9950 NE 4 Ave Rd (17)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT b
305- 795 -2204 CNr)'
Buildi ng Inspection Request
Date
Type Insp'n
Permit No.
Name
Address /o/
l
Company
Phone # 9O5 5 /< -6.a
Inspection Date ��l
Approved
Correction ❑
Re- Insp'n Fee ❑
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bui ding Inspection Request
IS .
Date�
Type Insp'n le j V n c Permit No. e - 1 J
c Name iY TC,
Address S 1 ` l
Company
Phone #
Inspection Date
itci/
o— //
Q� .
MIAMI SHORES VILLAGE ^/
BUILDING DEPARTMENT
305- 795 -2204
Buildin : Inspection Request
Date .
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date
Approved C3
Correction ❑ ��L
Re- Insp'n Fee ❑
96 76,8 - fir
MIAMI SHORES VILLAGE
BUILDING DEPART
305- 795 -2204
Build' g Inspection Reques
Date
Type Insp'n V1 r-9 (Ociv\
Permit No e O `t — b(
J
Name ( Address SS C) ti a. to l Lt
Company ( )1 ' k M
Phone #
Inspection Date
Approved LtY
Correction ❑ /
Re- Insp'n Fee ❑
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Build Ins ectto Request
Date
/ PI /D
7 (' )�
3P_ot-4 5S
Vt ay(
5�0 a� b /
9
Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT 4)
305- 795 -2204 \■7
Bu lding Inspection Request
Date t Dect-
Type Insp'n 51CC I eti l rS
Permit No. r3 o`7 31
Name e •
n r
Address SS v 54—
Approve
Correction
Company
Phone #
Inspection Date
Re- Insp'n Fee ❑
ekt6, pew_ ST)
of- 12'a) pm
1 t.U3 1c) 20
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Address / .S •5 & Ate / 0/ -17' City 11i .` S%w'o✓ State �G
Tenant/Lessee Name
$ Value of Work For this Permit
Type of Work:
Describe Work:
['Addition
-�,—
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Owner's Name (Fee Simple Titleholder) 7zx 71e.f Phone #
Job Address (where the work is being done) ..5: /vT / 0 ( St
City Miami Shores Villa= County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name 4 f//.;;/
�,or- & «� `/,_ _•
Contractor's Address 2D D
City 7`2I / / m .. /e�' e State
y�L
Qualifier
Architect/Engineer's Name (if applicable) Phone #
El
1
e�✓
** * * * **k #e).**i *** * * * * * *s**a* Fees * *s * * * * * * * * *** * * * * **s * *** * * * **
CCF$
R
Submittal Fee $ Permit Fee $ /✓ " Q'
i o ®
Training/Education Fee $
Permit No. L Y ^d
Master Permit No.
Plumbing Mechanical
Zip .7.5.176
Phone #
Zip YY.)
Phone # P'(76 117 I
Zip ? J.? /X
Square Footage Of Work:
❑New ? ❑ Repair/Replace. ❑Demolition
2/ Gzs. 47 �i4ck Ve e/e 9
Technology Fee $
Bond $
Notary $
Scanning $ Radon $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
Roofing
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
promise in good faith t
whose property is sub
for the first inspect
inspection will not
Own - or Age t ontractor
The forego' : instrument was ackno% ledged before me this The foregoing instrument was acknowledged before me this b
day of , 20 , by , day of 9-/Ai 6 rn
, 200y, by A P ON Pr) 'yea?.
..
who is personally known to me or who has produced who is personally known to me or who has produced
as identification and who did take an oath.
As identification and who did take an oath.
My Commission Expires:
State Certificate or Registration No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED B
Chc 10/14/03
ndition the issuance of a building permit with an estimated value exceeding $2500, the applicant must
copy o e notice of commencement and construction lien law brochure will be delivered to the person
attach t. Also, a certified copy of the recorded notice of commencement must be posted at the job site
ch occu seven (7) days after the building permit is issued. In the absence of such posted n. ice, the
oved and • reinspection fee will be charged.
R "
missdn
* * * * * * **
(Certificate of Competency Holder ��" •
( 0! 3 2.4231) Redd wa through
Certificate of Competency No.
"1,":0 Plans Examiner
Engineer
Zoning
Signature
NOTARY PUBLIIC
Sign: ia,A9
Print: l 732RA14 G' L cA VER.
My Commissi
..... * ***** * s:........
N
R
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2004 -226
Printed: 8/11/2004
Applicant: VICTOR ORTEGON
Owner: ORTEGON VICTOR
JOB ADDRESS: 550 NE 101 ST
Contractor UNLIMITED ELECTRIC, INC.
Local Phone: 954- 768 -9966
Parcel # 1132060171160
Electrical Permit
Contractor's Address: 2001 S. W. 20 ST. b -121
Permit Status: APPROVED Permit Expiration: 2/6/2005 Construction Value: $2,350.00
Work: install new pool pump panel (125a) w /new feeder and wive in pool equipment
Page 1 of 1
Legal Description: MIAMI SHORES SEC 4 PB 15 -14 LOTS 1 -2 -3 BLK 95 LOT SIZE SITE VALUE
Fees: Description Amount
FEE2004 -8093 Building Fee $150.00
FEE2004 -8094 Technology Fee $3.75
FEE2004 -8095 Training and Education Fee $0.60
FEE2004 -8096 CCF $1.80
Total Fees: $156.15
Total Fees: $156.15
Total Receipts: $0.00
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
71i, - v n ;Fr
Signed: (Contractor or Builder) • BY"
CEDED
N ?
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle). Building Electrical Plumbing
Owner's Name (Fee Simple 1 e polder V/ ez/l9� ,P. O� � 2/2 Phone # , � S � 6 d) 8 (-
se) (J.6 Toar2- Az/ Roa
Zip 33 1 3
Owner's Address
City eed 40 State 7100/A__
Tenant/Lessee Name
Job Address (where the work is being done) g ‘3 SO V L r u / o t, ' PC-/.]c1
City Miami Shores Village County Miami -Dade Zip 3 3 0
Is Building Historically Designated YES NO
Contractor's Company Name 0 / 2 °L Phone # 3.0-6 7? 3 J - 3
Contractor's Address
City State
$ Value of Work For this PirmitX
e - c
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ 1 I-5-, 1 S
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Master Permit No.
Phone #
Qualifier
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Type of Work: ['Addition ❑Alteration ❑New ❑ Repair/Replace
Describe World T i\W c f pool Bec t. C
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit No.lf, )U
Mechanical Roofing
Zip
❑ Demolition
Submittal Fee 60 . 30 Permit Fee $ / 50 — CCF $ 3 CO /CC
Notary $ � Training/Education Fee $ / Technology Fee $ 3 7
Scanning $ 3 "—' Radon $ Zoning Bond $ ~�
Bonding Company's Name (if applicable)
Bonding Company's Address
City S tate 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 pr.. r • ct to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspectio• ich occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will I . e a proved and a reinspection fee will be charged.
Signatur
The foreg
day of
LALL
Chc 12/15/03
Owner or Agent
ng instrument was acknowledged before me Q this r � - 0
20 V I0 k �(k w . ,
known to me or who has produced t
who . rsonal y kn p d who is personally known to me or who has produced
NOTAR
Sign:
Print:
My Commission Expires:
IC:
APPLICATION APPROVED BY:
As identification and who did take an oath.
I I N,e ��� ,n rgas
11,y -Ju1 13, 2007
on'•
antic Bonding Co., Inc.
OF FV,, 4
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of ,20�by
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.I * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
JAN 16 20 Examiner
Engineer
Zoning
By ) iarir d {e °lCv
Owner
Owner
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE STATEMENT
V `CCU r a r eciQf being the legal property owner, for the property
Located at:64Q 50 t F I LA_Q_
Legally described as ,
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7),,,nd I have read and understand the following disclosure:
Statement, which entitles me td *ork as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that 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 const1 uction yourself. You may build or
improve a one - family or two-family residence or a farm out - building. You may also build or improve a
commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the
construction is completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that 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 Iicensed must work under your supervision
and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument
Was acknowledged before me this (90 day of 20 04
who is personally known to me or who has
as identification and who did take an oath
abet Vargas
Omission #DD231984
s' Expires: Jul 13, 2007
' l ' s, Q Bonded Thru
' n I `' Atlantic Bonding Co., Inc.
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2004 -65
Printed: 1/21 /2004
Applicant: VICTOR ORTEGON
Owner: ORTEGON VICTOR
JOB ADDRESS: 550 NE 101 ST
Contractor
Local Phone:
Parcel # 1132060171160
Signed: (INSPECTOR)
Building Permit
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 4 PB 15 -14 LOTS 1 -2 -3 BLK 95 LOT SIZE SITE VALUE
Fees: Description Amount
FEE2004 -633 Building Fee $150.00
FEE2004 -634 CCF $3.00
FEE2004 -635 Notary Fee $5.00
FEE2004 -636 Training and Education Fee $1.00
FEE2004 -637 Technology Fee $3.75
FEE2004 -638 Scanning Fee $3.00
Total Fees: $165.75
Total Fees: $165.
Total Receipts: $0.00 C
l s, f
Permit Status: APPROVED Permit Expiration: 7/18/2004 Construction Value: $5,000.00
Work: RE- TILING POOL DECK
FEB 0 2 PAID
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
2 1=1i .... . _
Signed: (Contractor or Builder) BY:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2004 -65
Printed: 1/21/2004 Page 1 of 1
Applicant: VICTOR
Owner: ORTEGON
JOB ADDRESS: 550 NE 101
Contractor
Local Phone:
Parcel # 1132060171160
Signed: (INSPECTOR)
Building Permit
ORTEGON
VICTOR
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 4 PB 15 - 14 LOTS 1 - 2 - 3 BLK 95 LOT SIZE SITE VALUE
Fees: Description Amount
FEE2004 -633 Building Fee $150.00
FEE2004 -634 CCF $3.00
FEE2004 -635 Notary Fee $5.00
FEE2004 -636 Training and Education Fee $1.00
FEE2004 -637 Technology Fee $3.75
FEE2004 -638 Scanning Fee $3.00
Total Fees: $165.75
Permit Status: APPROVED Permit Expiration: 7/18/2004 Construction Value: $5,000.00
Work: RE- TILING POOL DECK
Total Fees $1 5 o c L
Total R $0.00
(1S,TS
FEB 0 3 PAID
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
REG CG1 020304 0933 001 0140ff CHAaG
Signed: (Contractor or Builder) BY:
BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Master Permit No.
Permit Type (circle)( Building
) Electrical Mechanical Roofing
Owner's Name (Fee Simple T Titleholder) �v2 O��� %t'1'Q 1 Phone #3 — (, 0 6 89
Owner's Address (JA SV !N e rDei��r MG C'-°'cL
City ,�C// i 4404( State 69e/�� Zip 33 / 3
Tenant/Lessee Name Phone #
0 1 2A "5
Permit No.cPO& 37q
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name ( 2.6 4 4-1 /4 ° C L 9 1' 6 1 , ' ' ,'" Phone #
Contractor's Address q `C��// " (( 5(./1/4-1 1 la
City H 1 A -\' i 1_ State I Zip
Qualifier 1`�k IJ�T�%` -) 6j(�Z- Li
State Certificate or Registration No. 6 G C. 041 3"0 Certificate of Competency No.
Architect /Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work:
Describe Work:
Submittal Fee $
Notary $
Scanning $
Total Fee Now Due $
['Addition
(Continued on opposite side)
A lteration
Permit Fee $
❑New
2 - 7 1 1 5 2-
?�3 17E,
Square Footage Of Work:
❑ Repair /Replace
* * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $
Technology Fee $
CO /CC
❑ Demolition
Training /Education Fee $
Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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: 1 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 estitnated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the abse of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Sig ture Signature
Owner or Agent
The foregoing in ument was acknowledged before me this
day of ,2$ ,by
who is personally known to or who has produced
As identific..'on and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
NOTARY PUBLI
Sign:
Print:
My Commission
Mabel \ Urgas
Expires: n d . 3,200 I
�N9�OF . 4 Lo.. In'
********************* *********************************************** * * * * * * * * * * * * * * * * * *�r *. *4 * * * *� ** * * * * * * **
********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
Contractor
The foregoing u ! trument was ackn edged befor m- this
I '
day of (1 t , 20 by fl ho l /P f OiCn
who is personally k F • n to me or who has produced
identification and who did take an oath.
Plans Examiner
Engineer
Zoning
►wner's Name (Fee Simple Titleholder) Phone #
■wner's Address
:ity State Zip
'enant/Lessee Name Phone #
ob Address (of where the work is being done)
ity County Zip
egal Description
ontractor's Company Name
ontractor's Address cs Ulf wL-t k K-uCC ,
ity 0 State Zip
ualifier \ O' 0 7 • q,tfum.4w
escribe Work: C 0 n elcQi ste 12S
hereby certify that the work has been abandoned and /or the contractor is unable or
nwilling to complete the contract. I hold the Building Official and the Village of Miami
hores harmless fro ,11 legal involvement.
gnature
y of
)T ARY
;n:
'he foregoing in
'is
10 is person
am
Mji Shores Village Building Department
2 E I t\)14 LO � - GD 6 1A - j Phone # (530 21l '2) i 5 2 .
3 1 ') c
Owner or Agent
ment was acknowledged before me this 01
2005, b ;V L l r ' 061eocin ,
known to me or who has produced
As identification and who did take an oath.
►. / _
► �
tnt: - - _�•
Commission Ea
�' ` '� Yp + C a omm • el Vargas
C omm i ssion POD231984
`1J'r Expires:
Jul '3,2007
BondedThru
:v. 09/19/03)
Change of Contractor
Permit No.
Signature
Contractor
The foregoing in ► lent was acknowledged before me
20 05, by Qc1rn 4oIcQ &Mon
day of ,. n
who is personally known to me or who has produced J .
entification and who did take an oath.
NOTARY PUBL
Sign:
Print:
My Commission expires:
Mabel Vargas
Commission #DD231984
Bonded Th
Atlan Bond Co , Inc
Owner's Name (Fee Simple Titleholder) A rin an.d_a 04. Nl L Lout e-A) Phone # (3as,) (M 8 9
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
City
Qualifier
Building
Owner's Address 5SO j) 1 o
City I cat .w
Tenant/Lessee Name
S ►, a✓4. -\ State f
WI
Contractor's Company Name 0 01 1 WC—
Contractor's Addre � / �V /V Co C�
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work: ❑Addition
Describe Work:
Permit No.
Master Permit No.
Electrical Plumbing Mechanical Roofing
State
Zip -1.11%r
Phone # ( o ) 5 G am! T c7-
Job Address (where the work is being done) Sa.,.,-,ti. a60v.
City Miami Shores Village County Miami -Dade Zip 33 1 3
Is Building historically Designated YES NO
Phone # ( v S — CPS S Q A li
❑ Demolition
) b � ****************************F
f W
Fees
Submittal Fee $ Permit Fee $ 35- CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
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
promise in good faith
whose property is sub
for the first inspecti
inspection will not
Signature
condition o the issuance of a building permit with an estimated value exceeding $2500, the applicant must
a copy o' the notice of commencement and construction lien law brochure will be delivered to the person
o attach ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site
ich occu s seven (7) days after the building permit is issued. In the absence of such posted notice, the
roved an a reinspection fee will be charged.
t at
ct
n w
ap/
Owner or Ag t
The foregoi g instrument was acknowledged before me this
day of , 20 dc(, bytkinaO j /C C ,i,e, n ,
who is personally known) me or who has produced
As identification and who did take an oath.
Chc 12/15/03
LIC:
NOT
Si
Print:
My Commission Expires:
1 if/ 0
i 561122 l am- ° -- �-I!Oi '�rlE ', ��:'1!ttii
V ,. COMMISSION N " :1
'. s;I�;' Q DD047923 CI 9t ci MY COMMISSION EXPIRES
* taFTt * * * * * * *wt fgwvag Sry{ * * *
* * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Signature
State Certificate or Registration No. Certificate of Competency No.
Contractor
The foregoing instrument was acknowledged before me this /
day of J v x , 20!Z__, by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign: p
Print: o `� � rn4'%
Arlenis Alicea
Comm a9 �S Commission #DD296544
My t£t. 1 Expires: Mar 04, 2008
**************** * * * * * * * * * * * *4ket * ** *. 4:* * * * * * * * ***
(Certificate of Competency Holder) c nd,ng Co
********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ....wry ' ` * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
PERMIT APPLICATION _
BUILDING
FBC 2001
Permit Type (circle):
Owner's Name (Fee Simple Titleholder) (k q0 Phone #
Owner's Address C A 1 c i■J (2 4 th' 42.¢.)An
Cityy -1 /41"i/ S t-Q Rti%S State Zip 1'J i 3
36 '773 - cn s 3
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip 7 3 11 t
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address 1k-t0
City KO--114 ►rr t'c rn
Qualifier (*-t ._3., N.-5'0Q)
$ Value of Work For this Permit
Type of Work:
Describe Work:
Submittal Fee $$$ O
Notary $
Scanning $
fa
Code Enforcement $
' Radon $
Total Fee Now Due $ , 711 S l I
(Continued on opposite side)
•
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
I: (305) 795.2204 Fax: 1 (305) 756.8972
11 ,._
6
1 0 0a o
i& ]4
Electrical Plumbing Mechanical
. cf I s� -
o �i . r'o IV _ � tem M
Lk.)
State
Permit Fee $
Training/Education Fee $ CIO
Zoning
Permit No. 6P71(1Y-1
Master Permit No.
Phone #
Roofing
Phone # c —
Zip j j (
gineer's Name (if applicable) if-I k'tM.- /- P t "'u Phone # 3 O `'7S —C i" Z 3 l �U
Square Footage Of Work:
❑Addition ' �'klteration ❑New
Powb 1 w„ �, z. s-n Q n Tom. Prom s 1q3 A-c44 ' n o .
901, L V AA° ✓ 4 flL p P7
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
❑ Repair/Replace ❑ Demolition
CCF $ t^lr O 0 CO /CC
Technology Fee $ 7.5 w
Bond $ 309 �+
Structural Plan Review. $ SC) O 0
4 iCo.coo c r 32
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Naine (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 perforned 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 t a copy o ' he notice of commencement and construction lien law brochure will be delivered to the person
whose properly is su ec to attach, 1 ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspe ion hich occ s seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will t be roved a a reinspection fee will be charged.
t
Signature -
ent ,y�, Contractor
wledged before me this (�' The foregoing instrument was acknowledged before me this 9
‘l !' of `? , 20 0`k , by LA he " .0 cN1ti
* Signature
The fo
day of
who
0
trunient was ac
20
ersonally know
Ow r or A
b
NOT
Si
Print:
My Colnmissio Exp yes
APPLICATION APPROVED BY:
Chc 12/15/03
Y PUBLIC:
to me or who has produced
As identification and who did take an oath.
u . COMMISSION NUMBER
00047923
OF FA (C Fi . 0
wlcas personally kno% n to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign
Commission 04, 8
`_
, B onded Thru
My Commission Expires: '�.,°! ��'� Atlantic Bonding C0., Inc
********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
petency Holder)
State Certificate or Registration No. Certificate of Competency No.
*********************************** lrj�►**************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
5V1 d )l/ 00/1,4i- 5rad,
-5- 6-70 - 0
Plans Examiner
Engineer
Zoning
Prepared by and return to:
Transamerica Title Services, Inc.
220 Alhambra Circle Suite 810
Coral Gables, FL 33134
305- 460 -4447
File Number: 024027
[Space Above This Line For Recording Data]
Warranty Deed
This Warranty Deed made this 1st day of Jul , 2002 .etw a elen Carino, a single woman whose post office
address is �. , grantor, and Victor Ortegon and Amanda
McGovern, husband and wife whose p office addl.: s i s , 550 NE 101 Street, Miami Shores, FL 33138, grantee:
7.1 �
L 33 / ��
(Whenever used herein the ,tBrms "grantor" and "grantee" includ all the parties to this instrument and the heirs, legal representatives, and assigns of
individuals, and the successors and assigns of corporations, trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO /100 DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate, lying and being in Miami - Dade County, Florida to -wit:
Lots 1, 2 and 3, Block 95, MIAMI SHORES SECTION FOUR AMENDED, according to the Plat
thereof recorded in Plat Book 15, Page 14 of the Public Records of Miami -Dade County, Florida.
Parcel Identification Number: 1132060171160
SUBJEC TO: Restrictions, conditions, easements, limitations of record, if any, without reimposing same,
zoning and taxes for the year 2002 and subsequent years.
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all
encumbrances, except taxes accruing subsequent to December 31, 2001.
DoubleTime®
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed, sealed and delivered in our
Witness Name:. P4 Z E ( 17
SCgirir t & PV
Witness Name: 64m0u
State of Florida
County of Miami -Dade
[Notary Seal]
Warranty Deed - Page 2
resence:
The foregoing instrument was acknowledged before me this 1st day of July, 2002 by Helen Carino, who U is personally
known or [X] has produced a driver's license as identification.
p.RY Po, ... or F A01 gyp s1�
n FR EY ELEFEmm
44C. * COMMISSION NUMBER
� MY CC/749015
OF Flo COMM »J EXPIRES
JL N E 2- 1,.:003
res:
DoubleTimee
Bill of Sale
This Bill of Sale, made on July 1, 2002, between Helen Carino, a single woman ( "Seller "), and Victor Ortegon and
Amanda McGovern, husband and wife ( "Buyer ").
Witnesseth, that Seller, in consideration of the sum of TEN DOLLARS ($10.00) and other good and valuable
consideration paid to Seller by Buyer, receipt and sufficiency of which is hereby acknowledged, delivers, grants, bargains,
sells and transfers forever to Buyer the following goods and chattels, to wit:
Fixtures, built -in furnishings, built -in appliances, ceiling fans, light fixtures, attached wall -to -wall
carpeting, rods, draperies and other window coverings, built -in bar with matching stools (4).
Said property being located at:
Lots 1, 2 and 3, Block 95, MIAMI SHORES SECTION FOUR AMENDED, according to the Plat
thereof recorded in Plat Book 15, Page 14 of the Public Records of Miami -Dade County, Florida.
Also known as 550 NE 101 Street, Miami Shores, FL 33138
Seller covenants to Buyer that Seller is the lawful owner of the said goods and chattels; that they are free from all
encumbrances; that Seller has good right to sell that property, and that Seller will warrant and defend the sale of said
property, goods and chattels unto the Buyer against the lawful claims and demands of all persons whomsoever.
"Seller" and "Buyer" shall be used for singular or plural, natural or artificial, which terms shall include the heirs, legal
representatives, successors and assigns of Seller and Buyer whenever the context so requires or admits.
State of Florida
County of Miami -Dade
[Notary Seal]
The foregoing instrument was acknowledged before me this 1st day of July, 2002 by Helen Carino, who L] is personally
known or [X] has produced a driver's license as identification.
P¢Y Pt, OFFICIAL O JEFFREY LEHRMAN
�i
* COMMISSION NUMBER
• CC849015
N� MY COMMISSION EXPIRES
OF JUNE JUNE 24,2003
DoubleTimee
Before me, the undersigned authority, personally appeared Helen Carino, a single woman ( "Affiant "), who being by me
first duly sworn, on oath, depose(s) and say(s) that:
3.
4.
5.
6.
11.
Closing Affidavit
(Seller)
Helen Carino, a single woman ( "Seller "), is the owner of and is selling the following described property to Victor
Ortegon and Amanda McGovern, husband and wife ( "Buyer "), to wit:
Lots 1, 2 and 3, Block 95, MIAMI SHORES SECTION FOUR AMENDED, according to the Plat
thereof recorded in Plat Book 15, Page 14 of the Public Records of Miami -Dade County, Florida.
2. The above described property is free and clear of all liens, taxes, encumbrances and claims of every kind, nature and
description of record whatsoever, except for mortgage or mortgages, if any, described in the Deed and except for real
estate and personal property taxes for the year 2002, which are not yet due and payable.
There have been no improvements, alterations, or repairs since acquisition by the Seller to the above described property
for which the costs thereof remain unpaid, that there are no claims for labor or material furnished for repairing or
improving the same, which remain unpaid since the acquisition by Seller, and that there are no mechanic's,
materialmen's, or laborer's liens since acquisition by Seller against the above described property.
There have been no documents recorded in the Public Records of Miami -Dade County, Florida subsequent to April 9,
2002, which affect title to the Property and Seller has not entered into any contracts for the sale, disposition or leasing of
the Property since said date except as may have been disclosed to Transamerica Title Services, Inc. in writing, and
Seller has no knowledge of any matter affecting title to the Property.
The personal property contained in the building on said property, or on the said premises, and which, if any, is being
sold free and clear of all liens, encumbrances, claims and demands whatsoever. The Seller knows of no violations of
Municipal or County Ordinances pertaining to the above described property. No judgment or decree has been entered in
any court in this State or the United States against said Seller which remains unsatisfied. There are no persons other than
Seller in possession of the above described property.
Seller agrees that in the event the current real estate or personal property taxes vary in amount from the figures used in
making the prorations used in closing the transfer and conveyance of the above described property to said buyers, then a
new proration and a correct and proper adjustment will be made upon demand.
7 . There are no matters pending against the Seller that could give rise to a lien that would attach to the property between
the effective date of commitment and the recording of the interest to be insured. Seller has not and will not execute any
instruments that would adversely affect the interest to be insured.
8 . Seller's title to, and possession and enjoyment of, the property have been open, notorious, peaceable and undisturbed,
and have never been disputed nor questioned.
9. There are no disputes concerning the boundary lines of the property, and the operation of any buildings on said property
has been in compliance with the applicable building codes, ordinances and statutes.
10. Affiant has received no notice of any public hearing regarding assessment for improvements or changes in applicable
zoning laws concerning said property within the past ninety (90) days.
There are no actions or proceedings now pending in any State or Federal Court to which the Seller is a party, including
but not limited to, proceedings in bankruptcy, receivership or insolvency, nor are there any judgments, bankruptcies,
liens or executions of any nature which constitute or could constitute a charge or lien upon said property.
12. There are no unrecorded easements, claims of easement or rights -of -way affecting all or any portion of the property.
File Number: 02 -1027 DoubleTime®
r
13. Seller understands that Section 1445 of the Internal Revenue Code provides that a Buyer of a United States real property
interest must withhold tax if the Seller is a foreign person. To inform the Buyer that withholding of tax is not required
upon purchase of the above described property, Seller certifies the following:
14.
Seller is not a nonresident alien individual, foreign corporation, foreign partnership, foreign trust or foreign estate
for purposes of United States federal income taxation.
Seller's U.S. Taxpayer Identification Number is 265 - 28 - 2303.
C. Seller's address is:
d. No other persons ore ti ie
Seller understands the Buyer of the described property intends to rely on the foregoing representations in connection
with the United States Foreign Investment in Real Property Tax Act. (FIRPTA). Seller understands this certification may
be disclosed to the Internal Revenue Service by the Buyer and that any false statements contained in this certification
may be punished by fine, imprisonment or both. Seller has the authority to sign this affidavit as either individual Seller
or on behalf of an entity Seller. Under penalties of perjury, Seller states that this declaration was carefully read and is
true and correct.
This affidavit is given for the purpose of clearing any possible question or objection to the title to the above referenced
property and, for the purpose of inducing Transamerica Title Services, Inc. and Attorneys' Title Insurance Fund,
Inc. to issue title insurance on the subject property, with the knowledge that said title companies are relying upon the
statements set forth herein. Seller hereby holds Transamerica Title Services, Inc. and Attorneys' Title Insurance
Fund, Inc. harmless and fully indemnifies same (including but not limited to attorneys' fees, whether suit be brought or
not, and at trial and all appellate levels, and court costs and other litigation expenses) with respect to the matters set forth
herein. "Affiant ", "Seller" and "Buyer" include singular or plural as context so requires or admits. Seller further states
that he /she is familiar with the nature of an oath and with the penalties as provided by the laws of the United States and
the State of Florida for falsely swearing to statements made in an instrument of this nature. Seller further certifies that
he /she has read, or heard read, the full facts of this Affidavit and understands its context.
Under penalties of perjury, I declare that I have read the foregoing Affidavit and that the facts stated in it are true.
Helen Carino
State of Florida
County of Miami -Dade
[Notary Seal]
Closing Affidavit (Seller) - Page 2
File Number: 02 -1027
The foregoing instrument was sworn to and subscribed before me this 1st day of July, 2002 by Helen Carino, who [J is
personally known or [X] has produced a driver's license as identification.
p,,ttY Pe, OFFICIAL NOTARY SEAL
�G l 0 JEFFREY E LEHRMAN
• * COMMISSION NUMBER
7.4 O CC849015
:ti MY COMMISSION EXPIRES
OF F1-0 JUNE 24,2003
�rfitert st'in 1 e Eve ribed prop
Notary Public
Prin
My
DoubleTime'
Date of Transmission
March 28, 2005
From:
Amanda M. McGovern
Direct Dial (305) 381 -7485
To:
Recipient(s)
Facsimile Number
Mabel
(305) 756 -8972
Pages including cover sheet
3
Document(s) Transmitted:
Final Affidavit from Oroni and Letter of Termination
Message:
As requested.
Our File Number
999
If transmission is not complete, please call (305) 373 -1000 and ask for Marlene.
Original
will follow via:
❑ regular mail
• will not follow
• overnight delivery
• band delivery
3053721861
OS/28/05 MON 11:29 FAX 3053721861
TELEPHONE: (305) 373 -1000
KNSAC &S
LAW OFFICES
KENNY NACHWALTER SEYMOUR ARNOLD
CRITCHLOW & SPECTOR, P.A.
1100 MIAMI CENTER • 201 SOUTH BISCAYNE BOULEVARD
MIAMI, FLORIDA 33131 -4327
FACSIMILE 'TRANSMISSION COVER SHEET
FACSIMILE: (305) 372 -1861
1721
03/28/»5 MON 11:30 FAX 3053721861 KNSAC&S Z002
I iutii...o,H..• LQVO1111P I \MV111 Ju.l-uv I`JI UV I \LLIRIJ VPIG. LILJILVVJ II u,VJ.uu ryvi
. may
FINAL CONTRACTORS AFFIDAVIT
PROPERTY ADDRESS: 550 NE 101 ST AKA 9950 NE 4 AVE ROAD,
MIAMI SHORES, FL 33138
The undersigned Contractor, for good and valuable consideration received by it, hereby waives
and releases all liens or rights of lien now or in the future existing for work, labor or materials furnished with
respect to the above designated project, The undersigned Contractor further covenants and agrees that it
shall not in any way claim or file a mechanic's or other lien against the premises of the above - designated
project, or any part thereof or against any fund applicable thereto for any work, labor or materials
heretofore furnished by it in connection with the improvement of the said premises.
All subcontractors and materialmen have been paid for all labor, material and services and affiant
agrees to hold JANICE LAVERNIA RUBIN. P.A. and JPMORGAN CHASE BANK, NA harmless of any
such claims.
The undersigned contractor further waives and releases all liens or right of liens which may arise
by virtue of that Notice of Commencement, filed 5 -3 -04 in O,R,Book 22260 at Page 3199, of the Public
Records of Miami -Dade County, Florida.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this Zb day of FEB, 2005.
ORONI, INC
Name: ORLANDO IGLESIAS
Title: PRESIDENT
Address: 14040 NW 6 CT, NORTH MIAMI, FL 33168
STATE OF FLORIDA
COUNTY OF MIAMI•DADE
The foregoing instrument was acknowledged before me this 2S day of FEB, 2005, by ORLANDO
IGLESIAS as PRESIDENT of ORONI, INC., who has produced FLA DRIV LICENSE as identification and
who did take an oath.
NOTARY PUBLIC TE OF FLORIDA
Name:
Commission E xpiration:
floe WI c:
Arlenis Alicea
Commission #DD296544
Expires: Mar 04, 2008
; \� . Bonded Ttw
Atlantic Bonding Co., Inc.
03/28/05 MON 11:30 FAX 3053721861 KNSAC &S
•
KENNY
NACHWALTER
Orlando Iglesias, President
ORON!, INC.
14040 N.W. 6 Court
North Miami, FL 33168
Dear Mr. Iglesias:
appreciated.
TENNESSEE OFFICE
2(5 wEST BROADWAY STREET. SurTE D
ROGERSVILLE, TENNESSEE 37357-3640
TELEPHONC 423,272.6300
FACSIMILE 423,272.4461
February 23, 2005
Via Hand Delivery
Re: Construction contract for work at 550 NE 101 Street
We enclose our check in the amount of $6,500, which you confirmed constitutes
full and final payment owed to Oroni, Inc. under our construction contract, including any and all
extra work performed and/or changes made to the contract.
In accordance with our conversation today, we also enclose an executed Hold
Harmless statement.
Your assistance in helping us with our home, a somewhat stressful process, is
AMM:ms Amanda M. Mc overn
Enclosure
TEXAS OFFICE
112 PECAN STREET, SUITE 1510
SAN ANTONIO, TEXAS 7$20 -15 2
TELEPHONE 210.475.9100
FACSIMILE 210,478.9919
WASHINGTON SATELLITE OFFICE
1201 PENNSYLVANIA AVENUE, N.W., SUITE 300
WASHINGTON. D.C. 20004.2436
TELEPHONE 202.861 .4604
FACSIMILE 202.88 I .4899
�J 003
1100 MIAMI CENTER
201 50LlTN BISCAYNE BOULEVARD
MIAMI, FLORIDA 33131'4327
YELEPHONE 305.373. 1000
FACSIMILE 305.372, 1861
WWW, KENNYNACHWALTER. COM
PROPERTY ADDRESS: 550 Al. E. 101st STREET, MIAMI SHORES, FLORIDA
2.
ABBREVIATIONS
u.ft =uan Hole
WF= Wood Fence •
R =Radnrs
F.R. =Found Reba
A/C =Air Condtioner
C.B. =Catch Basin
w
1-
O
ACCORDING TO THE PLAT THEREOF,
BADE COUNTY, FLORIDA.
U.E= Unity Easement
cONC.= Concrete
ENCR=Enacoching
= Center line
A= Arc Length
Ch =Chord
operty
B.C. =Bock Corner
R/W`Riaht —of—Wayy
O.U.L= Overhead Utiity tine
F_tt& =Found NAB 'lc Disc
CBS = Concrete Block Stucco
0/H =Roof Overhang
ne
o )The flood 'nformotwn shown heron does not imply that the referenced property
oil a will not be tree Iron floo or damage and does not create kobdity on
the pat of the firm, any officer or employee thereof,tor any domoge thot results
from reliance on soil information.
b)The survey shows plotted easements and right —of —ways There may exist additional
restrictions and/or encumbrances which affect this property.
c cations shown hereon are with references to the Natiionol Geodetic Vertical Datum
LOWEST FLOOR ELEVATION N/A
LOWEST ADJACENT GRADE N/A
NOT VALID
UNLESS
SEALED WITH
THE EMBOSSED
SEAL OF
CERTIFYING
SURVEYOR
BN =Bench Nark
Chotta= Choilohoodee
F.D.H. =Found Dril Hole
W/U =Woter Ueter
F.LP.= Farad Iron pipe
F.N. =Found Noi
P.1. =Poini of Intersection Pt =Planter
P.C. =Point of Curvature w — rkway
P.T. —P nt of Tangency N.T.S. =Not to Scale
P.C.P: Permanent Control Point tB Business
P.LS.= Professional Land Surveyor LS =Land Suveyor
Res.= Residence T=Tangent
aF =cbon Link Fence
•NGVD) unle otherwise notedUnderground features, 11 any, not identified nor located
except as moy be indicated hereon.
Of deaences and/or enaoodunents shown hereon are of the appaent nature,
fence legal ownership not determined
e)The issue of this survey is only for the exdusrve and specific use of those persons,
parties a institutions in the Certification.
restrictions and title search not reflected in this survey.
Under and utilities and encroachments, if an not located
FLOOD ZONE_ X _
BASE FLOOD ELEV. N/A
BOUNDARY SURVEY
1 hereby certify that this Survey meets the Minimum
Technical Standards as set forth by the Florida Board of
Professional Land Surveyors :•: er 61 .r -6 Florida
Administrative Code, pursuo, o Secti, /472.027 Florida
Statutes.
Date: 4/24/02 it
Fl Reg. No. 4327
svtves
�ctan
KOnge
t.O .B. =Pant f Begnnng
+N onument toe
N / /� =Non applicable
p Oati
BBO =B ue
P.P. =Power Pole
R /R= RolRood
SiB = Sidewo&
DATE OF FIRM 03/02/94
F.H. =fie Hydrant
D =D�
Plat
.m.a, d t
F
SLP. =Set Iron Pipe & cap
O Angle of Deflection
COMM /PANEL No. 120652 0093 J
P.U.L. =Point of t anmencement
P.C.C. =Point of Compound Curvature
OE WE =Droinage&MoiniencnceEasement
plat= Permanent Referncdlorwment
PRC= Point of Reverse Curvature
F.P.L' fiorido Power & light
D.E =Droinoge Easement
h ands depicted hereon were surveyed per legal description ovided by client and
s as to ownership or matters of tick are mode or irnpl
i Alt roods shown hereon me public unless otherwise noted.
o identification cop found on property cams unless otherwise noted
k istance along boundary are recorded and measured unless otherwise noted
011ie graphic portions of this document are intended to be dirsplayed at the
graphic/name scales as depitiedSoid scde moy be altered in reproductions and as
such. should be considered when obtonin scaled data.
BENOi MARK USED N -6U.5
ELEVATION Z70"
COUNTY MIAMI —DADS
Alvarez, Aiguesvives & Associates, Inc.
Professional Land Surveyors
8230 Coral Way, Suite B, Miami, FL 33155
(305)385 -0385 Office
(305)385 -0623 Fax
(305)298— 2706
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2004 -379
Printed: 5/7/2004
Applicant: VICTOR ORTEGON
Owner: ORTEGON VICTOR
JOB ADDRESS: 550 NE 101 ST
Contractor ORONI INC
Local Phone: (305)685 -0412
Parcel # 1132060171160
Signed: (INSPECTOR)
Building Permit
Contractor's Address: 14040 NW 6 CT
Page 1 of 1
Legal Description: MIAMI SHORES SEC 4 PB 15 -14 LOTS 1 -2 -3 BLK 95 LOT SIZE SITE VALUE
Fees: Description Amount
FEE2004 -4618 Building Fee $300.00
FEE2004 -4619 CCF $6.00
FEE2004 -4620 Training and Education Fee $2.00
FEE2004 -4621 Technology Fee $7.50
FEE2004 -4622 Scanning Fee $12.00
FEE2004 -4623 Builders Bond $300.00
Total Fees: $627.50
Total Fees: $62.50
Total Receip 0.00
5 1 , .5 0
C
Permit Status: APPROVED Permit Expiration: 9/14/2004 Construction Value: $10,000.00
Work: EXPANDING EXISTING DECK AND STEPS TO BACK YARD
MAY 07PAID
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
r;
0.
•
Miami Shores Village jcy-kA T , \N.Adut,
Building Department
Permit No. i 1- 319
Job Name e -/ 9 °'7
9 # A - ve.
STRUCTURAL CRITIQUE SHEET 3 ,z¢I° ¢ �z`-
1/0 Q� s1e w // S, seeds Q- 4Z `' h _ � Ord rail
9 �
'here o, e/etra,6i14 exceeds 24 a t
1A 8'9 (7 kair c 0 f -( 5 A - 7 p
(47 wr ► ',N ,A-I( 3 �� r-fr>' /ZA7 (war c i4/
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
N � TICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
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 this Notice of Commencement.
1. Legal description of property and street/address: nni i S - loz Sl c '-( Pry IS
0
S
TAX FOLIO NO. (L- 32(. L -017 -((Lc)
2. Description of improvement: Ch u,11.4) r 'c. 1 POOL..
Nis -t.s *TO i ► i N ( 200 tuft C,tc.
3. Owner(s) name and address: Vic -t t vz.. C11.-- C(c..Co"rim 00Nn
65o IJ tc (
Interest in property:
Name and address of fee simple titleholder:
MiAm i �1 L06Lk.
4. Contractor's name and address: pt2,06.11 ir�cC 14 040 NW Cc CT
NO2 .et r'Yl 1A - � �a 1 G -po ) ' - -Oil i Z
5. Surety: (Payment bond required by owner from contractor. if any)
Name and address:
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 and address:
8. In addition 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 and address:
9. Expirati
differ
I/
Sign. rfof Owner
Prin Owner's Name odic 1 0
Kr
A
NI
e of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
s specified)
Sw•rn to and subscribed before me this ZY day of 4+1 L
Notary Public
Print Notary's Name_
My commission expires: ____
12101-57 01 -52 PAGE 4 &
STATE OF FLORIDA. COUNT OF DADE
/HEREBY CERTIFY that this is a true copy of the
original filed in this office on 3 oay,of
t , 4 V
WITNESS my h and Official Seal.
HARVEY RUVI i L K, of Circuit and County Courts
By D.C.
1 1 Ai
A
, 20 O
_ ArrengA cea
A. Ex
, : � es 2008
,,'' " „, Atlantic Bonding Co., Inc.
11111111111111111111111111111111111
I1I1 1111
CFN 200480314054
OR 8k 22260 Ps 3199; Ups)
RECORDED 05/03/2004 15 :42 :48
HARVEY RUVIN, CLERK OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
Am,atoa- N G CnO■I6..0-ns
31 38
Prepared by 44.4.4.-+•1 cfccA/
Address: /4010 (oG?
A'C 2 _ j!1iRol ' (C 347/4d'
.3o
MIAMI SHORES VILLAGE
BUILDIN INSPECTION DEPARTMEN
APPLICATION FOR BUILDING. PERMIT
Application is hereby made for the approval of the det,. iled statemeni of the plans and specifications herewith submitted for the build-
ing or o h, , :ructure her F. described. This ri'licatic is made in compliance and con-o m.ty w.th the Building Ordinance of Mia
Shores Village, .or da, and all pro- isions of the Laws c f the State of krid. all o d nances if Mi m Shores Village and all rules and
regu'al Joni of the Building Div.. i of • •iam Shof illage b 'I ,e -o. ipl.ed with, whether herein specified or not. A copy ot approved
plans and specificati n must be ker. at building durin, progress of tl.e wcrk.
Date
Owner' Name and Address_ In• No Street
Registered Architect and/or Engineer
Name nd address of licen.,ed contractor.
Location and legal description of lot to be built on:
Lot Block. Subdivision
Street and Number where work is to be done -5,TO - L 0 /
State work to be done and purpose of building (by floors)
Remarks__ (Signed) y
STATE OF FLORIDA,
COUNTY OF DADE.
Permit No.
Disapproved
(Signed)
Chairman
Member _ _ _
Member ---
Council Approved
SS.
Date .
iii in Inspector
NOTE: A charge of $1.00 will be made for
the Planr ng Board
A re-inspection fee of $1.00 will be charged
materials and workmanship.
PLANNING BOARD
Member
Member
Member
_Date
My Commission Expires_
DATE
, 19
and for no other purpose.
New Building Remodeling Addition_ Repairs. _ No. of Stories.
To be constructed of. ___ _ _ Kind of foundation Roof Cov ring Estimated ''. .-)tal cost of improvements $ a- at'.) , Amount c.c. Permit $. a
-...
Zone cubage required_ ___ __Plan Cubage
Distance to next nearest building_ _ _ __Size of Building Lot
Maximum live load to be borne by each floor
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 uncle signed appli •ant for tlis building permit does hereby certify that he understands and accepts his ,bligations as an employer
of 1: bor under he Florida Workmen's Compensation Act being S—tion 5966 Col pled Gen al Laws of Florida P r anen. Sipple »ent,
and h .s compl ed with the prov'zions thereof, and will require s.milar cornp from all contractors or sub-contractors cmplo-ed by him
in the work to be p rbr-med under this pernit and • ill post or cause to be posted for inspection on the site of the work su :h public noti..e
or notices as are requir d by the Act. The u.cl
..r ignA. . agrees to employ only such ubcontlo s, on , ork be perforq, d . der
permit as are licensed by M.amt Shores \ ge. his
t
Xt.
Before me, the undersigned authority, a notary public, duly authorized toadm.nister oaths “nd take acknowledgments, personally op-
peared _
to me well known,
and who, being by me first d: ly cwOrn, upon oath depo and says that he is the
of tli abov. de,c.ibed Instruction t., lr has carefully read the f regoing application, and that he did sign the same, and that all facts
therein by him stated are tr re.
Date / d
Read, Sworn to and Subscribed before me.
Notary Public State of Florida
Disapproved Date
making corrections or changes to this application tftcr approval his hecn obtained from
when such re-inspection is ma.1e necessary by improper notice for inspel.t or fa. 1ty
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE / • ",r" 44
❑ PERMIT N? 15610
E
❑ Work to be performed under this Permit
1 1
Subdi-
vision
Contractor's
License No
BY AUTHORITY
195
Value of Amt. of
05 'Ili o
i c I i 1 i. Project $. f Permit $
of
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that "May have been submitted to and approved by the proper municipal authorities. This Permit may be revoked, at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
aN n
Si _ rr 4R^4'��iw/ T� BY it j ".ail'.,
INSPECTOR
In consideration of the issuance to me of this permit I agree to iie°rform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement et the plans and specifications herewith submitted for the build •
in¢ or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Divisinn 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.
Owner's Name and AddresE, 246
Registered Architect and /or Engineer.... :
Name and address of licensed contractor —
Location and legal description of lot to be built on: �jy ` p t / a.
Lot... . 4 J Block 9 Subdivision 11.E . ..._ 1 ,/ data � . 7 la.
Street and Number where work is to be done _ _ _ _ ...._._ ._ .. _...._
.
State work to be done and purpose of building (by floors) 4 . _d -..p� G%2f/t-L►'a,
Date
una
. Street-6 67 .1.0 / I
..:,. ,,,•••n,•nnnxerwwe•,,.
.and for no other purpose.
New Building Remodeling '" Addition Repairs No. of Stories _
To be constructed of Kind of foe ation Roof Covering
Estimate Total cost of improvements $ /) (90 L Amount of Permit
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 permit does hereby certify that he understands and accepts his obligations as an employer
of Leber under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcont;acto on work to be performed under this
pcnnit, as are licensed by Miami Shores Village. -
Remarks (Signed)
STATE OF FLORIDA, 1 .
COUNTY OF DADE. j ss•
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true..
Permit No.._. Date ebi t ki Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commission Expires
to me well known,
PLANNING BOARD DATE
Chainnan Member _ ....... _...... ..._..._
\icrnbcr Member
Member .. .. Member
Council Approved Da te Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fmm
the Plannir,g hoard.
A re- inspection fce of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty
materials and /or workmanship.
Permit No .. .L4 4*
Amount of Permit $
1 r!r
STATE OF FLORIDA,
COUNTY OF DADE I
55.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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 work.
Owner's Name and Address
Registered Architect and /or Engineer �
Employing Electrician's Name4.bef l�n!` l�..iLr. -�'/� l .... 5.0-4^/ No 3 (1 2. 7 Street. /V- A1'40
Location and Legal Description Lot Block Subdivision
Street.‘ G / 0 /
Street and Number where work is to be performed —No rr‘c
State work to be performed and purpose of building (By Floors) JL✓ l.1," iw. et
New Building ✓ Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understanW and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. d L. F E` EC--T/2, c f Ems / c..
(Signed)
Date
No 5- -r — c> Street // / d / S
3 — ��
.S
Master Elect ician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
N E: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materi s and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
N O. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
1
CHECK
"��
�
�,
J
'.�k'
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
CHECK
7r
Permit No .. .L4 4*
Amount of Permit $
1 r!r
STATE OF FLORIDA,
COUNTY OF DADE I
55.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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 work.
Owner's Name and Address
Registered Architect and /or Engineer �
Employing Electrician's Name4.bef l�n!` l�..iLr. -�'/� l .... 5.0-4^/ No 3 (1 2. 7 Street. /V- A1'40
Location and Legal Description Lot Block Subdivision
Street.‘ G / 0 /
Street and Number where work is to be performed —No rr‘c
State work to be performed and purpose of building (By Floors) JL✓ l.1," iw. et
New Building ✓ Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understanW and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. d L. F E` EC--T/2, c f Ems / c..
(Signed)
Date
No 5- -r — c> Street // / d / S
3 — ��
.S
Master Elect ician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
N E: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materi s and /or workmanship.