Loading...
702 NE 95 St (11)Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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. Owner's Name and Address f/ S S C RR . < 6 /- Registered Architect and/or Engineer //is (� Name and address of licensed contractor C� / Ty 6 �C r 9/ e, . 90 / £� /3- J -^/j v Location and legal description of lot to be built on: Lot /a?' / .• Block Street and Number where work is to be done MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT g 3,46 /S /9 ,70 ,s Subdivision ///„S71 • .f /xo:e ' � State work to be done and purpose of building (by floors). state exterior colors (submit samples) �C' and for no other purpose. New Building Remodeling Addition� / ` : F Repairs No. of Stories To be constructed of Kind of foundation Roof Covering . 3a t Estimated To /7 Total cost of improvements $ � %�'�!� Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 hereby submit all 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 obligatons 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. . d will post or caus to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agre •s , . pl.f y such subcontr rs. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 fore • oing application, and that he did sign the same, and that all facts therein by him stated are true. Date t 19 No. ) 74.1 a Street /l1 `I r� S/, t 3 lit/ ,L9 jq� X1f Permit No. 1160 Date ' Read. Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Notary Public, State of Florida Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. tvto We h . N' • .b '7 • C. 1...1 - S • : t). p SF:-VICE 6WI'Lta F e • • v si1 &JjI1 z • .s t• k.■.; 1.7 s E - 7 E • .L • C t 1 et 1 • i4 !!,:• 'Z' 4. • L L • Z. ' . , • • r 7 _ . • • c 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 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. CC r3 Owner's Name and Address... Registered Architect and /or Engineer � Name and address of licensed contractor _3 i '�,�� ' Location and legal description of lot to be built on: Lot /2- / Block 7 Subdivision m Street and Number where work is to be done 7 ° Z S ` State work to be done and purpose of building (by floors) No V4./lr� Street ���✓ � t .J ‘C CID Permit No Date s ` Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida �fG and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ o ' ° Amount of Permit $ 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 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 5968, 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 to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) � 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 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. Building Inspector 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. ALL Cy 4 ; ' 1 Fcm"l_� . �J 7 r I/ 3 MI MI SHORES VILLAGE Registered Architect and /or Engineer Name and address of licensed contractor STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved ¢ Date (Signed) * - Building Inspector 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 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. io , 19y 6 I d Owner's Name and Address ; Location and legal description of lot to be built on: Lot -- Block Street and Number where work is to be done H State work to be done and purpose of building (by floors) • Subdivision. i • Date ) L —411 1111111 11 / o' Q... Street and for no other purpose. New Building `, Remodeling .. Addition__. j ._ /Repaifs No. of S)oris / To be constructed of +• I vd, Kind of foundation -4P '' i' ' ;; j / 7 /J'�� Roof Covering ; '..., Estimated Total cost of improvements $ f r/ (f mfi ountermit $ Zone cubage required / / -?% L Plan Cubage 0., Distance to next nearest building.___ Size of Building Lot . f ' / 4 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 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 su) contractors, on .w rk ko � performed under this permit, as are licensed by Miami Shores Village. / ; � �? Remarks A 1 /fj ".� ,mil ( Signed ).1 .i ,. < 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 are true. Permit No . f Date Read, Sworn to and Subscribed before me. to me well known, 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. MIAMI 35, FLORIDA Telephones: 9 -3508 82 -0027 According to the Plat thereof as recorded in Plat Book Public Records of Dade County, Florida. I HEREBY CERTIFY that the attached sketch represents a survey made under my direction and is true and correct to the best of my knowledge and belief. There are no encroachments except as shown. REGISTERED LAND SURVEYORS 427 STATE OF FLORIDA + WNER•S NAME I. .11 PREFE IT ADI:,RESS 2 _ S . LICENSE NO. ` - PHC,: JG, 'TION (ST. OR AVE.) LOT 1� BLOCK { SUBDIVISION GENERAL CONTRACTOR ''ea::. ... Claussen ADDRESS PHONE NO. LICENSE NO. 1025 BUILDING PERMIT NO. '.1.13/.' DATE O/C/56 PERMIT FEE $ :1 ` BUILDER'S BOND "J NO. DATE 0/0/5G 1 7 , 500 ZONE REQUIREMENTS CU. FT. 20176.40 PLAN CUBE CU. FT. 1;,119 EST. COST $ ilar7-c1 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE 4CIE G NEW CONSTRUCTION TYPE 0 STORIES ROOF CONSTRUCTION 1 Tile INTERIOR CONSTRUCTION 3 a -'�? - 2 th REPAIRS DESCR IPTION 'tiood ii'loors, food Base, Plastered Jails R nd Ceilings. ALTERATION DESCRIPTION ' i1e 1as 1, Stills ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 3 _ //- / - St. ISSUED 6ck�1j BY l]P. G:4,14/ TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE CONTRACTORJq,jr' S !.? C L7rrt 13 C 4 4V _ PHONE PERMIT NO. Aie •Z . 1 DATE O " f 0 - , (,.. CI FEE $ i 3 O.- REPAIRS X J NEW BLDG. I ALTERATION I ADDITION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE =- - -- - $ SEPTIC TANK: -3 -�+ : - •..... �y .. �, $ SEWER $ SOLAR HEATER S GAS $ ` V_ c-' 2" - .�,': -# _ fL -1, : -• ,. -., ,c, 'FV t .,D $___ INSPECTIONS DATE BY ' RE- INSPECT . —__ BY RE- INSPECT BY ROUGHING ' - , TEMP. SERVICE 1„ r � - BY �... -- 4-....... GAS ' e •C.. ROUGHING SEWER H. W. HEATER CON. SEPTIC TANK R ANGE CONN. SOLAR HEATER FIXTURES ! t= V- .) C_ C. ia- --I, 4` XTURES & FINAL I PERMIT NO. e . � .,' I DATE 9 - 7 ', - .. FEE S NEW BLDG. 1 ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE =- - -- - S H. W. HEATER CONN. S RANGE CONN. $ MOTORS $ FIXTURES $ S INSPECTIONS DATE RE- INSPECT BY RE-INSPECT BY , TEMP. SERVICE �� � - BY �... ��J _,._., .....,e,..$ 4-....... Ar4. ' e •C.. ROUGHING H. W. HEATER CON. R ANGE CONN. XTURES & FINAL ENt•o R.• r 5 INSPECTIONS FOUNDATION BEAMS & LINTELS FRAMING • CLEAN -UP BUILDING INSPECTIONS DATE EY RE-INSPECT 5Y RE- iNSPECT ! vi FINAL f .. t PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR J. - - - - ' _ _ '-- PHONE BY PROVAL TO POWER CO. FOR SERVICE DATE BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect t Contractor or Builder ke e MIAMI SHORES VILLAGE, FLORIDA ^-� DATE ` ` ! o PERMIT " _i e t • Legal Lot _ - Description 1 ,� ` 1 11 El. 6 on . 5. �.� 2 1 Y c Address of ?- ;' �/ a of u►''J Amount of ,., Building { r �` s ect $ `. OC C "'� I I Permit $ 3 2 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. , Signed. L }} 1 ,�C�f - 1 4ti ^— "� J INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complianc9 with all ornances and regulations pertaining thereto and s ct conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao cepting this permit ,i c sum tx}sponsibility for all work done by either, myself, my agent, servant or employee. of f fJ &NTRAC1'OR OR BUILDER BY AUTHORITY Work to be N9 6297 Subdi v Valu Pro Contractor's rise No f / 0• .rte Auer CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1605 Owner, Agent or Tenant of Building,. CAMP Lot 12 -13-. Block 67 Subdivision Mi aryl Shores Secti on #3 Street Address 7(» N,E 95th.St. Approved use by occupancy 2 bedroom - bath and tropical" rpom aclrli ion Remarks 6297 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 buildin or structures. PLAN CUBE = 8734 45X TAX VALUE = $4,367. Miami Shores Village, Florida, 1117 -65 BUILDING DIVISION MIAMI SHORES VILLAGE, FLA. No 6883 , JOB P C=t_-e-L \ �� INSPECTION TIME READY 1 7 1 '" 6 S REMARKS • &I' " - G , 1 "-1 INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. N? 6851 ' JOB ADDRESS INSPECTION _& TIME READY C.A. ;Yr - REMARKS : • 70 a °h% R5-2r INSPECTOR 4 -1 -6S DATE • MIAMI SI-jORES VILLAGE, FLA. N? 6838 JOB 11-°' (?-32`i/. ADDRESS P 7 0 2 7 4 INSPECTION '". TIME READY L -- le,_ 4 ( - -- , G . .1 '�6 REMARKS • INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. No JOB ADDRESS 7° . tJ • E INSPECTIONPA 1.1 2--CJ� TIME READY an� , REMARKS : 7131 INSPECTOR DATE • MIAMI SHORES VILLAGE, FLA. N? 7124 JOB ADDRESS 1 1 (� � 7'l C "-jZ INSPECTION P Gi s TIME READY 6 - REMARKS: INSPECTOR DATE MIA1vMORES VILLAGE, FLA. No 6820 JOB ADDRESS / 0 INSPECTION FO TIME READY 7 % 3 0 c YY1 INSPECTOR - S 9 LSTir REMARKS : DATE Id /J I NN/ 'Village of Miami Shores N° 4760 JOB ADDRESS Ida_ s INSPECTION TIME READY REMARKS regtoot do0 ° ae it,/ • Village of Miami Shores JOB , ADDRESS 7 e) _ 2 ---- INSPECTION 0.--/)-- .---, 1 9 , ) , TIME READY / , i c 1 REMARKS INSPECTOR A 4 N? 4618 ci DATE I-- OWNER'S NAME L. CAMP NEW CONSTRUCTION PRESENT ADDRESS 702 N.E. 95th. St. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 702 N.E. 95th. St. REPAIRS LOT I 12 - 13 BLOCK 67 SUBDIVISION I Miami- Shores Section #3 GENERAL CONTRACTOR Dean R. Claussen ADDITION Wood base and trim ADDRESS PHONE NO, LICENSE NO. 7517 BUILDING PERMIT NO. 6 � D ATE �7 4 ( -6 5 PERMIT FEE $ 33.00 BUILDER'S BOND NO. - DATE - Addition ZONE REQUIREMENTS CU. FT. T.V. = 1367 11 PLAN CU'BE R']�l� CU. FT. Q EST. COST $ `8000. DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: W•R• Bradford DATE - -7-65 BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE NEW CONSTRUCTION TYPE CBS STORIES one ROOF CONSTRUCTION INTERIOR CONSTRUCTION I cement tile 12 bedroom - bath and tropical REPAIRS DESCRIPTION room addition - Concrete floors, plastered walls and ceiling . ALTERATION DESCRIPTION ADDITION Wood base and trim SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. l l4� ISSUED ' ��I/ /1 BY (OAT, TO v1-9f� DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: W•R• Bradford DATE - -7-65 BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE TEMPORARY SERVICE DATE BY I BY $ BY SEPTIC TANK i'Y1 �3;' -c / '= _ 4' n . .�t� .' ' I �, a $ a SEWER $ FIXTURES RANGE CONN. I $ $ SOLAR HEATER $ GAS SOLAR HEATER $ FIXTURES INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING $ RANGE CONN. I $ MOTORS TUB & TOP OUT $ FIXTURES RANGE CONN. $ SEWER A SEPTIC TANK I I SOLAR HEATER FIXTURES GAS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY I $ H. W. HEATER CONN. I I I $ RANGE CONN. I $ MOTORS $ FIXTURES RANGE CONN. $ A INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT BY TFMP SERVICE I I I ROUGHING I I H. W. HFATER CONN I I RANGE CONN. FIXTURES & FINAL I I INSPECTIONS • FOUNDATION BEAMS & LINTELS "FRAMING FINAL SLAB SLAB CONTRACTOR .". -a ... ; PERMIT NO. ( 3 _ NEW BLDG. SPECIALS PERMITS BUILDING INSPECTIONS 1 DATE I BY 11 INSPECTIONS DATE BY ROOF POOL AIR COND. CLEAN UP PLUMBING PERMITS & INSPECTIONS IPHONE DATE FEE $ 1 ALTERATION 1 ADDITION V REPAIRS CONTRACTOR nl/ei YJtti... PERMIT NO. 3 A r) ( DATE 1 4 -'! NEW BLDG. 1 ALTFRATION 1 ADDITION PERMIT NO. 1 DATE ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PHONE cz FEE $ REPAIRS BY FEE MIAMI SHORES VILLAGE. FLORIDA tit] G7 PERMIT N? _ ' �� o Own er of J B 4 Architect 1 ! i 1 `�} r. f.,'" t BUILDING ELECTRICAL PLUMBING ROOFING Contractor or Builder 1 A. H ;' ,Ar, ref -0-1 Legal Lot rr . t ! . ! 2 1I B1 Description Address of - ' � ; C'� Building r �"` ,7! C� . 7, Work to be performed under this Permi 7/2 Subdi- vision Value of Project c rel Amount of „ 47-0 $ "' Permit $ f t 400,6 195 This permit is granted to the contractor or builder named above to construc 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 cr 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 ac- cepting this pellnit I piss uif responsibility for all work done by either, myself, my agent, servant or employee. . f. CONTRACTOR OR BUILDER ' BY AUTHORITY 6 I �J o \, sec'•' hereby apply for a certificate to re- occupy the single family residence known as: (address) 101_ "— C. APPLICATION FOR CERTIFICATE OF RE— OCCUPANCY Legal description: i 3 LOG 0 \A\ - \ `\ "3C` Lot: \ Z z, ,Block: 4 ,PB &PG: 2. 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, Florida, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applica t (k) Date: S /V . Inspection: B Comments: Print Name: \ <.: , Miami Shores, Florida. ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For the purposes of conducting the inspection required by Section 902 of the Miami Shores Development and Zoning Code, contact: Contact Name: (?:.:� Telephone: I S t Buyer:_ Seller: Realtor: Company Name: Application Fee ($50) Paid: Cash:_ Check: r Number: 1 Ll . roved: Denied: Date: �b CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the application has been inspected for the 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 applicant for single- family residential p roses. MIAMI " HORES V 1 AGE, FLORIDA By: Date of Certifi • ion: THIS CERTIFICATE 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 INTERESTED PARTIES ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF, CONTRACTOR �l NameY Vic) , i7/U CoArsI i e Re.- nAhr/I�1/ /, License No \G �O O `Gl D S - 7 7 P i Address a 0 2 3 N. E ,,,g- G r / A0(14-'044; / 33/7? Telephone., © f 65 ��cp 7,- F 3 o7 — 4)5.-,32,z1 Qualifier Name PROPERTY OWNER /� Name + \ �s ! 616F�� Address � e 1s S ¥'-k iim 3noces FL 33 g 1 Home Telephone S _ _ •-7 ,/ f � Business Telephone 0 5_ 2 3 7 ` z . i 7 � L Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other RECEOVED APR 1 8 2003 Master Permit No. PERMIT APPLICATION ' cOO Subsidiary Permit No. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: - 7-179. NE. t-► 5 S Address Apt. Folio Number 310ea l f ^ N 1150 Lot P. *V.3 Block (., PBJa PG - Current Use of Property' -e s ■ t P.rr - c Proposed Use of Property g•2 5 quest• -- t O.\ Tenant Information Subdivision Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other •/ Zoning PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Telephone F lam1 City Description of Work aces L 33133 State Zip t ATg fine AF,A/ 2- rco,E Linear Feet Square Feet ' • Units Floors . Value of Work. ,..3 r b Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Bldg Value ENGINEER Name License No. Telephone F Page 2 1N1P() NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. A FFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. ST N. OF FLORID , CO Y OF MIAMI -DADE Signature of Owner fr1Gf� e kV/ Print Name / S m to and subscribed before me this / day of • ha 4.,_441g.f 1414h1■0 Sign SEAL: e of Notary Public - 44 .A Yamile S Borroto *V.1 *My Commission CC835722 Expires May 11, 2003 to of Florida Personal y known OR, Produced Identification Type of Identification Produced: Sign STA OF ARIDA, COUNTY OF MIAMI -DADE Signature of Contr aEtod/ Qualifier 1r /), C�z .73ra 10-3.1 Print Name Servo L t g and subscribed before me this 5 day of SEAL: e of Notary Publ' - State of Florida I,N6 Yamile S Borroto *. ,,_y *My Commission CC835722 3 Expires May 11, 2003 Personally kno wn OR, Produced Identification Type of Identification Produced: PERMIT APPLICATION ELECTRICAL TYI'I{ Minimum Fee QTY. '1'Yp1{ Dryer QTY. "1'YI'I{ Outlet, Appliance ()Ty. TYI'i: Service Repair Qry. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinlder System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) AJC Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps AJC Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New I\IECHANICAL TYPE Minimum Fee QTY. T.V Condensate Drain QTY. TV1'1': Generator Q'I'Y. TYI'I. Refrigeration, Tons ()TN. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinlder System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUi1131NG TYI'I: A/C Condensate QTY. TYI'E Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYI'I: Soakage Pit ()Ty. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply • Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zonin Electrical %W-C %�i Mechanical MEW W r� j�i1immtri MEM Plumbin l Fire Public Works Structural Building Official W%� IWIMI Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ FIRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) '1 • O OTHER (Specify & Attach) PERNIIT FEES ( x .60 x/1000 ) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) $ ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) ISSUING OFFICIAL TOTAL $ REVIEWED AND PREPARED BY: PERMIT APPLICATION 3 0 , 0 0 DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http:/ /www.miamishoresvillage.com DATE RECEIVED FROM QENT t).0 (4 FROM CHECK MONEY ORDER ASH No. _19%69 60, DOLLARS P °/003 ° L-209 TO 1182 MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Req Date lO -5=03 Time Type Insp'n Permit No. 3 - ‘coy i Name 554/ Address 702 /v Al 95 S Company S_;'Sit/PIC)874.5.1 ! Phone # 3,25 a (( 30$= 7s/- 7 N/rrf For Inspector: a e & Dat 05 3_ 7j q Approved OA'L, 4 4 ` Correction ,T,p1471 W Re- Insp'n Fee ❑ ' +hoes /1' s S/Dekie rry ca--e an ledell.A4P. sly L 9 d(zy /(A44f - MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ t .) j Date !4 5 Time a e Dat 30�'m m 712.r. Approved Correction / ,�❑ Re -Insp' n Fee ❑ Type Insp'n � /707/4.~244—, ,� 4 . Permit No. i 7 6 o9 Name sziekaehyzy Address , I9,0. Ale S / Company /f$ i DIlC lS1 / Phone # Dos= 766 -lo o� 3a3 73 - 7 /& For Inspector: .5- -off / s b S SiocF�Ai ry ca &c am ikataae, slus (d ( it 9 1 7 ' 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 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 i - n this Notice of Commencement. Q 1. Legal description of property and street address: Mrs 1 S I'LOR_ S' . . C 3 PE. 10-3 7 LET 12. 3 B (o1 L C SI2E i � 'Z36 70 a. ,t1, � � 9 .� 5 - r� ST � 1 /8A4 s Z ' 9 , / 3 3/ � V 2. Description of improvement: f' //1, E 4 C,A 1 /2, /,3 /9.179 3. Owner(s) name and address: 0 U r'o 1. S s- their / e ;4- :57 0 b 6 $ ri2�2 M c,S 9FT A4 »/K % ch/D,2E 3/ Interest in property: & U) AJ Name and address of fee simple titleholder: 4. Contractor's name and address: / S /D 4J � ma(s -77 AAM Cm. / 1.0 a, 3 ) g, c1 /v a1/4.00/ '6/4- j4 '3 3/ 7 e ( 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 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: V l g ! D1) ` QI 9.r / C -t9v- is 3 0 /✓ C--T i%/ /f:z,W X6 J¢C.11 f ,317 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: X 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) Ar 1 ' / , Signature of Owner Print Owner's Name 74 uia-' i Sworn to and subscribed before me this /3 day of ,20 e3 . C . Notary Public Al . i ! _Arm lilt* Print Notary's Name My Commission Expires itt *My Commission CC835722 STATE OF FLORIDA, COUNTY OF DADE •".: 0 HEREBY CERTIFY that this is a true,C�i�y of the origin() _f _...--_ f off s on �( mrix as ca �nd � - czaD KM Alf A 20 at. wfe C n 03R236,992 2003 MAY 02 09 =25 Prepared by Address: 7. t 4 /,r Hin-mi eF,4c, fG e 'jai / 79' A April 17, 2003 Douglas Stokesberry 702 NE 95 St. Miami Shores, FL 33138 Bathroom Fire Repairs Replace bathtub Replace vanity cabinet Remove & Reinstall water closet Replace damaged dry wall, paint walls and ceiling Replace damaged insulation Replace damaged #23 window, aluminum awning type to code Replace ceramic tiles, walls floors Electric • Install two GFI receptacles to code Replace three high hats fixtures Install one vapor high hat fixture over tub Install new switch Replace one switch General Clean up Interior paintings ,e VISION CONSTRUCTION 8 RESTORATION, INC. 20223 N.E. 15 Ct. North Miami, Florida 33179 (305) 655 -9995 FAX (305) 655 -3221 CGC #057768 Scope of Work ALL WORK TO BE DONE ACCORDING TO CODE RECMVEU AN 1 3 2003 1,r4L a ■m o : ! !■ 7Qvem■!! 't m!!!!!. ■ ■■ ■1... ■ ■ ■ ■. ■ ■ ■■..■■■■ ■■■nnem ■c or mmummumni ■m■m ■rn■■■■■■■■■■■■■■■■■■■■■■ iiiiiiiiiiIIIIIIIIIIIIHhIIN!911li1li0H1H11!I immummommummorriummmummissumamommamommtM 111111______..__. o�.._ .___,____.�`� Ara�z•�A•�?�: ►1��� ill _ ■■■■.■■■■IE'ii{ ■■ X111■■ Emi' ZZmaimmuwv]■11■m■■m■LmL■ mu■■ 111111111! NNWW 'lCEO!■EM■ ■t!► '■ ■ ■(tll■U■11■■O! MLAMM • 11 1 ■ 'll ii1 ■■■■ ■■■■!■S■■■n!!4m !J■rem■%gimmimmoromm ma ■■■■ ■■ ■■■■ ■■■ ■■■■■ ■■■■■■©: 7m��� !!■ummil■■m�1\�1■C-��I��i ■■■■■■ um 111111111111111111111 ■ © ■ ■ ■ ■ ■ ■■ ■r� ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ IiI 1_ Nib Lic. CGC 057768 ERNESTO "ERNIE" DE LA FE Construction Supervisor e d 4 VISION CONSTRUCTION NN,F, & RESTORATION, INC. ,0 223 N.E. 15th t. vi or Miami Beac C . FL 33179 Tel: 305- 655 -9995 Tol: 888 - 522 -0253 Fax: 305 -655 -3221 R R. N A- 'i Rt • • - . ;■ I A,iil FADE " 111111 PRODUCT CONTROL NOTICE O,F Curv- A- Tach,Corporation 930 W. 23 Street Hialeah ,FL 33010 Your application for Notice of Acceptance (NOA) of: Series 300 (S.T.D.) Aluminum Single Hung Window under Chapter 8 of the.Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall. not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or materi fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke -this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. - The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01- 1023.02 • EXPIRES: 11/12/2006 MIAMI -DADE OOUNTY FLORIDA ' METRO -DADE FLAGIR�BUILDMG BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUS 1603 MIAMI, FLORIDA 33130 - 1563 (305) 375 -2901 FAX (305) 3 75 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT DIVISION (305) 375 -2966 FAX (305) 375 -2903 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 72,-( Raul Rodriguez Chief Product Control Division THIS IS 'l at. COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUELDING CODE & PRODUCT REVIEW COMI'ITTTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. APPROVED: 01/24/2002 Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office \ \s0 \pc2000 \\templates \noace acceptance cover page.doc Internet mail address: postmaster @buildingcodeonline.com Homepage: http : //www.buildingcodeonline.com Curve -A -Tech Corporation ACCEPTANCE No.: 014023 1- 2023,E APPROVED: Ja nuat� 20C EXPIRES: November 12, 200 NOTICE OF ACCEPTANCE_ SPECIFIC CONDITIONS 1. SCOPE 1.1 This renews Notice of Acc eptance (NOA) No. 9 8-.0513.06, which was issued on November 12 199.8. It renews the approval of a single hung alum window, as NOA, designed to comply with the South Flom B��g o e (SFBC), (SFBC , 1994 Edition E Simon 2 of thi ition for Miami` . Dade County, for the locations where the 23, do not exceed the Design Pressure pressure requirements, as determined, by SFBC �� Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The Series "300" Aluminum Single Hung Window and its strict.co_mpliance with the following document: rawing No W98 -25, Sheet shall be co W98-25, Sheets 1 thro ��� in "S -300 Aluminum Single Hung 'Window," � �5 of 5, titled revised on 10/15/01, signed and sealed by Humayoun p o q p E , bearing g am ed i -Dade County C o and Product Control renewal stamp ounty County Product Control Division�T� document shall hereinafter date b Y -the Miami-Dade drawings. wafter be referred to as the approved 3. LIMITATIONS 3.1 This approval applies to single unit applications only, as shown in approved drawings. 4 . 'INSTALLATION g 4.1 The aluminum single hung window and its components be ' the approved drawings, p installed in strict compliance with 4.2 The installation of this product will rem a hurricane protection system. 5. LABELING 5.1 Each unit shall bear a permanent label with the manufacturer's name or logo ci following statement: "Miami -Dade County Product Control.Approved ", ' state and 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the followin : 6.1.1 This Notice of Acceptance g 6.1.2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.13 Any other documents required by the Building Official or the South Florida Buildin Code (SFBC) in order to properly evaluate the installation of this system. g 2 Alb Raul Rodri_'ez, Chie • Product Control�ivision Curve -A -Tech Corporation ACCEPTANCE No.: 01- 1023.02 APPROVED: January 24, 2002 EXPIRES: November 12, 2006 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if a) There has been a change in the South Florida Building Code affecting the evaluation of this product an d the product is not in compliance with the code changes; b) .. The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. S. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process. b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purpose. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. END OF THIS ACCEPTANCE 3 Raul Rodriguez, Chief Product Control Division Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/1/2003 Applicant: DOUGLAS Owner: JOB ADDRESS: 702 NE 95 , Contractor j Sip VA- (CY14}.0 1 Local Phone: Parcel # 1132060141930 • Signed' In consideration of the issuance to r conformity with the plans, drawings, s done by either myself, my agent, sery Signed: di. sdtrnoa �h 2 $ ' girp 17U0 Building Permit Permit Number: BP2003 -609 Cif STAKEBERRY ST ©tra t r s Address: Legal Description: MIAMI SHORES SEC 3 'PB 10 -37 LOTS 12 & 13 BLK 67 LOT SIZE 123.230 X Fees: FEE2003 -2271 Description Amount Plans Processing Fee (Other) $30.00 $30.00 Total Fees: -Fee — cec ;Z. /Q Total Fees: $30.00 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 10/15/2003 Construction Value: $3,500.00 Work: BATH FIRE REPAIR SEE SLOPE OIL L 5 Ot 00s 2 .II :"1 t 11300L 90:1 ."1 2 01300.11 0L9/19-C9 091.s6 - Id'H3V39 IWVIW H11:10N 'AMH 3IXI01S3M 19091 )INV9 SH31NV1d NOINf JO d3ad0 Hl 01 Add 6L1££ ld 'R'1YM HJJdON '10 HIS 13N £ZZOZ '3N1 'NOLLvu01LS311 9 NOI1311HISNO3 NOISIA Ny, 0 0 L c c z p 0 0 0 NOTICE, OF COMMENCEMENT. , PERMIT N0. • TAX FOUO NO. t STATEOF FLORIDA: - COUNTY OF DADE , .THE UNDERSIGNED hereby gives notice that Improvements will be made to certain real property, and in_1kccordance with •Chapter 713, Florida Statutes, the following Information Is provided In this Notice of C•mmencement. 1. Le aidescrl Ubnof rT 8 �h A: p ij�rtY and at g@t dress. _. 70 2 � ' q z 2 Description of improvement: ,►.�� _ 3. Owner(s) name and address: Interest In property: P F • RICA, COUNTY F that lsa Name and address of fee simple tftieholder: • •:( ea.. t L: • , 1 • 4. C • ntragor's name • d 1 • dress: C.+ P A;(- Cod. c.6 . P, . 5. Surety:(Payment bond requlred•by owner from.contractor, If any) Nuns and address: Amount of bond $ 6. Lender's name and address: 1 11111 11111 11111 1AM ►41U 11111411111 MI 111 CFN 200580288869 OR Bk 23198 Ps 1892; Ups) RECORDED 03/24/2005 09:50 :22 HARVEY RUVIN► CLERK OF COURT MIA11I -DADE COUNTY, FLORIDA LAST PAGE • 7. Persons wlthIn 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 Q1-+ Name and address: • 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided In 8GCtion 713.13(1)(b), Florida Statutes. Warne and address: • • g. Expiration data of this Notice of Commenc (the expiration date is 1 year from the date of recording t Isu a , different data Is specified) • t` Mgmose o1 Ownw ' .Print Owners Narne Swotn to and subacitbed before me this J day of m° 11 ao9 S Notary Public Print Notary's Narne • Roberti Chtyst :`� ;•; = MYCOMMISSION DD113321 EXPIRES May 24, 2006 `r ' BONDED IHeJ TROY FAIN INSURANCE e1C • • Prepared by: p 01 e r J ,CtnrysT Address: 6 O _ bo S1 30 ..!`' F1,J ale • k