WS-06-2301 (2)A
Miami Shores Village rii),,.,,y.,J1,
Building Department
Je[ ' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 SEP
tf\ 0 8 2006 MI Tel: (305) 795.2204 Fax: (305) 756.8972 Q Y: o.�! ........
BUILDING a -
ING Permit No. �Q g'DO'
PERMIT APPLICATION
FBC 2001
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple i' :. _ i' 157-1 /l) %elel Phone # 30S--759- 33
Owner's Address y-06 91M j
city/0144i 57fps State
•
Zip 33/.3
Tenant/Lessee Name Phone #
Job Address (where the work is being done) Jigs- Ate- 92,410 ST(Z_€E T
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name OGDNM
Contractor's Address
City State
Phone #
Zip
1313,
Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Phone #
Type of Work: DAddition ['Alteration ['New
Describe Work: AIMSE -
rga Y E 4PrVI ► COV..
Square Footage Of Work:
j,
Repair/Replace
❑ Demolition
* * * * * * * * * * * * * * * * * * *** * * * * **p. IQs ** * * *** * ** ** *** * ** * * * ** * * * * * **
Submittal Fee $ Permit Fee $ l% 1-17'
CCF $ � CO /CC.
Notary $ S _ Training/Education Fee $ 0.219 Technology Fee $
Scanning $ q.00 Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ L2 • � J
(Continued on opposite side)
0 r 3
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature
r
Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this _8_ The foregoing instrument was acknowledged before me this
day of , 20 , by 15A 1 Ni rble_i \ day of , 20 , by
who is personally known to me or who has produced
NOTARY
Sign:
Print:
My Co
As identification and who did take an oath.
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
ion Expires:
My Commission Expires:
41, *,
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a67I0c
********************************* * * * * * * * * * * * * * * * * * **_*.? * * * * * * ** # * **, ********* * *********** * * * ** * *** ** ********
APPLICATION APPROVED BY:
Chc 05!13/03
Plans Examiner
Engineer
Zoning
VILLAGE OF MIAMI SHORES
II OWNER BUILDER DISCLOSURE STATEMENT
NAME: 15T, Bfaci(Le 16-1L( DATE: CL- ° �a
ADDRESS:
Do hereby petitions theV.illage.of Miami. Shores -to act.as my own c.ontraetor pursuant to the laws
ofthe State of Florida, F.S 4$9.1,03(7). And I••have read and understood the following disclosure
statement, which entitles' the to work as my own contractor; I farther understand that I as the
owner must appear in person to complete all applications.
State Law requires construction to be done by a licensed'contractor. You have applied for a
permit under an exception to the law. The exemption allows you, as the owner of your property,
to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one - family or two- family residence. You may
also Build or improve a cornniercial building at a cost of $25,000.00 of Mess. The building must be
fpr.your own-use and• occupancy. It may not be built for sale or lease:.l:f you sell dr lease a
building you have built yourself within one year after the.construction is complete, the la* will
presume that you built for sale or lease, which is a violation of this exemption. You may not hire
an unlicensed person as a contractor. It is your responsibility to make sure the people employed
by you have licenses required by state law and by county or municipal licensing ordinances. Any
person working on your building who is not licensed must work Under :your supervision and must
be employed by you, Which rneans.thatyou must deduct F.LC.A and with- holdings tax and
provide workers' compensation for that em'ployee,.all;as prescribed by law. Your construction
must comply with all applicable laws, ordinances, buildings codes and zbning regulations.
Please read and initial each paragraph.
I. I hold title to the above property and I am planning on doing this construction
Initial
2. I understand that as ari owner - builder I must abide by all zoning ordinances and
building regulations in effect at the time of permit application
Initial
1 .I have an understanding of the 2004 FBC & FRC and understand that this
department and its inspectors are there to•'help enforce and interpret the code.
There is a copy of the code in this office for review.
Initial
4. I understand that the building official and inspectors are not there to design,
alter or give advice on how to meet code —. only if the structure meets _ he
minimum code.
Initial
5. I understand that as an owner - builder, that any contractor disputes with sub -
contractors. and myself must be handled in a civil court with the advice of an
attorney. The department will not mitigate`any contract disputes.
Initial
6. I understand that if I compensate any person or company for work performed
they are required to have a business license in the county. If for any reason they
do not passes a business license I will be responsible and liable for any wrong
doing from this unlicensed company-or person.
Initial
7. I understand that�if any.person.gets injured on my construction project —they are
entitled to workmen's compensation. And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
loss of wages during recovery from injury.'
8: I. understand that under state and focal laws I can not do any Electrical,
Plumbing, Heating, Air & Roof work on My property with out first .obtaining
the proper permits by licensed' contractors.
Was acknowledged before 'me this ne3 day of
Initial
,2
By 2 IS41 f y- 101.Ci‘Who was personally known to me or who has
Produced there License or
as identification.
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MAY -1B -2005 11 :49 FROM:DYKES INDUSTRIES 30
CETNL I. LW:CLIPPED L»flNICEC ISI[WOI
ATTACHED 'YJ COUT MOUS HEADER
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Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Number: RC -8 -07 -1697
Invoice Number: RC -8 -07 -29528
Applicant: JAMES CARROLL
Company Name:
Owner Address:
1269 NE 98 ST
MIAMI SHORES, FL 33138
Job Address:
1269 98 Street NE
Miami Shores Village, FL 33138-
Date
Payment Type Check Number
Amount
Thursday, August 23, 2007
08/2312007 Check
101
$607.35
Change
$0.00
Total Payment: $607.35
Page 1 of 1
M, Y -18 -2005 11:45 FROM :DYKES INDUSTRIES 3058848462
BUILDING CODE COMPLIANCE OFFICE (BCGO)
PRODUIC1 CONTROL iMVl51ON
N0'X'�CE U ' ACCEPTANCE OA
Premdor Exterior Door Product
1955 Powis Road
West Chicago, TI.60185
SCORE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted
by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by
the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control
Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes. if this product or material fails to perform in
the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance, i.f it is determined by Miami -Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane
Zone of the Florida Building Code,
DESCRIPTION: Fiberglass Door Glazed 6'8" Outswing w/wo Sitlelites
APPROVAL DOCUMENT: Drawing No. S -2202, titled "Exterior Door Product Single & Doubl Outswing 6'S
Glazed Fiberglass Door", sheets 1 through 8, prepared by RW Building Consultants, Inc., dated 1/17/02, bearing
the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval
daate by the Miami -Dade County Product Control Division.
MISSTL E XMPACT RATING: None
LABELING! Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein.
RENEWAL of this \DOA, shall be considered after a renewal application has been filed and there bas been no
change in the applicable building code ::cgativcly navtinr the perronnantx or this product.
TERMINATION of this NOA wit] occur after the expiration date or if there has been a revision or change in the
matoriais, use, and /or manufacture of the product or, process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA. shall be cause for termination and removal of NCO.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by
tlac expiration date may be displayed in advertising literature. If arty portion of the NOA is displayed, thett44 ashen
be done in its entirety. ••••
TO:3052672794 P:1/'9
MIAMI-DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 103
MIAMI, FLORIDA 33130.1563
(305) 3754901 FAX (303) 373.2908
• • •
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or iIs distt;ibtaforo
•
and shall be available for inspection at the job site at the request of the Building Official.
This NOA consists of this page 1 as well as approval document mentioned above.
The submitted documentation was reviewed by Theodore Berman, P,E,,
0000
•
•
•
0000
• •
••••
•• •
NQA1 No 02-O4te.0a •
Expiration Date: :e ber 26, 2067
Approval Date: •De umber 2t,082•
• • Pie►
• • •
•0 • 0000
• • •
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OMIONON
OPMINIM
IMIMOSO
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COUNTY FLORIDA
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This Instrument Prepared By:
Name Vte.•vesr-
Address (41.t-"f yw —7 y. Z'® t jltµt c
Permit No. Tax Folio No. / ZZ Z(-j�
STATE OF I toy'r _,
COUNTY OF 17e4-d.0
THE UNDERSI GNED 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 property, and street address if available)
lO( tiu
2. General description of improvement: t e '� , ` • 3_311,
� t, 10, c.. `"'°1lc + ew.tf tpy;�,r., TJ- S��+
NOTICE OF COMMENCEMENT
3. Owne informatio ,Np, la tyres P•.ut:Q . ° `/
a. Name and address: 10 (p t tam to • t..
b. Interest in property: .01.s.11.4-0. MOD 43A-Tt$®'t'h.
c. Name and address of fee simple titleholder (if other than owner):
4. Contractor: �'
a. Name and address: -p , e
b. Phone number: te��c� t �W b u� 1v►tpµd t r4+s �•
e
5. Surety N/ A
a. Name and address:
b. Amount of bond $
c. Phone number:
6. Lender M `�
a. Name -and address:
b. Phone number:
PI c4.6) 5ZS- S� 43
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:
a. Name and address:
b. Phone number
8. to 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:
a. Name and address:
b. Phone number:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is
specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF tYOUINNTEEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
F FLORIDA, COUNTY O K pW DAUt RDfNG YO -- GE OF COM NCEMENT.
ERTIFY that k is oallY
D.C.
Signature of Owner or Owner's Authorized Officer /Director
Partner /Manager
Signatory's Title/Office
cknowledged before me this 22 _day of ...-ALt9t(S7! �QQ (year) by ®
name of
authority, ;� �, ( person) as (type of
behalf ho of t\ ney in fact) for w_ (name of party on
surneaa
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,.� psi 1 /, 2'Oi
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Z S #DD 661969 •
o' a 8andad tliN �0;: its
�1-'�;��rCUndeP.••\, fication Pursuant to Section 92.525. Florida Statutes
•
Signature of Notary Public -- State of Florida
Print, Type, or Stamp Commissioned Name of Notary Public
Commission Number
Personally Known or Produced Identification
Under penaad . �41 /ere that I'have read the foregoing and that the facts stated in It are true to the best of my
knowledge a`n'ds !«
Signature of Natural Person Signing Above
IU:,547 bf i''
Premium Ouanty Doors
FIBERGLASS GLAZED OUT-SWINO BOOR
UP TO 12.0 X 6'3 WITH OR WM-1OUT
• • • • • • • • • • •
• • • • • • • 144- -IV IV
• • • • • • • • • •
• • • • • • • • •
• • • • • • • •
• • • • • • • • • • • •
145.5" MA OVE.q..1.LL ALL FRAME POP+
37.25' &Vac .375" WV. P,121FL 35
35.751.1AX
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CEMLNAL OTF$ 1
). THIS pupoucr oEsriuma T. comPur WiH THE H
flORJGA BMWS CODE.
2. WOOD WOG BY OMENS. MUST BE ANCHORED
PROPERLY TO TRANSFER LOADS TO THE STRUCTURE.
3. PRODUCT ANctions SHALL DE AS LISTED AND SPACED
AS SHOW ON DE-TA/LS. AAICI-JOR EMBEDMENT TO
SASE MATERIAL SHALL. S BEYOND WALL /145G
OR STUCCO..
4. DESIGNED PRESSURE RAJITIG SEE TABLE PAGE J.
5. THIS PRODUCT San ThE ?AU AREMEN TS rsiz
U VELOCfre HURRICANE zomEs° WITH THE USE DF
71-1E MO+ DAMP SUMP DIRESPOLD.
5. THts SYSTEM REWIRES Mg-WORN( DEERS EXTERVAL
PRCTEC:IGN AS PRESCRIBED W SECrICK 1626.1
OF THE FLORIDA RUIDiNG CODE
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NOTICE OF COMMENCEMENT
A RECORDED COPY MUST /BCE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO rG r-i� -r TAX FOLIO NO. 11 3204 613 495D
STATE OF FLORIDA:
COUNTY Oft MIAMI -DADE:
111111111111111111111111111111111111111111111
THE UNDERSIGNED t eby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided I this Notice of Commencement.
1. Legal d
C F N 200880359079
DR BI. 28356 P9 1954; (1/39)
RECORDED 05/01/2008 13:40:16
HARVEY RUVII4v CLERK OF COURT
MIAMI -DACE COUNTY? FLORIDA
MAY 0 5 200
®P3 ^3 ,G-D C.jq
cription of property and street/address: /"I 1 m, cSNatis 56C. 1 AM
237 it g /12
PR /0 -70
I'►'I � it m1. _ . SJ- us Ft_ 33138
2. Descript on of improvement: %?OOFAil9 gEPAI/ts
3. Owner(s) name and address: 711 Ao06 411 t,1.59A c.,� ,,,/)
�� � � /e x �• /®/>401 t A 331
Interest in property: "1-.6,5 o nt
Name and !address of fee simple titleholder:
4. Contractor's name and address: l�% NC,KO>z ' .ot n(C, CO
) o83 - 023 54• • 1./) . Ft. .33013
5. Surety: ('ayment bond required by owner from contractor, if any)
Name and Oddress: 1.1114
Amount of bond $ STATE OF PI c)RMA, COUNTY OF DARE
6. Lender's name and address: i A ► �` �E-"r rWr+ a » y
.li a !i nC It + i _ r1 r( is livinri,
,T.:: 4 *4 14,*
7. Persons within the state of Florida designated by OwiNertiptifliWbo4irlo
provided by Section 713.13(1)(a)7., Florida Statutes, By
Name and (address: NS it
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section p13.13(1)(b), Fl rida"Statutes.
Name and address,. aY 4
9. Expiration date of this Notice of Commencement: (the expiration da�teeis 1 rear fiaujt e date of recording unless a
different date is sp cified) ,f "' ,,P,,,,,, 1.� {a "`
e e " 1~ o$ Notary Pub1�� - StBte of Ftolids `
371t .1. My Commiss;on Expires Mart, 2009 I
Signature f Owner �',,,��� �; ` Comtmsson # Do 402252 �
,,,, / Bonded By National Notary A5 fl.. .
Print Owners Names,' 'WAN E AI'(�Ct . Prepared
Sworn to and subs abed before me this i 1 day of fry j 1 , 20L
Notary Public
Print Notary's N
My commi4sion expires:
123.01 -52 PAGE 4 10/04
KAY
jooi1
•.•
Address:
by 1> E i 6. -- 4—x'1
3 o S Coq '171ol
4)83 i+ • .23 4-
(—I Fs_
33ot3
YS 827'7-1
This Instr ent Prepar -d
Name *C 11.4
Address i tk.—
Permit No. p`71"� 33'r
111111111111 111111111111111111111111111111111
CF1+1 2 It tE3Ro,5963 )5
OR Bk 26378 Ps 0323; C1)
RECORDED 05/14/2008 1047:41
HARVEY R:UVItJ, CLERK OF COURT
MIAMI-DADE COUNTY? FLORID
LAST PAGE
NOTICE OF COMMENCEMENT
Tax Folio No.
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 property, and street address if available)
iai I /.) ru
2. General description of improvement:
3. Owner information 4®y�
a. Name and address: r
b. Interest In property: e I L' �.. f/C kB g J I �j�•�
c, Name and address of fee simple titleholder (if other than owner): a 1 t� '� �j�"
v ..
4. Contractor:
a. Name and address:
b. Phone number.
5. Surety
a. Name and address:
b. Amount of bond $
c. Phone number:
6, Lender
a. Name and address:
b. Phone number:
£ pit 7�!% f y,, ) ('i'6, aqr t)
1,17
O i'•s
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:
a. Name and address:
b. Phone number:
8. In addition to himself, Owner designates the followin
Section 9 person(s) to receive a copy of the Lienor's Notice as provided In
7.13.13(1)(b), Florida Statutes:
a. Name and address:
b. Phone number:
9. Expiration date of notice of commencement (the expiration date Is 1 year from the date of recording unless a different data Is
specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION. OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
i`f 447A e- t-1)(//-e-
Sig °, acure o • er + e a Authorize • O - cer /Director
Partn /Manager
Signatory's Title /Office
The foregoing instrument was acknowledged before me this 9-2day of
authors (name of person) as
authority, ...e.g. officer, trustee, attomey in fact) for (name of party on
behalf of whom Instrument was executed).
year) by
(type of
'1.1,-0% JAMES HAYNES, JR.
MY COMHIISSION 9 DD386160
EXPIRES: January 13, 2009
1,� y q Fl. Votary rbeownt AMC. CO.
Sig tur
f Notary Public — State of Florida
P t, , `• -, or Stamp Commissioned Name of Notary Public
Commission Number •
Personally Known or Produced Identification
Verification Pursuant to Section 92,626; Florida. Statutes
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my
knowledge and belief.
STATE OF FLORIDA, COUNTY i7 D±? '.1
I HEREf!4' CERTIFY ;h0.t - ii.', is C; f'.'1
original ` r i tats ifix on c4
t NIT NE38
HA V' •
By
Signature of Natural Person Signing Above
NOTICE OF COMMENCEMENT 1111111 11111 11111 Hill 111111111111111 1111 1111
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
TAX FOLIO NO. /t o 2 -3(77 -1
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 thi Noti e
ti
of Commencement.
al description of pro
:=FN 2008R040417
f3F' Bk 26382 P9 2497; (1r+si
RECORDED 05/16/2008 09026229
HARVEY RUV'INr CLERK OF COURT
MIAMI -CDADE COUNTY? FLORIDA
LAST PAGE
J
Space above reserved for use of recording office
erty and street/addre : , & L, f t7 -�
1.;,4 A � �. d s 6.
2. Description of improvement:
3. Owner(s) name and address: oD 4' t ,6 E, / .3//
Interest in property: ae ,Sj
Name and address of fee simple titleholder:
4. Contractor's name, address and ph ne n mb r: /E /d► ;� ?j1../S
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number:
Amount 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, address and phone number:
8. In addifion to himself, Owners 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, address and phone number:
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)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTI. OF CO MENCEMENT.
- '' ,4•'' :1- _ :1.11!1_."
Signatur
By,
Officer /Director /Partner /Manager
By
Print N. e 2>4 "/) c9- /f C Print Name
Title /0 ice ec—iy g'/s Title /Office
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The foregoing instrument was acknowledged before me this day of
By D /(f /0/2-/AS/6
❑ Individually, or ❑ as ,, for
La Personally. known, or leI produced the following type of identification: De
Signature of Notary Public:
Print Name:
(SEAL)
M4y SOD f
VERIFICATION PURSUANT TO SECTION 92,525, FLORIDA STATUTES
Under penalties of perjury, I declare that I have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
Signatures
By
123.01 -52
f O er •
AGE 3 11/07
MY COMMISSION # DD 7551$5
EXPIRES: February 24 2012
Bonded TM Budget tidal Slates
d Officer /Director /Partner /Manager who signed above:
By
VATS Q nantnA, 00UNTY Or tote
1 HEREBY CERTIFY thsyt ihis is a tparitly of Me
oriIln phis o ,c?. _7(0 day of