1213 NE 93 St (6)MIAMI SHa' VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR / BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work. y
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor
Location ad legal
Lot l description of lot to be built on:
) Z - J - r ' -4 ' ? Block
^ti Subdivision r 7 _
Street and Number where work is to be done P2-13 i ,/
State work to be done and purpose of building (by floors) 7 t,, ' „ —
New Building Remodeling Addition
C;1 err
� d r+
To be constructed of___,,___f�.__� Kind of foundation
Estimated Total cost of improvements $ la_ 0O Amount of Permit $
Zone cubage required -1'11 Ca .Plan Cubage
Distance to next nearest building
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
F *
Building Inspector
I hereby submit all the lans and specifications for
be sent to c
j
Remarks
Date
Size of Building Lot
(Signed)
No.___/I ____2 Street
T
i
permit, as are licensed by Miami Shores Village.
' ” A
,19
/ 2,
4 ° L.,
and for no other purpose.
Repair No. of Stories_
Roof Covering -�
Maximum live load to be borne by each floor
Id building. All notices with reference to the building and its construction may
The undersigned applicant for this building permit does hereby certify that he understands 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 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 s ch public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be p o ed under this
et
Before me, the undersigned authority, a notary public, duly . authorized to administer oaths and take acknowledgments, personally ap-
peared
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 co truction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are ue.
Permit No / ' Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
N9 1550
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla
\ ,
Owner, Agent or Tenant of Building a
i
Lot ` B1�ck Subdivision ' � `
Street Address .= '
Approved use by occupancy
Remarks.
This Certificate of Occupancy is issued to the above named
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration} or remodeling of buildings or structures.
ri g
BUILDING DIVISION
OWNER'S NAME
C,.1 STi+ M 1NIZ/L' IN l%•
JOB LOCATION (ST. OR AVE.)
2213__.:. .?. 3 3
GENERAL CONTRACTOR
L'OUS 2:'s faaNzials I DATE
BUILDING PERMIT NO. 11583 I DATE
ZONE
REQUIREMENTS 22,500
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
X
NEW CONSTRUCTION
REPAIRS
ALTERATION
ADDITION
SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
CB3
RE- SUBMITTED TO PLANNING BOARD
APPROVED
j7 144L 3rd. VE.
LOT I BLOCK
21ess25 `- 1250 ot3 1
ADDRE
1749 3..'j . 3rd.. AVE.
6/1/;1
CU. FT.
REJECTED
PLAN CUBE
PRESENT ADDRESS
PERMIT FEE $
P .G.
2 , 500x
TYPE STORIES ROOF CONSTRUCTION
20.00
DESCR IPTION
REFERRED TO COUNCIL
CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO
CU. FT.
NO.
REMARKS
BAY LLk;
PHONE NO.
EST. COST $
LIJ .11,:S - -2 i:� .1 `z -- TJ L PO cC i-- .ii'ti' GARAGE
DESCRIPTION
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
LICENSE NO.
SUBDIVISION
BUILDER'S BOND
12 79 DATE
INTERIOR CONSTRUCTION
Gals & T.:1 ORS-. .4S ,x:,1
REASONS
PHONE NO.
LICENSE NO.
6/1/51
16,000.00
DATE
flISPECTIONS
DATE
( � J .�y...�
PERMIT NO. / " / St 41 1 DATE { - G -3/
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
7- '
/ B � Y �j
v/ •-•
TEMPORARY SERVICE
S
BEAMS & LINTELS
g -5 S/
��•'
ev /
SEWER
FRAMING
p
V
$
GAS
i
$
INSPECTIONS
FINAL
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
CLEAN -UP
1 -.,' i'�'#'-.-
.
GAS
CONTRACTOR -o, • • CO .
PHONE
( � J .�y...�
PERMIT NO. / " / St 41 1 DATE { - G -3/
FEE $ 7 �
NEW BLDG. I ALTERATION [ADDITION
REPAIRS •
, SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
S
SEPTIC TANK
/a 74, 7-
g... 6,60
ev /
SEWER
$
SOLAR HEATER
$
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
//11
7' /1-s/
(� BY
P g,
GAS
�I/ �/
?- acp'S 1
,/�
t�+ ( .4
SEWER
SEPTIC TANK
1 1 -- 5,"
SOLAR HEATER '
FIXTURES
.;' " G t" ,
FIXTURES & FINAL
� `,:: -. d
CONTRACTORi - A;
- DATE
PHONE
` - /
q (2 '7 S
PERMIT NO. ) . 4 0 .a I
FEE $ ; '
J
NEW BLDG. 1 ALTERATION I ADDITION
REPAIRS •
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
S
_FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
�I/ �/
?- acp'S 1
,/�
t�+ ( .4
H. W. HEATER CONN.
RANGE CONN.
FIXTURES & FINAL
1 t ® ti:= B UILDING INSPECTIONS_ ^a,R /
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE /(— / 9 7 Z_BY
N9 1550
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla ,
Owner, Agent or Tenant of Building
Lot ' Block Subdivision ` -
Street Address '
Approved use by occupancy
Remarks.
This Certificate of Occupancy is issued to the above named
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known os the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
y �� m`^ BUILDING DIVISION
6 - / .ri ,"1/45 -54 PAID BY y
YEAR
ANNUAL TAX
°ERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
ADDRESS 1 2.1 3 N f- , `13 g/ EPLEGAL i. 4 .24 -1 I , 3
RECORD GARBAGE TAX
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT NC' 4920
Work to be performed under this Permit— -_
Lot
CONTRACTOR OR BUILDER
B1
DATE_ • - 7 19
Contractor's
License No.
Subdi-
vision
r Value of 1 i Amount of
/
Project $ '' H Permit $
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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
Signed. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinence"s 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 ac
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
ABBOT yrj:4.
OWNER'S NAME
PRESENT ADD
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
bit 3 IV.c . 53 -- cs
LOT
`3
BLOCK
/
SUBDIVISION
vim/
80. - e4 ct - (-
j ia „...., ‘,.._ GENERAL CONTRACTOR
ADDRESS � /
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. . 1.--? LC)
DATE f - 11.
O' _ '
PERMIT FEE $ 04
BUILDER'S BOND
NO. DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 31, d `1'- ' Y —i CU. FT.
EST. COST $ TC `' �
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: CAA--
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
/(-
DAT=
t a -
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTR CTION
REPAIRS
DESCRIPTION
� /�� - � �(,, , (j-- � , ' -C>- ,,- 0i"' "_"'_`-"'� ,
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTEO TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO.
ISSUED
BY
TO
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: CAA--
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
/(-
DAT=
t a -
INSPECTIONS
DATE
BY
INSPECTIONS.
_ DATE
BY
FOUNDATION
I
$
ROOF
$
BEAMS & LINTELS
TUB & TOP OUT
$
POOL
I
$
FRAMING
at
SEWER
AIR COND.
FINAL
S
CLEAN UP
.
SLAB
FIXTURES & FINAL
SOLAR HEATER
SLAB
FIXTURES
SPECIALS PERMITS
PERMIT NO. DATE
FEE
TEMPORARY SERVICE
I
$
SEPTIC TANK
I
$
SEWER
$
SOLAR HEATER
TUB & TOP OUT
$
GAS
I
$
FIXTURES
at
INSPECTIONS I
DATE BY
RE - INSPECT
BY
RE- INSPECT
BY
ROUGHING
I
$
RANGE CONN.
TUB & TOP OUT
MOTORS
H. W. HEATER CONN
$
FIXTURES
SEWER
$
S
SEPTIC TANK
.
FIXTURES & FINAL
SOLAR HEATER
FIXTURES
GAS
SPECIAL PERMITS PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
RE- INSPECT' BY
$
H. W. HEATER CONN.
I
$
RANGE CONN.
$
MOTORS
H. W. HEATER CONN
$
FIXTURES
RANGE CONN.
$
S
INSPECTIONS
DATE
BY
RE- INSPECTI BY
RE- INSPECT' BY
TFMP. SERVICE
I
ROUGHING
I
H. W. HEATER CONN
RANGE CONN.
.
FIXTURES & FINAL
CONTRACTOR
PERMIT NO.
NEW BLDG.
CONTRACTOR
PERMIT NO.
NEW BLDG.
APPROVAL TO POWER CO. FOR SERVICE DATE
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
DATE
1 ALTERATION 1 ADDITION
ELECTRICAL PERMITS & INSPECTIONS
I DATE
I ALTFRATION
I ADDITION
PHONE
FEE $
REPAIRS
PHONE
FEE $
REPAIRS
BY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Contractor
or Builder
Legal
Description
Address of
Building
g
fir
n
r
Architect ,f/ 4 11 i.' ii',-- A . �.
r t Or Ylto'' 1
;if; oito-ril
MIAMI SHORES VILLAGE, FLORIDA
PERMIT IN? 11583
Work to be performed under this Permit
z. -tst 4 c L.
e " , Cdd6
tf
Bl.
r I vie r:"1/
This permit is granted to the contractor or builder named above to construct the
herefor in strict compliance with all ordinances pertaining thereto and with the
drawings, statements or specifications that may have been submitted to and appro
time if the work is not done in compliance with such ordinances or if the plans are
granted is the understanding that the contractor or builder named above assumes the
pertaining to the work covered hereby whether shown on the plans or drawings or in
done by his agents, servants or employees.
Signed •
L
Subdi-
vision
Value of
Project
ow install the equipment or device described in the application
at the work will be performed in compliance with any plans,
oper municipal authorities. This Permit may be revoked at any
ge ,ithout authorization. A further condition upon which this permit is
sponsibility for a thorough knowledge of the ordinances and regulations
e statements or specifications and that he assumes responsibility for wprk
INSPECTOR
DATE 1-
Contractor's
License No.
r r
W
Amt. of
Permit
BY `:r e'f . 7 t >l1
r / 09
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with a {ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vi{lage,
In accepting this permit I assume responsibility fqr all work done by either, myself, my agent, servant or employee. �^
CONACTOTr;•UR BUILDER BY
195
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
Date ,19
Owner's Name and Address MI Daum a 1213 N.E. 93 St. M. Shores Street
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of buildin (by floors) 1213 N.E. 93 St. M. Shores.
Nylon T ent Y umigation – Vikane 18 -27I hours 26, $3DtTTOCT
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 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 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 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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks____________________ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. 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—.8:7!-_-.7...e2_1 Date ' r r- Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
t
Building Ins ctor
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Orkin Exterminating Co.Inc.1960 N.W.27 Ave.
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of $1.00 will be charged
' materials and /or workmanship.
PLANNING BOARD DATE
June 11 1969
to me well known,
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
Location of structure
Owner's name and address
Number of cubic feet (approximate)
CC: County Health Department
Fire Department
Sheriff's Office
ORKIN EXTERMINATING COMPANY, INC.
1960 N.W. 27 Avenue
Street address
Miami 33125
City and zip code
FUMIGATION NOTIFICATION
Name (and approximate quantity of fumigant)
Name L. Weinberg
NYLON TENT
nrrn
Type of structure "tns-y
Date and approximate time of release of fumigant
26.000
Length of fumigation period (approximate) 18 - 24 hours
Telephones 633 -3421 538 -7183
day night
Jii tr nr 9(�a
6/18/11 - 10 A.11,
Distance to nearest structure /lover 10 feet /7 under 10 feet
Certified Fumigation Operator /17 or Special Fumigation Identification Card
Holder /7 In charge:
Fumigation shall be perfcrmed at all times in strict adherence to the FUMIGANT'S
FEGISTERED LABEL and Florida State Board of Health Regulations, Chap. 1701 -2 FAC
. T SHORES VILLAGE
DING DEPARTMENT
305- 795 -2204
Bui,ld;ng Inspection Request
Date
Type Insp'n
Permit No. Q� (&)/4
Name s �
Address / /\ G q3;‘W
Company
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
Building Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2005 -216
Printed: 3/2/2005
Applicant: SANTIAGO BERNAL
Owner: BERNAL SANTIAGO
JOB ADDRESS: 1213 NE 93 ST
Contractor URBAN 4 DEVELOPMENT CORP. Contractor's Address: 2560 SW 27 AVE
Local Phone:
Parcel # 1132050270020
Permit Status: APPROVED Permit Expiration: 8/14/2005 Construction Value: $600.00
Work: RENOVATE PLATFORM LANDING AT HOUSE ENTRANCE WAY. 195 X 168
Page 1 of 1
Legal Description: BAY LURE PB 44 -63 E5OFT LOT 2 & W25FT LOT 3
Fees: Description Amount
FEE2005 -2630 Building Fee $100.00
FEE2005 -2631 CCF $0.60
FEE2005 -2632 Training and Education Fee $0.20
FEE2005 -2633 Technology Fee $2.50
FEE2005 -2634 Scanning Fee $3.00
FEE2005 -2635 Submittal Fee ($50.00)
Total Fees: $56.30
Total Fees: $56.30
Total Receipts: $0.00
(4
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:
BLK 1 LOT
BUILDING
PERMIT APPLICATION
FBC 2001
Tenant/Lessee Name
$ Value of Work For this Permit '. h (i C
Notary S Training/Education Fee $
Code Enforcement $
Total Fee Now Due $ (�'
(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
t
Permit Type (circle): 11uilding J Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) ANA (A(4 L Phone # / Ll 7 L 7 f(
Owner's Address C iG';[ �d7n1
City k )/\tA (kti1 State `-C--
Structural Plan Review. $
aster Permit No.
Zip
Phone #
Job Address (where the work is being done) 1 er 1 .1:i 9 -
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name \;Z - j Phone # 3es
Contractor's Address 245(0L J 21 ki .
Cit M t t, A State - L Zip 375 t Sj
Q \ \ \ma y irk_ � )
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Type of Work: ❑Addition El Alteration ❑New El Repair/Replace ❑ Demolition
Describe Work: 1 - 1 \ - 1•-1,2, , A iltA[tt44 .o1AN1/4 , 4vottc
� ** * * * * * * * * * * * * * ** * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IQ ({' $
Submittal Fee $ Permit Fee $ CCF or 6 CO /CC f,
i l (.' Technology Fee $ 2 f 5-6
Scanning $ 3 Radon $ Zoning `—'—' Bond $ a �
Permit No. -1 --,2I G
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 of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature - F�
I (
Signature �JLJ
Owner or Agent Contractor
The for ing instrument was acknowledged before me this D I The foreg. g instrument was acknowled ed b fore me this
day of� 20 b V\(,1 W WOv\C , day of L` , 200 , by VI G
who is o me or who has produced who is pers
As identification and who did take an oath.
Chc 05/13/03
APPLICATION APPROVED BY:
ae 3/aulb5
ally kno
NOTARY PUBLIC:
Sign:
Print: 1 I G
n to me or who has produced
as identification and who did take an oath.
NOTARY PUBIC: �
Sign: J�\ o \(
Print: v` ��I
My Commission E Tres: O FFICIAL NOTARY SEAL
JULIAN ARIAS OFFICIAL N ARY SEAL ?c
�
* * * * * * * * * * * * * * ** ARNIBURUGS►;+�ilt gi t * * * * * * * * * * * * * * * * * ** * * * * * * * ** NIARIs * * * * * ** * * * * * * * * * * * * * **
COMMISSION NO. DD NOTARY PUBLIC STATE OF FLORIDA
MY ON �' � COMMISSION NO. DD7536i3
************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * �' * * * * * MYRa9 P. P T 0 * * * * * * * * * * * * * * *
FEB 2425
Plans Examiner
Engineer
Zoning
MAP OF BOUNDARY & TOPOGRAPHIC SURVEY
SCALE 1" = 30'
0
PC
ASPHALT PAVEMENT
LOT
1
z
J
0
75.006'
1
LOT
2
FIR 1/2
NO ID
(25.0
N
PLAT LIMITS 75.27'
N 85'44'36" E
93RD STR
50' R/W
BENCHMARK INFORMATION:
LOCATOR BENCH NAME ELEVATION
3250 S B -62 8.74
NE 96 ST - 66' NORTH OF C/L
70.7' NW OF CENTER OF INTERSECTION
BRASS BAR IN CONC. MON.
- - - - -- 1
FIR 1/2
NO ID
LOT
3
Zoning
FIV2roved
NO ID „. _ 50.0')
524 BASIS OF
BEARINGS
J
O
0'
- J
LOT
4
LOCATION MAP
NOT TO SCALE
43.95'
..z/
sAfaGim
%. 7 5
LEGEND & SYMBOLS
A = ARC DISTANCE
A/C = AIR CONDITIONER PAD
BCR = BROWARD COUNTY RECORDS
BLDG= BUILDING
BM = BENCH MARK
CBS = CONCRETE BLOCK & STUCCO
(C) = CALCULATED
CB = CATCH BASIN
C&G = CURB & GUTTER
CLF = CHAIN LINK FENCE
COL = COLUMN
CONC= CONCRETE
DUR = DRAINAGE UTILITY &
RESTRICTIVE EASTMENT
AUTHENTIC COPIES OF THIS
SURVEY SHALL BEAR THE
RAISED SEAL OF THE
ATTESTING REGISTERED
SURVEYOR AND MAPPER
N. E.
PROPERTY ADDRESS:
1213 NE 93RD STREET, MIAMI SHORES, FL. 33138
SEAL
D/W = DRIVE -WAY
EP = EDGE OF PAVEMENT
EW = EDGE OF WATER
FDH = FOUND DRILL HOLE
FH = FIRE HYDRANT
PCP = PERMANENT CONTROL
POINT
FIP = FOUND IRON PIPE
FIR = FOUND IRON ROD
FND = FOUND NAIL (NO ID)
FND = FOUND NAIL & DISK
LP = UGHT POLE
(M) = MEASURED
MDCR = MIAMI -DADE COUNTY
RECORDS
93
LEGAL DESCRIPTION:
LOT 2, LESS THE WESTERLY 25 FEET THEREOF, AND TH WESTERLY 25 FEET OF
LOT 3, IN BLOCK 1, OF BAY LURE, ACCORDING TO THE PLAT THEREOF,
AS RECORDED IN PLAT BOOK 44, AT PAGE 63, OF THE PUBLIC RECORDS
OF MIAMI -DADE COUNTY, FLORIDA.
FLOOD ZONE INFORMATION:
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY
REVISED ON 03/02/94 AND INDEX MAP REVISED ON 07/17/95 THE HEREIN DESCRIBED PROPERTY IS
WITHIN ZONE AE BASE FLOOD ELEVATION 8 COMMUNITY NAME & NUMBER MIAMI SHORES 120657
MAP & PANEL NUMBER 12025C0093 SUFFIX J
MH =MAN HOLE RES. _
0/U = OVERHEAD UTILITY WIRE sip =
(P) = PLAT SND
PB = PLAT BOOK SWK =
PC = POINT OF CURVATURE (TYP)= UB
PG = POINT OF INTERSECTION UE =
PL = PLANTER U/P
POB = POINT OF BEGINNING W'M =
POC = POINT OF COMMENCEMENT -
PRM = PERMANENT REFERENCE =
MONUMENT
PT = POINT OF TANGENCY 00
R = RADIUS DISTANCE ( )_
(R) = RECORD
R = RIGHT OF WAY
JU A. S
PROFESSIONAL SURVEY
ATE OF FLORID
RESIDENCE
SET IRON PIPE
SET NAIL & DISK
SIDEWALK
TYPICAL
UTIUTY BOX
UTIUTY EASEMENT
UTILITY POLE
WATER METER
CENTRAL ANGLE
MONUMENT UNE
CENTER LINE
ORIGINAL LOT DISTANCE
X - CHAIN UNK FENCE
- WOOD FENCE
0 0 - IRON FENCE
SURVEYOR'S NOTES:
1. ELEVATIONS WHEN SHOWN REFER TO NATIONAL GEODETIC VERTICAL DATUM (NGVD). 2. NO ATTEMPT WAS MADE TO LOCATE
FOOTINGS/FOUNDATIONS UNLESS OTHERWISE NOTED. 3. THE LANDS SHOWN HEREON HAVE NOT BEEN ABSTRACTED IN REGARDS
TO MATTERS OF INTEREST BY OTHER PARTIES, SUCH AS EASEMENTS, RIGHTS OF WAYS, RESERVATIONS, ETC. ONLY PLATTED
EASEMENTS ARE SHOWN. 4. THIS SURVEY WAS PREPARED FOR AND CERTIFIED TO THE PARTY(IES) INDICATED HEREON AND IS
NOT TRANSFERABLE OR ASSIGNABLE. 5. ALL BOUNDARY LIMIT INDICATORS
SET ARE STAMPED LB# 7104. 6. THE BOUNDARY LIMITS STABUSHED ON THIS SURVEY ARE BASED ON THE LEGAL DESCRIPTION
PROVIDED BY CLIENT OR ITS REPRESENTATIVE. 8. BEARINGS WHEN SHOWN ARE TO AN ASSUMED MERIDIAN AND BASED ON PLAT.
THE CENTER UNE OF NE 93RD STREET BEARS S. 89' 22' 45 E.
SURVEYOR'S CERTIFICATE:
1 HEREBY CERTFY THAT THS SURVEY IS TRUE AND CORRECT 113 1HE BEST OF MY KNOMLIDCE AND BELIEF AS RECENTLY SURVEYED AND DRAM UNDER MY DRECTICN AND MEETS THE
MIMYUU TECHNICAL STANDARDS SET FORTH BY THE FLORIDA STATE BOARD OF SURVEYORS AND MAPPERS N CHAPTER 61617 -8 FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION
472.027 FLORIDA STATUE
■
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'Miami SIlorQ� ?iL%e
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, Ohat 1 AC1 01 GkL , does hereby attest that the
(property owner)
attached survey, performed by , f4 " 5UNMOMCo Pc. h kero m
(name of surveyor's company)
performed on
et ( o of survey)
, is an accurate representation of the existing conditions and
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
Witness(sign and print)
Affiant/Property owner
SWORN TO AND SQL BSCRIBED before me this ®' 1 day of
Witness(sign and print)
Affiant is perso me, produced as identification.
Notary
\ \ C l\c "-
0
JULIAN ARIAS
NOTARY PtJBUC STATE OF FLORIDA
COMMISSION NO. DD153678
MY COMMISSION EXP. SEPT 25,2006 0
PERMIT NO. •
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING 1 ZONING DEPARTMENT—
S ECTION
BY
DATE
ZONING'
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKt3
STRUCTURAL
BUILDING OFFICIAL
I. Subject to oornpliance with ebb Federal, State.
Coutttty,Ydlage rules and regulations. Village assumes
rw responsibility for accuracy of /or results from
these plans.
2. This copy of plans mutt bi available ea
building Bite or no Inspection 'KM be conducted,
DATE ZUNI.NG
L,w l iuut SHEET
JOB ADDRESS
APPLICANT
PHONE #
APPUCATLON
SHEET • OF
MISCELLANEOUS
COMMENTS INITIALS
ni/6702.1 ‘tielee NaT 546cuiu 40/41
rr.
BU DING CRITIQU.' SHEET
4aue_s 2 - Co s ee/
c
Miami Shores Village
Building Department
Os
Per it No.
ob Name
50 N.E.2nd Avenue
Mi.' i Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
7l
AAA -2 J? .
05.--R/6
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n Final
a l
Permit No.
Name
Address n la � 7 9 S ° '
Company c1 �7 Iec4
Phone # 1 -5 ° q l !S_
Inspection Date 47
•MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date ^ r� -
Type Insp'n I ! t- 9
Permit No. ; f �
Name
C' � > � .re
Address '�_ :.
i
Company �: !
Phone # %c 6'
Inspection Date ?417
L�J
� ! //
Approved �
7 tJ
Correction ❑ > �d`!�� ° �f
Re- Insp'n Fee ❑
Type Insp'n
Permit
Name
Address
•MIAMI SHORES VILLAGE
BUILDING DEPARTMENT OA
305- 795 -2204 A
Bu ding Inspection Request 4
Date
Finn
No. EA OA -3:3
3Cik
Company 0, 4 ec
Phone #
Inspection Date
Approved ❑
Correction ❑
Re- Insp'n Fee ❑
/-so cp,t, e
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date-
Permit No. ;. \
Type Insp'n
Name
- ,
Address
Company 1/4 1/4. •
Phone #
Inspection Date --)
Approved
Correction 171
Re-Insp'n Fee
/2,-./1& e
4 s
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bui ding Inspection Request (�
Date
Type Insp'n & CC C_
Permit No.
Name 3
Address J ��
Company
Phone # ? C7 b �� ° q
Inspection Date
Correction
Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
P 305- 795 -2204 �
Bui ding Inspection Request
Date - 0
Type Insp'n + WUCt Y)
Permit No. �: 04
Name he rn ^�''
( �
Address l a) 3 P e. . q U l l
Compan VU V cgan
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
y N c
7 4 d0 e>e,P1 f C)
f r i- i5-c/ 7''
Ake aka
( 7 Y /' ��
•
Date
Type Insp'n
Permit No.
Name
Address ` a/
Company
Phone #
Inspection Date
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildi'g":nspection Request
Re- Insp'n Fee ❑
C
A A
(Rcv. 10/02/03)
RE- OCCUPANCY
APPLICATION
Miami Shores Village
Building Department
� _, 10050 N.E.2nd Avenue
=. � Miami Shores, Florida 33138
Tel: (305) 795 -2204
J Fax: (305) 756 -8972
Date I f /ji OS '(kL ( C {O R rV
Contact Name 6 66
erniit_No, 1
Loc ID
Phone #
'3a 6 �L(
Buyer Seller Realtor Company Name
Property Address 1Z MI gSicit
City Miami Shores State Fl Zip 3313
(�
I hereby certify that I understand that the zoning of the property is for single - family residential use and
that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re-
Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is
being used for single - family purposes and that such Certificate does not constitute any representation,
warranty or certification as to the condition of the dwelling or other structures on the property.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Name
Signature
Sign:
Print:
My Co mission Expire
NO ARY PUBLIC:
Building Officials Approval:
1V,E.36 vgas
▪ `_Con ) oission 1)1)231984
Expires: Ju 3, 2007
t 'FnF�oQ k nded l'hru
'antic Bonding (
The foregoing instrument'lwas cknowledged before me this ) day of d
by ((''' (C )\ �1'�'1 who is personally known to me or who ha
produced as identification and who did take an oath\
2
o5
Re -Occ. $60.00
Notary $5.00
CCF $0.60 f
Total S d
BUILDING
PERMIT APPLICATION
FBC 2001
$ Value of Work For this Permit_
Scanning $ 30 Radon $
Miami Shores Village
Building D epartment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Total Fee Now Due $
(Continued on opposite side)
City Miami Shores Village County Miaini -Dade
Submi Fee $ "JU 'VO Permit Fee $ ��
Notary S Training/Education Fee $
Permit No. & &O ja y
%;► �' /Master Permit No.
Permit Type (circle): $uilding Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) , 40'4i +1 - ': ho■.‘__ Phone # ' A
Owner's Address
City I ' \ 1 I\i''"
Tenant/Lessee Name
State Zip
Phone# .° , C . 1 L- Cf` i t`1
Job Address (where the work is being done) - 1 ' +
Is Building Historically Designated YES NO '--
Contractor's Compan a '' " � ° r- Phone # 4 C ) S r , 3-� 7 k
Contractor's Address
5(00 s 7
F - `
Cit (A pk State FL Zip _'3 1.53
Qualifier \I t (U' ' _ 1 esC `z
State Certificate or Registration No. C � 0 tO - 2 - 1 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone # ; , � l � i ' .; I L
Square Footage Of Work: t 11= I t
Type of Work: EAddition [Al teration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: r�,. � >` �'t_, ± i�� L1 ,4� ii 1 -tom o_.kit E + 317
- ' C � )
L9 r 1.1, 00 -0
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zoning
CCF $
Zip
Bond $
Code Enforcement $ Structural Plan Review. $
CO /CC
Technology Fee $
Bonding Company's Naine (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Application is hereby made to obtain a permit to do the work and installations as in(
commenced prior to the issuance of a permit and that all work will be perform(
construction in this jurisdiction. I understand that a separate permit must be secured 1
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITI(
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done m compnance wits air '
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 gb : nce of such posted notice, the
'11 be charged.
inspection
Contrac
The foregoin instrument was acknowledged before me this 21.-- The foregoi g it s �'ment was acknowledged before me this 2--
day of C 20Q \, by , day of 0 lV , 20 by
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.
Chc 05/13/03
State
NOT 'Y
Sign:
Print:
My Commissio
APPLICATION APPROVED BY:
Signature
Fi« • NOTARY SEAL
ULIAN ARIAS
* * * * * * * * * * * ** * * * *R *11 ` i' i'ka IR. 4I * * * * * * * * * * * * * * * * * * * * * * ** * * **
:N NO. DD153678
NI A 1.4MLSSlON EXP. SEPT 252006
NOTARY P�LIC::
Si . v
Print: �\ 5%I\ c \(L W
My Com
Ar� AR1AS6EA * * ** * * * * * * **
NOTARY PUBLIC STATE 07. T OR
11 I COMM15SIICN'yc 131)1531:78
* .i * * * �N t • y�� l"-= * * * * * * * **
-- os
Plans Examiner
Engineer
Zoning
NOV 0 2 2004
•
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED O THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. O U —\ " TT X OLIO NO. C2
I 1
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:
12-S3 t4Wr. (ck .
\ A V ' W » I V, Of Vt \ \ G e
2. Description of improvement:CNAt443 FLCOt2. Wil0C1 tTCW f CVIRAKOS 411PNAMS
3. Owner(s) name and address: 3
IAaA 1 vL 3313°
Interest in property: O -k4j L
Name and address of fee simple titleholder:
4, oAtracto na a and address; r L 1 ; 1
STATE u:' ; ItM, CoUb: Y Oi- JAI iE
5. Surety: (Payment bond required by owner from contr,4pJr
I! V ( hot tin t ie 1��,r o oy e° the
Name and address: orminol film' in f;), of;,,.; 0,, «E,7
JCI _
EA/
Amount of bond $ (% _ _ ;, o ao
WI i ' (;,SS f / is;nu and • hcr_I ":..a1.
6. Lender's name and address: _ ,,• i
dY�� . . r i i sy��
th i �. i1� Iii,.
7. Persons within the state of Florida designated by Owner upon whom notice• or other documents may = 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:
Notary Public
Print Notary's Name
My commission expires: V1���� :ar
O -'• No . ' :+'' " — ,
ARIAS
NOTARY PUBUC ATE OF FLORIDA
COMMISSION NO. DD153678
MY COMMLSSION EXP. SEPf 25
123.01 -52 PAGE 4 8/02
_ F
GFN
2004R0967779
OR Bk 22785 Ps 3801; (1P9 )
RECORDED 11/02/2004 13 =3354 .
HARVEY RUVIN► CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
QUO NdbwuS"
1111111111111111 11111111111111111111111111111
mencement: (the expiration date is 1 year from the date of recording unless a
�•t�at of Owne
Print Owner's Name >J C d f\ ("4:J3 v S C.I\G
Sworn to and subscribed before me this day of 0 0 0 0 e 20 b
Prepared by t
O N Y ARYSEAL
JULIAN ARIAS
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. DD153678
MY COMMISSION EXP. SEPT 25,2006 1
Building Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2004 -1400
Printed: 11/5/2004
Applicant: SANTIAGO BERNAL
Owner: BERNAL SANTIAGO
JOB ADDRESS: 1213 NE 93 ST
Contractor URBAN 4 DEVELOPMENT CORP. Contractor's Address: 2560 SW 27 AVE
Local Phone:
Parcel # 1132050270020
Page 1 of 1
Legal Description: BAY LURE PB 44-63 E5OFT LOT 2 & W25FT LOT 3
Fees: Description Amount
FEE2004 -10938 Building Fee $750.00
FEE2004 -10939 CCF $15.00
FEE2004 -10940 Training and Education Fee $5.00
FEE2004 -10942 Technology Fee $18.75
FEE2004 -10943 CO /CC $50.00
FEE2004 -10944 Scanning Fee $30.00
FEE2004 -10945 Builders Bond $300.00
Total Fees: $1,168.75
Total Feeslt1068.75
Total Receipts: ® $6.e8�
Permit Status: APPROVED Permit Expiration: 4/20/2005 Construction Value: $25,000.00
Work: Change floor living & kitchen change opening size for doors
•
Signed:
(INSPECTOR)
NOV 08PAID
In considefation 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:
BLK 1 LOT