864 NE 91 Terr (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date (v -2.3 - / )ob Address &6nL:"..- 9/ / Z 66 j'axFolio ( 1- 3cD-Q — 005 - 0 330, CCU
Legal Description Historically Designated: Yes No
/�
Master Permit # "�'11W*
Owner/Lessee / Tenant
c td 2 IQ 6s
Owner's Address ( S'6 91 / ((Q r e Phone ?5 ` l
Contracting Co. r r--e- c / fi, Address %37 /1 L) / l -
Qualifier U L/.S IQ • /9 ss# Phone 2 37 — — 7 0 7 7
State # F/Q A �/1- Municipal # SO- (0 # 0/9e9 / Ins. Co. ( ilMea/r)
Architect/Engineer Address
Address
Address
Bonding Company
Mortgagor
Permit Type (circle one)
WORK DESCRIPTION
Square Ft. Estimated Cost (value)
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 AFFIDAV -I ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulat cons t;tion and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Comb t f s n co-H 2q e
behi main ho
: r a r. • e of owner and/or Condo President Date
1�f otary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT /D. r RADON
7
ture of Contractor or Owner- Builder
Date
Notary as to Contractor or O r- Bui • Date
M Commission Exigo. .,(7, „ „ S s; .a :avis ` ` • C) "�
vb $ 1
•tl4IT30't;i d0 .jZVIS+`JI't:i.lu AtV.LOId ” A
•
�
C.C.F. 3. NOTARY 3 . BOND
7
069,
TOTAL DUE 3 LI
APPROVED:
Zoning Building Q ! �p ( Electrical
Mechanical Plumbing Engineering
Nu 1 Il.t ur I:UMMtNULMEN I
PERMIT NO. TAX FOLIO NO. ) /- 3 20 6-- _ 00 5-0 3 o - 6)0 2
STATE OF FLORIDA:
COUNTY OF DADE: '' 7C;8 1997 JUN 24 08:30
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: •!. ✓ ��
) A
2. Description of improvement:
4. Contracors name and address:
5. Lenders name and address:
Notary Public
?nnt Notary's Name
My Commission Expires:
5. Surety:(Payment bond required by owner from contractor, i#, OF FLORIDA COUNT( D D
0 gQtiov c¢RIIFV P o 'hi' Is a M coat o t
am
' d
Name and address:
Amount of bond S _- -'
W MESS my h r.pr.nd Official Seal.
E, FilBrid CLERK o f it and
3. Owner(s) name and address: J t CC� Mt (r .CS ` V/6-er i//2'v T
M. 6(mod -S1 C .
.n. ..rr►-'�
?nnt Owners NaneM.6 . � G�S / Zl \•C. - SC '0 ' C61 S
Sworn to and sucsc:ibed before me this f 3 day of (�-�� , 19 %
G) 6i)-j 1
oir
tl
Interest in property: n,i.:/L62
Name and address of fee simple titleholder: »2,�'. 6C4 S ( 3n 911 2 c�Gcr?
IPA / — , > Joy`)
4 Go / I\J Ili /"9 -t/-C
7. Persons within the State of Florida designated by Owner upon whom notices or o • documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
3. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienors Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of '_*as Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Prepared by: ::;--t r /d 6/1/ s
Address:
APPLICANT:
CONSTRUCTION PERMIT FOR:
[, ] New System [ ] Existing System
[ ]' Repair [ ) •] Abandonment
c.
PROPERTY STREET ADDRESS:
LOT: / BLOCK:
T [
A [
N [
K [
0
T
H
E
R
SPECIFICATIONS BY:
APPROVED BY:
DATE ISSUED:
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM
CONSTRUCTION PERMIT
Authority: Chapter 381, FS & Chapter 10D -6, FAC
SYSTEM DESIGN AND SPECIFICATIONS
'Kt SUBDIVISION:
D [ ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM
1-,STANDARD
] TRENCH
[i ] Holding Tank [,',] Temporary /Experimental
[ ] Other(Specify)
AGENT:
PROPERTY ID #: [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER]
[OR TAX ID NUMBER]
R [ ] SQUARE FEET
A TYPE SYSTEM:
I CONFIGURATION:
N
F LOCATION OF BENCHMARK:
I ELEVATION,OF PROPOSED SYSTEM [ ]-[INCHES /FT]
E BOTTOM OF DRAINFI E ] [INCHES /FT]�
L SEPToC Tanta
D FILROG® [SEPT 1SPu�Jv p[ DEV IARUIRED: [
LICENSED D PLUMBER: BOTTOM OF T �?OG;? C I E[ o
RUPTMF' AN TANK FiLL tL be°]T CLRA�� ,gai5
OR OTHER S 9T6�c r MA
4EJMST OEff�T9F�? ERoAL. C�O�1TnAc�Ytp Q
CO �OMPLET8ON OF izioVLi (OcI HMCo)
6c HELOU L( Comps 1 e k r E5 8N8Pgt2TUO R1 MOra
cumin! Pui jc HpALT- !JMt
SYSTEM
] FILLED [ ] MOUND [ [
] BED [ ]
TITLE:
TITLE:
HRS-H Form 4016, Mar 92 (Obsoletes previous editions which may not be used)
(Stock Number: 5744-001- 4016-0)
PERMIT #
DATE PAID P
FEE PAID $
RECEIPT # i +
wF#amip oorimm -"F ZV
] INCHES
paQC��� ri��fr i'a,dv
EXPIRATION DATE:
00 .
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC
REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS
EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY
PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A
BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH
MODIFICATIONS MAY RESULT IN THIS :PERMIT BEING MADE NULL AND VOID.
] [GALLONS / GPD] SEPTIC TANK/AEROBIC CAPACITY MULTI - CHAMBERED /IN SERIES:[ ]
] [GALLONS / GPD] ' CAPACITY MULTI- CHAMBERED /'IN SERIES:'[ ]
]. GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
] GALLONS PER DOSE DOSING TANK CAPACITY . DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ]
POINT
TTOINT
, ,3
CPHU
Page 1 of 2
Aeoples Gas
16101 West Dixie Hwy.
North Miami Beach, Florida 33162
Bwd. (954) 763 -8900 Dade (305) 940 -0139
To: Shark Wrecking Corp.
8450 NW 93rd Street
Medley, FL 33166
Request Date: June 24, 1997
Proposed Demolition: 864 NE 91st Terrace, Lot 4 & 5, Block 3, Rear House, Mi:- ��i, FL.
( ) Peoples Gas Has Existing Gas Lines - Do not permit / Do not proceed with
demdlition until you receive clearance in writing from Peoples Gas System, Inc.
(X) Peoples Gas Has No Existing Gas Lines
Note: There may be other underground and /or aboveground facilities not affiliated
with Peoples Gas at the proposed Demolition site. This release only
exemplifies facilities owned or maintained by Peoples Gas.
Remarks: Not a PGS Propane Acct. per Alfredo, 6/25/97, 9:55 a.m.
If you have any questions, please contact Mrs. Janice DeAngelis 7251.
412 / 11
- r�ineering Manager
•l`.rth Miami Division
Demolition Letter
Date: June 25, 1997
Prepared By: J.DeAngelis
Atlas Page: M -
Reference: 97 -454
06/17/1997 08:52 305 - 377 - E010
FPL
From: Landry Alexander
Florida Power & Light Company
Service Planner
To: Shark Wrecking Crew
Subject: 864 NE 91st Terrace
After a field evaluation of the rear house on the property,
it was determined that Florida Power & Light could not perform a
disconnection of the service. Reason for this conclusion rest on
the fact that the service conductors running from the meter can
located at the end of the front house to the rear house do not
belong to FP &L, they belong to the previous occupant(s) whose
electrician set up the service wire. FP &L's service wires only
run from outside utility poles to the customer's weatherhead,
therefore, the customer would be responsible to call an
electrician to perform a disconnection of service to the quarters
located at the back of 864 NE 91st Terrace.
If you might have any questions, call me at 377 -6008 between the
hours of 7:30pm - 4 :30pm.
Thank You
en FPL Group company
CENTRAL SVC PLNG PAGE 02
Florida Power & Light Company, 122 S.W. 3 Street, Miemi, FL 33130
06 :16/97
HAVING MET THE CODE REQUIREMENTS OF METRO DADE COUNTY, AS AMENDED,
IS CERTIFIED AS A CONTRACTOR IN THE FOLLOWING TRADE CATEGORY(S)
CONTRACTORS CERTIFICATE OF COMPETENCY - BUSINESS
ISSUED JULY 15, 1995
. THIS IS TO CERTIFY THAT SHARK WRECKING CORP
_ D/8/A,
C C N°-000U1VB91 THADE BUILDING
15 DEMOLITION
'11- `^-�
15 DEMOLITION
METROPOLITAN DADE COUNTY
BUILDING AND ZONING DEPARTMENT
111 NW 1ST STREET MIAMI, FL 33128
10TH FLOOR, SUITE 1010
METROPOLITAN DADE COUNTY
BUILDING AND ZONING DEPARTMENT
111 NW 16T STREET MIAMI, FL 33128
___10TH FLOOR, SUITE 1010
- _
TRADESMAN PERSONAL CERTIFICATE OF ELIGIBILITY
ISSUED JULY 15, 1995
THIS IS TO CERTIFY THAT RAMOS JESUS A
S.S.M. 265 TRADE BUILDING
HAVING MET THE REQUIREMENTS OF METROPOLITAN DADE COUNTY IS HEREBY
CERTIFIED
cv S EL 1G1ULE IN THE FOLLOWING TRADE CATEGORY(S)
THIS CERTIFICATE DOES NOT PERMIT DEARER TO CONTRACT
RAMOS JESUS A
127 NW 11 AVE
MIAMI
; 02 0595135196O 000024000
THIS CERTIFICATE IS VALID UNTIL
u�r|LMBER 30 1997
FL 33128 BY AUTHORIZATION OF
SECRETARY, CONST TRADES UUAL BOARD
ALTEHATION, WAS OR TRANSFER OF THIS CERTIFICATE IS PROHlBlTEU
— �PAID ON PROCESS NO |95135196
F.1
DADE COUNTY
TAX COLLECTOR
140 W. FLAGLER ST.
14th FLOOR
MIAMI. FL 33130
LICENSE NO .
BUSINESS NAME / LOCATION
SHARK WRECKING CORP
127 NW 11 AVE
CwNER :SHARK 'WRECKING CORP
NOT VALID IN:
HIALEAH
VILLAGE OF KEY BISCAYNE
Licensee -list
register in t`e city
where NOr'� ;S to
be none.
PaYMECT -- D
DADE CNTY TAX
COLLECTCR
10/18/96
086955001
000175.00
DADE COUNTY
TAX COLLECTOR
140 W. FLAGLER ST.
14th FLOOR
MIANI, FL 33130
THIS IS AN OCCUPATIONAL
TAX ONLY. TT DOES NOT
PERMIT THE UCENSEE TO
VIOLATE ANY EXISTING
rc: ° REGULATORY OR ZONING
LAWS OF THE COUNTY OR
CITIES. NOR DOES IT
EXERT THE LICENSEE
FROM ANY OTHER LICENSE
OR PERMIT REOUIRED BY
LAW. THIS IS NOT A CERTF
FICAT1ON OF THE
LICENSEE'S OUAURCA-
TIONI
PAYMENT RECEIVED
DADE COUNTY TAX
COLLECTOR;
tC8/2
710000
1996 MUNICIPA._ CONTRACTOR'S 1997
OCCUPATIONAL LICENSE
DADE COUNTY - STATE OF FLORIDA
PURSUANT TO DADE COUNTY ORDINANCE 66 -2
EXPIRES SEPT. 30, 1997
30- 2105575 CC NO: 000019891
P &DC MIAMI .FL 10/334.16FSBSCICEII7EcOMO . 1
BUSINESS AS A CONTRACTOR
AS SPECIFIED HEREON.
SHARK WRECKING CORP
127 NW 11 AVE
MIAMI FL 33128
199722 -1
BUSINESS NAME/LOCATION
SHARK Ids cr,INp BP1111A111 I FL
127 NW 11 AVE
33128 MIAMI
1111111111111111111tl11111IIIII111II 111Ii 111111111111111111111
1996 OCCUPATIONAL UCENSE TAX 1997
DADE COUNTY - STATE OF FLORIDA
EXPIRES SEPT. 30, 1997
MUST BE DISPLAYED AT PLACE OF BUSINESS
PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10
OWNER
SHARK :dR =CKING CORP
Sec. Type of Business WORKERS
196 S ^FC (ALP" BUILDING 3
SHARK WRECKING CORP
JESUS RAMWJS P'RES
127 NW 11 AVE
MIAMI FL 33128
1 It
SPECIALTY BUILDING
00 NOT FORWARD
09/17/c16
s *ts
DO NOT FORWARD
it 1 11 1 It ■111 1
RENEWAL
LICENSE NO. 210557—
lqe oulotoi9391
v
FIRST -CLASS
U.S. POSTAGE
PAID
MIAMI, FL
PERMIT NO. 231
FIRST -CLASS
U.S. POSTAGE
PAID
MIAMI. FL
PERMIT NO. 231
- ' 7 tr T - 0 C"`3 jL .i` � -T,,...L ..tom f + .� V ,, �,Ly aY ti'
,
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1- m
PRODUCER
MILLENIUM INSURANCE SERVICES, INC.
1499 WESTTALMETTO PARK ROAD
1 SUITE 130
BOCA RATAN, FLORIDA 33486-3318
(861) 39249922
SHARK WRECKING CORP.
7921 N.W. SOUTH RIVER DRIVE
NO.202
MEDLEY, FLORIDA 33166
.T
CE THIS IS TO,CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TH P OLICY PERIOD
RTIFICATENMAYIBESISSUEOGORANY MAY THETERM INSURANCEDAFFOREDFBY ANY THED
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE T OCCUR.
OWNER'S & CONTRACTOR'S PROT,
AUTONDBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
MESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S awnings Angs ANa
E PUPYEAS' LIABILITY
INCL TNE•PROPRIETOR /PARTNERS/
EXCL EXECUTIVE OFFICERS ARE
OTHER
MI IPTION aR CE /LDCATIONS/YENICLES /SPECIAL ITI7L1
IMAGE OF MIAMI SHORES
)050 NORTHEAST 2ND AVENUE
LIAMI SHORES, FLORIDA 33138
15- 6633140
� 'd
GLP9720608
TP1000948
Z05 -03057 -97
POLICY ML*EM
f ISSUE DATE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
6/3/97
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DuES NOT AREND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY A GAN NORTH AMERICAN INSURANCE COMPANY
LETTER
LE TE Y B GE SECURITY INSURANCE COMPANY
COMPANY ZENITH INSURANCE COMPANY
LETTER C
LETTER No
COMPANY
LETTER
Ply EFFECTIVE
2/14/97
3/17/97
1/1/97
PO EXPIRATION
TE
2/14/98
3/17/98
1/1/98
GENERAL AGGREGATE
PRODUCTS - COMP /0P AGG.
PERSONAL A ADV. INJURY
EACH OCCURRENCE
f 1,000,000
s 1,000,000
FIRE DAMAGE(Any one fire) f 504000
MED, EXPENSE (Any one person) f 5,000
COMBINED SINGLE
LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
EACH OCCURRENCE
AGGREGATE
STATUTORY LIMITS
EACH ACCIDENT
DISEASE- POLICY LIMIT
DISEASE -EACH EMPLOYEE
LINTTS
f 300,000
f 2,000,000
f 1.000,000
f 500,000
1 100,000
SHOULD ANY OF THE A8OVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 3` DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF AMY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
lam Cotniske _,,, C'
uc l�on aFaa�,aRna
- JIMN33��iW�lItJ3��IL4 I:idTE -£o �E; Le (�nr.