1250 NE 95 St (4)1/A
`Legal D
Benjamin Moore Paints
Owner / Lessee / Tenant
Contracting Co
Qualifier
I W Ni
State # 9O 7 Municipal #
Architect /Engineer
Bonding Company 4
f7
Mortgagor /V�i�
Signature of owner
'bate: 2/22/93
APPROVED:
as o Owner
and/or Condo President
Notary / ndo President
My Co iss.iori ,Expu. g
NOTARY PUBLIC STATE OF FLORIDA
MY,,C�OMMISSI9N EXP. NAY 21,1994 * * * *
**OYtED THRU GENERAL INS. UND.
FEES: PERMIT _04 RADON C.C.F.
PPLICATION FOR MIAMI SHORES VILLAGE
1250 NE 95th St. Tax Folio//q /'' `('7/
David Lithgow
Owner's Address 1250 NE 95th St. Miami Shores, F1 33138 Phone 758 3843
Competency #
*
Master Permit #
Address 6 7 *'S /JG 1d5 &'
ss# his - - 796 J Phone_75 7 & 7 2
Ins.Co.
Address
Address
Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 6'-�l .a
,
Square Ft. Estimated Cost(value)
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 - amg4 contractor to do the work stated.
Signatur- of Contractor o Owner - Builder
Date:
*
.4A
Notary as to Contractor r-u4der
1;
o
My Commission E.r�esLOl
Notary Public, State Cr ` :o, ic;:
My Commission E giros. Dec. 15, 1990
* Committion No. £C 2452513
*
**
NOTARY TOTAL DUE Prioa
Other
Fire
Zoning Buildin_ ,i Electrical
Mechanical Plumbing Engineering
STATE O FLORJD4, COJNTY OF DApE
HE?E3Y catuiF1 t a th's i; a true co
6riginaf file f;,.s (i ice on
, A
W Thf2Sri my F ' -.}' . -d Cf • fa, Seal.
HARilPr rLER Circuit and County Courts
Sy
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE: 973R099 125 1993 FEB 26 14:06
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: 1250 NE 95th St. Miami Shores, FL
2. Description of improvement: G' /4
3. Owner(s) name and address:
1250 NE 95th St. Miami Shores, FL 33138
interest in property:
Name and address of fee simple titleholder: /1
4. Contractors name and address: i42 tip/
. � 'F 713 /ribs J �Ud' J2.7/2,F
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: zVd"f 6.
Amount of bond $
' //d
6. Lender's name and address:
NOTICE OF COMMENCEMENT
�- W. David Lithgow
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: "J/Y
8. 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.
Name and address: /f//.A-
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Sign. ureofOwner
Print Owners Name W. David thgow
Sworn to and subscribed before m� this 26 day of Feb . , 19 93 .
Notary Public, 1771 4) 'r
U ,-- .:o-.,- .,
Print Notary's Name Mary K. , friefkliFV 1 1
My Commission Expires: NOTARY PURI Tr cur OF FLORIDA
MY COMMISSION EXP. MAY 21,1994
Pnm^ED THRU GENERAL INS. UND.
Prepared by: 17
Address: ///,2-,/ �—' '
. MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 \�
Building Inspection Request \�
Date_, }
Type Insp'n �►r1C,� L C1�1
Permit No. Sq aOD s- se9
Name OJ'eti
Address L Ls-e (UE g S
Company
Phone #
Inspection Date
App' rove � -�
Correction
Re- Insp'n Fee
Building Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -509
Printed: 4/25/2005
Applicant:
Owner:
JOB ADDRESS: 1250 NE 95
Contractor
Local Phone:
Parcel # 1132060144070
ST
Contractor's Address:
Page 1 of 1
Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 7 & LOTS 8 & 9 BLK 85
Fees: Description Amount
FEE2005 -5166 Building Fee $60.00
FEE2005 -5167 CCF $0.60
FEE2005 -5168 Notary Fee $5.00
FEE2005 -5169 Training and Education Fee $0.20
FEE2005 -5170 Technology Fee $1.50
Total Fees: $67.30
Total Fees: $67.30
Total Receipts: $67.30
Permit Status: APPROVED Permit Expiration: 10/8/2005 Construction Value: $2,000.00
Work: PAINT HOUSE EXTERIOR
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, 1 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:
Applicant:
Owner:
JOB ADDRESS: 1250 NE 95
Contractor
Local Phone:
Parcel # 1132060144070
Building Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -509
Printed: 4/25/2005
ST
Contractor's Address:
Page 1 of 1
Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 7 & LOTS 8 & 9 BLK 85
Fees: Description Amount
FEE2005 - 5166 Building Fee $60.00
FEE2005 - 5167 CCF $0.60
FEE2005 -5168 Notary Fee $5.00
FEE2005 -5169 Training and Education Fee $0.20
FEE2005 -5170 Technology Fee $1.50
Total Fees: $67.30
Total Fees: $67.30
Total Receipts: $67.30
Permit Status: APPROVED Permit Expiration: 10/8/2005 Construction Value: $2,000.00
Work: PAINT HOUSE EXTERIOR
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.
Signed: (Contractor or Builder) BY:
PERMIT APPLICATION; a r K
FBC 2001
Permit Type (circle):
Owner's Name (Fee Simple
Owner's Address
Tenant/Lessee Name
Total Fee Now Due $
• Miami Shores Village
eQdo
City (?47\ ; S
(Continued on opposite side)
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
State PIA-
Job Address (where the work is being done) f 2 5b E ?5 Sfi
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name V..lh)t3r Phone #
Contractor's Address
City State
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect /Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit J 0°0 • Gd Square Footage Of Work:
Type of Work: ['Addition ['Alteration ❑New ❑ Repair /Replace ❑ Demolition
Describe Work: -Q -
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ** * * ** * * * * * * * * * * * * * * * * * * * *k * **
Submittal Fee $ Permit Fee $ X20 00 CCF $ 1(0C) CO /CC
Notary $ ,� - CO Training /Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Permit No.
Master Permit No.
Electrical Plumbing Mechanical Roofing
Phone #
Zip 3 3 `38—
Phone #
Zip
3c 7L 3T'3
Zip
Bonding Company's Name (if applicable) q
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. [ 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 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 approved and a reinspection fee will be char ed.
Signat
Owner or Agent Contractor
The fore yn
day of
ii
ti is personally
* * * * * * **
oing ' strument was acknowledged before me his
NOTARY PU
Sign:
Print:
My Commissi Expires:
,20 by
* * * * * * * * * * * * * * * * * * * * * * * * **
The foregoing instrument was acknowledged before me this
4 _ day of , 20 , by
wn to me or who has produced Z $....1g who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
APPLICATION APPROVED BY:
Chc 05/13/03
NOTARY PUBLIC:
CV td'tt i,u"
,:..mini•• .;. t ! 1 11231 '
.� IIt��s�SIL�` 2t1 lint:
isw mow un, 1 brit
min Bo dv (r, My Commission Expires:
**************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
•
Signature
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
APR 12
Plans Examiner
Engineer
Zoning
Date
Owner's Name
Owner's Address
Ci
Walls
Fascia 2
Drip Cap /drip Edge o2
Soffit
Roof /1J6 'PA,,,A ^''7
Flower bins -lN "l 4r_∎
Shutters tv c
Awnings (VD
Chimney ft) a
Doors and door jams
Garage doors
Railings P
Fences 416
Signature
Miami Shores Village
Paint Color Approval and Agreement
Qs
Decorative metal
All brick (simulated or regular)
Stucco banding fL)rC-
Any other stucco features NU
Accessory Buildings Ai 6
APPLICATION APPROVED BY:
�� t ' Phone # Zi
p
State
Job Address (where the work is being done)
City Miami Shores Village County t -Dade
Is Building Historically Designated YES NO
-
Contractor's Company Name (if applicable)
Phone #
****************************************************************************** *: * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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.
Owner or Agent
P& Z Official
Date
ales
Date y�I(
chc 6/18/03