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797 NE 94 St (15)0 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 Villar shall be complied with, whether herein specified or not. A copy of approved plans and specifications must bc kept at building during progress of the work. Date..._.. __... , 1923 Owners Name and Address ,,ld'L f�i�1I �._...._ — No _.. Street _ Registered Architect and /or Engineer t.: t .:........ ... 171, . _... -,... Name and address of licensed contractor 4. .� KAC, 7''..... !` 1/0 � � . .... � ..__ Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done Stato ^ork to be d• and par os9 of budding (by _.. D ° 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 $ /2 06, Amount of Permit S. ^O O 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 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 arc required by the Act. The undersigned agrees to employ only such subco --• on work to be performed der this pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j 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 statgd area e. Permit No._ _ 1 Date Disapproved ....... =_--.` (Signed) (� Building nspector My Commission Expires Date.. Read, Sworn to and Subscribed before me. Notary Public, State of Florida to me well known, PLA 'INC °' 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 51.00 will be charged when such re- inspection is mado necessary by improper notice for inspection or faulty materials and /or workmanship: PHONE: 531-7345 Name: Address: Installed ah Terms: Net Cash MIAMI BEACH AWNING CO. d /b /a/ MIAMI AWNING CO. NATION. MSS, u. W. IL.a.en. run. Iota. ; 77 /;(1 A`• ClOOTATION MIAMI AWNING CO. 282 N.W. 36th STREET MIAMI, FLORIDA 33127 Fabric Fringe: Date. / � — �° U 1 Sales Tax Total Deposit Balance 1. No agreement, representations and /or warranties either express or implied other than that which is herein stated have been made by MIAMI AWNING CO. or any of Its officers, employees or agents. 2. All right, title and interest in and to goods sold to, manufactured for, and /or delivered to the purchaser shall remain with MIAMI AWNING CO. until the contract price stated herein is paid in full. 3. Risk of loss of the goods after delivery is upon the purchaser and purchaser agrees to insure same in the full insurable value thereof. 4. If default is made in the payment of the purchase price or any portion thereof and MIAMI AWNING CO. engages the services of an attorney to collect same, or to replevin the goods, the purchaser agrees to pay all reasonable attorney's fees incurred by MIAMI AWNING CO. as a result thereof. In the event the goods are repossessed and any damage is done to the premises where the property was situate, purchaser agrees to idemnify seller from any claims arising therefrom by any persons and of any nature whatsoever. 5. The party signing this agreement as or on behalf of the purchaser warrants that he is duly authorized to enter into this contract on behalf of the purchaser. 6. All agreements subject to strikes, accidents, acts of God, and other delays beyond the control of MIAMI AWNING CO. 7. The methods of construction used are standard practices of the company. Any changes desired must be indicated beforehand and included on this contract. Accepted: Seller Accepted: Purchaser PHONE: 634 -4531 PRICE P IEg OS T.. M60 Mir I Q r` w C�Oo �iJ`YYYIF'T�G i'V' '} '282 N.W. 36th STREET MIAMI, FLORIDA .33127 1:077:13: CEsh j/ j f / VI' ' I ,/,/,`/ / �/ _ _, � a r ^auAq•Ya ++.r. .. ..W..‹. �E , 4 • [3;: ACH AG7Ril' G CO. e /h /c/ At7R;ie"G CO. fr i?aie• Sales Taff 4otet Deposit Balance No c rco ost, QC2 tic: E: ::2/c7 cue? ntics Ahoy ottprocs o? °the? than that which Es horoin stafod havo boon iRado by MIAMI AWNING•CO 2. Aid eight, title and intorost in and to goods'sold to, onanuffacturod for, and /or delivered to the purehasor shall remain C ©. c t o = preo otatod1 horoin is paid En 4"x41. 3. EYEA of Sass a Oho goads after doiivory is upon tho purchasor and purchaco' t:23 t2C70S4. /4 O4 default is plado in tko paymont of tho purchaso price or any portion thorcaff and MIAMI AWMI \IG CO: e= cr ED C:`::. t er.e o, c7 4c voplov°n tho goods, no pmKhacor agroos tzo pay all reasonablo attornoy's fool incurred by MIAMI CaK: :3 �^::'a Ez•ads a'o vopassessed and any damage is done to tho promises whore tho praorty Was situato, purehaso7 c± ?az t 4rcm by any lscrcono and of any natu7o syhataovor. S. Oho party signing this agrooncont as or on behalf of tho c ".,,y 0,7 tc c.... F:.tc tJ is oont' c9 bc off the purehasor. 6. All agroomonts subioet to strihos, cccidonto, acts o4 God, end p GY17A !7 AVIMX0 COOa, Y. n3 moti* of ccnsstvuction used aro otandard practices of tho company. Any changos dosirod roust Ise c P :w . c t:. °o cM: o A=pteda purehasor Ma0a. o 606.600T' 1 �- • PRICE MIAMI SHORES VILLAGE BUILDING DEPARTMENT cOl 305- 795 -2204 Nib Building Inspection Request Date Type Insp'n Permit No. Name Address 7 / Q ,7 Company Phone # Inspection Date Correction Re- Insp'n Fee 305-M �9 - i/ NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. OPUS 6 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 in this Notice of Commencement 1. Legal description of property and street address: 1 C4 17 l . q 4 S 6 ;` , 4*41- 45 (400-€5 171 L 3.�L 2. Description of improvement: 10 SI& LL4'(c 0 1r °"T bt OLE 'F Q Pp c. !S w 1-t cAr C . g 3. Owner(s) name and address: f Later & Lo G,_c: 7 I- -€ -'' 4 s t L 4- 4-c<< 3 3 (re., Interest in property: J(J Name and address of fee simple titleholder IAA 4. Contractor's name and address: � V c P, A 91 1 --to 4 A S A w � E f - 5. Surety: (Payment bond required by owner Name and address: Amount of bond: $ 6. Lender's name and address: My Commission Expires: `390 Nt -U1/4/ ‘')) t avf _ MtA.M1 . 141-- gnature of Print Owner's Name 02 C I S O L O Sworn to and subscri before rye this Notary Public Print Notary's Name y �. .+°' 4 , Rose Luz • � My Commission D0228676 ‘or wa` Expires July 18. 2007 om contractor, I pr r=1 . r_•;r A c('i, � i'ry �r � AuE i7y i/70 Cr <:5 a•;nvE:Y RUVin, CLE .u, o 7. Persons within the State of Florida designated by Owner upon whom notices o provided by Section 713.13(1)(a)7., Florida tatute Name and address: f I 11111111111111111111 111111111111 I11II 11111111 CFN 2005R0150332 OR Bk 23084 P9 0615; (1p9) RECORDED 02/14/2005 16:00:41 HARVEY RUVIHr CLERK. OF COURT MIAMI -DADE COUHT'Yr FLORIDA LAST PAGE • :lip•. • . , \4 lOD we 1i1R1 er documents may be served as 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: 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) Prepared by: 1 F - 6,6,aec -a.J 3 - 64c..ccr;✓ Address: °[ O 4 j t.q _ C,4 - 51 iSAPg l---I c &L t, — 44_ `33441 JOG :04-7255 I LOCATION SKETCH I SCALE •I ": 3 00 / LEGAL DESCRIPTION:Lot thereof as recorded in Florida AND the South according to the Plat Records of Dade County,Florida. 2 / 16 n is ig 20 tt 12 . ( 3 14 S 4 , N,E, S ST. S 4 3 2 1 l.or I m y mr _ ti ,,, Ns,94'5T (.- 7 28,Block 67,MIAMI SHORES SECTION NO. 3,according to the Plat Plat Book 10,Page 37 of the Public Records of Dade County, 26.51 fet of the West 20 feet of Lot 3,Biock 1,JONI HEIGHTS thereof as recorded in Plat Book 96,Page 23 of the Public - GENERAL NOTES 1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE. 2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. 3) (222) DENOTES THOSE ELEVATIONS REFERRED TO N/A DATUM. 4) LOCATION AND IDENTIFICATION OF UTILITIES ON AND /OR ADJACENT TO THE PROPERTY WERE NOT yy�� SECURED AS SUCH INFORMATION WAS NOT REQUESTED. THIS LIMITS OF ZONE_ r O nDanV GI Prn�pr clone CERTIFIED TO -title partners of Florida , inc . ,Flor Criscrlogo, DATE :March 18,2004 APPLICABLE ZONING. UNDERGROUND. ZONING AND BUILDING SET BACKS . MUST BE CHECKED By OWNER. ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION BEGINS ON THIS PROPERTY. CERTIFIED TO: I HEREBY CERTIFY: That the attached Plan of Survey of the above described property is true and correct to the best of my knowledge, information and belief, as recently surveyed and platted under my direction, also that there are not above -ground encrosehmes other than 4 :11::::: :) those shown. This survey meets, the minimum technical standards set forth by Florida Board of Land Surveyors pursuant to Chapter 61G17- 6,Florida a • •• trative SIIRVEYING,INC. Code,Section 472- 027,Florida Statutes.- " ,���_ L.B. No. 3333 j --- � ? 147 ALHAMBRA CIRCLE No. 241 LAZARO D. ALONSO CORAL GABLES, FLORIDA ,33134 PROFESSIONAL LAND SURVEYOR Phone: 1305) 448 -9488 THIS IS A BOUNDARY SURVEY CERTIFICATE NO. 3590 STATE OF FLORIDA NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S SEAL PLAN OF SURVEY 4010 4.244 Qba rwR-'t C _6.5. =Co, re -5 -rvecc. = Ce ,,�zc� L; . TµERE S A 10 4LLEy 1JOT� -to Q R-o PE 9:1-1 a K T N Wss S D S APPpR rrLy "1"415 PROP•RT -1( •.S Svav *F L0 'uct-vvES TEal' oLL J �o v 1-Etoo . sC-R 9Q4. Ooh r4oz' ; L r= .cC.�02 "Tt) c4t=c6 T'Y !S 15Su= 4 t 0 l�l FOP.M TL Svfa VT 'T - . ,// Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING 1 Ctc: PERMIT APPLICATI 4 N FE3 r FBC 2001 Job Address (where the work is being done) 191 N - E c 4 57 Structural Plan Review. $ Permit No. EROG I ri Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) - P-L-0(2._ C _) s O LD 6 a Phone # Owner's Address 717 14. >% - (44 -r City Mt /v1* 54k 5 State 4 L Zip ' 13F%, Tenant/Lessee Name Phone # City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO 1 )4r e Che.tvt$ ft.omt e:Te C a. Contractor's Company Name Q VjA T t - toulo tal t.kt i C Contractor's Address 1 ) 9 Q t J 14- W • s l 4 I E. City Mt 0-4 State '-T-- L — Zip v35 (41. Qualifier Lout $-CG Phone# J0r2 - 6,49- 4e7(P State Certificate or Registration No. Certificate of Competency No. o 00 0 6'5 2.25 Architect/Engineer's Name (if applicable) VvI ,t\ /1.4.V.. j r 6v'S'Fre4 cial Phone # . ' 2 ` r 5 (205 my $ Value of Work For this Permit '5; 9. °d' Square Footage Of Work: 255, Type of Work: ❑Addition ❑ Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: I 0'2114. L "I4 O� C�t E o.P, ao-Le dw &toC) t^[ f 9,6141 1& G6L & tit) 7 W v Awl-kit-Ur-15 brr t -5 ****************************F _ Submittal Fee ermit Fee $ / CCF $ Q CO /CC Notary $ ` Tr.'ning/Education Fee $ � '. �r�t; Technology Fee $ .5 Scanning $ in? ' . don $ Zoning .'-''' Bond $ Code Enforcement $ - ' Bonding Company's Name (if applicable) V A. 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 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. The foregoing day of / ent w .s acknowledged before me this .(1t 20 C V , by 1 j'('.. L `?Ui.� e who is personally known to me or who has produced d'`:.�✓,cc?, :Cd 2 t, As identification and who did take an oath. NOTARY P IC: Sign: Print: My Commission Expires: Rosa Luz Sandoval • My Commission 00226676 ' kp wd Expires July 18. 2007 APPLICATION APPROVED Chc 05/13/03 -1-i, it • Contractor The foregoing instrument was acknowledged before me this 3 day of ( , 20 04, by LOU l �. i i# c , who is personally known to me or who has produced as identification and who did take an oath. Signature NOTARY PUBLIC; Sign: Print: My Commission Expires: ` Zoning FEB 1 6 2005 7h,-r 7'45'le / S *= I Plans Examiner Engineer