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1997 DRIVEWAYData I i3® 9 Legal Description Signature o 9 AP/4"11 5 sac ov t./ Owner/Lessee / Tenant (q L 9 2> y3 re, //4 Owner's Address � ,J� f ?4, Contracting Co. 0 - 5 I5 I@ /e.g. Qualifier 2 1/71 4 1e , - ,Ferr 3' State # C6 C ®�� �P S Municipal # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION/A 3 ✓ 4-t .L 4-710 AO or pu %el to c e /4) 73R/ex /4) D,e/ eco y (ir /S7 /A/ �!./,477.1hvae' /Ef z &7fh'1Y Q Square Ft. ff93 p 90 Estimated Cost (value / ®0 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. 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 onstruction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 011 Notary as to Owner and/or Condo Presi ,, ent Date My CO 5 r BGNIC ?fll ["°94AGJV e Ql O Or d - : :;nr3t a OF p0 APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 9 T Job Address 5'15/E 9c Tax Folio and/or Condo President Date :�:7: %ae1CCd 3£$P. Z_1UG. 2©1999 FEES: PERMIT ®• RADON .\ PSt Y Pc, 07VICI . Ri v tl z AL 0 ▪ 4 • •t;:,C or FOP (olds,.E E,1999 C.C.F. NOTARY — B TOTAL DUE 7 ) Historically Designated: Yes No 1. ./ Master Permit # 4 Sign a of Contractor or Owner- Builder Notary as to Contractor or Owner- Builder My Commission Expires: Electrical Phone ( 1( ' Address 9qJ N 8 ?ATt /D 7 / 100r, r 4 ) Phone Pee 30/9 0 Competency # /0 Ins. Co. A GOAD / 14 Of- 94- 3 -�7 Date a - - 9 7 Date ■ Plumbing Engineering y'. 3)F FLORIDA, COUNTY 0• D,ADE ..: Po.:.iP" `'FBI this is ❑ 4rue L.. py cr 0,1 .0 / ' 1 • n This instrument repared by: Name U.S Br Inc Address 941 N. State Road 7, Plantation. F1. 33317 Permit No. Tax Folio No. NOTICE OF COMMENCEMENT STATE OF FLORIDA THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement. 1. DescriARtion of pr party (legal de ri ion of property, and street address if avallabjp) _ � Lot /6 V- I y , Block f r � , Subdlvision V/ 3/10 eGS J ee / v J L Street address: .T /$ 1) E / ' 9 r oM /4s7/ $/44ee.3 2. General description of Improvement: Installation of interlocking brick pavers 3. Property Owner Name: G CO /4 a. Mailing Address: b. Interest in property: " e9 iD e J P c. Name and address of fee simple titleholder (if other than owner): 4. Contractor: a. Name and address: b. Phone number: 954 - 792 -0076 5. If Surety Bond: a. Name and address: N/A b. Amount of bond $ an oath, this a 3 da Signature of Notary Printed Name of Notary SEAL c. Phone number: Fax number (optional, if service by fax is acceptable): 6. Lender: a. Name and address: N / A b. Phone number: Fax number (optional, if service by fax is acceptable): 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), Florida Statutes: a. Name and address: b. Phone number: Fax number (cp:ional, if service by fax is acceptable): 8. In addition to himself, Owner designated the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), F.S.S.: a. Name: N/A b. Address: c. Phone number: d. Fax number (optional, if service by fax is acceptable): 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specifie Signature of Owner Owner's Name G Owner's Address 4 JO Signature of Owner Owner's Name Owner's Address Swom to and subscribed before me by G • GO 1 A , who is personally known to me or produced identification, and who did take U.S. Brick, Inc. 941 N. St. Rd. 7, Plantation,F1. 33317 Fax number (optional, if service by fax is acceptable):9 5 4 — 7 9 2 — 5 6 9 2 N/ y6 sr , i/Sf4 pace above th s ne is reserve • or record no o " use. 0 X R J. H. MANUCY, INC. LAND SURVEYOR n1 • . t • 4690 PALM AVENUE eulte 203 HIALEAH. FLORIDA 33012 PHONE 821.1281 821.1220 • 1. a FOR: MARTIN SANDLER L C . Survey of Lots 13 & 14 Block 99 of Amended Plat of MIAMI SHORES SECTION NO 4 ee recorded In PIot Book 1 5 at Page 14 Florida 0• 1 1!1•:IUE13Y CERTIFY Y that the Plan shown hereon represents a Sin•vev made under my direction and is True and CorIct. to the best of my knowledge and belief. „,t .. ,���...- L'J'��t.:.�t.�.�.�•• ri 1. H. Marlu Rey. Land Sterieyor Nu. 1128 Barney A. Herrick Reg. Land Surveyor No 1993 State of Florida •' ORDER NO. 18447 • F.B. A43 -13 REV. / - p e 1 fi . 0 0 ( 1 i Pty I t• , eat 6:w i i tit• -• "•'`' Y L ^, 11•. L • � �*: r••• ••)`" •!!• • r • '..� Nt 1, according to the Plat thereof of the Public Record• of Dade County, DATE: DEC. 16, 1 975