1200 NE 102 St (3)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 54, /q/ Job Address /db0 /Oa ST€ Tax Folio
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4. r/ i /g /ocla /PS', ,o/ ere Seth )
Legal Description AV40,,p/ rAA04. /'/ 6'J,,4. Master Permit #
Owner / Lessee / Tenant 6 1 7 Cr /-/PV Tce)CoPf'
Owner's Address /. j0 i/ E /6 CTO Phone 7 S y- _ q ,y
Contracting Co. A/'b,e/c Address
Qualifier ArA-v.,- SS# - - Phone
State# Competency# Ins.Co.
Architect /Engineer _,Up,U&c Address
Bonding Company up A/4 Address
Mortgagor 4/94/E- Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION r,ure:P / tee r no De 2 r2o - rk) k i rc 11 \l
Square Ft. Soo Estimated Cost Zoos
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
3ECORDING YOUR NOTICE OF COMMENCEMENT).
1 pplication is hereby made to obtain a permit to do work and installation as indicated above, and
)n 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
,ermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate that all work
- ill be done in compliance with all applicable laws regulating construction and zoning.
'urthermore, I authorize the above -named contractor to do the work stated.
ignature of Owner and /or Condo President
ate:
ERMIT FEE: APPROVED:
32,50
Fire
p/
Signature of Contract
or Owner- Builder
Date:
otary as to Owner and /or Condo President ° Notary as to Con or Owner- Builder
y Commission Expires: My Commission Expir
* * * * * * * * * 0 V Pc:'ak, Sao of Florio *
Ey Comenizion r:r.:res C?Lrch 20;
t pu f end Thru Troy Foin • Insuroncc Ina Zoning Electrical
Mechanical Plumbing Engineering
�1
PERMIT it i
/l �7l ?5
gIRI491g9
State of Florida
County of Dade
THE UNDERSIGNED hereby gives notice that improvement will be made to certain rea
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
available) • LO / id'S Fy Breeze Sec..
/aov n/6 /02 SKameS rL- 3319e
? .
General description of improvement: /PC- r, ✓a t.o i f � � �c jx� r 'bet - 1 '1 4 , _^)-,
3. Owner information:
a. Name and. Address: 6 Jc.51 iA _ J ; RWO P E
b. Interest in property: 0(,,r) -"
3. Surety:
a. Name and Address /11//
b. Amount of bond$
Lender: (name and address) AA) "-lC',
Tax Folio
c. Name and address of fee simple titleholder(if other than owner):
. Contractor: (name and address) AoA✓e n- e/,p20 6 y ;
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.
7. Expiration date of notice of commencement (the expiration date is 1 year from
the date of recording unless a different date is specified)
-1
Signature o Owner
:worn to and subscribed be re me this
7 day of 7 •, 1991. ;';•
ter, Public, Stars of Florida ' ,
Yy Comm ulon Expiroi,6spt 25,1994
• Bonded thru Maynard Bo itthig • gger4 , • .
otary Public (/ My Commission Expires:
NOTICE OF COMMENCEMENT
c s r C '. ly / ^17 He r° 1
€ .t/ G- / G' !" Z
/h tory -,, g 3/6-
S7AYe O' F1.O:1DA
COUNT( OP DADE
1 Hf tlEOY crafty Y that this is a fruo
original Pito:} i this of lco onv. ..7 cby c,
, A.D.
WITNESS ra h and O41Icdg1 3c..4}.
0043 11 c@univ COUNG