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115 NE 94 St (19)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildi g Inspection Request l Date Type Insp'n f 4 1`C C ? S'r Permit No. Name Address Company Phone # Inspection Date Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 D\ Building Inspection Request Date 5 . �I ncd r €e to BPos- D-J m ) icyla r 115 NE, g4s -- Type Insp'n Permit No. Name Address Company Phone# 30,3 airs Inspection Date !3 f . Approved Correction Re- Insp'n Fee GVI� "Uwe ♦o a Cc 6 +4 'rct -ex/ °7.41 l S e_eJ 11 -t .� � .. --Q— e. s h ' (� L MIAI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request AC Date Type Insp'n ��. ► �L�l�t�, Permit No. C V Address 1■5 f ,E q L{ 5+ Name Company Phone # Inspection Date Approved C orrection (c — Re- Insp'n Fee ❑ (6[� e c„ - /rte pd ,T "14 _ 45 e1. 2 - ,P 0-9 410 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat- . 0 - Time Type Insp'n Permit No. Name Address Company Phone # For Inspect �Q / / 0 (Va Approved Correction Re- Insp'n Fee Name ate CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1092 Plan Cube 33,808 Tax Value 16,904 Pool T.v. 1,400 Encl T.V. 250 Miami Shores Village, Florida, 5 Owner, Agent or Tenant of Building O.P. BOND Lot 15 & 16 less Block 21 Subdivision M$rtrni Shores #1 p0 Stree ddlress 115 N.E. 94th St. Approved use by occupancy 3 BR, 2 Bath Res. Pool & Encl. Remarks. 9727, 9790, 385 This Certificate of Occupancy is issued to the above named OWNER for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. ILDING DIVISION New Building X Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ 1595.00 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR UILDING PERMIT Application is hereby made 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 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 the work. Date , 19 Ownei s Name and Address._ Dean R. Claussen N 9829 N. et 4th Ave. Rd , Registered Architect and /or Engineer Name and address of licensed contractor Brady Roofing_ Tiles Mfg. Co. — 2955 N. W. 73rd St. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 115 N. E. 94th St. State work to be done and purpose of building (by floors). 3 - and for no other purpose. Addition Repairs No. of Stories Roof Covering Tile Amount of Permit $ 10 Zone cubage required Plan 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 employe of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws Florida, Permanent Supplemen and has complied with the provisions thereof, and will require similar compliance from all contract s o sub- ntractors employed ;. h in the work to be performed under this permit; and will post or cause to be posted for inspection •.n the ite o the work such publ': ho or notices as are required by the Act. The undersigned agrees to employ only such s � .c tractor. .n ork to',be pertained u • . a ,3 permit, as are licensed by Miami Shores Village. 9 Remarks (Sig _ _ 4 r STATE OF FLORIDA, COUNTY OF DADE. Ss. 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 true. e Permit No. Disapproved (Signed) Date Date / Building Insp or LANNING BOARD 90 — Tile to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. ar%( Application. is hereby made 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 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 the work. /� Date Owner's Name and Address. -. v7!S ° ®° - '' / / FAt'S N No Street Registered Architect and /or Engineer Name and address of licensed contractor ,l�a/�. ___s /1 /ez I.4. , r2z.z ,L. ° L7 Location and legal description of lot to be built on: ock o� 43 6. /6, Pr' /9 g © id' treet and Number where work is to be done Lo t State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. j ss r7 Permit No Disapproved ( Signed) uildi MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLIDATION FOR BUILDING PERMIT g Inspector \_ Subdivision ",9.17-7 / r Date ( / e — 6 0 and for no other purpose. Repairs No. of Stories • Roof Covering New Building .. Renlodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ t ___per Amount of Permit ..... Zone cubage required Plan Cubage__ _CC 7 � Distance to next nearest building Size of Building Lot.__ . lt _ "i ▪ - 6-4 * __S! Maximum live load to be borne by each floor , I hereby sub it all the plans a and specifications for sai be sent to /reCA - AWR/5 d All notices with reference to the 'butiaag and its construction may C/ N GAS. 1 7 ' • j /` ,- "2/:P . The undersigned applicant for this building pennit 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, Permanent 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 are required by the Act. The undersigned agrees to employ only such subcontracts, on work to be performed under this permit, as are licensed by Miami Shores Village. ' J Remarks (Signed) - --- --- .. -–/ Read, Sworn to and Subscribed before me. /yfo,T Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 facts therein by him stated are true. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. and who, being by me of the above described therein by him stated Permit No .... Disapproved , (Signed) Chairman fee Member Member Council Approved Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other stricture 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 the work. , 19..6O Street_ 1 Date Owner's Name and Address.. G ._._._ 1 Q No 1.\ D C Registered Architect and /or Engineer 5-1- .E-? 1 1 4 A34,'D 5 Name and address of licensed contractor S _f > G_N. SA' Q 0 � J S' Ceu Location and legal description of lot to be built on: Lai" t 4. Less 14 S 10' - 11)E.rz.� 6b pi 1 g � 1, 1 s Lot tE Block Subdivision 5 1`A e1 C. Z. 1 t `n t t l 511Qt e S .__0 . Street and Number where work is to be done. \.‘ ' �� s 6 E T 1 )= r 5.�1 oc f S State work to be done and purpose of building (by floors) �c__tiw.__N �a� ��S.s�_2_tL, and for no other purpose. New Building Remodeling Addition._.. .. Repairs No. of Stories To be constructed of_ .UM Kind of foundation Roof Covering Estimated Total cost of improvements $ By Amount of Permit $ Zone cubage required plan Cubage r � Distance to next nearest building__._ 13 I Size of Building Lot 1 t '9(5 '21 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 /'1._A c- . 2.s`0 al ., 3 g : 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, Permanent 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 are required by the Act. The undersigned agrees to employ only such subcontractors, on work tp }fie performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) C STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared first duly sworn, upon oath deposes and says that he is the.. construction, that he has carefully read the foregoing application, nd that he did s e Read, Sworn to and Subscribed before me. to me well known, the same, and that all facts Notary Public, State of Florida My Commission Expires Building Inspecto ANNING BOARD DATE Member Member Member Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 6`lp>sirt t MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL 0 N? PLUMBING ❑ N a 9 9 61 ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ Work to be performed under this Permit Bl. 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 application 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 he assumes responsibility for work done by his agents, servants or employees. Signed • ' BY 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 responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Subdi- vision Sq. Ft Value of Project $ DATF 195 Contractor's License No Amt. of Permit $ BY AUTHORITY 7 BUILDING ❑ ELECTRICAL ❑ PERMIT PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA itee Bl. A'i 195 y :L s ;to Work to be performed under this Permit Subdi- vision Sq. Ft Value of • Project $ 20 o m Amt. of 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 application 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 he assumes responsibility for work done by his agents, servants or employees.:, "' Signed. BY 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 responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY I7 BUILDING ❑ ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building MIAMI SHOR VILLAGE. FLORIDA TE PERMIT N. 0 .j % 9 Owner of //:Y Building Bl. Work to be performed under this Permit "�� ( >' r a Subdi- vision +' 4, SQ. Ft Value of o f Project $ 4) Amt. of 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 application 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 he assumes responsibility for work done by his agents, servants or employees. a y P ,r 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 responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Signed: BY.. gt BY AUTHORITY i7 OWN ERe8 441.5. PRESENT ADDRESS er•LICEN'SE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) `` �� //b /�. L. '74.- £ $ LOT /r No 4 kG39 E oF BLOCK a 1 SUBDIVISION Y i, lPAIAn..,, S PdioK GENERAL CONTRACTOR e/47/)) Q__L. 9 % G ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 91-LA DATE 1-%(_ Co® ® 7 PERMIT FEE A ' BUILDER'S BOND NO. a C I DATE ) " ZONE • . REQUIREMENTS - 7.-e9 c CU. FT. PLAN CUBE 3Z Vo If CU. FT. EST. COST $ -4° ,, ®o ¢a DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: �, ek. rate-- G DATE i .. (n . ( LZ NEW CONSTRUCTION TYPE c--% % STORIES oN E. ROOF CONSTRUCTION T', L INTERIOR CONSTRUCTION Q2 Z 4744 t r:-S REPAIRS _ - DESCRIPTION .. ..)... ! -.. ._, .��_ C a _s - . -.. ., _ , ALTERATION DESCRIPTION .`mod az ADDITION SUBMITTED TO PLANNING BOARD APPROVED 00(_ REJECTED REFERRED TO COUNCIL 7 P 0 %'a 4-c J c - ,1( REASONS / 5n -1 • RE- SUBMITTED TO PLANNING BOARD Yoo C dr__ r,y�sa.,/ Ems ' • c e.67 o S a - MK (f v e a ° Lro SUBMITTFr) TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO./0 �' - .7- 41 ISSUED BY TC) 0. �® 99 ® BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION S SEPTIC TANK 4 .^- )- "S .; ROOF 9'51 L - 3 -st -(I0 L` SEWER BEAMS & LINTELS S SOLAR HEATER POOL S GAS FRAMING S ...30- ,,,. N AIR COND. s INSPECTIONS FINAL RE- INSPECT BY CLEAN UP BY ROUGHING SLAB s • SLAB SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE REPAIRS SPECIAL PERMITS S SEPTIC TANK 4 .^- )- "S .; �.a w. g. NC.: 9'51 L - 3 -st -(I0 L` SEWER S SOLAR HEATER S GAS RANGE CONN. S ...30- ,,,. N a, 4 7 - i7 cl., s INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING r s • TL'R & TOP OUT SEWER SEPTIC TANK SOLAR HEATER FIXTURES GAS CONTRACTOR I... 2. . Q. Lc c-7/.GtG✓ PHONE ` PERMIT NO. 5 7 J 1 DATE '2 ' Z � mac, FEE S 4 3. f 0 NEW BLDG. > 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE H. W. HEATER CONN S H. W. HEATER CONN. s RANGE CONN. s MOTORS S FIXTURES s r s INSPECTIONS DATE BY RE- INSPECT' BY RE- INSPECT BY TEMP. SERVICE Q. C: .64 c7A-e C. tf 'f 43 ROUGHING H. W. HEATER CONN RANGE CONN FIXTURES & FINAL per J LT ea i 'N'✓ BUILDING INSPECTIONS -st 7' CONTRACTOR PERMIT NO NEW BLDG. PLUMBING PERMITS & INSPECTIONS 3 0.) c -- ?c_ a, 1 DATE ALTERATION APPROVAL TO POWER CO. FOR SERVICE DATE ADDITION ELECTRICAL PERMITS & INSPECTIONS PHONE FEE s REPAIRS U 00 BY I, Buyer APPLICATION FOR CERTIFICATE OF RE to re- occupy the single family residence known as : (address) H 1\) q4S( Legal Description: Lot: Comments: Block I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is beingused for single- family purposes and that such Certificate does not constitute any represention, warranty or certification as to the condition of the dwelling or other structures on such -g ty - " Applicant / ' Date /Di 07 , Miami Shores, Florida. , hereby apply for a certificate PB & PG: • Print Name H 1 V For purposes of conducting the inspection required by Section 902 of the Mi Development and Zoning Code, please contact: Contact Name: !� . bD N `J Telephone: ami Shores Land I - 7V7c Seller V Realtor . Company Name Application Fee ($50) paid: Cash Check No. %. '� 3 Inspected bv: F. LUBIEN • "Approved X Denied PACE 1C Date 10/20/99 CER 11iIC ATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies at the prooerz• described in the above application has bee inspected for purposes of : e- occupa::cy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning. Cece and that such property may be re- occupied by the above applicant for single- family resident_ purposes. THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS B:EEN 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 LNTENDED TO BE USED FOR A ONE-FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CER.I 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 INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF TIE PREMISES IN ORDER TO DETERViLh1E THE CONDITION, THEREOF. PAGE 2 OF 2 MIANE SHORES VILLAGE, FLORIDA I t u A r a By: Xe 10/20/99 Date of Certification: BUILDING PERMIT APPLICATION FBC 2001 Ir Permit Type (circle): Building Electrical Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Plumbing Mechanical Owner's Name (Fee Simple Titleholder) //,V L7 Phone # Owner's Address 1 (.j 14.. . q s° City fit - 447 542 /Zly State Ft Zip Tenant/Lessee Name Job Address (where the work is being done) g. City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO L Contractor's Company Name \J �� `s Phone # Contractor's Address „953e, Cit 7 State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: Describe Work: Submittal Fee S CCJ Permit Fee $ Notary $ �^ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Training/Education Fee 5 Permit No. 5 - ter Permit No. 33/,30 Phone # Phone # Zip 111 Addition ['Alteration :New * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Technology Fee $ Radon $ Zoning Structural Plan Review. $ 50, Co 33/30 Roofing 5_7S'B — 610 , Square Footage Of Work: 7t5Z Repair/Replace El Demolition CCF $ ( 7 4 ! 10 CO /CC 5"a 4 3 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. 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: 1 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 seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not approv'd and a ?inspection fee will be charged. Signature Owner o The foregoing instrument was acknowledged before me this // day of fE6 , 20 O , by /4/6# ( L /P4' efr ( r who is personally known to me or who has produced N Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 s identification and, o did take an oath. to of Florid Commission # DD219902 Fa • nal Nota ry Assn. •5MY c.• N . tio Signature Contractor The foregoing instrument was acknowledged before me this /1 , day of /% , 20 0 Sby 6 eoi e C4 who is personally known to me or who has produced as identification and who did t. e an oath. NOTARY PUBLIC: Sign: Print: My Commission Expire ** * * * * * * * * * * *It * * * * * * * * * * ** Sri pY P V's ''i i `P sp LFidrida • My Commissklt5 Expires Jun 5, 2007 Commission # DD219902 ry Assn. . . k ,.. ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1 7 HOS M 2 / 5 %5 - fl Examiner Engineer Zoning •a Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/1/2005 Applicant: CYNTHIA RHEAULT Owner: RHEAULT CYNTHIA JOB ADDRESS: 115 NE 94 ST Building Permit Parcel # 1132060132870 Permit Number: BP2005 -207 Contractor JORGES SCREEN & SHUTTERS CORP Contractor's Address: 2330 E 11 AVE Local Phone: 305/696 - 2123 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 15 & W4OFT OF LOT 16 Fees: Description Amount FEE2005 -2601 Building Fee $225.00 FEE2005 -2602 CCF $4.80 FEE2005 -2603 Training and Education Fee $1.60 FEE2005 -2604 Technology Fee $5.63 FEE2005 -2605 Scanning Fee $21.00 FEE2005 -2606 Structural Fee $50.00 FEE2005 -2607 Submittal Fee ($100.00) Total Fees: $208.03 Total Fees: $208.03 Total Receipts: $0.00 S1� Permit Status: APPROVED Permit Expiration: 8/10/2005 Construction Value: $7,500.00 Work: POOL ENCLOSURE Signed: (INSPECTOR) Page 1 of 1 APR 01 PAiDD 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: NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO;:_f /j ' O/ 2O� jrAX FOLIO NO// 39 3a e? e 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: / - 53 - ' / - L - 3 - 3 - ' a /? ,,, 1 ' ShWeS Sec / 4"9 /6 /a 70 z_07 /,T v- uu vO T' 6,P &or i(, 6LK a Gor Si zes //t/L ova- /dZs7 - /2a3 - // /gi99 - / 2. Description of improvement: 45 a t eel ,e,/ .g/ f L. O S V ,qd 3. Owner(s) name and address: G X f%d - i3 � -T //5" /06 9y 1/i f9M / 7, - / 7 . 3 / 3 �. Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: O 6C" `l c L €el gam// _( 5U,, c- )-11/1-411 OL ?7. -35 i6 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 • T provided by Section 713.13(1)(a)7., Florida Statut1ARVEY RUVI Name and address: By 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 differ-, dat- i , specify d) lig O Sign -ti •wne Print Owner's Name 1 1N /Z, q//¢d I7 Sworn to and subscribed before me this d day of / - A e.7 Notary Public Print Notary's Name My commission expire 123.01 -52 PAGE 4 8/02 q P Lou �w ✓�, ,Notary Public - State of Florida , ±. • : .:My Commission Expires Jun 5, 2007 - .4? Commission # DD219902 By Bonded National Notary Assn. 0 1111111 111111111111111 1111111111111 1111111111 CFN 2005R0225967 OR Bk 23145 Ps 1539; (fps) RECORDED 03/08/2005 11:15:32 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE 1/ /r9/n, Prepared b S /eG/ ,200 Address: 43/ ,Co ✓�_ ,4i ,..S , Tl 33/64.