RC-14-1156 (2) 0e)f
Gov
Miami Shores Village 1 -
JA
Buildiing Department 'k,300614
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)7,95.2204 Fax: (305)756.8972
cg
INSPECTION'S PHONE NUMBER: (305)762.4949
FBC 20
BUILDING Permit No.
PERMIT APPLICATION ; Master Permit No.30. 11Y
Permit Type: BUILDING ifROOFING
JOB ADDRESS: 841 NE 95 St
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: { I - '524cp- 0 L L�f- 1A *c>
Is the Building Historically Designated:Yes NO Flood Zone: X Svcs
OWNER:Name(Fee Simple Titleholder):Arturo Cadilla Phone#:(786)252-2803
Address:841 NE 95 St's`"`
City: Miami Sh res State: FI Zip: 33138
C
Tenant/Lessee.Name: Phone#:
Email: acadilla65@gmail.com
CONTRACTOR Company Name: One Stop Construction ne#: (786)299-7209
Address: 1000 Ponce de Leon Blvd. Suite 208
City: Coral Gables ' State: FI J Zip: 33134 t
Qualifier Name: Jesus'Velazquez _ Phone#: (786)299-7209
State Certificationo�r_R Registration#: C S C IS Oaf Certificate of Competency#:
Contact Phone#: a y yob-a 7 99 Email Address:�eSuS@ O Vt rOCa lits(r(�iC off,CB I
DESIGNER: Arch'ct/Engineer: William Plasencia Phone#: (305)778-1276
4?:'Ceg Sr-
Value of Work.for this Permit:$ 1 Z I z:50 Square/Linear Footage of Work:
Type of Wore ;4ddition ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Descripti of Work: – ;L"(ZVZ'eN-C-C -0
Color thru tile:
Submittal Fee$ Permit Fee$36 '1 CCF$ �'^ _ CO/CC$
Scanning Fee$ 5 sn —Radon Fee$ -'7t DBPR$ �.�J Bond$� /{��
Notary$ Training/Education Fee$ ?--(00 Technology Fee$ lo - 'CV
Double Fee$ o Structural Review$ 6D kz -V.y q () -cjz�
TOTAL FEE NOW DUE$ Go,4'.^a Z.
Bonding Company's Name(if applicable)
Bonding Company's Address '
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
n
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.....
e-
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`.
i
"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 goodtfaith 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 commen ent mus e posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In absenc of such posted notice, the
inspection willl,not be approved and a reinspection fee will be charged.
Signature l�(� Signature
rer�y M 1
\Owner or Agent # Contractor
The foregoing instrument was acknowledged before me this Thefforegoing instrument was acknowledged befo e me this
day of ,1 20�,by Pnri\,ro 3 Cad Mk day of c 20 ,by�e a
who is personally know to me or who has produced PL. who is personally known to me or who has produced s�
As identification and who did take an oath. as"identification and who did take an oath.
,w1
NOTARY PUBLIC: NOTARY P LI r t
+ � i
Sign: Sign:
Print: M . J Q S Print: Cl+
My Commission Expires: Fpb• Z- 2-0"5 My Commission Expires: '"'•B HEIVRYQONZAL
* * MY C0WlSSION 9'ZC '1 I(9
Nf EXPIRES;August o�0 i(,
�..•y •.,,, JER;NE 9oe�o�w ,.B�dedNBudgetNotsrySeivkEs��
#PblSll ** :x*My Comm7,2015 APPRO = Comm164 tans Examiner ! Zoning
BondedThrary Ass
Structural Review Clerk
f
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
t
ti
♦SN� I `i
Miami Shores Viliage
c�
Building Department"%,
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
�AFTES I ' Tel: (305) 795.2204
OR
��- Fax: (305) 756.8972
r
PREPARED BY:
�DECLARATIQN OF USE
P
KNOW ALL MEN BY THESE PRESENTS:
t
WHEREAS,the undersigned Arturo Cadilla r' is/are the fee simple owner(s)of the following described property("Property")
situated and being in Miami Shores Village,Florida:
Lot(s) 13 Block 75 of the West 1/2 of Lot 14 (Subdivision),according to the plat thereof,as recorded in the Plat Book
10 Page 37 of the Public Records of Miami-Dade County,Florida,(address) 841 NE 95 St, Miami Shores, FI 33138 and
WHEREAS,the undersigned owner(s)have sought certain development approval from Miami Shores and are providing this document in consideration thereof
{ and to induce the Village to grant same:
NOW,THEERREFOR[E,for good and valuable consideration,the receipt and sufficiency of which is acknowledged,the undersigned do(es)hereby declare and
agree:
1. That the Property will not be used in violation of any ordinance of Miami Shores Village or Miami-Dade County now in effector hereinafter enacted.
2. That the property will be used for a single family residence only.
3.' That he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and
conditions set forth herein.
t
FURTHER,the undersigned declare(s)that this covenant is intended and shall constitute a restrictive covenant concerning the use,enjoyment and title to the
above Property,and shall constitute a covenant running with the land and shall be binding upon the undersigned,his/her successors and assigns and may only be released
by Miami Shores Village,or its successors,in accordance with the codes,rules and regulations of said Village then in effect.
IN WITNESS WHEREOF,the undersigned has/have caused hand(s)and seal(s)to be affixed hereto on this day of
200_.
WITNESS(ES)
e'
Signature Signature
and Print r` and Print Arturo Cadilla
r
Signature Signature
and Print and Print
i
STATE OF FLORIDA
COUNTY OF MIAMI-DADE ) �
*� ^ I HEREBY CERTIFY that on this day personally appeared before me whois personally known o m`e`o`r has produc d,,,;
(type of identification)as identification and he/she acknowledge that he/she executed the foregoing,freely and voluntarily,for
purposes therein expressed.
SWORN TO AND SUBSCRIBED before me on thi day of �� 20'
My commission expires: �.........
Y P.,, JESSE WALTERS
J •l� S
Notary Public-State of Florida TARY PUBLIC,STATE O4FLA
,�
` My Comm.Expires Sep 23.2018
Commission iir EE 637922
t`