PL-12-567 (2) rr ! PL4-12-W7
5HO1i y Miami Shores Villagerte:Pholabilft.
10050 N.E.2nd Avenue NE s
Miami Shores,FL 33138-0000 j f9tti :APMVW
.� Phone: (305)795-2204
LFA R►OP
Expiration: 02/20/2013
La
Project Address Parcel Number Applicant
941 NE 91 Terrace 1132060030050 HUGO 8 ERIN CORRALES
Miami Shores, FL 33138-3219 Block: Lot:
Owner Information Address Phone Cell
j HUGO&ERIN CORRALES 490 NE 102 Street
l MIAMI SHORES FL 33138-3219
Contractor(s) Phone Cell Phone
Valuation: $ 8,000.00
ALFONSO JORGE J
(305)432-2449
Total Sq Feet: 0
Type of Work: Available Inspections:
Type of Piping: Inspection Type:
Additional Info:
Bond Return: Top Out
Final
Classification:Residential Scanning:1 Underground
Fees Due JAnPay Date Pay Type Amt Paid Amt Due
CCF
DBPR Fee Invoice# PL-4-12-43810
09/14/2012 Credit Card $254.20DCA Fee $50.00
Education Surcharge 04/03/2012 Credit Card $50.00 $0.00Permit Fee Scanning Fee Technology Fee Total:
Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at https://bldg.miamishoresvillage.comlcap/.
Requests must be received by 3 pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
the public records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES.
September 14,2012 2
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...... ..........
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
a
21
LL-
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA
COUNTY OF MIAMI-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.
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1.Legal description of property and street ddress: 0*6 41-dy-Imai
-,j,'3 s
2.General description of improvement:
3.Owner(s)name and address:
Interest in property:
Name and address of fee simple titleholder(if other than owner):—
a
4.Contractor's name, address,and phone number: �_ ('-,(-(�(,-�cA
631C\ -sw IG FqI nc-mcc. F--1 3307,3
S.Surety: (Payment bond required by owner-from co�yAc1 erO�L WY61RIDA.COUNTY OF DADE
Name and address: OE-REB�'CERTV Y rhar thIs is a true copy ofthe
Amount of bond: $ ;qonao hied "fins
6.Lender's name,address,and phone number: da of
AD uj
TNESS I IY hdnd a a orrictai s 1. Section
7.Persons within the State of Florida designated b ces or oflle(�qT�Wclvum ay
y OA ofCI It Coun Court IN Wal
713.13(i)(a)7.,Florida Statutes: FCO
Name, address,and phone number: ;M22 — -
8.In addition to himself or herself, Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b), Florida Statutes:
Name, address,and phone number:
9. Expiration date of the Notice of Commencement(the expiration date is I 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 1, 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
B
EF0 RETC _LACING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature of Owner or Owner's AuthorizeA Officer/Director/Partrier/Managet- Signatory's Title/Office
Print Name
The foregoing instrument was acknowledged before me this cle. day of 20 t by
as (type of authority, e.g.officer,trustee,attorney in fact)for
(name of party on behalf of whom instrument was executed).
;,Vky PO,
Personally Known ,
OR Produced Identification Type of Identification Produced: CARLOS TAPIAS
MY COMMISSION#EE 1870M
Print,Type,or Stamp
Commissioned Name EXPIRES:April 14,2016
Signature of Notary Public–State of Florida BOrlded TNU BWO Notary oErvw,,s
of Notary Public:
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.
Signature of Natural Person Signing Above
Turn Over for Instructions
August 7, 2013
+
To: Miami Shores Village
10050 NE 2nd Avenue
_j
Miami Shores, FI
Re: RC 12-566
To whom it may concern,
I Elise Fable representing Montana Holdings, LLC and owner of 941 NE 91 terrace formally
request an extension on the above referenced permit. We will need some more time to finalize
all work. Thank you in advance.
Regards, (�
Elise Fable
Montana Holdings, LLC
'�� �0�, LETICIA TERR
Notary Public-State of Florida
My Comm.Expires Sep 7,
�'%,°;;;°�•`•� Commission# 2014
DD 991938
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