280 NE 95 St (6)MIAMI'SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 ,
Building Inspection Request
Date (0 ' ZV' Time
Type Insp'n "` r Vi've y
Permit No. a 0 3 / Y (Q 5
Name vt_t ei •
Address $ 0 /•C e 9'5 S 7
Company
Phone# 7�5to.-- 0 — 7
For Inspector: ap Io17-1 \ o. • Name & Date
Approved
Correction
Re- Insp'n Fee
MIAMI " SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date' /f3 .1- Time
Type Insp'n
Permit No. ` 1 V 6
Name C' ' ' " •
Address + C,
Company
Phone # (c"
For Inspector: ij io(v \ O 'Name & Date
Approved
Correction
Re- Insp'n Fee ❑
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BUILDING
PERMIT APPLICATION I=
FBC 2001
Job Address (where the work is being done) SAM 6
Is Building Historically Designated YES NO
• $ Value of Work For this Permit 3.5
Miami Shores Village
Building Department
Contractor's Address 3 'f 3 1 gui ` L 3 P
City AA I /$' tut l State F-'Z,
Qualifier 14ii 1-- 7a
SE 2003
Permit No. BP9.003 141D 5
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) AN1N 1 e ` v. , / ✓Q t . Phone # 3 o . 159% 3 9 5
Owner's Address Votive Vt- D AN l C L f . 2 .9Q /�� '45 $ t M I AN1► $XIS l3g
City b1, Am \ 5gortt S State F i Zip 33 13Y
Tenant/Lessee Name Phone #
Contractor's Company Name TAt/ 6Y2 ' �l1L.o •
2$ 5i
City Miami Shores Village County Miami -Dade Zip 33 '
Phone # J v-11 ._ g 4' /
Zip 33/7
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Architect/Engineer's Name (if applicable) - Phone #
Architect/Engineer's Address
City �'' State Zip
Square Footage Of Work: J • Z. oo .
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: CEP& Gc DI'lil,e it/Aj W 771 Dr—coy EP 13 ►2 it' Y PA t/E - YzS
****************************Fees****************************** r� �l SEP 2 6 PAI IN /
County Escrow Fee $ 2, 0 Permit Fee $ L O , l) Notary $ DQ
Education/Training Fee $ Tech $ Scanning $ Radon $
Code Enforcement $ Bond $ Struct. $
Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side)
PPP. FfiC 30•0O Check* 5108'9
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 property it 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 be .. v •d and a reinspection fee will be charged.
Signature
The foregoing instrument was acknowledged before me this of fl
day of ../2/ 20C3, by , day of -tC 20v) , by
who is perso 11y known to me or who has produced who is perso (lly known to me or who has produced
NOTARY LIC:
Sign: La/i-<
Print:
My Commission Expire
Chc7f7 /03
Owner or Agent
As identification and who did take an oath.
APPLICATION APPROVED BY:
State Certificate oiRegistration No.
Signature
Contractor
The foregoing instrument was acknowledged before me this X
KLE AL AN
MY COMMISSION rcc 9)w,4
tor FIOF F L X Notary Service g 4, 2005
1-000-3-NOTARY My Co
1' M
Bonding ice.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * **
as identification and who did take an oath.
NOTARY PUBLIC: / 1
Sign:
Print:
(Certificate of Competency Holder)
Certificate of Competency No.
•
* * * * * * * * * * * * ** ************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
7 /r/03
SEP - 91003
Plans Examiner
Engineer
Zoning
J
Contractor's Company Name
Contractor's Address
r � = �� � !�;, lip �► r
ding Department
'
BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
/, '
:
Permit No.
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) r f 2/lv K' (AS fice Phone # /
Owner's Address - 1
City 1' ' ' r - I State 4 Zip -
Tenant/Lessee Name Phone #
Job Address (where the work is being done) :: I
City Miami Shores Village County Miami -Dade Zip - '
Is Building Historically Designated YES NO
Phone #
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
& 2QC b- YSZfi
City ' State j Zip
Qualifier �r
Architect/Engineer's Name (if applicable) - Phone #
Architect/Engineer's Address
City State Zip
$ Value of Work For this Permit Square Footage Of Work:
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
County Escrow Fee $ 1 11 0 Permit Fee $ 6 D' Notary $
Education/ Training Fee $ Tech $ Scanning $ Radon $
Code Enforcement $ Bond $ 3 ( () - Struct. $
Minus Plans Check Fee $ Total Fee Now Due $ b 1 , k d (Continued on opposite side)
Pc{ SCI 3C ,C0 CC
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
l
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 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 be approved and a reinspection fee will be charged.
NOTARY P L LIC:
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
.hc7/7/03
CL,
Contractor
The foregoing instrument was acknowledged before me this
Signature
Owner or Agent J,
The foregoing instrument was acknowledged before me this Ng a
day of J 20 by day of
who is personally known to me or who has produced who is P erso
As identification and who did take an oath.
203, by
ly known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC: f�
Sign: _ L�'L� �1 `3YZ'
Print:
My Commission E
fret* @� MYco AMMJ • cc
1 °3-N � E X PI SSION# 9904.54
R Es ma r
a Bowing, Inc.
************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
AUG 2 6 2003
Plans Examiner
Engineer
Zoning
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant,
attached survey, performed by
performed on
v056
Q
P 5 ?/?!O iff/sloes hereby attest that the
(property owner) �/
(name of surveyor's company)
, is an accurate representation of the existing conditions and
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this ialt day of 0-00 3
Affiant is personally known to me, it produced L • as identification.
s
4 'oF
14300-3-
MY COMMISSION # C 990454
EXPIRES: Mar 14, 2005
TART Fl Notary Service & Bonding Inc.
l / l v a .
1 otary •
.�
Thi roperty described as:
Lot 1 and the South 4 of
Lot Block 15
FIRST ADDITION TO
PASADENA PARK,
according to the Plat
thereof, as recorded in
Plat Book 6, Page 82
of the Public Records of
Dade County, Florida. f
r
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5.40'
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0
a/. 41'
ONE STORY
.RE5 /DEJ/CE $1
23.961 ass � 2.65'
3.•? //.06' :-•
3.oe I
. NE 2 ' ° CT.
PROPERTY Of: Castro, Jose F. Jr. ,
A5P4lL
6.5' /9./01 2/.06/
00 l (ea 11) /3.5 f.1. eo 2
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06\ C •�, m".Tp
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2.50'
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SA6 u'4(-[..
4.GM'a%a. q10'
OVEP//E4Q
UT/L /l y
A BOUNDARY suever;
1 hrrelnt study that the wove% seine•
tented hereon meets the meson un1
technical Itandatds set tooth ht the Boatel
of land Surveyors on chapter 41G1).11
florid& Admin4uative Code pursuant on
Section 471027. lla. Statutes. lime am no
encroachments. overlaps. easements
appealing ort,the Plat, tither than as
•hnwn hen t
rl or. suavcvneANSI 'PrgNu 0 et
c? Tt) 12' te
FII :1.1) 11A'PK
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225 N.E. 105th Street, Miami Shores,
I'oge I of 2
(
Florida 33138.
LANNES AND (.AItCIA, INC.
1..11. 11 209H
S1IUVEVORRS 11A1'1'1 {ItS -LAND PLANNERS
ERNESTO E. ESPINOSA 112946
(lllice address: J5') Al .Svenne. ('oral (:ublea, Florida .1.11.1.1
015) (.f.4.79119 05.11 52.1.1166.1
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1 I)ItA1VN 111'
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Date
Type lnsp'n h yi& I tuu w
Permit No. 15 c 3z7--
Name DOn V)J
Address X50 0 1 J `mil S 54
Company 3 Phone #
Inspection Date
phi proved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 9)9
Building Inspection Request \ 0
J
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date
Type Insp' n
Permit No. 3
, 6
1!
' fl
Name V,
• l;\ \ r ,
Address c, ,
-
Company t"%.. IVJ
Phone # ,
Inspection Date
Approved
Correction
Re-Insp' n Fee
J
)
;-;
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp'res
A i
Nam
Address ovo 95
Permit No.
Phone #
For Inspector: n 9 Name &
o
(90'3,--s-CS