546 NE 92 St (11)Buyer
•
Contact Name:
Inspected by:
Comments:
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
to re- occupy the single family residence known as : (address)
5— (/Al E /) 4 J d
. Legal Description:
Lot: / •
I hereby certify that I understand that the zoning. of the ro e
and that it is unlawful for more than one family to reside therein for I I also understand that a I use
Certificate of Re= Occupancy that'may be issued by Miami Shores Village, any
referenced property is being used for single - family purposes and that such Certificate that the
does any representation, warranty or certification as to the condition of the dwelling not
structures on such property. / 11in� or other
Applicant l- te—t{)
Date
Print Name f� L l • 711 t
**************************************..* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami
Development and Zoning Code, please contact: Shores Land
Seller
Application Fee (S50) paid: Cash
BIock , gg PB & P :
G- 1 C � 7 •
flR /io' F Fr
Telephone: 3
Realtor y Company Name c' / 'et/
Approved
PAGE I OF 2
Check No. / 2 -
, Miami Shores, Florida.
hereby apply fora certificate
Denied Date '°272-
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes of re- occupancy pursuant to,
Sections 901. and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single- farruily residential purposes.
CERi 1i ICATE OF RE- OCCUPANCY
THIS CER i 1..E iCATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE-FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON THE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERES 1hL) PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMENE THE CONDITION,
THEREOF.
PAGE 2 OF 2
MIAMI SH ORES 7E, FLORIDA
By:
Date of Certification: Z Z Z ~�
11/16/2022 19:48
3054630087
3054630087
N 11
0
EQUIPAR INTL PAGE 01
0
9)
�p�
11/16/2022 19:48
W
Wi
Praparce by and re
RICIL` .D J. AD
Attorn tv at Law
TITLE ARTNE
900 W15T 49 S
Hialeal F.L. 33012
File Number: FL.M
Will Ca No.:
This Warranty
by her ` isband, R
grantor, mad MARIO
N.E. 92 STREET, M
(Whenever Sed herein the
individuals .nd the success
Witnes ietb, that s
good and valuable co
has grant 1, bargaine
situate, lying and being
Witness N ne:
[Notary Se
I it 1, Block
;, Page 37,
Parcel Identi
Together with all the
To Have and to HI
And the -7antor hercb
grantor ha ; good right
land and ,.ill defend
encumbrar :es, except t
In Witne, s Where
Signed, set ad and deliv
State of Fla da
County of Niamni -Dade
The forego instrumen
SAAVEDL , , who (i ar
3054630087
ta:
, ESQ.
F FLORIDA, INC.
T SUITE 514
2-0008
IS
d made this 21st day
EN SAAVEDRA wh
FLOTA, a married
, FL 33138, grantee:
rms "grantor" and "grantee'
and assigns of corporations,
grantor, for and in co
derations to said grant
and sold to the said gr
Miami -Dade County
, MIAMI SHORES S
the Public Records of
ation Number: 11 -32
ements, hereditamlents
d, the same in fee siznp
covenants with said gr
lawful authority to sel
same against the la
ss accruing subsequent
grantor has hereunto al
ed in our presence:
as acknowledged befo
personally known or r
ace Above This Line For
arranty
sideration of the s
r in hand paid by s
ntee, and grantee's
Florida to -wit:
CTION 2, accordi
lami -Dade Count
6- 014 -1 170
d appurtenances t
forever.
t grantor's hand and
RUBE
me this 21st day
have produced
Notary
Printed
My Co
EQUIPAR INTL
f February, 2002 b
se post office addre
an, joined by his
include all the parties til
trusts and trustees)
ntee that the grant
and convey said Ian
ful claims of all p
o December 3I, 200
ing Data]
ed
MARIA CABRE)RA, a married woman, joined
10770 NW 66 Street, #201, Miami, FL 33x78,
ONJA ACOSTA whose post office address is 546
strument and the heirs, legal representatives, and assigns of
EN AND NO /100 DOLLARS ($10.00) and other
tee, the receipt whereof is hereby acknowledged,
ad assigns forever, the following described land,
the Plat thereof, recorded in Plat Book
da.
elonging or in anywise appertaining.
y seized of said land in fee simple; that the
the grantor hereby fully warrants the title to said
whomsoever; and that said land is free of all
day and year first above written.
(Seal)
(Seal)
RERA
VED
PAGE 02
ary, 2002 by MARIA. CABRERA and RUBEN
iccnse as identifi_tion.
on Expires:
��•, , J Sondra A. Menendez
Commission # DD086881
Expires Jan. 27, 2006
Or r 13021tted
,,, Atlant c ng Co., Bonding c Inc,
11/16/2022 19:48
Preparaa by and r
RICHARD J. AD
Attornr at Law
TITLE PARTNE
900 WEST 49 ST
Rialeat FL 33012
File Number: FLM
Will Ca . No.:
Before me, the and
MARIA. 'ABRERA,
first dui) >worn, depo
2. It her been brou
persons with simi
matt t.s are recor
desc: aed in the a
your kffiant. Th
Nunne is 584 -67
3. All ;ording refe
notes- "Affiant ",
for tlor purpose of
purpoe a of induci
title ,.=urance on
forth • erein. Sell
Inc. le.rrnless and
at trig . and all app
This 4ilavit is ma
Further
MAN..IA CAB
and . selling the
MARIA : ABREItA
State of lorida
County :vliami -Dade
The foregoing instrurn
RUBEN ; AAVEDRA,
[Notary S sl]
of 1, Block
D, Page 37,
Parcel Iden
3054630087
to-
, ESQ.
F FLORIDA, INC.
T SUITE 514
- 0008
igned authority, duly a
married woman, join
s) and say(s) that;
.A, a married woman
lowing described prop
, MIAMI SIJORES
the Public Records o
cation Number: 11 -32
to Aant's attention
names) to that of y
in the Public Records
mentioned recorded i
are no judgments or 1
63.
(S ace Above This Line For
NOM- IDENTITY
(Seller)
thorized to take ac
by her husband, R
I
'D
ECTION 2, accords 1; _ t
Miami -Dade Coun I I'i
Joined by her hus
rty to MARIO E. F
6 -014 -1170
aces set forth herein
eller" and "Buyer" inci
leering any possible q
TITLE PARTNERS
subject property, wit
hereby holds TITLE
y indemnifies same (i
ate levels, and court c
under the penalties of .crjury.
RUB
was sworn to and subs4ribed before me this
ho L] are personally
EQUIPAR INTL
My C
at certain instrtmse/1
ur Affiant may cau4
of Miami -Dade Co
strurnent(s). The afa
ns whatsoever outs
e to the Public Recd
de singular or plural
estion or objection
F FLORIDA, IN
the knowledge that
ARTNERS OF FL
cluding but not limui
sts and other litigatio
trc
F
tivl
d,
7'p
)
xl
corded in the public records against one or more
an bjcction to the title of the above property. Said
lorida. Affiant is not the same person or persons
tit_e matters do not in any way affect or relate to
d.rv against Affiant. Affiant's Taxpayer Identification
a s
IC
, • u
st
own or [X] have pro .i
o r
Printe
ng Data)
D AVIT
l gments and administer oaths, personally appeared
SAAVEDRA ("Affiant"), who, after being by me
RUBEN SAAVEDRA ( "Seller "), is the owner of
, a married man ( "Buyer "), to wit:
the Plat thereof, recorded in Plat Book
rids.
s c' Miami -Dade County Florida, unless otherwise
ntext so requires or admits. This affidavit is given
itle to the above referenced property and, for the
Attorneys' Title Insurance Fund, Inc. to issue
tie companies are relying upon the statements set
A, INC. and Attorneys' Title Insurance Fund,
to ttorney's fees, whether suit be brought or not, and
eat enses) with respect to the matters set forth herein.
ay of February, 2002 by MARIA CABRERA and
a driver's license as identification.
c
VEDRA
o a. fri Sandra A. Menendez
sion Expires: j . - -
c . �...� ran. 27
Bo::4 d mx,
ArlaatiC Bonding Co„ rue.
PAGE 03
11/16/2022 19:48
This B I of Sale,
husband RUBEN S
ACOSTA ( "Buyer ").
Witnes>oeth, that S.
consideration paid to
sells and unsfers ford'
r,
. tl improve
Billing fans,
loverings, el
eater.
Said prof rty being lo
:At 1, Block
! ), Page 37,
;lso known
Seller cc erants to)
encumbrL.ces; that Se
goods an : chattels untl
"Seller "
represen
The foregoing instr
SAAVE 2 RA, who
[Notary Sal]
er"
ces
p 7,ABRERA
State of 1orida
County e'Miami -Da
3054630087
Bill of S
ade on February 21, 2002, between M
VEDRA ( "Seller "), and MARIO E. F
d at
, MIAMI SHORES SECTION 2, accord
the Public Records of Miami -Dade Coon
EQUIPAR INTL PAGE 04
er, in consideration of the sum of TEl`l
Her by Buyer, receipt r nd sufficiency of w
to Buyer the following goods and chattels,
nts and attached items, including fixtui
ght fixtures, attached wall -to -wall car
ric range, wall oven, dishwasher, disposal
546 NE 92 Street, Mia au Shores, FL 3313#
er that Seller is the _awful owner of tl4
r has good right to sell hat property, and tha
he Buyer against the lawful claims and dema
11 be used for singular or plural, natural
rs and assigns of Seller and Buyer whenever
RU33
t was acknowledged before me this 21st da
re personally known or [X] have produced
A CABRERA, a married woman, joined by her
A a married man, joined by his wife, SONIA
OLLARS ($10.00) and other good and valuable
h is hereby acknowledged, delivers, grants, bargains,
vlit
,: built - in furnishings, built - in appliances,
hg, rods, draperies and other window
of lgerator, washer, dryer, and gas water
the Plat thereof, recorded in Plat Book
Fl rida.
a:•i goods and chattels; that they are free from all
c'11 , .:r will warrant and defend the sale of said property,
• oi' all persons whomsoever.
trif ial, which terms shall include the heirs, legal
xt o requires or 3i .'ts.
VEDRA
February, 2002 by MARIA CABRERA and R.UBEN
fiver's license as identification.
Ir
Not { Pu blic
Prui •'V.me:
My . tl stmission Exp
DoubleTimee
11/16/2022 19:48
Before
RUBEN
1.
and'
ACC
2. The
desc
estat
3. Tber
for
npr
or la
4. The
28,
of t
writi
5. The
free
M
any
Sell
7. The
effec
instr
8. Sells
have
9. The
has
10.
zone
11. Thee
but
or e
12. The
File Numt
e, the uncle
VEDRA
CABRE
selling the
TA ( "Buye
t 1, Block
, Page 37,
ove descrili
tion of recO
nd personae
ave been
ich the co
ng the s
rer's liens s
have been
02, which a
Property s
and Seller{
rsonal pro
d clear o
ipal or Co
urt in this
in possession
6. Sei1e agrees that
Ma 11 the prorati
new oration and
are no matt
ve date of
ents that %i
s title to, a
ever been
are no disp
en in compll
t has receiWt
laws cone
are no actigh
t waited to,
c odor's of a>w
are no urure
: L LMA02 -0
3054630087
gned authority, personally appeared MA
Afftant "), who being b
a married woman,
flowing described pro
), to wit:
, MIAMI SHORES S CTION 2, accordil
the Public Records of iami -Dade Coun
d property is free and blear of all liens, tact
whatsoever, except for mortgage or mort
roperty taxes for the year 2002, which are n
improvements, alteratiwns, or repairs since a
thereof remain unpai
which remain unpaid s
e acquisition by Seller
documents recorded in
ct title to the Property
e said date except as
as no knowledge of an
contained in the buil ing on said property
11 liens, encumbrance , claims and deman
Ordinances pertainin to the above descri
to or the United States gainst said Seller w
of the above described roperty.
the event the current
s used in closing the
correct and proper adj
pending against the S
mmitment and the roc
r Id adversely affect the
possession and enjoyrn
uted nor questioned.
C osing Af
(Seller)
me first duly sworn,
Joined by her hush
erty to MARIO E.
, that there are no
nce the acquisition 11
against the above des
the Public Records o
nd Seller has not ens
y have been disc
matter affecting title
eal estate or persona
ansfer and convey=
stment will be made;
her that could give t
rding of the interest
interest to be insured.
nt of, the property h
s concerning the boun ' ary lines of the prop
ice with the applicable •wilding codes, ordir
no notice of any pub is hearing regarding
ng said property wit the past ninety (90)
s or proceedings now . ending in any State
roceedings in bankrupt y, receivership or ins
nature which corastitut or could constitute
rded easements, claims of easement or rights
EQUIPAR INTL
i
Yit
RERA, a married woman, joined by her husband,
th, depose(s) and say(s) that:
1
UBEN SAAVEDRA ( "Seller "), is the owner of
' A, a married man, joined by his wife, SONIA
PAGE 05
o)the Plat thereof, recorded in Plat Book
ofrida.
1
l cumbrances and claims of every kind, nature and
s if any, described in the Deed and except for real
t I due and payable.
ition by the Seller to the above described property
for labor or material furnished for repairing or
er, and that there are no mechanic's, rnatcrialmen's,
property.
mi -Dade County, Florida subsequent to January
k to any contacts for the sale, disposition or leasing
o TITLE PARTNERS OF FLORIDA, INC. in
Property.
the said premises, and which, if any, is being sold
atsoever. The Seller knows of no violations of
operty. No judgment or decree has been entered in
mains unsatisfied. There are no persons other than
erty taxes vary in amount from the figures used in
he above described property to said buyers, then a
emand.
. a lien that would attach to the property between the
insured. Seller has not and will not execute any
en open, notorious, peaceable and undisturbed, and
nd the operation of any buildings on said property
and statutes.
sment for improvements or changes in applicable
4 erai Court to which the Seller is a party, including
cy, nor are there any judgments, bankruptcies, hens
e or lien upon said property.
ay affecting all or any portion of the property.
DoubleTimeaD
11/16/2022 19:48
14. This
prop
Fun[
the
Insu
brou
matt(
forth
State
certi
13. Sell
inter
upor
a.
b.
c.
d.
Sell
the
disci
puni;
beha
corr
Und er
understands
t must wi
urchase of
Iler is not a
oscs of
ller's U.S.
ller's addre
other pers
derstands
ted States
ed to the Ira
ed by fine,
of an entity
rdavit is J l
and, for
Inc. to issu
tements set
'ice Fund,
t or not, a
set forth h
states that
and the St
s that he /steal
! lY
I 4
I I
State of ' I orida
County N Miami -Dad
The fore
RUBEN
MARIA
[Notary
Closing .4
File Numb
ABRERA
ing instru
VEDRA,
avir (Seller)
Ft,MA02 -000
3054630087
t Section 1445 of the
Id tax if the Seller is
above described prop
nresident alien individ
ed States federal into
payer Identification N
is: 10770 NW 66 Stre
s or entities have an ova
e Buyer of the describ
reign Investment in R
mal Revenue Service b
risonment or both. S
eller. Under penalties
n for the purpose of el
purpose of inducing
itle insurance on the s
rth herein. Seller here
c. harmless and fully i
at trial and all appell
"Affiant ", "Seller"
she is familiar with the
of Florida for falsely
aas read, or heard read,
t was sworn to and sub
ho L] are personally
nternal Revenue Co
foreign person. To
rty, Seller certifies tlt
r al, foreign corporat
e taxation.
tuber is 584 -67 -056
, #201, Miami, FL
ership interest in the{
d property intends to
al Property Tax Act.
the Buyer and that a
llcr has the authori
f perjury, Seller state
axing any possible
ITLE PARTNERS.
ject property, with
y holds TITLE P
demnifies same (in
e levels, and court
rid "Buyer" include
nature of an oath and
swearing to stateme
e full facts of this
erjury, I declare that 1 I have read the
cribed before me this
own or [X] have pr
EQUIPAR INTL
RUB
Nota
Print
M
vides that a Buyer of a United States real property
the Buyer that withholding of tax is not required
wing:
sign partnership, foreign trust or foreign estate for
594 -28 -4235.
e described property.
n the foregoing representations in connection with
TA). Seller understands this certification may be
e statements contained in this certification may be
ign this affidavit as either individual Seller or on
this declaration was carefully read and is true and
n or objection to the title to the above referenced
LORIDA, INC. and Attorneys' Title Insurance
owlcdge that said title companies are relying upon
RS OF FLORIDA, INC. and Attorneys' Title
but not limited to attorneys' fees, whether suit be
and other litigation expenses) with respect to the
or plural as context so requires or admits. Seller
the penalties as provided by the laws of the United
de in an instrument of this nature. Seller further
it and understands its context.
ffidavit and than the facts stated in it are true.
lie
me
VEDRA
day of February, 2002 by MARIA CABRERA and
a driver's license as identification.
ssion Ex
Sandra A. Menendez
_5 w' 4, PM 27 2006
� , �'I � , I%0 Atlaaticc on Co., nc
PAGE 06
DoubleTimolo
11/16/2022
Non -F i
Transfers :
Transfers.:
Property
Closing I ate:
19:48
M
546
Feb
Before me, the unde
duly sworn, stated as
This certificate is I
follo' -'ing describe
I At 1, Block
Page 37,
2. The /.xdersigned
a. ] tin not a foz
equirements
b. U y United Stet
1:ARIA CAB
7.UBEN SAA,
c. " e. y home addt
',0770 NW 64
d. 1 here are no
: Ited in para
3. The tdersigned
a. .understand
ith the Unite
b. understand
tcmcnts co
Under pe:
MARIA CAI3RERA
3054630087
eign Certi
t
A CABRERA, a mar ied woman, joined
0 E. FLOTA, a rnarr ed man, joined by
92 Street, Miami Sh res, FL 33138
ary 21, 2002
igned authority, personally appeared the pe, : < n(i named in paragraph 2(b) below who, after being
ws:
inform the transferee that withholding
real property:
MIAMI SHORES S
the Public Records of
nsferor certifies and de
gn person for purposes
Section 1445 of the Int
s taxpayer identificatio
RA ( 584 -67 -0563 )
DRA ( 594 -28 -4235
ss is:
treet, #201, Miami, F
er persons who have a
ph 2(b) above.
eby further certifies an
purchaser of the desc
States Foreign Investm
Is certification may be
fined in this certificatio
, I state that this decla
cation B3 dividual Transferor
eller's Firpta ,A da it)
CTION 2, accordi to the Plat thereof, recorded in Plat Book
iami -Dade Coun Fl "rida,
laces as follows:
of United States inc; ° t � and am not subject to the tax withholding
real Revenue Code . ij 1 1 4, as amended.
or Social Security a
33178
ownership interest;
declares:
Fe
ibed property intcn tc ely on the foregoing representations in connection
zit in Real Property i ct. (FIR-PTA).
isclosed to the Jute
may be punished b
EQUIPAR INTL
anion was carefully t ; _ d a d is true and corn
RUT#
h : husband, RUBEN SAAVEDRA
W e, SONIA ACOSTA
a
5
r is:
th
PAGE 07
ucome Tax is not required, upon the sale of the
above described property other than those persons
1 i venue Service by the transferee and that any false
ne I imprisonment or both.
VEDRA
DoubloTlmee
11/16/2022 19:48 3054630087
State of Florida
County c ' Miami-Da
The for Kling ins �
RUBEN SA,AVEDR Au
[Notary
Non -For
n Certification
n was sworn to and subscribed before me thi1
who U are personally
lndlviduai Transferor - Fag 2
EQUIPAR INTL
PAGE 08
7 1s day of February, 2002 by MARIA CABRERA, and
own or [X] have pt,, lace d a driver's license identification.
No t ?ublic
Print
1: Name:
My ! remission Expires:
Sandra A. Mend
Cammisston *Mogan
a F Jaa. z� 2006
Or Ailaut 8o a ding Co.. Tut.
DoubleTImee
ign a . • Print
X�fCt ciu.),d o
Signature and Print
STATE OF FLORIDA ):
COUNTY OF DATE ):
MY commission expires:
Ca .,7:r/
RESTRICTIVE COVENANTS
PROTECTIVE POOL ENCLOSURE
PREPARED BY:
DECLARATION OF RESTRICTIVE COVENANT
r WHEREAS, the
undersigned 4, nap F12 )3 Ware the fee simple owner (s) of the following described property
situate and being in the Village
Lot (s) 1 Block 6
KNOW ALL MEN BY THESE PRESENTS:
of
A.K.A. (address) y'CfC, 79 -
according to the plat thereof, as recorded In Plat Book //3 Page 2,7 of the Public Records of Dade County,
Florida, and
Whereas, the undersigned owner (s) F�4Z desire to utilize said Lot (s) as
a single building site, and the undersigned owner (s) do (es) hereby declare and agree as follows:
1. That the property will not be used In violation of any ordinances of the Village or Dade
County now in effect or hereinafter enacted.
2. That the purpose of this covenant Is to Induce the Village 'o Issue a permit for a pool
where the required enclosure is not on the subject property where the pool Is located.
That If any of our adjoining neighbors remove any portion of their fence or wall, or If our /my
property shall fall to meet code requirements for pool barriers, we, as owners will Immediately •
Install a protective enclosure to meet code requirements and will obtain a permit for such fence. •
4. That, we, as owners, hold the Village harmless for any negligence or injury that
results from not having the enclosure
FURTHER, the undersigned declares) that this covenant Is intended and shall constitute a restrictive
covenant concerning the use,.enJoyment and title to the above property and shall constitute a covenant running with
the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by the
'Village I , or its successors, in accordance of said Village then in effect.
IN W;(TN S WHEREOF, thSnndersigned has/have caused h : ' (s) and seals) to be
affixed hereto on thLs , £� day of Oc -
I HEREBY CERTIFY that on this day personally appeared before me
known to me or has produced (type of identification) as ldentificatio
that he/she executed the foregoing, freely and voluntarily, for purposes there In express
SWORN TO AND SUBSCRIBED before me on this e • ay o • • I 1 G'
L :.0
/'/. She s Se,44.0 3 (Subdivision),
ignature a
Signature and Print
1111 1111111111 IIIU 11111 1111 1111
2004R09!567 2. 1
2775 Ps 37 35► (lay)
DED 10/29/2004 1017:12
'VE'Y RUVIN, CLERK OF COURT
AMI -1 ADE COUNT'(r FLORIDA
AST PAGE
OZ . . who is personally
d he/she aclmowledge .
NOT ' Y PUBLI • A`E OF FLORIDA
BRENDA DUBON W 1
MY COMMISSION #DD256846
EXPIRES: OCT 08, 2007
Rev. 4/2'
Date
Miami Shores Village
Building and Zoning Department
Attention: Building Official
SWIMMING POOL OWNER'S CERTIFICATION
I certify that I am the legal owner of the property described as
,�gypp � -3?
2ext./ / . S � Ski 9 Secro.3, located at 5 rt/�
In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that
I understand and agree that the swimming pool to be constructed at the above address cannot
be used or filled with water until a separate permit has been obtained for an approved safety
barrier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for
obtaining a permit and erecting an approved barrier prior to final inspection and se of the pool.
Legal Owner
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
NOT
1
2 k.) u
CO OR'S NAN
PLEASE PRINT) .
BRENDA DUBON
DD256846
EXPIRES: OCT 08, 2007
c_SIte:Villa
BUILDING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES. FLORIOA 33138-2382
TELEPHONE (305) 795-2204
FAX (305) 756 -8972
OTICE OF REQUIREMENTS
RESIDENTIAL SWIMMING POOL,
SPA AND HOT TUB SAFTY ACT
I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or
installed at 546 ill&. 12- 5 , Miami Shores,, Fl., and hereby affirm that one of
the following methods will be used to meet the requirements of Chapter 515, Florida
Statutes.
(please initial the method(s) to be used)
The pool will be isolated from access from the home by an enclosure
that meets the pool barrier requirments of Florida Statute 515.29;
The pool will be equipped with an approved safty cover that
complies with ASTM F1346 -91;
�✓ All doors and windows providing direct access from the home to the
pool will be equiped with an exit alarm that has a minimum sound
pressure rating of 85 decibels at 10 feet;
All doors providing direct access from the home to the pool will be
equipped with self - closing, self - latching devices with release
mechanisms placed no lower than 54" above the floor or deck;
I understand that not having one of the above installed at the time of final inspection, or
when pool is completed for contract purposes, will constitute a violation of Chapter 515,
F.S. and will be considered as committing a misdemeanor of the seco • degree, punishable
by fines u and /or up to 60 days in jail as established in Ch •ter 775, F.S.
OWNER'S SI
& DATE
BRENDA DUBON
MY COMMISSION #DD256846
EXPIRES: OCT 08, 2007
•
eL
Notary Public
Print Notary's Name___.
My commission expires:
1 23.01•52 PACT 4 W02
¶.);\ CCC..UNT', OF ff.1) =
of C;CUti Wit'J C:•u'ay C jrb
Q.C.
. NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. —_-__TAX FOLIO NO.
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:
Interest in property: � f 12
Name and address of fee simple titleholder:
4. Contractor's name and d address: 23 N 0 8 i5 N-
N
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
S ignature o ner
Print Owner's Name kA r. w o'
Sworn to and subscribed before e this (, b day of CSC , 20 .
aligtE � sM
oMMlssl
EXPIRESLOCI na. 2007
111111111111111111111111111 11111 11 11111111111
CFN 2 1_01 -IFS09 545 71 o a
OR Bk 22775 P9 3784; (1p9)
RECORDED 10/29/2004 10 :17 :12
HARVEY RUVIN► CLERK OF COURT
MIAMI -DADE COUNTY► FLORIDA
LAST PAGE
3
2. Description of improvement: c\ e A4.
3. Owner(s) name and address: _Cf r 1 C. . �) r `n --C,,_ _
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 his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is s� cified)
Prepared by 1 0 - J - --
`, - t 2Ci
Address: 31C?D 1Z(
Miami Shores Village
Building Department
BUILDING CRITIQUE SHEET
1) s p et9A„44.6v1-
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. p d - /C a�
Job Name
iNg\f9c,t
DATE:
TO
FROM:
FAX TRANSMITTAL BLDG DEPT
A
•
▪ 1//
/2 4
NUMBER OF PAGES INCLUDING COVER
4 44 it cv enit //a
BUILDING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES, FLORIDA 33138
TELEPHONE: (305) 795
FAX: (305) 756-8972
‘ „-)/ , e,
FAX:
FAX: (305)756-8972
MESSAGE:
" )/(7iA
THANK YOU
Miami Shores Village Hall
_
BUILDING 1 ZONING DEPARTMENT"
SECTION
BY
DATE
ZONING •
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
•
JOB ADDRESS -��
4/ cL s
APPLICANT
PHONE ##
APPUCATION 14004-
SHEET _ OF
MISCELLANEOUS
DATE
ZUNIJVG
oL Se T41c / -
L
CRITIQUE SHEET
/a? . 3 ,evi s
/V
"e0077 L T pv12 4 E
/s Mc/ s 4 6,4,-a< 1q,6
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
1. Subject to compllance with elt Federal, State,
Coc nty.Ydtage rules sad teguiations. Village assume;
no responsibility for accuracy oflor results Iraq
these plans.
2. This copy of plans must be available et
building site or no Inspection will be conducted
COMMENTS INITIALS
it 77 oR/ 4/e r - e e 7 / 4/Pa
STEREO • T. V. • BOOKCASES • SHELVES • BUILT -IN FURNITURE • BARS • CLOSETS • OFFICE FURNITURE • MICA PRODUCTS
/ o /J
DESIGNERS and MANUFACTURERS
OF CREATIVE CABINETRY .. .
3759 N.W. 79th STREET • MIAMI, FLORIDA-33147 • 696 -0592
SINCE 1960
6- A 2 A(41,-z-
1/
ikoc,6-56'
velars lint, SURVEY NO. a D/6:34
VEYORS SHEET NO OF •
Scale 1" =
••/10 • r
w I
17047
-40
Order No. 50691
1638 -21 -22
F. B. No.
WE HEREBY CERTI
property is tru
cen t l y surveyed
croachments unl
Surveyor's Note:
The attached survey
P")
",'
.2'
G
0 50'
Me' . 9/ 37 5 / 7
77 e), V ../
s CC.' /E' .'/ =700'
SKETCH OF SURVEY
Lot 1, Block 58, MIAMI SHORES SECTION 2, according to the plat thereof re-
corded in Plat Book 10 at Page 37 of the Public Records of Dade County,
Florida.
FOR
Oscar A. Jose, Jr.
BISCAYNE ENGINEERING COMPANY
Civil Engineers
Miami, Florida
FY: That the attached SKETCH OF SURVEY of the above described
e and correct to the best of our knowledge and belief as re-
and platted under our direction; also that there are no en-
ess shown thereon.
BISCAY E ENGIN ERING 0 P sly
By: e'
r‘r r c, 4 ; 7:
� d
� 0
Pe r a k , .2
/.. F *Cr cab
is on the basis of occupation within the s`:681t.,
lfred B. "'nhr
Regis ered Engineer 1`17
Registered Surveyor
STATE OF FLORIDA
December 21, 1972
Scale:Shown
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I hereby certify to all parties inter-
ested in title to premises surveyed that
the plat shown on this sheet is
a true and correct plat of survey
made under my direction of
Lot 1, Block 58,
MIAMI SHORES SECTION NO. 2
ecorded in plat book 10, page 37,
Public Records of Dade County,
Florida.
Vacant
That the building / and other im-
provements lie as shown on this plat.
That there are no visible encroach-
ments. whatsoever.
That dimensions shown are true and
correct to the best of my knowledge,
information and belief.
ePr
Richard F. Giersch, Jr.
Registered Engineer and Land
Surveyor No's. 1083 and 89