1202 NE 93 St (9)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Dates
Type Insp'n n1 a r
Permit No. E105— 1` J
Name +\ eet r
Address 1 " E ctS s
Compan I n1c,s .
Phone # CC
Inspection Date
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
Building Department
10050 N.E.2nd Ayenue,_Miami Shores, Florida 33138
Tel: (3 5)`79T.22g4 F'at:_A3Q5) 756.8972 BUILDING
//0 ` ' Permit No.
PERMIT APPLICATION - - Master Permit No.
FBC 2001
Permit Type (circle): Building lectrica Plumbing echanical Roofing
Owner's Name (Fee Simple Titleholder) C/1/Al' r al9 M/Phone ,05) ( ' , 1.1us
F
Owner's Address O? 6 ♦ n
City a . TS State FL . Zip .3. / ?5 3
Tenant/Lessee Name
Job Address (where the work is being done) /c2 AIE 9
City Miami Shores Village County Miami -D: de Zip
Is Building Historically Designated YES NO r
Contractor's Company Name
Contractor's Address e q ( 1 (0[7 N G() / / !, if✓a y - /
City -e State Pt
Qualifie
p'. ssef�
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work:
Describe Work:
(Continued on opposite side)
(
❑Addition ❑ Aeration
l ad ,q rm
E w
Phone #
one # 'SOJ P87- B1/5
Zip d
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
/0
* * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /G'G' ■ co ad CCF $
Notary $ Training/Education Fee $ Technology Fee $
CO /CC
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
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 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 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 absence o such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Owner or Agent
The foreg g instrument was acknowledged before jne this ,7 -- The foregoin
day of CCJL 20,c, by
who is personally known to me or who has produced who is personally known to me or who h produced
My Commi�.sion Expires:
APPLICATION APPROVED BY:
Chc 12/15/03
` I1 , day of
As identification and who did take an oath.
44:el PIN Barbara A Corzo
Signature
NOTARY PUBLI
o Sign:
Print:
Contractor
ent was acknowl
, 20 D/ by
My C i mmission Expires:
identification and who did take an oath.
Barbara A. Corzo
l�ya v E Aires March 3L . 200n
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
******************************************************._:.****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
2 %' Examiner
Engineer
Zoning
340
Primary Zone:
1300 ONE FAMILY
CLUC:
0001 RESIDENTIAL- SINGLE FAMILY
Beds /Baths:
3/2
Floors:
1
Living Units:
1
Adj Sq Footage:
1,800
Lot Size:
9,375 SQ FT
Year Built:
1951
Legal Description:
BAY LURE PB 44 -63 LOT 2 BLK 2 LOT SIZE 75.000 X 125
Year:
2004
2003
Land Value:
$153,750
$102,375
Building Value:
$127,976
$125,096
Market Value:
$281,726
$227,471
Assessed Value:
$171,100
$167,910
Homestead Exemption:
$25,000
$25,000
Total Exemptions:
$25,000
$25,000
Taxable Value:
$146,100
$142,910
Folio No.:
11- 3205 - 027 -0150
Property:
1202 NE 93 ST
Mailing Address:
JOHN HEARN &W THERESA
1202 NE 93 ST MIAMI SHORES FL
33138 -2941
Sale O /R:
000000000
Sale Date:
4/1972
Sale Amount:
$34,500
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Zip Code (opt):
House Number:11202
Direction: NE
Street Name: 193
Street Type: 1ST
Unit (opt):
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Summary Details:
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Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/5/2005
Applicant: JOHN
Owner: HEARN
JOB ADDRESS: 1202
Contractor BRINKS HOME
Local Phone: 305 - 887 -8455
Parcel # 1132050270150
NE 93
SECURITY INC
Permit Status: APPROVED Permit Expiration: 10/25/2005 Construction Value: $600.00
Work: BURGLAR ALARM, MASTER 1 DEVICE 10
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Electrical Permit
Permit Number: EL2005 -138
HEARN
JOHN
ST
Legal Description: BAY LURE
BY:
PB 44-63 LOT 2
Page 1 of 1
Contractor's Address: 9960 N. W. 116TH WAY, SUITE 12
BLK 2 LOT SIZE 75.000 X 125
Fees:
FEE2005 -5500
FEE2005 -5501
FEE2005 -5502
FEE2005 -5503
FEE2005 -5504
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$100.00
$0.60
$0.20
$2.50
$3.00
$106.30
Total Fees: $106.30
Total Receipts: $0.00
itlWY o 9 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.