WINDOWS/DOORSPER ' APPLICATION FOR MUNICIPALITIES OF
(OWNER TO RETAIN COPY)
CITY HALL OF MIAMI SHORES.
Date 8/08/92 Job Address 1163 N.E. 92 STREET. Tax Polio
MIAMI SHORES, FI 33138
Legal Descriptiona 3 a
Owner / kMRWAxicANIRRk JEFF1AND KATHY GRIMES = 757 -1652
1163 N.E. 92 STREET. MIAMI SHORES, FLORIDA 33138
Owner's Address
SECURITY WINDOWS /SEYMOUR GOTHELF - CBC9454 =- QUALIFIER
Contracting Co.
Qualifier SEYMOUR GOTHELF- CBC945'fiS#
State # CB C 94 5 �llunicipal li Competency li _ Ine,Co,
Architect /Engineer Add eun
Bonding Company Addramb
Mortgagor Addre.M
Permit Type(circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIG!
WORK DESCRIPTION REPLACING 29 JAL WDWS AND 2 DOORS WITH 27 ATW, 2 P/W AND 2 ALUM
DOORS IN EXISTING OPENINGS. NO STRUCTURAL CHANGES. EGRESS WDWS IN SLEEPING QUARTERS
Square Ft. 423:08 Estimated Cost(value) $ 5,200.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUI
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, an
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat.
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 wil .
be done in compliance with all applicable laws regulating •nstruction and zoning. Furthermore, '
authori he ,b
2 ,,..e.,_....s
--named contractor to do the work stat•d SEYMOUR GOTHELF - CBC9454 ( QUALIFIE
Signature of owner andio;x1 orodpx R sictext
Date: .0c - /A_qp
i i f
Notary as to Owner and/. Condo President
My Commission Expires: NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP JUNE 13,1994
BONDED THRi GENERAL INS. URDU
** * * * * * *
APPROVED:
PEES: PERMIT , RADON C.C.F.
Fire
Zoning ilding . 2 v A � Electrical
Mechanical Plumbing
DADE COUNTY
Corn P 7 Y 9- )
' /1- or 027_
Master Permit 0 7 )%
Phone 757 -1652
Address
Phone 591-8990-
Con • wilder
DL #
Notary as to Contractor or Owner - Builder
My Commissit9FiAIR !1$lt!dsSTATE OF FLORIDA
MY COMMISSION EXP JULY 25,1995
BONDED THRU GENERAL INS. UND.
97, -
S
•T-°- aV
O ?,.TO Y
* * * * * * * **
NOTARY TOTAL DUE 9 e
Other
Engineering
STATE OF FLORIDA
COUNTY OF GADE
I HEREBY CERTIFY that this is a
original filed in office on
, A.D. 1
WITNESS my hand nd Seal.
Clerk Ci ult
By
SECURITY ALUMINUM WINDOWS
• 5100 N.W. 72nd AVENUE
• • MIAMI, FLORIDA 33166
Natire of Crituntettrgment
•.1.1.10ATII
tE Jo full= U mg =ant
THE UNDERSIGNED hereby gives notice that improvement will be made
to certain real property, and in accordance with Chapter 713,
Florida Statutes, the following information is provided in the
NOTICE OF COMMENCEMENT.
1163 N.E. 92 STREET, MIAMI SHORES, FLORIDA 33138
Dcics of property.
Permit Number Foli No.
.REPLACING •29.JAL WDWS 7 . 7 AND 2 DOORS WITH: 27
474noral desciption impfoveeneogs.
R aTING OPENINGS. NO STRUCTURAL
This documef as prepared by, - SECURETTAWMINUM WINDOWS
L-
JEFF & KATHY GRIMES AND 5100 N.W. 72nd AVENUE
1163 N.E. 92 STREET MIAMI, FLORIDA 33166
A MAMI SHORES, FLORIDA 33138
OWTNOI inforf Ss! in sil• of the imProvomer'l
I... Simple Tale holder (if other than °wow)
Name
smi•ty (if any)
Addr•ss
Na
Address
y of the
ay of
DC.
Addy sit
Conoadm __SECURITY ALUMINUM WINDOWS
5111Tsaf:72ifdAVENUE '''' .............. ...........
Am.“ -M1AN11,110RIDA um_
. Expiration Date:
Iona owe.. •••••• morool.o. .•■••• •••■•
PREPARED BY:
OWNER:MR & MRS. GRIMES.
1163 NE. 92ST,REET
MIAMI SHORES, FLA 33138
AND
EUGENE TUERO.
5100 N.W. 72 AVE. MIAMI
FLORIDA 33166
MIAMIJLORIDA 33166
--Amount ml lend S
Name of person within the-State of Florida designated by
Owner upon whom notices or other documents may be served
as provided by s eiga f hh 4 NI da Statutes.
Nome 51DMI. 72na AVENUE
In addition to himself, Owner designates the following person
to receive a copy of the Lienor's Notice as provided in Setion
713.13(1)(b), Florida Statutes.
Swain so owl sulasaibocl bolors ono this i.A. .....
Notary Public
g, 00
•
Win STATE OF FLORIDA
FISSION EXP JUNE 13.1994.
90 ED THIN GENERAL INS..UND.
• ••••Il
Elevation
Depth
DESCRIPTION OF MATERIALS
SAMPLE
NO.
SAMPLE
DEPTH
TYPE
OF
SAMPLE
I
Blows
On
Sampler
Jammer
Blows
On
Sampler
Per Foot
%
CORE
REC.
Jar
0.0
spoon
5
COirt WN•O4) ��r4"4
5.0' Light grey very fine
#1
to
sand & limarook fragments
5.0
5.0
Jar
5.0
spoon
6
2.5' Dark brown sand & • few
#2
to
lissroak fragments
7.5
7.5
jar
7.5
spoon
15
2.5' Grey sandy limeroek
#3
to
10.0
10.0
11w1
.......■1 • 4 ■■
REMARKS:
1015
•
. C. �� ttt C arapty
OF FLORIDA
CLI ENT
PROJECT
PROJECT LOCATI
DRILLER P•ttarson
ELEVATION REFERENCE
CASING: DIAMETER
SAMPLER: DIAMETER & TYPE
TESTING AND CONSULTING ENGINEERS
DRILL NO.
Ground surface
2.0" OD barrel
GROUNDWATER DEPTH: IMMEDIATE )1 1.0 t
As a mutual protection to the owners and ourselves,
the engineer in the owner's behalf shall check this
report with the samples submitted prior to the pur-
chase of property, or designing of structures.
2145 NORTHWEST SECOND AVENUE
J/'ltami 37, Mori /a
PHONE FRANKLIN 3 - 0651
%. i1 11,•ir; fs`
74, r •
TEST B RI Ir. REPORT
•loin D. Kroll, Inc.
HOLE LOCATION • Of U. E & 40' No. of So. P
62
ORDER NO
REPORT NO
HOLE NO
HAMMER WT. FALL
AFTER 24 HRS
By__
CONSTRUCTION CONTROL
SOILS • C ASPHALT
FOUNDATION STUDIES
TEST BOR 1D TESTS
BLU* 5787 ht
7 —l0..56
DATE STARTED
DATE COMPLETED 744.46
HAMMER WT. FALL
30"
1-1. C. J lattin Com
OF F
NZ
Elevation
Depth
DESCRIPTION OF MATERIALS
SAMPLE
NO.
SAMPLE
DEPTH
TYPE
OF
SAMPLE
Hammer
Blows
On
Sampler
Hammer
Blows
On
Sampler
Per Foot
%
CORE
REC.
r
fb* a ��M
Vi OM01
Jar
0.0
spoor
3
5.5' Light grey very fine sa
#1
to
& 1 iserook fragments
5.5
Jar
5.5
spoo
4
1. 0' Dark grey sand
102
6.
•
,
•sr•w.
3ai
6.5
sp•.
1
#3
to
3.5' Light grey 1t eroak
10 a
10
0 ......
CLI ENT
CONSTRUCTION CONTROL
SOILS • CI ASPHALT
• C. Altritirty Company FOUNDATION UDIES
OF FLORIDA TEST BORINGS D TESTS
TESTING AND CONSULTING ENGINEERS
Alvin P._0411.1___ ORDER NO
REPORT NO
HOLE NO
PROJECT pmee.-
1167 NS 42nd St.
HOLE LOCATION 14n So. of No. P IF 10'
DRILLER Patterson DRILL N
PROJECT LOCATION
ELEVATION REFERENCE
CASING: DIAMETER
SAMPLER: DIAMETER & TYPE
GROUNDWATER DEPTH: IMMEDIATE
REMARKS: Role eonplets
1015
Groadd ttc+
_2,011 OD br rr,l
As a mutual protection to the owners and ourselves,
the engineer in the owner's behalf shall check this
report with the samples submitted prior to the pur-
chase of property, or designing of structures.
2145 NORTHWEST SECOND AVENUE
4. ot
%ia,sci 37, ilor La
PHONE FRANKLIN 3 -0651
TEST BORING REPORT
O.
XL= 5792 oh
7-11 -56
At lent PL
62 DATE STARTED / q
*'9
DATE COMPLETED _ I
HAMMER WT. FALL
M
HAMMER WT. 1 IS
F,
AFTER 24 HRS
1-1. C. haling Company