501 NE 92 St (9)fl
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
\-X(-0 Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No. 1 -1 2
PERMIT APPLICATION Master Permit No.
FBC 2001
Building
Permit Type (circle): Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) b P A) (J� N e_ l 5 (�� < Phone # 0( - 3 7 q
F50 Owner's Address 0 ( t 9 E ( a St
City ( rat State P • Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) F50 1 \.)C - 0- ,5 ( ,
City Miami Shores Village County Miami - Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name -4- L.). SArJ h1 pstim�'y i�v v
Contractor's Address 14(,4g S (A) ') Lie e / 1
City nn 1) ( State
Qualifier Gu 1 t lQ YNtc) 'S u/ \) e(_
l
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit ) , E30 D <
Type of Work: ❑Addition ❑Alteration ❑New
Describe Work:
Total Fee Now Due $
(Continued on opposite side)
Phone #
Zip
Phone #
305 - 4-044
Square Footage Of Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
i7es-D/
X Repair/Replace El Demolition
Submittal Fee $ DL- J Ck.i Permit Fee $ /9 2 CCF $ I /IQ b CO /CC
Notary $ S 00 Training/Education Fee $ Technology Fee $
Scanning $ 3— Radon $ Zoning Bond $
Code Enforcement $ '' Structural Plan Review. $ ��
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 proper subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first i s which occurs seven (7) days after the building permit is issued. In the ab ce of such posted notice, the
inspection wi l n . t be approved and a reinspection fee will be charged. /
Signature
Chc 12/15/03
My Commission Expires:
Owner or Agent
The fore oin instrument was acknowledged before me this
day of J ( ) m o '--/; 200(i , ,y y1 c'i Ne tso 13
Signature
Contractor
The foregoing instrument was ? acknow edged before me this i
, day of fa'rCT s ) , 200`1 by I Q nro (
identification and who did take an oath. as identification and who did take an oath.
NOTARY P ;IA . Anai E ivel NOTARY PUBLI
�'`` '� Corimicsio D201677
Sign: - r : A r 09, ?007 Sign: ,1
• fires: rr ■
Print: � 11 „Qe e � d .. 1 Print: $ /fit �.
My C ..'�� —
`? - 20 en - o is sion #D ' 84
(Certificate of Competency Hold*,
Atirnnrtic Ecnd in9 Co., 1nc.
State Certificate or Registration No. C IS 65 c(7 Certificate of Competency No.
APPLICATION APPROVED BY:
Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/8/2004
Applicant: DAVID NELSON
Owner: NELSON DAVID
JOB ADDRESS: 501 NE 92 ST
Contractor A & W SANDBLASTING CORP Contractor's Address: 501 SW 42 ST
Local Phone: 305 - 444 -0544
Parcel # 1132060141120
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2004 -293
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 10 & W1/2 LOT 11 BLK 57 LOT SIZE
Fees: Description Amount
FEE2004 -2413 Building Fee $100.00
FEE2004 -2414 CCF $1.20
FEE2004 -2415 Notary Fee $5.00
FEE2004 -2416 Training and Education Fee $0.40
FEE2004 -2417 Technology Fee $2.50
FEE2004 -2418 Scanning Fee $3.00
Total Fees: $112.10
Total Fees: !)2.
Total Receipts�$0:00
6a, /
Permit Status: APPROVED Permit Expiration: 8/31/2004 Construction Value: $1,500.00
Work: RESURFACE POOL (MARCITE)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
MIAMI SHORES 'VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n PO 1 fl na &5J
Permit No. 6P0 '" — 2q3
Name
Address V I`" — 13+ •
Company •
Phone #
Inspection Date
Correction
Re- Insp'n Fee
Name
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
Date
Approved
Correction
Re- Insp'n Fee
305- 795 -2204
Building Inspection Request
Type Insp'n Bl
S 1 del
Permit No. VP CT00 (.}- r7 - -q3
Del son
Address So q -s7' .
Company
Phone # q
Inspection Date 3) 12,
)11(
CONTRACTOR
1+
Name R Con) / r, L 4 1 •0 A
License No. e &L ) 4 - 3 _
T T
Address
132 S vv 3 'Tedvce
Telephone 30S) ° 40;Jo Fax (F o5 143
Qualifier fLmet d do L evi. 64 „ -i R o , :4 f
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
s
Step 1.
LOi U*
INSTILL (71O \ti - The follo\tin Steps must he taken to obtain a permit from the \liauti Shores \ illa_e:
Complete the attached permit application which must tie sigfle'dby ttt4nrO$efiy yl'ner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing a�plteanonn I iroo iir g or1i will be done, a roofing application must be submit-
• ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
\ . \TI( ON
Job Address:
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
f
So I t N 1 ~ 92 -5 4 re f
Address
Apt.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
PROPERTY OWNER nDQn,�
QJ' C) �
Name 0
Address
Home Telephone
Business Telephone
Fax
• • ••• • • • •••
• • • • • • • • • • • • • • •
• • • •
•
1 1 • • •
• ••• • • •
ril / v."i
City
• •
• •••
•
• Ma gte� Pfedna NQ?
ary
Subsk Ii • rtn ISIo.
Ft
State
PERMIT APPLICATION
gyp- (73 •
3
Zip
Folio Number i I 0 32o6 -014 — i 0 Z 0 Description of W o r k (6 r I c re 1 e ( t 1 1 et) eel
Lot 11 Block 5 7 &41,,g.4( e Gn 1 K 3het d Par e �
Subdivision PB PG Zoning Linear Feet
Current Use of Property R C. / t der% - ) : e I Square Feet 3 60 Units Floors
Proposed Use of Property Value of Work .4 i t 00 Bldg Value
Tenant Information Tax Assessed /Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Type Insp'
Permit No.
Name
Address
Company
Phone #
For Inspe9tor;
Approv
Correctio
Re- Insp'n Fee
• • •••
•• •• • • •
• • • • • •
• • •
• • • . •
• • • • • •••
••• •
• •
•
• • • • •••
• • •
• •
• • • • •
•
• ••• ••
•
•
• • •
•
•
•
• ••
• •
•
•
• • •
•••
• • ••
•
• •
•
•
• • • ••
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Reque
Date Time
Page 2
re me this
Er,: Or lir /
/ j
Si %!ce �..�. �,� .. ■
n om • :,
Rata o ?MUM gTStP
;Ni�
Produced Identification
Type of Identification Produced:
APPROVED:
Zoning ( 7. ,
Mechanical
- Building
Plumbing
• • ••• • • • 000
• • • • • • • 00 .. •
•
•••
•
•
• •
••
•
• •••
• •• •
• •
PERMIT APPLICATION
IMPORT \NT NO nt'ES
• ,
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALID AND D PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holicAys• • • •
2. All construction of demolition areas MUST BE MAINTAINED Mr �\ CLEAlvi, NEPR' • S *ITA$$ CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE BRdM bIICF,MJt DEBRIS
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED•BArE4U1p CP tEJ L.E AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other constriction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
. \FF11) \\ 1T - Pleu,e read carel'ull.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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 F.1.FCTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain fmancing, you may wish to consult with
your attomey or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Conunencement must be POSTED AT THE JOB SITE in
accord.. - with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choo . . Contractor.
ST • F, : COUNTY OF MIAMI DADS STATE O F FLORIDA, COUNTY OF MIAMI DARE
Pn
� t blame
Swom to and subscribe
�a3
Signature of Contracto
6
Print Name
C.1
:.° >
Personally known OR, Produced Identification
Type of Identification Produced:
TOTAL DUE
Electrical
Structural Engineer
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/14/2003
Applicant: DAVID
Owner: NELSON
JOB ADDRESS: 501
Contractor
E R CONSTRUCTION
Local Phone: 305 - 720 - 4030
Parcel # 1132060141120
If there is no permit pace -- -
fee is $50.00, which must!
This Permit is granted to the con
ordinances pertaining thereto and v
and approved by the proper municii
authorization. A further condition u
ordinances and regulations pertaini
by his agents, servants or employe.
Signed:
In consideration of the issuance 1
with the plans, drawings, statemen
myself, my agent, servants or emp
/>(/ Signed:
NE 92
PAY
TO THE
ORDER OF
Building Permit
Permit Number: BP2003 -578
NELSON
DAVID
ST
Contractor's Address: 13200 SW 38 TERR
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 10 & W1/2 LOT 11 BLK 57 LOT SIZE
Fees:
FEE2003 -2128
FEE2003 -2129
Description
Building Permit Application Fee
CCF
Total Fees:
Amount
$60.00
$1.20
$61.20
Total Fees: $61.20
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 10/7/2003 Construction Value: $1,800.00
Work: CONCRETE (PLAIN ON: ENTRANCE WALK AND POOL DECK )
l.._.. .. -l.. _ISL. L.
4: woe
d e t a t i e
nbanced . document. See. bock
E.R. CONSTRUCTION, INC.
305- 220-0628
13200 S.W. 38TH TER
MIAMI, FL 33175 -3232
5; ,�� o
Bank of America
ACH R/T 063100277
FOR Pe vr. �C O i ; q2S
4, u ( 2 °/r o0
07 -02
Q i? I 0 p M, GtW1. j 5U, 0 v‘r2_
DATE
tl'00 10 3 510' 1:0 6 300004 7.: 00 3069860644
04 3
is 61- 20
DOLLARS 8
1035
63 -4/630 f1
9832
RP
Legal Description
• .•• • •
.•. • • •. .• •
• •
• • • ... • •
• • • ••• • •
Lot 10 and the West '/ of Lot 11, Block 57, of
MIAMI SHORES SECTION NO. 2, acgording to •
the plat thereof as. recorded In •fkrt Bopk 10, at.
Page 37, of the Public Recor.ds pf l�icyni -Dade:
•
County, Florida.
• • •
Certified to: .. • • • , • • •• • • •
David T. Nelson; HomePartners title,• Elnagp g'itj,2 • •'
• •
• ••
Corporation, its successors and /or assigns.
Insurance Company; Chase Ndurhattgrt 1VjoftJa4e
Panel: 0093
Flood Zone: X
Date of completion: 05/21/01
w
CC
0
22.00' (,
:Eoncret :...
Asphalt
Parkway
37.50'
/ F.1 /2.P
/ W /N0 /ID
/
•3
04.4 Coricrt4C
3Ccc 1> s ,
25.00'
k , X7,0
F.1/2.P
W /NO /ID
Property Address:
501 N.E. 92nd Street
Miami, Florida 33138
Survey M -3978
Accepted .By:
scale: 17 20
0
O
0
O
0
a�
Cont.
�Z
N.E. 5 th AVE
20' Asphalt Paver
40.00'
15' Grass Fray
•35:071 15.2
36.55' 4.s'
0 •
ri
ONE STORY :.y
Residence
# 507.,_.:
23.60'
0.00
127
Pk; COAC rc
� ccO PSI
13 , 0 ,
0
co
Sri
LOT 10
25' LOT 11
O
O
a
M
F.1 /2 P
W /N0 /ID
0
0
F.1/2.P
W /N0 /ID
••
•
t"•
zGAJ
• • ••• • • • •••
•• .• •. •
•
• • • • • • • • • • • •
. • • •.• • • • •
• • • ▪ ••5.5•'H. C.I. •
K : • • L A.• N ^ • •D-I 'B V•D
� T TTr•. w ••. ..rsc sa
I - -Iti "' :'i - :-1:.:.� - -'� < .I- -
'' . .
• • .. !• . N[ • • 95• "•S
II
•
•
• •
•••
• •
• •
• •••
• • •
•
••••
SIGNED
94... ST
• N E. •9inr .3T
7d1*F cane MOW c.r. ZS' .dc. r /h.•..nild
GENERAL NOTES:
t
I) LEGAL DESCRIPTION PROVIDED BY OTHERS
2) THE LANDS SHOWN HEREON WERE NOTABSTR4CTED FOR EASEMENT OR OTHER
RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT.
3) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER
IMPROVEMENTS WERE NOT LOCATED.
4) ONLY VISIBLE ENCROACHMENTS LOCATED.
5) WALL TIES ARE TO THE FACE OF THE WALL
6) BEARINGS REFERENCED TO LINE NOTED AS B.R.
7) NO IDENTIFICATION FOUND ON PROPERTY CORRNERS UNLESS NOTED.
8) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSED SEAL.
9) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN.
10) ELEVATIONS IFSHOWNARE BASED UPON N.G. V.D. 1929 UNLESS OTHERWISE
NOTED.
11) THIS IS A BOUNDARY SURVEY UNLESS 0 RWISENOTED.
I HEREBY CERTIFY THAT IS BOUNDARY SURVE I: A TRUE AND CORRECT
REPRESENTATION OF A" RVEY PREPARED • ; MY DIRECTION.
j ili '.44111L,
UEL ESPIN. :A
/S.M NO. 510
TATE OF FL fRIDA
40103
FOR THE FIRM
THIS SUf '5Y IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSE ONLY. EXCLUSIVELY FOR
THIS USE BY THOSE TO WHOM IT IS CERTIFIED. THIS SURVEY IS NOT TO BE USED FOR
CONSTRUCTION, PERMITTING. DESIGN OR ANY OTHER USE WITHOUT WRITTEN CONSENT OF
MIGUEL ESPINOSA.
MIGUEL ESPINOSA
LAND SURVEYING, INC.
6494 5.W. 24 STREET
MIAMI, FLORIDA 33155
PHONE: (305) 740 -3319
LB #-6463
S0
..• • •
.•. • • • • • • •• ••
• •. .• • • • • • • •
• • •.• • • •
• • • •
• •
• • ••
• • • •
• • • • • • • • • •• • • • •
• • • • •
• • • • • • • • • • • - • • •
• • • • • •
•
• • . . . • ..
. • . . • . •
• •
\•_ • LJ
r•. r �R n n .i.f�rr'� ® i. ;
/Di
• •
• • • •• •• '•
. • •
• • •
• • •
•
• • ••• • • •
• • • • • • •
• • ••• • • •
• •• • • . • . • .•• ••
• ••. .. .... •
.......
•
•• • • • • • ••• ••
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building - - L i ` • C.. S
Architect
Contractor
or Builder *' `t
Legal
Lot
❑ MIAMI SHORES VILLAGE, FLORIDA
DATE
o PERMIT
0
Description
N? 6284
Work to be performed under this Permit—
Signed.
Subdi-
vision
Address of r ..--- i - - -.4,(i c* Value of II Amount of JP
Building ' i s ' I
t 1 -) Protect $ !I 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 assumes respon-
sibility for work done by his agents, servants or employees.
Contractor's
License No.
l e i
19
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complianc ' ith all ordinance regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper a ties of Miami Shores Village. In ao•
cptinq this permit I assume res onsibili for all work done by either, mysel�n agent, s ` � t employee. JJJJJ! ,
ill
BY
AUTHORITY A•IOT
. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address .V/ /Y E j e/
2 °-S Tax Folio
o..o7 /U ii/e5ww. Of Z.07
Legal Description 13ldC!<" 57 Historically Designated: Yes 2 No
Owner/Lessee / Tenant �( l� 4et'� 4W /Gy Master Permit # 3 �J,' 2
Owner's Address 56/ /YV ,Z H� 72C36Y—t-
Contracting Co.
Clef eok ?00 1. Address
Qualifier 10 eel — L44 B(c&+
SS#
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL (LUMB MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION x L (� / / / ///
Square Ft Estimated Cost (value) d i W ag
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 do the work stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT
RADON
APPROVED:
Zoning Building
Mechanical Plumbing
C.C.F.
o ontractor or Owner-
Signatur
ary
M4
N ttiY
n •
as
Phone
NOTARY
ontractor or Own
ission Expires:
"OFFICIAL SEAL"
Alfred McKnight
: s` My Commission Expires 8/31/97
; T Q Commission #CC 312276
Electrical
Phone 77-76
uilder
TOTAL DUE
ate
/cr
OAr
Date
Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHMAS'ER
RECEPTACLES
A/C (WINO)
)ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
7RINKIHG FOUNTAIN
SERVICE SIZE IN AMPS
DUCT 1(
=LOOK DRAIN
SERVICE REPAIR/1ETER CHANGE
REFRIGERATION
LEASE TRAP
APPLIANCE CUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNOERGRCUNO TAMS
.AVATORY
OVEN
ABOVE GROI TANKS
.AUNCRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
10THES WASHER
)CTORS 0- 1 HP
I
STEAM BOILERS
;HOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
RINK, POT /3 CAP.
MOTORS OVER 3- 5 HP
•
MECHANICAL VENTILATION
;INK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
;INK, SLOP
'EPPORARY
MOTORS OVER 8- 10 HP
ELEVATCRS/ESCALATORS
WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEM
URINAL
WIMPS OVER 25-100 HP
COOLING TOWERS
CATER CLOSET
MOTORS OVER 100 HP
VIOLATION
NOIRECT WASTES
A/C WINDOW
REIHLSPECTION
HATER SU'PLY TO:
AIR CONDITIONERS
•
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
•
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRAHSFOAIERS
•
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMI,ERC IAL
WATER SERVICE
SIGN TUBES
EWER CONNECTIONS
SIGN TRANSFORMERS
_
rILITY -SEWER
SIGN TIME CLOCX
rILITY -WATER
FIXTURES
PTIC TAM(
ANTENNA
:LAY
TELEVISION CUTLETS
AINFIELD, 4' TILE/RES.
VIOLATION
W & ABANDON SEPTIC TANK
REINSPECTION
IMAGE PIT CU. FT.
,TON BASIN
,
SC A RGE WELL
MESTIC WELL
•
EA DRAIN
OF INLET
LAR MATER HEATER
•
1E STAHOPIPE
X. PIPING
1
NN SPRINKLER SYSTEM
i RANGE
fER SET (GAS)
i PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A RASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
Permit No
6 17
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miaerlf Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation.: 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 work.
Owner's Name and Address 6 Z No Street_
....tegistered Architect and/or Engineer n 8 A L.
?..rnploying Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Noel
Location and Legal Description Lot
Street and Number where work is to be performed—NO
State work to be performed and purpose of building (By Floon)_____ ... _
New Building Remodeling Addition.
Date.
NO 1••••••■•••,, , ses,"rassynmesintrsesle.•e Streets•usaftsrmser-,.• team,. •• ••
Street
Ti
Repairs No. of Stories
Size Septic Tank_ of Tank____ . Capacity Gals.
Feet of Drain Tie. of Tank or Drain Field from Well
Nature of Water Supply: ____-___Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
sa.
COUNTY OF DADE.
My Commission Expires
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations in employer of labor
under the Florida Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent 17 1.1ement, and has con-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employe y him in e work •-o
performed under this permit; and will post or cause to be posted for inspection on the site of the work such pubi!: notice » noicer s arL
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed this k ikulaii, ,
licensed by Miami Shores Village.
(Signed)
Mutat Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persoral t ppearet;
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 construction, that he has carefully read the foregoing application, and that he did sign the same, and that all ['acts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such minspection is made.neoessary by improper notice for inspection, or faulty
materials and/or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tugs
„ NIHAU!'
u
CATCH
BASIN
FLOOR I DRINKING
DRAIN POUNT•NS
TOTAL
FIXTL RIM
CONTR.
LI
CHECK
—
•–•••.
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWII4'0
POOL
....=
COPT!.
LIST
CHECK
Permit No
6 17
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miaerlf Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation.: 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 work.
Owner's Name and Address 6 Z No Street_
....tegistered Architect and/or Engineer n 8 A L.
?..rnploying Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Noel
Location and Legal Description Lot
Street and Number where work is to be performed—NO
State work to be performed and purpose of building (By Floon)_____ ... _
New Building Remodeling Addition.
Date.
NO 1••••••■•••,, , ses,"rassynmesintrsesle.•e Streets•usaftsrmser-,.• team,. •• ••
Street
Ti
Repairs No. of Stories
Size Septic Tank_ of Tank____ . Capacity Gals.
Feet of Drain Tie. of Tank or Drain Field from Well
Nature of Water Supply: ____-___Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
sa.
COUNTY OF DADE.
My Commission Expires
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations in employer of labor
under the Florida Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent 17 1.1ement, and has con-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employe y him in e work •-o
performed under this permit; and will post or cause to be posted for inspection on the site of the work such pubi!: notice » noicer s arL
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed this k ikulaii, ,
licensed by Miami Shores Village.
(Signed)
Mutat Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persoral t ppearet;
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 construction, that he has carefully read the foregoing application, and that he did sign the same, and that all ['acts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such minspection is made.neoessary by improper notice for inspection, or faulty
materials and/or workmanship.
the week
done by his agents,
In consideration of the issuance to me of this permit I
pertaining thereto and in strict" conformity with the plans, , dm
In accepting this permit I MaOt responabs'lity for all work
CONTRACTOR OR BUILDER
Permit No Z
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work.
Owner's Name and Address
Registered Architect and /or Engi __
Employing Plumber's Name __ __o gait"
Size Septic Tank
Feet of Drain Tile__
Nature of Water Supply: City —Well
STATE OF FLORIDA,
COUNTY OF DADE.
Tank
No._______— _______ -_ — Street
Location and Legal Description Block
Street and Number where work is to be performed —No Cj) 1 �-.
State work to be performed and purpose of building (By Floors)-- --__ -- New Building ------ -- ---• - __ -_-- Remodeling Addition .__ -.. _.— Repairs
t of Tank or Drain Field from Well
---- -_... ___-___- --- -Size of Soakage Pit -- -_- _ -•-
Amount of Permit $ t. , (Signed)_ _;/ -
PJ i Inspector. - -
g
an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S element, and has com-
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation/
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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this per/nit. as are
licensed by Miami Shores Village.
(Signed)_ LIEI
Date._
Street__.
Subdivision -_ -- -------- ..... --- ...... - - --
Street- - - -- ----------------------- ---- - - - - --
_ Capacity Gals..- ....
My Commission Expires Notary Public, State of Florida
No. of Stories . . ..... . ..... ...
Master lum
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalla' appeared
to me well laiown, 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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or worlmnanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR. LIST
LIST
--
CHECK
Permit No Z
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work.
Owner's Name and Address
Registered Architect and /or Engi __
Employing Plumber's Name __ __o gait"
Size Septic Tank
Feet of Drain Tile__
Nature of Water Supply: City —Well
STATE OF FLORIDA,
COUNTY OF DADE.
Tank
No._______— _______ -_ — Street
Location and Legal Description Block
Street and Number where work is to be performed —No Cj) 1 �-.
State work to be performed and purpose of building (By Floors)-- --__ -- New Building ------ -- ---• - __ -_-- Remodeling Addition .__ -.. _.— Repairs
t of Tank or Drain Field from Well
---- -_... ___-___- --- -Size of Soakage Pit -- -_- _ -•-
Amount of Permit $ t. , (Signed)_ _;/ -
PJ i Inspector. - -
g
an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S element, and has com-
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation/
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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this per/nit. as are
licensed by Miami Shores Village.
(Signed)_ LIEI
Date._
Street__.
Subdivision -_ -- -------- ..... --- ...... - - --
Street- - - -- ----------------------- ---- - - - - --
_ Capacity Gals..- ....
My Commission Expires Notary Public, State of Florida
No. of Stories . . ..... . ..... ...
Master lum
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalla' appeared
to me well laiown, 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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or worlmnanship.
Permit No.
/ V Date , tt, ?S / r O
. -/ __ 1 (� /
Application is Hereby made for the approval of the detailed statement of the plans and specifications herewith submitthd for the building 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 work.
Owner's Name and Address_. __'___C`.J -_ ' ' ` • " No. Street
Registered Architect and /or Engineer
J � r
Employing Plumber's Name - _1 C C t ( ar c` r ( *.d. No Street
Location and Legal Description Lot _____ Block Subdivision
Street and Number where work is to be performed —No. .t' Street ?
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Septic Tank
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
Feet of Drain Tile ____ s_ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. .
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank Capacity Gals
Size of Soakage Pit =' ) X J f ' � 't � ► w,-
(Signed)
Plumbing Inspector.
No. of Stories -. .
The undersigned applicant for this building permit does hereby certify that he 'understands and accepts his obi' : ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors einp dyed 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 wofk such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed) > L Y v i L r
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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 construction, that he has carefully read the fo regoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TU BS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N$/
/ ,�r !
- . E J( /`� t
1 y
TOTAL
FIXTURES
CL
LIST
ST
/ �..
/
/
,,
/
/
/
'1
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No.
/ V Date , tt, ?S / r O
. -/ __ 1 (� /
Application is Hereby made for the approval of the detailed statement of the plans and specifications herewith submitthd for the building 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 work.
Owner's Name and Address_. __'___C`.J -_ ' ' ` • " No. Street
Registered Architect and /or Engineer
J � r
Employing Plumber's Name - _1 C C t ( ar c` r ( *.d. No Street
Location and Legal Description Lot _____ Block Subdivision
Street and Number where work is to be performed —No. .t' Street ?
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Septic Tank
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
Feet of Drain Tile ____ s_ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. .
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank Capacity Gals
Size of Soakage Pit =' ) X J f ' � 't � ► w,-
(Signed)
Plumbing Inspector.
No. of Stories -. .
The undersigned applicant for this building permit does hereby certify that he 'understands and accepts his obi' : ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors einp dyed 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 wofk such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed) > L Y v i L r
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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 construction, that he has carefully read the fo regoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Date 4 \I�,M 3 Time
Type Insp'n 46/
Permit No. AF9 63— ;--79
Name 5 e e,A,
Address `7® I Anz S 7 n°
Company
Phone #
For Inspector: 4 \1 7 \Rme ;'1',y ate
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Reque
MIAMI SHORES VILLAGE
BUILDING DEPARTMEN
305- 795 -2204
Building Inspection Request
Date
-- Type Ins
Permit No. b
Name
Address /
Compan // ��""��
Phone # 7, ' `-/O&O
For Inspector: , / i) 3 Name & Date
Approved ❑
Correction
Re- Insp'n Fee
Pooni. Yo.414 ti4.‘67
%'ter -e ,�,�
gAA41
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time ,s
.--..--.Type Insp'n I C' i ; - 2r`)F'ur4 l/� /- P V
Permit No. 13P ° g ‘ : ?) ) Q )
Name O .y ) ° / f .tea Y � -
Address C N- s .
Company .' -} 4/
Phone # Z 3 t ri) a
For Inspector:
a
Approved
Correction
Re-Insp'n Fee
Name & Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ,‘ SO/ /I/0 90 l' Folio
LW' /0 4 Wesry off'Lot /l
Legal Description /3 /acK .6 Historically Designated: Yes No J oIX
.
Nq
1% 4,
Owner/Lessee / Tenant &'e L V c lee/
Owner's Address 6 A/C f2 ' Srizab 4"
Contracting Co. ! e i! /lJ ev" �� /CGS Address ..5 Z N V , '
Qualifier g/'c/ ��f"(9 4 / 1 v SS# Phone 7s� /b �j L 7/ J
State # �L� 31 ' Municipal # Competency # / / Ins. Co.
Architect/Engineer CiA�.�2. S
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILD ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
?CO L O6 0 L
WORK DESCRIPTION
Square Ft. Estimated Cost (value) . O'On •�
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-name • contr . -to to do the work idadlal Sr 1
Signa e • owne - or CondgPr =(-
weer and/or Obndo President
lion DIAL SEAL"
* '' Alfred 1400 4f31/97
: j My Commission z } 031/97
a i °•� Commission #CC 312276
(510. c
RADON
FEES: PERMIT
APPROVED:
Zoning
Mechanical
Date
8z
Dat
Phone
NOTARY
Master Permit #
Electrical
TOTAL DUE
Address 78Sa /,l"K/',Fz S t` ,54,744 5V j`'
8/2.)/Fr
gnat , : Contracto or Owner- der Date
( .,,,:".
otary as to Contra
er- Builder Date
My Commission El ‘ ALBERT ENGLER
l..
Y'l Comm No. CC 371269
w: 7,i My Comm. Exp. May 9, 1998
i %N � T...1:,o , Bonded thru Pichard Ins. Agcy.
g Y•
Engineering
a trot iE Or FLOR 'iA, NJU \:T( O: D
O :ji nu; filo
7777,m-icy Co;;Ko
NOTICE OF COMMENCEMENT
'ERMIT NO. 3 F 3 / Gf TAX FOLIO NO.
;TATE OF FLORIDA:
;OUNTY OF DADE:
:. Description of improvement:
;. Lender's name and address:
ignature of Owner
'rint Owners Name
;worn to and sub
Jotary Public
'rint Notary's Nam
�y Commission Expi .
HE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Thapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
. Legal description of property and street address* LOT kO ' o' LOT It (NOCY 5n
;. Owner(s) name and address: ?)F ex \_2-'
501 ME S�t2�� T' (tA-rn 1 CL
nterest in property:
Jame and address of fee simple titleholder:
t. Contractor's name and address: 'P 1 L 7,5 Le Q t bfk
I. Surety:(Payment bond required by owner from contractor, if any)
Jame and address:
amount of bond $
'. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
iy Section 713.13(1)(a)7., Fl ida Statuttes,
Jame and address: 11---16/At G ' T r
Z5t ,qJ z 4, i . #4 ; F 33 /3S
;. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided-in
section 713.13(1)(b), Florida Statutes.
Jame and address:
1. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Lky
e me this ZZ • ay of iC; pGJv , 19 Y V
/31197
Commission #CC 312
•
95R357530 1995 SEP 01 15:46
Prepared by:
Address: 'z 7' /1;
Y3 /J8
0.... •
Go 1.6•UJ.LK.
1490
31,
7s.dp�rh. 04;0
141. 7
44494AL , ?Alt &
•
# :
•
SKETCH OF BOUNDAlt SURVEY
zo
r0
REVISIONS:
7
m.pofzLr
Pte/
/S 4LL
Sh Ph
.4!v
r
e4 .
L ,
Fr r
1 pan ::
NEM !z0 x Minn
ws
PQR M, Z T• C_' � /••f p L E V
As ,C.�..._
SCAS.Z 1 - niZ "
- 6u73Dr ,azoir i
PROP . ADO, l e
Tt.L 'DQr>aTPrTeu i
or /0 r1 "-
& " 'r '/a op
LATr // — c61.41:74i 61.41:74i i
PAGE:
7996 WEST 18TH COURT
HIALEAH, PL. 33014
41
.I Shm
Job NO.:
P. aooxl a/
DATE • FILLD •8URvZi I 1-
1 4 I 0 . - 1 'SNPB
COJNTY, FLORIDA
CERTIFIED T01 arrooday, r/ 7 /,Jy ', -4iJ .cs �v,Jc., „�!� •
Fr/ r U#1 /otl rlo l,JdL 1 le- o/. o¢ /p4
gblheCT ✓ 044c'e
owx ■wsViswAS.0 eiba..00r+cmw rs.o•cu o�PAVCm7ftt. MI-P JAAIw L rL
irt VENCE, - ►jtOra;ltT•i lams, Zt /..aAi1. A
b!*O., t►.Itt o.w
x rlr:, r- t01MD, iTu■wwolt ;, A /C ■0 CONUtt:ON :MO PAD, r /c■raorLatac -t co.wra, A /..ox=r.zap
HOii, N /rawooDbl r'5i1Ci• sti.RE1IDORCS Ci,- cL.ZA*, AJ1rRi1I►]t :/gwUV!LtrI I.A,LbQw CONC•CoweitIT LLkI,
n /w•dtsOM % 7i way, r/ LmCr...,.--..=irS OwDZAlfil , •r■aPZKU, Ss!■?fricAL, 14M *
Sa. .1=ORDHD,
CAL ■OICIIOr*CiNPIT CiOi r' oifil w. c /N•cvr AA IL. >t /. .wtlunY nwa.r. . rro ric Nil .. e'iAip smiv,r : .u •
o /R•wrr ate, "VP ++e1IS1L re=s.
i IWn 1∎OTSsI
If
TIM RIMY OY TNS IROFIUM SHOWN 1M011 I 1/4 ACCORDANCE w1T11 nat D1rCMI rummisb w UNLAIS s.
A CcrsjaaM u
mown/. Aib �yywoa w+v Amp a terO+ = tome. Alt 17a sacs Al PMT Y 3)1 _ L. Noy AMTIACTP IOR
W niCOIOnaRJU GonAia SHO11NOS MAT AMP T►a ,ANYMAT IIQT OIL NIPe ! I T me aaCI'tWyttvgdwONMi
�romlION. of 1 4 ATioto M OT1t* swan :wpm mow Nor 1DCATWArvici y T A TO Tot C101 =Or Tin WQ•atro. . Tlp
a Re did �AT10N Mon( "I" J.M i"D ON NAf101/ C1pUfY1 b IcA O'*QYDO 4.4411 1 173 w ro1TDwm j
w.. a.r...,- .... ... ... .. ....... $h* rs...a aIRVT i1 r11 I rO I C ACC 1'Lt ENt.Y, IIOT TQ /i {T>�1 iDS
COMf17LL1L�10N rmrOafl.
I It>plaY CPtTItY I1IATT1 ATTAC1aD1 UX1 CH MIO * DMIY WIIVEYO►TUIZ ABOVI DICNICD 1'HOIVI TY U1 A TM AIm Cd1ECT 1tl?Nt1TXTATlQN
or A FW,D PJUKY MADE LJNI1fA MY AlaUTIOA AMD HOT1 M1t4TMI. N TWAT CAL VTANDA .D$ AII UTp* DA 1 OA*D Or R1OILtfiOMAL
LAND W VZTOA/ IN OA nu 3111114 F1AR1DA ADMNIS1)ATIVICOC& r11RtVANTt UMW MA I!.
PHONE: (305) 823 -2904
FAX (305) 827-1632
MARX H. KRMNIX
REGISTERED LAND SURVEYOR (3371
STATE OF FLORIDA
NOT VAS= DNLT•s8 SEALED WITH AN EXBOSSED BQRVCYQ ' arm.