482 NE 93 St (11)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
30:5- 795 -2204
Building inspection Request
Date 3-8 Z
Time
Type Insp'n t i/ j4
Permit No. 3P 90nO 2 -2- 7J
Name ?",1), / aA lid
Address y82 Ne 9,3 S r
Company 1 02,024,eiti
Phone# 3OS - -7 6 -- - t_r 3
For Inspector: 3-H-62, Name &_Date
Approved
Correction
Re- Insp'n Fee
❑
UILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby stade 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
re gu and specifications n Building Division t at building
fMiami Shores Village e shall be tco mo ore w ith, whether herein specified or not. A copy of approved
Date ._ / A , 19..
Owners Name and Address
frt ®� ixPUs� No. _ -7_.d) Street • - - ,:i'�
Registered Architect and /or Engineer
Name and address of licensed contractor i._ t- - -_
Location and legal description of lot to be built on:
Lot Block / Subdivision
Street and Number where work is to be done ____ -_.41- iris - - - - - E . q - 3
State work to be done and purpose of building (by floors)
17„,,,...... t
Disapproved _..- _ _ Date
(Signed) - -l-L * � � Building I f • ector
MIAMI SHORES VILLAGE
and for no other purpose.
New Building
Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation— Roof Covering
7
Estimated Total cost of improvements $ --- .7 - =5' Amount of Permit $
Zone cubage required Flan 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, Pennanent 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 a licensed required ir by by the A ct. The undersigned agrees to employ only sue ubcontractors, work to be p erformed under this
permit, as are
- (Signe
STATE OF FLORIDA, ss.
COUNTY OF DADE.
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 124..6 Date.___J /' t - 7e) Read, Sworn to and Subscribed before me.
to me well known,
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD _____ ________ __ DATE
Chairman _ _ Member
Member - Member
Member - - Member Date
Council Approved ____ -._ _ Date Disapproved
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
the Planning Board.
materials and /or workmanship.
t,.
L ��� tc�*�C 4
Name
Phone #
Inspection Date 1 5
Approved
Correction
Re- Insp'n Fee
4q75
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bu !ding Inspection Request
Dated l r
nI� /p)LU '
Type Insp'n W) Na f rr\
Permit No. BRoa - 14
& rC∎ CQ .
Address t 200-0(-1- m LIE 1 c..� vI
Company l Q /
Date
Type Insp'n
Permit No.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT.
305- 795 -2204 %1„'
Bujlding Inspection Request
gr
to 1 sanu nrcrcc s�
. fP 1 U3 '
Name �(� �( �
Address `7 2 j\iL cl 7 ��
Company
r ,
Phone #
Inspection Date l � l
Approved
Correction
Re- Insp'n Fee
Miami Snores Village , Building Permit
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/15/2004
Applicant: ANGEL
Owner: PEREZ
JOB ADDRESS: 482
NE 93
Contractor ROBERT SMITH CONSTRUCTION
Local Phone: 786- 237 -2428
Parcel # 1132060140170
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Permit Number: BP2004 -1438
PEREZ
ANGEL
ST
Contractor's Address: 20750 s. w. 376 sTREET
Permit Status: APPROVED Permit Expiration: 5/1/2005 Construction Value: $7,000.00
Work: REPLACE EXISTING WINDOWS WITH NEW IMPACT RESISTANT GLASS
BY:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 & 2 & E1/2 LOT 3
Fees:
FEE2004 -11235
FEE2004 -11236
FEE2004 -11237
FEE2004 -11238
FEE2004 -11239
FEE2004 -11240
Description
Building Fee
CCF
Training and Education Fee
Notary Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$270.00
$4.20
$1.40
$5.00
$6.75
$30.00
$317.35
Total Fees: $317.35
Total Receipts: $0.00
235
DE 0 1 PA
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.
BLK 50
w.
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circ
Owner's Name (Fee Sir
Owner's Address
City M t >-it
Tenant/Lessee Name
Contractor's Company Name
Contractor's Address
lYttavn
State Ce i t 00 2� i lion N
Total Fee Now Due $
(Continued on opposite side)
Building
4z
Nor °1 .
State
Miami Shores Village
Building Department
10050 N.E.21 - venue, Miami Shores, Florida 33138
Tel: (3 5 ifl' r . 30 156.8972
State
Mgv
r)
JetoF A tkiectA
City
Qualifier
,,,. 'Fer' .'o-ta
^„ 7ocey vy
` . 1.295 EXPIRES
MY COMMISSIO '
Ocro• 31, 2006 Certificate of Competency No.
A 1 r BONDED THRU TROY FAIN INSOWICE INC
Architect/Engineer's Name (if applicable) (..Jvj M . V Phone #
$ Value of Work For this Permit 4;7 app,(j
Permit No. BP o OO f - /
aster Permit No.
Electrical Plumbing Mechanical Roofing
Zip
Phone #
Job Address (where the work is being clone) 49)2 Mr 9, J -r•
City Miami Shores Village County Miami-D de— Zip , 5?2 130
\
Is Building Historically Designated YES NO �� r � ;/;� O \ \
U' ,
?2(R 29 2®®
Square Footage Of Work:
Type of Work: ['Addition ['Alteration ❑New � Repair/Replace ❑ Demolition
Describe Work: I.I . V. ¥ II\PC V ' W IZ6I 1i,AVVA \Vl kihl
/7 � s * * * * * * *** * * * * * * * * * * * * * * * * ees * * ** * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ SD' Permit Fee $ Q CCF $ 4, a 0
Notary $ r*--
Training/Education Fee $ ' 40 Technology Fee $
Scanning $ 3®—' Radon $ Zoning e■I.,
Code Enforcement $ Structural Plan Review. 5
Phone #
Zip V()
1(.1 °° z A 7° 1-7z0
Bond $
0/CC
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 perfonned 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 inspe tc oc ' 7) days after the building permit is issued In the absence of such posted notice, the
inspection ti not be --pproved a . a rei is fee will be charged.
ersonally known to me
Signature
The foreg
day of
who is
NOTARY
Si
rt � ..v Expires: ltay „2 2008/ ,R
Pit 7/ L'' 't ” VF " .t 4 Atlantic B Bonchd'tttru F( 11 L
m o
My Commission Expi es: 51° /)( OLId on { P �� sion Expires: �i / �Q
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
******************************* * * * * * * * * * * * * * * * * * * * * * * *:* * * * * *j ************ * * * * * * * * * * * * * * * * * * * * ** * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
Agent
Signature i. Ce �4 )
Contractor
ng instrument was acknowledged before nie this The foregoing instr was acknowledged before me this
b Jc
61.
who who hds'produced
day of , 20 _ , by
who is personyly known to me who has produced tom'
s identification and who did take an oath. as identification and who did take an oath.
NOV 0 3 2004
7ocelyn A. F.Iiz
MY COMMISSION N DD155295 EXPIRES
October 31, 2006
xic
Plans Examiner
Engineer
Zoning
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.S D 2 /5o ( � TAX FOLIO NO. %132OG °/ /7O
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/ad ress :' GL73 1 2 � `6 Go7' 4Y, 6 —
S h OreS se� � - . -- ft /0- 37
2. Description of improvement:X 01h q"(- ke
3. Owner(s) name and address: _ oe i G w
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address:
2075- S co • 3 7G° ST es ° AG • 3303/
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served 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:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
di
rint Owner's Name
Sworn to and subscribed before me this X
Notary Public X,-(6
Print Notary's Name gn
My commission expires: 3_ /Y_c
123.01 -52 PAGE 4 8/02
A1Z. 14G l9, MI[rrat d a . �L- ' - 3 ( 1
— r211i —. -
Omit 000296490 \ •
/llO)
Prepared by
20�
AM L. Irc
STATE OF FLORIDA, COUNTY OF DADE
1 HEREBY CERTIFY that this is a true copy of the
original Bled in this office on 3 0 day of
, A D 20 D'
V. "TtJESS my hand and Official Seal.
H `RVF,Y iiJVIN, J CLERK, of Cr curt And County cocas
( D.C.
1111111111111111111111 1111111111 11111 11111111
CFN 2004R1059346
1059346
OR Bk 22859 F'9 2883; (1P9)
RECORDED 11/30/2004 14 :05 :59
HARVEY RUVIN! CLERK OF COURT
MIAMI -DADE COUNTY! FLORIDA
LAST F'AGE
qi-ro .5 1;42
Address: //l2- Z 9-