 NE 101 StV PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6 // 20oo Job Address 59 I / r o r 5 7 Tax Folio Legal Description eofs 1 9 4^ co 3.0 !� r. /l i / Historically Designated: Yes No Owner/Lessee / Tenant ,e1/4? n/ / o r A s el 'e Master Permit # 1, , a 5S Owner's Address ♦ ,5 9 A(E / o / S'r.Ce Phone(3 75 W Contracting Co. C1) A ,Z/i ,✓ ' yo co vv, Qualifier (:11.4. e (4) yp Go yv State # G pc _ 051, 9 3/ Municipal # Competency # Archit ngineer Yp KT/► l2A VR s oo, l 0 Q . �' Address ( co Bonding Company cJ Address Mortgagor Address Permit Type (circle one( UILD WORK DESCRIPTION Address 7 / 0 N 7 0 / •e r e , . ) L . SS# Phone 9.y- 9 (0 /-/ y Z ft Ins. Co. 1j DCA- ECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Pe L- /c 2 '(( t p / cJV 5 Cost (value) , 9 0 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. OWNER'S AFFIDAVIT: I certify that : the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constru ' . •%zo F ,y�� a authorize the above -named contractor to do the .rk rs'ed. Signatur- .fowner and/or n• • President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT APPROVED: RADON A Skh,lecf Zoning /A- /� (�^� a � Buii a - move e rtod bd8r / Mechanical Plumbing Si ai . - o j 'ntractor or Owner - Builder tor or Owner - •FICIAL NOTARY SEAL ti p ay Poe, S paAROARITA MONTIEL 2 -, /' COSh9SgON NUMBER ¢ CC797277 Q pay c o iSSION EXPIRES OF f� DEC. 17,2002 Notary as to Con My Co Electrical uilder t7 C.C.F. NOTARY •— 0 BOND 3 00 — TOTAL DUE Structural Engineer 2/ /° o Date Date Q./ / / —O D v' y PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date A- / ' av Job Address 51 l `-' if / ° / S i Tax Folio Legal Description 4 Dr / -e 2 U /3 L /S / / Owner/Lessee / Tenant hL. L L-'-,t) J 2/ 4 S it 1 Master Permit # Owners Address 5 9 /vg- / O/ 5"7 I n Phone 10 1 7$ `/ _ Z g' 0 5 Contracting Co. K c -R E/ f e ( e. CO . Address 5'16 q j acr a_ Td. Qualifier RQ1? I'j a / ai&_. SS # Phone rC7 '`/33'362 7/ State # C �K , p Q / L' LID.- Municipal # Compere (# WE OD37YIns. Co. A// L//)es i /kS . Architect/Engineer .LT AT Is 4,4.5- ,,4 tJ Address 6 500 L&' a v G. bit. s 0 a'nQ. 0vt..� /1444-- Bonding Company Address Mortgagor -- Address Permit Type (circle one): BUILDIN WORK DESCRIPTION POOL /-/od k --vP -1 S 1' d Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: Building Historically Designated: Yes (�G 2 g0 sz6zyl7 PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value) / 0 co O 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 perfonned 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. ture of C ( I Personally Know .4,0 her I.D. p'2 • (1. Da it na afi tract.>dor Owner - Builder Date /IIy 2-12 0 iFF7 as to Contractor or Own e -Bui . ate ANGELA MASSIMO TANI My Comm Exp. 5/26/2001 r No. CC 767554 My Commission Expires: •1 °= UbUC BOND TOTAL DUE Ci APPROVED: Zoning Mechanical Plumbing Structural Engineer Electrical %i /Bt 64 ©?- U Q LIJ oa O LTJ Q w d t ti// 54 N G\ 5641 ) TO tem,4i A/ Q,,p, 1, c.. r4..: eta eptif.444 E iL- 0012 ?v62 C. C, 7if d oo37# /304#r mINIO To -I 62001.10 Glc ,-1114i6 .- v/aMat m4sn! 01000 St Ft x ,Z SnIALL APPL X w/4S }v2.4_ i4 6 or 'yet IA )4 kf't ' 214,P Pdvt- ev.p .2 pi. d / ,c.pe._ / •P SPA- P -, 3 000 w ▪ /2 c41 Sd - $, v o c� �✓ t� S c9 3 w#f3 Z. SOO `/3, &co w L cA a IS w /t9 vo O 10K1/09 �4 � /voyo i 33 (, l?.c rn a� voc.t A--7 1 /090 ' / 3 YS/d• Z�y 2 3 / 9 o 9 , . . 974 10s. 15044? Serv, C TO "envq , f Permit # Tax Folio # ►/ 11 ► State of Florida, County of Broward Vecs w1 lw Aaovl sell mum= roe mcoea>it The undersigned hereby gives notice that Improvement will be made to certain reel property. and In accordance with Section 71 3.1 3 of tr Florida Stitt/tea. the following Information is provided In this Notice of Commencement. 1. Description of Property: Legal Description: of Lot igIZ ° Block // Subdivision 74dr7 en/de c:r° Other Street Addreee: e_ /D/ s-1 2. General Description of improvement: NQ 1 j f- 1. Owner Information: FuII Name: C7 I �n 1 t: ' 1'1'7 c a c IG 1f.:3 MsltingAddress: 6. Surety Name and Address: 6. C ender Name ar d Address: 8.1n addhlon to himself, Owner deelgnates t O NE Interact in Properly: ( simple ( ) Name end Aodreea of fee simple thlaholder (11 other than owner): C h 4 s y o v)-) 4. Contreotor None end Address; 7 lr o Ai 7 0 - re. .t_r2. f /wi / . 33c, 7. Persona within the State of Florida (Names and Addresses) designated by Owner upon whom nodes or other documents may be served as provided by Section 713.13(1)(a) 7., Florida Statvtas: to reo•lva a copy of the l.nor's Notica as provided in Section 713.13(1)(b). Florid. Statutes. Av ec- 31 � h A-vc- o Ai 7 o � 7'.e 1 I /. 33o2. S A r FL R :::- , COUNTY OF DADE :) Hrk ;;.R71fY that chic h a true copy of the ,+ fht d .n f,as .,ftioo on �V(ttQCry D' der y of HA "'V '/ JVIN fl FR ", ( Cl,u,t,ndCounfy Courts DC. Signature of Ow Printed Nano: / Signature of Owner: Printed Name; 00R087728 2000 FEB 2e 15:10 33 More L3o ?-Si - S 3/3.0 Amount of Bond • Se` No r 1 w G It ANGELA MASSIM.O TANI 1'1'Persal . Expiration date of Notice of Commencement* ( the expiration data Ie one yew from data of recur date Is apedJfled / \ u ha a .rent Nr A —0- SWORN TO AND SUBSCRIBED before me t 1. ___422_41— ay u ter. WOMB