230 NE 102 St (13)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TTO RETAIN COPY) L� �f
Date Job Address � �E, )(la . ,Tax Folio C/ 30106 (g / 3 "are
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/ Lessee / Tenant fi
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Owner's Address � Phone
Legal Description cri44-
Contracting Co. 4.$. l 11G`(1
Qualifier ,g. Y (k r\
State 1; (\ A \C
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft.
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Master Permit #
acq2;g7r
Address 3 LAM &\L
- Phone Z3L,
Competency # -- 2)i0 Ins . Co .
Estimated Cost
1L3oo.oQ
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.
OWN'ER'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 ,Owne and /: Condo
Date: NWRYNAMC SY1[E OF FLOR!C'1
4Y COi',i.4iSSIO EXt JUiE 21?,19y
DONDED THR'J GEP:ERfIL IRS. U.:C.
Notary as to Owner and /or Condo 'resident
My Commission Expires:
* * * * * *
PERMIT FEE: APPROVED: Fire
Zoning Building g
Mechanical Plumbing
ae3
Signature of Contractor or Owner-
Date: fTh:
af-
Notary as to Contractor or Owner -
My Commission Expires:
* * * * 0 *
Electrical
Engineering
*
lder
*
•
TA E OF FLORIDA
CJUNTV OF DADE
1 HERr. :i CERTiFV that this is a true Copy of the
o;igi;ia is d in this tfice on--2---- day of
WITNESS my hand and Official Seal.
Clerk Circuit Court
By (A/
PERMIT # ✓ ��- "/
State of Florida
County of Dade
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
available) ( > v ,V42 / 6 Z S 7 " 9 - 711 /
b. Interest in property:
4. Contractor: (name and address)
5. Surety:
a. Name and Address
b. Amount of bond$
D.C.
4- de s i,S AV
2. General • description of i y effe.rt t- :
KrPA I fz
3. Owner information: ��� / Z/ J N /v 5
a. Name and. Address: /T /v �! G�
9 ,,e/ �-
c. Name and address of fee simple titleholder(if other than owner):
6. Lender: (name and address) SEI{K'5 /yloe_r ACc. & . 'e• /s (cP10 ,t'A7 6- he Sv /T G p.
E$Cy/Uro/v PLH., ;L 3342_6
7. Persons with the State of Florida designated by Owner upon whom notices or
other documents may be served as provided by Section 713.13(1)(a)7., Florida
Statutes:(name and address)
8. In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is 1 year from
the date of recording unless a different date is specifi•e
Sworn to and subscribed before me this day of P'y3')F
Notary Public My Commission Expires: - 5 --- -t4" -- q9
Tax Folio No. // � O - 6 l3 / 7
OPA L0044,1=1_
NOTICE OF COMMENCEMENT 918276106 1991 Aug 08 13:56
A w • SY f 4.rvi IMEVE 236 C o z s�
M. A'4 l S t-f-c�2ES r:
4- /? - 2 9 Ti, 36 ifo N w /35 57
/Signature of ner
, 1991.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application k hereby urndc for the approval of the detailed statement ut the plans and specifications herewith submitted for the build •
inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. ainl all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the iltrilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date ..._..._... .__... 2/. ,L. .$ fir_..._.__..._.... , 19.._._
Owner's Name and Address sass Mrs, ••• , Jiut"chinpQn. .. _ No...._2 0_..__. Sire !et__..1...._...._.k.,,...._.
Registered Architect and /or E ngineer ste . ....•t rrmn <rm "1ftmua11,,
Nam: and address of licensed contractoPambill Roofinc Repair Co. I. 9430 N . : __ • W 2nd Pl. Mia. Shores
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
230 N. E. 102nd Street
State work to be done and purpose of building (by floors) Remove tile, repair leaks and replace
new cement tile in repaired areas.
— and for no other purpose.
New Building Remodeling Addition Repairi Yes No. of Stories one _
To be constructed of Kind of foundation Roof Covering...C.ement
Estimated Total cost of improvements $ 870 Amount of Permit $. 20.00
Zone cubage required .Plan Cubage
Distance .to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.
:The undersigned applicant for this building pennit does hereby crrtify that he understands and accepts his obligations as an employer
of 1.).,r under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Penn:ene•nt Sup ileutent,
and has complied with the provisions thereof, and will require similar compliance from al contractors or sub - contractors employed by him
in t! :. work to be performed under this permit; and will post or cause to be posted for fpection on the site • the work such public notice
or rutrccs as are required by the Act. The undersigned agrees to employ only . $ . antra •rs, on w. be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks S.t.a. tae._ #.... RG...0.02.1.3.a9 (Signe / . r/Wi
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorizcd to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully ;ead the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No .._....2i.. . W 5 Date ...1...Ll � Read, Sworn to and Subscribed before me.
Disapproved
(Signed) sass_
Building Inspector My Commission Expires
ate
Notary Public, State of Florida
PLANNING BOARD DATE
Crrair :non Member
\Icrrrbcr Mcmbcr
Member .. .. Member — .._.....
Council Approved Date Disapproved Date
NOTE: A charge of $l.00 will be made for making corrections or changes to this application after approval has hero obtained from
the Pl.tnnir,;; lto.ud.
A rc•,r,.pee tion fee of $1.00 will be charged when such re inspection is made necessary by Improper notice for inspvrtinn oe faulty
materials and /or workmanship.