PAINT PERMIT1
PERMIT APPLICATION ,FOR SHORES VILLAGE
Date d Job Address X ,® �V _ 1 O s -r Tax Folio
Legal Description Historically Designated: Yes No
Master Permit #
Owner/Lessee / Tenantx._ thctc l& S 60(441 ve Lvc)
Owner's Address - 26V A) i to / s7 Phone 3Q) sI - ( O
Contractin m r' Q(4_11(1(76 k s/ Address 36 12,01,nf 3
Qualifier SC h %' kiA i Il4 F—dilieVi SS# Phone A-Ci 0
State # V Gr- G OS M Municipal # Competency # Ins. Co.(JAv(/ i
Architect/Engineer Address
Bonding Company Address
Mortgagor
Permit Type (circle one):I BUILDING) ELECTRICAL PLUMB b G MEC
WORK DESCRIPTION X X 4Por /Or' Pal? it)
&(
Square Ft.
WARNING TO OWNER: YOU MU:
PAYING TWICE FOR IMPROVEN
OR AN ATTORNEY BEFORE REI
Application is hereby made to obtain a p
will be performed to meet the standards
PLUMBING, SIGNS, POOLS, ROOF;
OWNER'S AFFIDAVIT: I certify that i
construction and zoning. Furthermore
APPROVED:
Zoning
Mechanical
r
FEES: PERMIT ' / RADON
as to Owner and/or Condo President
My Commission Expires:
pp ,�:Y .P� Wanda Ward
:.: �•� :.: MY COMMISSION # CC818379 EXPIRES
..��: March 17, 2003
r;,
tie d BONDED THRU TROY FAIN INSURANCE, INC
p,�
Ad
Estimated Cost (value)
caa 1,1s ac/a-2 Tr vr\
' "5 PALA
ij
VIENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
)MMENCEMENT.)
dicated above, and on the attached addendum (if applicable). I certify that all work
his jurisdiction. I understand that separate permits are required for ELECTRICAL
gr
7/ 'ate and that all work will be don in compliance with all applicable laws regulating
ctor to d9 the work stated. ■,
) o Contractor or Owner-Builder
ROOFING ROOFING PAVING FENCE SIGN
//
No Fary as 'Lo Contractor or Owner - Builder Date
My Commission Expire;,,,
aV P •.
•`�,:
- Wanda Ward
. °. MY COMMISSION # CC818379 EXPIR" • • s_ March 17, 2003
BONDED THRU TROY FAIN INSURANCE, IN
C.C.F. 3 -60 NOTARY 0 " BOND
TOTAL DUE
Date
Building / 1 /F F t Electrical
Plumbing Structural Engineer
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE .108 SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. 1 / 3 L 9 O17 2192
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. N
1. Legal description of property a rd street address: ? 4; 0 /{/ g / d / s r `r t � � ` A 33/,29 ►;
P 7I- 'q iv/ a (9)t a - / p3 1s Sery , oz 2 9J U)
D
2. Description of improvement: a)1+ t X JO( #1.2A- in,
3. Owner(s) name and addre : - 2 , 5 - 0 N / sY AA:
S 11 3 Z i 2
Interest in property:
Name and address of fee simple titleholder.
4. Contractor's name and addre s: MIPAre f Cd' (A 10(.4-11 brS CAL to 'VI.) C.—
Slcaa 11..—ry STreAr - ur,Son✓i11k, 3 (2
5. Surety:(Payment bond required by 7er co or, if any)
Name and address:
Amou nt 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:
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:
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) NOV//1v kl1N q 9 91
/ / /
•ruwnol
Print Ow rs Name 6 ,& z.an . .t7tl "1 1 � erla n d Prepared by: fi rirr- ✓
Sworn to and subscribed before me this { day of /I,hV(1f 19 q 1. 6 t11 j it r D ,_ l
Address: 4 i� /A 33 %
:4 ' ; Wanda Ward
,•S •,_ MYCOMMISSION # CCA1R379 FYP1RFS
}� -= .,� - March 11, 2003
/�iJ � ry BONDED 1HRU TROY FAW geK IN
Notary Public
Nctary s Name
U 8MTE OP PLORIDII, COUNTY QF COADC
� p CQ"�i)}y S'ctlUfrfl m
ia;ii e,/ ;ilia is
C:ICfi la cdia 8 ^ ° 't+Y c7fySC
6fvZ„0
G12�sr :; G�.nd
Gir,iitIE nn K 1 9/Bc1el �:,n9. _
3 q c3 it f, 1,.- .:.drecto yr.cJrnf
Date
Legal Description
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 71-0 P6 /0/
Gels / # - &o tk V M SAM ► 5A,pz, 3e, .
/ Lessee / Tenant CA19fiGeS S614. AQ✓LANr)
Qualifier ' /4 ss# ° „ - Phone
State # Municipal #
Permit Type(circle one): BUILDING ELECTRICAL
Competency # Ins.Co.
WORK DESCRIPTION f/9/ ex foti t)4 b
Square Ft.
OWNER'S AFFIDAVIT: I certify that all the foregoing infor
be done in compliance with all applicable laws regulating
authorize the above -named contractor to do the work stat
Signature of owner and /or Condo President
Date:
l sT A4.
Estimated Cost(value)
Tax Folio /1 522,e /7 f�LY
Master Permit 4P ✓ 2 q f
Owner's Address 77S N6 /0 S
. Phone 7-0
Contracting Co. S 6 ( -P-4 4 -/ 4;c- Address
_
/OAfiiom4t. iivi . Co .
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
�� ft S w (A.0 a
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.
tion is accurate and that all work will
onstructio Pnrthprmnrp
���J � _ CHU
m
o rre Nu. CC
Signat e f Cott' `htt>F or
Date:, P67
S.t:ofFlorida
zp. A0 30.1996
er- Builder
Prii t y.e or stamp name of Notary Public
- ll1 "d Al :
Notary as to Owner and /or Condo President Oar / as to Conti tpr11 b
My Commission Expires: My Commission Expires:
❑ DID rake an oath, or
DID NOT take an oath.
** * * * * * * * * * * * l * * * * **
FEES: PERMIT ( !4 RADON C.C.F. 1 /SO NOTARY 7 1 TOTAL DUE k k7- a5
APPROVED: Fire y Other
Zoning Building 7) t/9X Electrical
Mechanical Plumbing Engineering