835 NE 92 St (11)Date
Type Insp'
Permit No.
Name Q
Address rag— A J / 2
Company t P'
Phone # q K ��
Inspection Date , 0
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildin Inspection Request
Re- Insp'n Fee ❑
o�
Phone #
Inspection Date
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buil.ing Inspection Request
/
DI I
Date
Type Insp'n I
Permit No. O n O `f '(
Name Lcr9
Address 73 NE L- 5F
Compan PaLe rpm
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):, Building / Electrical Plumbing Mechanical
Owner's Name (Fee Simple' Titleholder) C: (2.t tt,%/jL /.J,( ✓Phone #
Owner's Address . `7 �; ` 2 r
City / 4 f-texze5 State 1 14,r2 -1 0f!
Tenant/Lessee Name
State Certificate or Registration No.
$ Value of Work For this Permit 3
Total Fee Now Due $
(Continued on opposite side)
Fir e2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
AVE ie.-
a r
/,./i✓ 2- 5f
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES NO /""
County Miami -Dade
Zip "' (
Phone #
Square Footage Of Work:
C `c.S * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ C. ; Permit Fee $ )5 � CCF $
Notary $ Training/Education Fee $ l 60
Scanning $ Radon $ Zoning
Code Enforcement $ Structural Plan Review. $
Permit No. 6961
9 - 19
Master Permit No.
Zip
Roofing
Contractor's Company Name
Contractor's Address
City i ;2 O'i774 e a: �_ State �._ Zip
. 3443/ w 1 43 PLAce
Qualifier
Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Type of Work: EAddition ❑ Alteration ❑New Repair /Replace ❑ Demolition
Describe Work: f PLJ .t Ex j A. F7`(At7 0.; T11 N , ✓./
.fLA T ) 13/ l i C IZ ! -'/t G7‘71
Technology Fee $
C O /C
3., 75
Bond $ ?(_.+�.� �
----'
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. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs ' en (7) days ter the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a e nspection fee/ ill be c rged.
NOTARY
Sign:
Print:
- • At
roduced
TCHER
to of Florida
Commissio k DD 151864
Nlotarlr A ccn .
Signature
My Commission Expo
Chc 05/13/03
wner or Agent
The foregoing instrument ' i sac
day of ,20 by
who is personally o o
.'�
:, IC: Ill
,
•
APPLICATION APPROVED BY:
d before me this
10 did take an oath.
Signature
I Contractor ff
The foregoing instrument was acknowledged before me this y
day of Vtuettab, 200.I , by
who to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
**************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
0,4 ///f4
My Commission E
*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
NOV 0 9 2004
Plans Examiner
Engineer
Zoning
C r;
S3S
;
\ / '
1 9 ' d
I, •
..C
• FO./2. . OF
_ �o
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE PO D ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. SP( -1 / l TAX FOLIO NO.
STATE OF FLORIDA
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Rorida Statutes, the following Information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: 5 23 5 „11./ q2. 51 i/iit/I i 5/e0/2e
t 3$ DADS 6- / 1 1 A,1 j) OO 132.0c J 60LDc&- G47c
17A fl e(A T gook 6 PA 13 0.
2. Description of improvement: `V (2 IA) rvue W/a j 1A ; 7)-( On ►C p4•Ver
3. Owner(s) name and address: I-c N fn i Q .'(% AA.ijp Top' 835 //E 4 .) ) 2 S /-
/14 i/tM i '/ tOrd FL ( 33/3j
Interest in property: ne Si o / /M (
Name and address of fee simple titleholder.
4. Contractor's name and address:
?/- ErZ p 0 3 Ll 3
5. Surety: (Payment bond required by owner from
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upati, :tices •° other docum ?nts may be serve
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. Expiratio
differert .d
date • ` is j4otice of Commencement: (the expiration date -is-1 year from the date of recording unless a
ign
)(Print Owner's ame ( ( a/ [l► il r; ZAAIS t./ / 'L Prepared
` Sworn to and subscribed befor his _2,9_ day of 0 / 4 # 1 2 , -A. ; 20 ti
.. �
\ \ \ \�r NDE1I1��LG44 ''� 0fis�,,Ad
w
Notary Public \�
Print Notary's Name
My commission expirex
123.01 -52 PAGE4 8/02
". , o
0 •
"141 ,fi1849 VAN
CFll' 2004- 81081.938
OR 8k 22878 Ps 2020; (1Ps)
RECORDED 12/06/2004 14:11:39
HARVEY RUVIH► CLERK OF COURT
MIAMI-DADE COUHTYr FLORIDA
LAST PAGE
contract 1 , r %�^ � .'�"
�/ r
ivand ry ,,
onw nzi t
Address:
by
33/3g
as
c 4 v 143 P4.^. ,95
L POVL TA t. P1
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: X 35' Jvt= c"2- 5 1 Awl i /i �t'7 i � /295
34t33 DADt ,V7 y Lot ? '' n Oj? i/(X J 6c)C.DEA- 647
7AvK 7(i 900,( 6 p, of 13 0 .
2. Description of improvement: N e Vl/ 12► ✓' W/-! j 1N i - 7)-1 131? ' C� PA- tieri. •
3. Owner(s) name and address: MGNn I .9(x(J'1N D 33 N6 12 5
M i 1tM i 5r Gorr t S L 33 3S
Interest in property: )2e Si I)CNT-4 L-
Name and address of fee simple titleholder: .
4. Contractor's name and address: F,
) vert pj2 3'4 3 t
5. Surety: (Payment bond required by owner from
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner up&
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. Expiratio ,date • is of Commencement: (the expiration
differe • •te i- spec
123.01 -52 PAGE 4 8/02
a sr v 1 �z co4 � `k& 33
contractor rpF FLORIDA y•. +rne
/j.•(� day
is - year from the date of recording unless a
)(gn' .re - • rer ,
< Print Owner's ame g!.; a/ n► ?(fie �1�v8 /
/ ` Sworn to and subscribed beform,m fi ),o day of 0e- / ( d`1; 20
lo DELG,q�O
..... .w{
Notary Public �" ii `J 9*
Print Notary's Name
My commission expire* •
ded
4 aau nNO IS
CFN 2004R1081938
OR Bk 2287E P9 2020; Ups)
RECORDED 12/06/2004 14:11:39
HARVEY RUVIN, CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
other docum
Prepared by
Address:
nts may be serve. as
111111111
X 55 ..iv' o s
PovI rk f. P1
33/3$
�A v t!�
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204
Printed: 11/17/2004
Applicant: CLAIRE
Owner: LANGTON
JOB ADDRESS: 835
Contractor PAVERPRO
Local Phone: 305 - 220 -1531
Parcel # 1132060050051
NE 92
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2004 -1456
LANGTON
CLAIRE
ST
Contractor's Address: 3431 SW 143 PL
Legal Description: GOLDEN GATE PARK ADDN PB 6 -130 E31.21 FT M/L OF LOT 8 & ALL LOT 7
Fees:
FEE2004 -11428
FEE2004 -11429
FEE2004 -11430
FEE2004 -11431
FEE2004 -11432
FEE2004 -11433
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Builders Bond
Total Fees:
Amount
$150.00
$1.80
$0.60
$3.75
$6.00
$300.00
$462.15
Total Fees: $462.15
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 5/4/2005 Construction Value: $3,000.00
Work: REPLACE EXISTING ASPHALT DRIVEWAY WITH NEW DECORATIVE BRICK PAVERS
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
BY:
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