897 NE 91 Terr (5)te1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date/" / - % Job Addresgq 7 N 4/ ' Tax Folio
4 ..
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant ( ( L�/� r 11/1 /V/)4) Master Permit #
Owner's Address G / 0✓1
Contracting Co. 003 NE l2 Address
Qualifier SS#
State # Municipal # Competency #
Address
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BU DING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE G bh^
WORK DESCRIPTION
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President
My Commission Expires:
FEES: PERMIT
RADON
Date
Address
`Not
My
PhonC/ � / •
Square Ft. Estimated Cost (value) 70 0.
Phone
Ins. Co.
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 construction and zoning. Furthermore, I authorize the above -named contractor to d ^the work stated.
gn ture of Contractor or Owner- Builder Date
as to Contractor o 1 .•• - - Date
o> rflll; %Bx EICIAL NOTARY SEAL
O ( - � SANDRA M IIONTIEL
. w.' C COMMISSION NUI BER
i Q CC401261
p Q ° MY COMMISSION .EXP.
o FAO AUG. 17
376 77
`n \
C.C.F. r NOTARY TOTAL DUE r
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES V
Date ob Address e97 ,• 9/ 7, . Tax Folio
Legal Description Historically Designated: Yes No •
Owner/Lessee / Tenant /61"/ 6 / � hh a Master Permit #
Phone 305' 7 Sb 6� 1
Contracting Co. C�„p�� /4., / /re dress /mod / /20
,,// / �
Qualifier � � e.l. � SS# /71' - ( - pD72 Phone.3DfW1='I-3tie
State # unicipal # Competency # /s' /j/ Ins. Co. .7J 4 4
Owner's Address
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
ok //Ye f7/ v9 ell(K)/.02
Gf /Ge 9 � 76/$1 — /' /E7/ - /U7 k C 074
Square r t. Estimated Cost (value)
WORK DESCRIPTION
Si : ture of owner and/
otary as to
My Commission
(97 /U8 2/ 7
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
cons ' an . ,. `, g. F erm a authorize the above -named contractor to do the work stated.
Condo President
SKEWYCZ
MY C0MM1 ION N CC 721000
EXPIRES: April 10, 2002
' ' Bonded Thru Notary Public Underwriters
Date
P
Signature of ontractor or Owner- Ijfytder Date
otary otary as to Co 1 : ctor or Owner- Builder
My Commission Expires:
ate
/i :7
r V6)
FEES: PERMIT ,5 /--- RADON C.C.F. / ' NOTARY iT BOND
APPROVED: TOTAL DUE --5" . g
Zoning Building /:' elfv,iir Electrical
Mechanical Plumbing Structural Engineer
BUILDING
PERMIT APPLI
FBC 2001
Permit Type (circ
Owner's Name (Fee
Owner's Address /'/2-t.20
City ;
Tenant/Lessee Name
Job Address (where the work is being done) F91 /tJ q e —7
City Miami Shores Village County
Is Building Historically Designated YES NO
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Notary
Scanning $
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
State
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
56 C( 3A a Phone #
Atit-
Zip "34
Contractor's Company Name
Contractor's Address
City
Qualifier
State
State Certificate or Registration No. Certificate
Submittal FeQ.$L" Permit Fee $
Type of Work: ['Addition ❑ teration
Describe Work: 47iim_ ai iUta
Training/Education Fee $
Radon $
l
Miami -Dade Zip 3 3 /3e?
❑New
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zoning
Structural Plan Review. $
Permit No. /3 'g
Master Permit No.
lumbing Mechanical Roofing
Squ
Phone #
CCF$
Technology Fee $
- 21 3 - " �5/
61 1) 1 4/ . 0
Bond $
ok
CQ /CSC
Bonding Company's Name (if applicable)
Signature ) �� C
❑ ❑
promise ur Xuvti — -
whose property is subject to attachment. Also, a certified copy of the recoraea nuuce v . _
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence
inspection will not be approved and a reinspection fee will be charged.
'Owner or Agent
The foregoing instrument was acknowledged before me this 7 The foregoing instrument was acknowledged before nee this
day of 1. WI'. . "1 r , 20 =`, , by Ai i iC t J t` 1 t � ' 2 day of , 20 , by
e 10 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.
NOTARY Pt NOTARY PUBLIC:
Si ii (• s :s MY OMM SS ION # D 391532
g \ �/ / ` %a ��, 1 EXPIRES: February 1, 2009 Sign:
Print: t ``,(,),; .i .. -1- a � � BcndedThru Notary Prblicunderwriters Print:
■••114
My Commission Expires. ` , f 1 I L . 0 My Commission Expires:
l r
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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must
erson
- - - -_ _ _ )b site
of such posted police, the
Signature
Contractor
********:********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * * * ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
Plans Examiner
Engineer
Zoning
Miami Shores Village
Paint Color Approval and Agreement
`;/6
Date
L� J C �, £ ,L / .
Owner's Name % � / � � � ��'�
r7 L' � ii -) / Y 1 / '
Owner's Address "1
City State 4/
..,
Job Address (where the work is being done) ,1 i l /Liz qii /----71,--- `�
City
Miami Shores Village County Miami-Dade Zip ?, / ' `.
Is Building Historically Designated YES NO
Contractor's Company Name (if applicable) Phone #
// All elements on the site must be listed and indicate the l�
Walls �
� aLli.' /Li i �'��I 6 22-U .� /
Fascia J l
(a' 6 c /7 G ie, 5 c- "C - ; "
Drip Cap /drip Edge
Soffit C41_ £ a /► 2 c ' / C� e ee - :9L)
Roof
Flower bins 2) 1 '' /
Shutters
Awnings
Railings
Fences
r 2 4 , V /
Chimney
Doors and door jams 1 Z
Garage doors —
Signature !! (�L (9r z,7t1.
APPLICATION APPROVED BY:
Decorative metal /
All brick (simulated or regular) (4 / 6 2
Stucco banding
Any other stucco features Accessory Buildings
Other GoaiE - ir (1 (`L1 / l �LLZL t b b yc�C4yl�`
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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.
d1
Owner or Agent
P& Z Official
Zip
Phone #
Date
C)
Samples
mbers
4 .
& Bod Car vor • /.:E
("Tnm Rancr A, ,(1
_ /
Date /
J
chc 6/18/03
1 /( 5
Return to (enclose self - addressed stamped envelope)
This instrument prepared by:
Ivette L. Arango, Esq.
Fowler White Burnett P.A.
1395 Brickell Avenue, 14th Floor
Miami, FL 33131
Properly Appraisers Parcel Identification (Folio) No(s):
11- 3206 - 005 -0300
Grantee(s) Social Security Number(s):
hereinafter called the grantee:
SUBJECT TO:
8 'd 0[66
STATUTORY WARRANTY DEED
(Section 689.02 F.S.)
THIS STATUTORY WARRANTY DEED made the '74_ day of December, A.D. 2004,
by ROBERT MARK. HANNA. a single man , hereinafter called the grantor, to
AMSOUTII TRUST & INVESTMENT CORP., a Florida corporation , whose postoffice
address is
WITNESSETH: That the grantor, for and in consideration of the sum of Ten and No /l00
($10.00) Dollars and other valuable considerations to said grantor in hand paid by said grantee,
receipt whereof is hereby acknowledged, does hereby grant, bargain, sell, alien, remise, release,
convey and confirm unto the grantee, his successors and assigns forever, all that certain land situate
in Miami -Dade County, Florida, viz:
Lot 26 and the East 'A of Lot 25, Block 2, GOLDEN GATE PARK
ADDITION, according to the Plat thereof, as recorded in Plat Book
6 at Page 130 of the Public Records of Miami -Dade County, Florida
1. Real estate taxes for the year 2005 and all subsequent years.
2. Covenants, conditions, restrictions, limitations and easements of record, if any, without
seeking to reimpose same.
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 ofsaid
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, 2004.
WriRb;q m17.. 11.uer
IN WITNESS WHEREOF, the said grantor has signed and sealed these presents the day
and year first above written.
Signed, sealed and delivered
in our presence:
Print Name: o1S -
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
I HEREBY CERTIFY that on this day, before me, an officer authorized in the State aforesaid
and in the County aforesaid, to take aclrnowledgmen , personally appeared
ROBERT MARK HANNA, a single man , [ who is personally known to me to be the
person described in and who executed the foregoing instrument, or [ 1 who produced
as identification, and they
acknowledged before me that he executed the same for the purposes therein expressed.
WITNESS my hand and seal in the County and State last aforesaid this day of
, 2004.
(SEAL) ,.-SA "
T , Judith D. Rodman • Iat3c� ublic, State of, lQ.rida_._....,_ �.�
. ; 1 , . commission • DD 057B45
Eipz> " nntName: �' L 1- a k
a , Jot My Commission expires: L
fjdlj W: \66872\DEED3048.JDR(1211/4 -10:2)
6 d OL66 4
2
21"-
(/ROBERT MARK HANNA
Address: 2315 Hartford Road
Austin, TX 78703
I rP
ae Y"
Wd8ti:9 9007, 'Bluer
Applicant:
Owner:
JOB ADDRESS: 897 NE 91
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -338
Printed: 3/28/2005
Contractor
Local Phone:
Parcel # 1132060050300
Building Permit
TERR
Contractor's Address:
Page 1 of 1
Legal Description: GOLDEN GATE PARK ADDN PB 6 -130 LOT 26 & E1/2 LOT 25 BLK 2 LOT SIZE
Fees: Description Amount
FEE2005 -3111 Building Painting Fee $60.00
FEE2005 -3112 CCF $0.60
FEE2005 -3113 Training and Education Fee $0.20
FEE2005 -3114 Technology Fee $1.50
Total Fees: $62.30
Total Fees: $62.30
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 9/6/2005 Construction Value: $300.00
Work: PAINT HOUSE EXTERIOR
ASR 2 8 PAID
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.
Signed: (Contractor or Builder) BY: