1044 NE 97 St (7)Date
Type Insp'n
Permits No- ! f - :/// i
NameT �`J
Address
Approved
IIU
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Re- Insp'n Fee ❑
J
Time
C?
i ce : G' E
Compa �
Phone # , � 7) D.
For InspecTor: 1 1 1 Name; ate
For Inspector:
Approve
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date _ - Time
Type Insp'n
Permit No.
Name
Address t
Company
Phone #
Name & Date
GAETA, V. & sow
1044 N. E. 97th Street
V. Gaeta & Son
BUILDING PERMIT NO.
OWNER'S NAME
.CE LOCATION (ST. OR AVE.)
GENERAL CONTRACTOR
9446
M'P(?U IREMENTS 25,000 CU. FT.
ZONE
DRAWINGS
X
NEW CONSTRUCTION CBS
SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY JIM
REPAIRS
ALTERATION
ADDITION
SUBMITTED TO PLANNING BOARD
..- SUBMITTED TO PLANNING BOARD
S UBMITTED TO VILLAGE COUNCIL
DATE
6/2/50
1
92 N. W. 100th Terrace
9
LOT BLOCK
PLAN CUBE
°em. Tile
w /toilet and laundry trays
PRESENT ADDRESS
ADDRESS
181
92 N. ';l. 100th Terrace
PERMIT FEE S • 19.00
TYPE STORIES ROOF CONSTRUCTION
26,,265,2 cu. FT.
APPROVED REJECTED REFERRED TO COUNCIL
LICENSE NO.
SUBDIVISION
Miami Shores Sect. #8
REMARKS
CERTIFICATE OF OCCUPANCY NO.// ISSUED)
BUILDING PERMIT AND INGPElTION R ORD MIAMI SHORES VILLAGE
PHONE NO.
PHONE NO.
LICENSE NO.
7-5574 3663
BUILDER'S BOND
NO. 1017 DATE 6/2/50
EST. COST S 1
DATE
INTERIOR INTERIOR CONSTRU Io
Oak Floors - Plaster Walls
DESCRIPTION
Liv Rm - Din Rua - Bit - Scr. Porch - 3 Bed Rns - 2 Baths - 1 car att. gax
DESCRIPTION
REASONS
INSPECTIONS
PHONE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
( DATE
0
7DH
DATE
FEE
TEMPORARY SERVICE
6/50
BEAMS & LINTELS
(, 6/9/
6/29/50
SEPTIC TANK
1 "y
$
$
SEWER
-4.• RAMING
° HI -' o
t -
SOLAR HEATER
$
$
GAS
$
$
FINAL
4 1- i /- SI
DATE
BY
RE- INSPECT
BY
RE- INSPECT
CLEAN -UP
2 ' /`f ■.11
",
Q� i/ 1
CONTRACTOR Woods Plumbing Go.
PHONE
PERMIT NO. 972
DATE 6/26/50
FEES 11.50
NEW BLDG. X I ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
6/50
$ 1.00
$
SEPTIC TANK
1 "y
$
$
SEWER
$
$
SOLAR HEATER
$
$
GAS
$
$
INSPECTIONS
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
",
Q� i/ 1
ROUGHING
GAS
JDH
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
Tyj_
, �1GAL
SOLAR HEATER
-_
FIXTURES
FIXTURES & FINAL
;;') ° / 1 '
CONTRACTOR LIAT'i •1 E1Act. CO.
PHONE
PERMIT NO. 9732 1 DATE 7/27/50
FEE $ 13.60
NEW BLDG. X I ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
9499
6/50
$ 1.00
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
6/12150
JDH
ROUGHING
7/
JDH
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
;;') ° / 1 '
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE : ^ / •
BY
PAID BY
-
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
`
. :�
A
�
<
Ica '�, ("
!,.
ti'`
— i (_
•
�• "ad •`j
�j
ADDRESS 1014 N. E. 97th Street
rot 9 Block 181
LEGAL ::;iarui Shores Sec 8
RECORD GARBAGE TAX
;UILDING
LECTRICAL
'LUMBING
tiOOFING
)wner of
uilding
rchitect
MIAMI SHORES VILLAGE, FLORIDA
DATE 195
❑ PERMIT N? 3110 Contractor's
License No.
❑ Work to be performed under this Permit
:ontractor
r Builder
egal Lot
.escription
Bl.
Subdi-
vision
ddress of Value of '1 Amount of
uilding — / Project $ II 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
,refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ne 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
anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
- rtaining 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
,ne 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
:rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY o�
CO RACTOW
Name e se. 03 9/
License No. p g �� a
Address , , �/ /...:--,4,. 3 -7
Telephon 7_44 " lo G / ax _ 73 5,,, 7,S iy,o'
Qualifier Name A!� ,4A/ z idfi..rr/flx
PROPERTY OWNER
Name 4 ripiigyj 6%/f G'(i c /
Address / G
`0/infili JS67" _f ,fit. 3$ /sf
Home Telephone 3 cu ,_ zc ,. 2„2. 7J
Business Telephone
Fax
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add't Attachment
Other
Add'I Detachment
Other
Step 1.
Step 2.
Job Address: / � 4/4 7 /
Address Apt.
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
Subsidiary Permit No.
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
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.
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
City
State
Folio Number Description of Work
Lot Block
PERMIT APPLICATION
$__3 /jf
Zip
Subdivision PB PG Zoning Linear Feet
Current Use of Property fe,.( ` brnJC Square Feet Units Floors
Proposed Use of Property Value of Work ' 7 1' x7 . — Bldg Value
Tenant Information Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
IMPORTANT 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.
AFFIDAVIT - 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.
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature . off Ow /
/5, / J y4 6V ('/a �ObOh L
Print Name / 1 Sworn to and subscribed before me this ? day of A/) Z
Signature of
SEAL:
M1 <t < ,n'
or II 1:l.
t 600.3- NOTARY Notary Service 8 Bonding. Inc.
Personally known OR, Produced Identification
PERMIT APPLICATION
STATE OF FI.IRIn OUNTY OF MIAMI -DADE
Signs ure o
FRANK VViJAl ;,S',C;
Print Name
Sworn to and subscribed before me this .5 day of
1eo —.
0
P Go State
1,31
'f
or 1‘.'
.e00.3- NOTARY
MMISSION4 DD053319
:XPIRES: September 7.2005
FL Notary Servio®8 Bonding, Inc.
rr ELGARD
0
Personally known
OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
QT1'.
A/C Central 1 -3 Ton
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C 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
A/C 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
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Dishwasher
Low -volt, Television
Service, Number of Amps
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
MECHANICAL
TYPE
Minimum Fee
A/C Central, Tons
A/C Wall/Win. Tons
Air Handler, Tons
Barbecue
Bath Fan - Vented, #
QTY. TYPE
Condensate Drain
Cooling Tower
Dryer Vents, Number of
Ductwork, Cost of
Fire Sprinkler System
Fireplaces, Number of
QTY. TY
Generator
Heating Strips, each
Paint Booth
Piping, Flammable Liquid
Process/Pressure Piping
Pressure Vessel
QTY. TYPE
Refrigeration, Tons
Vent Hood, Cost
Ventilation, Cost
Periodic Inspections
PLUMBING
TYPE
QTY. TYPE
QTY. TYPE
QTY. TYPE
QTY.
A/C Condensate
Bath Tub
Bidet
Cap - Fixture
Cap - Water
Cap - Sewer
Catch Basin
Clothes Washer
Dental Chair
Discharge Well
Dishwasher
Disposal
Domestic Well
Drainfield, 4" Tile/Res.
Drains, Area
Drains, Floor
Drains, French
Drains, Roof
Drinking Fountain
Filter Replace
Fountain
Gas - Appliance
Gas - Natural
Gas - Propane
Gas Piping
Grease Trap
Ice Maker
Indirect Wastes
Interceptor
Laundry Tray
Lavatory
Meter Set (Gas)
Minimum Fee
Miscellaneous Equipment
Miscellaneous Fixture
Miscellaneous Repairs
Pool Piping
Pump and Abandon
Pump, Domestic
Pump, Fire Stand
Pump, Re- circulate
Pump, Replace - Pool
Pump, Sprinkler
Pump, Sump
Relay Repair
Roof Inlet
Septic Connection
Septic Tank
Sewer Connection
Shower
Sink
Soakage Pit
Solar Water Heater
Sprinkler Repair
Sprinkler System
Supply, AC Well
Temporary Toilet
Temporary Water Closet
Urinal
Utility - Sewer
Utility - Water
Vacuum Pump
Water Closet
Water Heater
Water Heater New
Water Re -pipe
Water Service
Well, Supply
RECEIVED AND REVIEWED BY:
DATE:
SECTION
BY
DATE
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
V
�
p tK2617‘'
t
Building Official
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$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
$ l 0 (sq.ft. = x/1000
x t.60)
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ 1_S
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: 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
I
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2002 -1952
Printed: 11 /14/2002
Applicant: DOMINIC GIACOBONI
Owner: GIACOBONI DOMINIC
JOB ADDRESS: 1044 NE 97 ST
Contractor SEARS ROEBUCK & CO
Local Phone: 305 - 659 -1179
Parcel # 1132050170210
Fees: Description
FEE2002 -6434 Building Fee
FEE2002 -6435 CCF
Total Fees:
Amount
$145.00
$6.00
$151.00
Total Fees: $151.00
Total Receipts: $0.00
Permit Status: Approved Permit Expiration:
Work: CABINET REFACING
SEARS HOME IMPROVEMENT PRODUCTS, INC.
PERMIT ACCOUNT
P.O. BOX 522290
LONGWOOD, FL 32752 -2290
PAY TO THE Miami Shores Village
ORDER OF
v
MEMO
Miami, #2665604
o'0304 Lg0 ' 1:063 L09430 64 944 0600
Building Permit
5/13/2003
Contractor's Address: 8000 W BROWARD BLVD
Legal Description: REV PL MIAMI SHORES SEC 8
Construction Value: $9,788.00
SOUTHTRUST BANK
LONGWOOD, FL 32750
63- 943/631 87823
AUT ' IZED SIGNA
Page 1 of 1
PB 43 -51 LOT 9
RIP
30 419
Ispection
11 /7/2002
BLK 181 LOT
herefor in strict compliance with all
ns that may have been submitted to
1 OC the plans are changed without
ility for a thorough knowledge of the
assumes responsibility for work done
DOLLARS e
9
N
taining thereto and in strict conformity
isibility for all work done by either
u
m
CO
This instrument Prepared by:
1 ,
Name: SEARS HOME IMPROVEMENT PRODUCTS, INC.
P.O. BOX 522290
LONGWOOD, FL 32752 -2290
1- 407 - 767 -8011
NOTICE OF COMMENCEMENT
State:
5A/ b/9
County:
THE UNDERSIGNED hereby gives notice that improvement 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. Description of property: (legal description of
property, and street address if avai 1e) A
f-vc� /) t c ),oboe Og-\ 0 �`'\; o vi 3ko
5 .{x-6 G 6i oc V Sg 1
2. General description of improvements: extd, „& T /1 L f il Elam.
3. Owner information ��
a. Name and address: /[ F' 7 J � ,16dId.J.' — / 9 ' /1/‘ 97 13-4 .57 - -
33 /3d�
b. Interest in property:
c. Name and address of fee simple titleholder (if other than owner):
4. Contractor: (name and address)
SEARS HOME IMPROVEMENT PRODUCTS, INC.
P.O. BOX 522290, LONGWOOD, FL 32752 -2290 1- 407 - 767 -8011
5. Surety
a. Name and address:
frr 'o
b. Amount of bond $ day of
, A D 20
WITI� "ESS my hale nd afficrai Seal.
6. Lender: (name & address) NA ■ r c _,� • 1=
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)
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 Notice of Commencement (the expiration date is 1 year from the date of recording unless
a different date is specified)
NA
(Signature of O er)
Drivers License #:
Owner's Name: /re1l?7,J
Owner's Address: /6 /9 /1/6 97 a ST
who is personally known to me or has produced
r:.
if 1%‘'
MYCOM
FXPIR
ION #< DD 153319
September 7, 2015
STATE OF FLORIDA, COUNT 0 UAUL
orrgrnal file.derffir ���
By
ABOVE NAMED CONTRACTOR
ii/ %nt;4 fha6-1
All information must be typed or printed legibly to comply with recording requirements.
02R69765 1 2002 NOV 08 14"25
D.C.
pc 3 /,j,
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this 1VCU 1 by
as identification and who did
(Signature of person taking acknowledgement)
(Name of officer taking acknowledgement - typed, printed or stamped)
(Title or rank)
(Serial number, if any)
M9 - Rev. 04/02
Pears Homo Improvement Products, inc.
license No. CB CO39161
t .O. pox 522290 $ Longwood, FL 32752-2290
•
State • Ft_
up $ haul away all job- related debris., , ,
Installation also includes the following optional features:
Valance
❑ Clear Glass Door
Quantity
Q French Lite poor
Quantity
p,Nw prttwers and Glides
i Finger pulls , •
R1 Knjck -Knack phelves/Units
Quantity
RI Roll -Out Shelves
t. Quantity
R/ Tilt Tray
* Toe -Kick Application
❑ NeW Additional Wall Cabinet
Lineal Feet
•
Location: 3 0 I V" 8°1)1 I
SEA Phone #: 3 4.1•' 7 rt c 7j
1 rroM.uo,mv.MUnvnmum Job No.: 01.44 3 f
/�
CABINET REFA9I
lAryt3.. H 117 110h / 1H (01934 ' Phone (h) 7 Ci1�7y (w)
hereby employ Sears Home Improve ent Products, Inc., hereinafter referred to as "Contractor", to furnish labor and materials necessary to reface existing kitchen cabinets at:
Street / f7 `f L f J& 974 Sr city sr1r�N1 l-t_
r ' Township /Borg County
Removs and discard existing door /drawer fronts and prepare all appropriate cabinet surfaces for refacing. Alter s les /rails and repair cabinets as needed..
Laminate all appropriate cabinet surfaces with Premium Grade Laminate; color to be: MAwr4 1 met 1# #
FNmish and Install custom made door and drawer fronts; style to be: it t' AAA IS 4' c P
Door Hardware a Drawer Hardware if Hinges: ❑ Traditional jg European
Installation includes fully laminated wall- cabinet bottoms, painted returns on face frames, new drawer and glides, tilt out tray, matching moulding and clean
❑ New Additional Base Cabinet
Lineal Feet
❑ New Additional 4 Drawer
Base Cabinet
❑ New Additional Pantry Cabinet
Lineal Feet
❑ Lazy Susan Quantity
❑ Frame - Out Metal
on Frameless Cabinets
❑ Special Flat Laminate
❑ FVII Sheet Laminate
(solid colors only)
❑ Wall -Oven to Pantry Conversion
❑ Build -Out Recess Sink Base
V. New Sink Base Floor
❑ Dishwasher Frame -Out
[ _
No Electrical or Plumbine work Is included on New Appliances.
Initials
Copley pt all warranties are available for your review during the saies presentation.
Additional work to be done $1. S /1 k A air ! re /04 l'
Work No; to be done
tall
pt th# Above check boxes and the "work not to be done" section have been reviewed and explained to me.
❑ New Corian C/T Color
❑ New Laminate C/T Color
Edge Profile
❑ L -Shape Counter Top
❑ U -Shape Counter Top
❑ Full -Wall Backsplash .
❑ 90 Radius ❑ 180° Radius
❑ Clipped Corners Quantity
❑ New Sink ❑ DBL ❑ Single
❑ SS 0 Enamel ❑ Corian
Color
❑ New Faucet ❑ High Arc ❑ Gourmet
❑ Single Lever ❑ Double Handle
❑ W /Spray ❑ W/O Spray
❑ Ceramic Tile Tear Out
❑ Reconnect Faucet ❑ Reconnect Sink
€.:
49 t1/ 1 -- ' Initials
SALE§ FiFPFPENTATIVE HAS NO AUTHORITY TO CHANGE ANY TERMS OR MAKE ANY REPRESENTATIONS OTHER THAN
CONTAINED IN THiS AGREEMENT AND "OWNER" REPR THAT NONE HAVE BEEN MADE TO OR RELIED UPON BY
'41111NPI9'.,YOU ARE ENTITLEP TO A, COMPLETELY FILLED iN DUPI-ICATE ORIGINAL OF THIS AGREEMENT.
TIME FOR COMPLETION OF WORK. Contractor shall commence work within approximately twenty (20) days from the date shown herein and will be substantially
completed Within forty - five (45) days thereafter unless a different estimated completion date is shown herein. rr��
Approximate starting date is: ark B� Approximate completion date is:oC 7 0 C`)'" Oa
NP WORK Wit RE coNSfPERER InNt -ES$ HEREIN SPEciFiED. NO VERBAL AGREEMENT RECOGNIZED.
This transaction shall be subject to acceptance by Contractor. In the avant of Buyer's failure to accept delivery of goods or performance of
services poyared herein, the Contractor shall be entitled to and Bu agrees to pay forthwith, failure damages in an amount equal to the cost
already incurred, f any. Contractor shall not be liable for delays caused by strikes, weather conditions, delay In obtaining materials and other
pauses beyond hs control. The entire understanding and transaction between the parties are contained herein. Any extra work not specified in
the agreement is to be paid for by the Buyer on a labor plus materials basis and will be documented on an addendum to this transaction in
accordance wjtlt accepted Contractor policies. It any work shall be performed by the Contractor pursuant to written authorization signed by the
Buyer or Buyers, he price for such work shall be added to the price set`forth herein.
Sidling Price
To be financed CI
Cash upon completion 18
978p .00
Q P wn Pay rent • Buye has entered Into fhls transaction this /I ' ,: day
Q' .00 • - In witness whereof IN t
Parana Due. 9 788 .00 . of e -r!° � r " 20, 0 .
All transactions are subject to review and approval by the Installation nd credit departments who may cancel and refund any downpayment.
1M13 Preferred Customer plscount (PAC) awarded for any future Sears thane Improvement Product; purchases. Current pricing available for one (1) year.
YOU the M41yer may cancel this transaction at any time prier 19 midnight 9n the third business day aiter the date of this transaction.
s See jii poticp of panc nation form fo r an explanation of this right.
•'f X / " 2C o 1. t r pru -c-) . • A i-":,
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Ash et
Acpepted by Con actor this /g ay of csf Q o 711%4; 20 Oca
Sears Horne improvement Products, Inc. by 6/41, / e h hi Reg. #
Representative
1 Prolect c oordinator lark Lip 4�prtnra►r, 800 -806 -2447 P/C #
F2 - SO - Rev. 12/01
NAME
ADDRESS
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SEARS
NOME IMPROVEMENT PRODUCTS
CUSTOMER APPROVAL X
CUSTOMER APPROVAL X
DATE
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SEARS
MOMS IMPROVICACINT PACKIUCTS
Name: MRSKATHRYN GIACOBONI
Address. 1044 NE 97TH ST
MIAMI, FL. 33138
Product Cabinets
Appt Time 12:00:00PM
Offer: Save $500
Office: 299 - Miami (S, W, C, D) (o d 66)
TK BISCAYNE BLVD GO NORTH AT 96TH
vi ..]
STREET TRN R TO NORTH EAST 12TH AVE
TO STP SGN TEN L IBLC 10 971H STREET
TRN L IBLC TO HSE ON L
DRIVE
DEFENSIVELY
Message To The Rea
Plus Info:
CABINET REFACING/COUNTER TOP *CABINET
REFFACINGICOUNTER TOP FOR ENTIRE
KI" ICHEN **SET W/MRS ** BOTH AVAIL** CITY
ZONED
or.c.r.r44nr•••rr. 1" t
Lead Number 2665604 Group: 02A
Rescission Date:
Appointment: Wednesday, September 18, 2002 at 12:00pm September 21, 2002
LIFT SAFELY
Spouse:
4,1
$ 9 75 Sales Mr
Subdiv: MIAMI SHORE
Home Ph: (305) 758-2273 Bus. Ph: Q- Ext.
Reo Code: f3 ? C PreviousResult•
Oid Rep Code:
Arrival: 0;01
Departure:
Check One: E Sale 0 SNS CI CR 0SR • N G
Amount:
. MAIWEST :
trial
2001 :via Outtsi.com Inc; (1$ 2001 ' OPT. Ilia
1 0
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PRICING TO CUSTOMER
ESTIMATED MERCHANDISE
Financing
(Check One)
Initial:
Lowest:
Combo:
J35
$ / /, 4
SIDING
KITCHEN
WINDOWS
# SQ
LN. Fr .3,..,
HIPS
Conseco
Alternate
$ 9 7 . 0
SF
COUNTER TOP
TYPE
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WRAPS
REFACE
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OPTIONS
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NEW
COLOR
• Cash
E) Credit Card
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OTHER
Rep Comments:
II
1
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,
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wee one
SEARS
MOMS IMPROVICACINT PACKIUCTS
Name: MRSKATHRYN GIACOBONI
Address. 1044 NE 97TH ST
MIAMI, FL. 33138
Product Cabinets
Appt Time 12:00:00PM
Offer: Save $500
Office: 299 - Miami (S, W, C, D) (o d 66)
TK BISCAYNE BLVD GO NORTH AT 96TH
vi ..]
STREET TRN R TO NORTH EAST 12TH AVE
TO STP SGN TEN L IBLC 10 971H STREET
TRN L IBLC TO HSE ON L
DRIVE
DEFENSIVELY
Message To The Rea
Plus Info:
CABINET REFACING/COUNTER TOP *CABINET
REFFACINGICOUNTER TOP FOR ENTIRE
KI" ICHEN **SET W/MRS ** BOTH AVAIL** CITY
ZONED
or.c.r.r44nr•••rr. 1" t
Lead Number 2665604 Group: 02A
Rescission Date:
Appointment: Wednesday, September 18, 2002 at 12:00pm September 21, 2002
LIFT SAFELY
Spouse:
4,1
$ 9 75 Sales Mr
Subdiv: MIAMI SHORE
Home Ph: (305) 758-2273 Bus. Ph: Q- Ext.
Reo Code: f3 ? C PreviousResult•
Oid Rep Code:
Arrival: 0;01
Departure:
Check One: E Sale 0 SNS CI CR 0SR • N G
Amount:
. MAIWEST :
trial
2001 :via Outtsi.com Inc; (1$ 2001 ' OPT. Ilia
1 0
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Permit No. _ G!� . ,i
Name - may" a � ' . 'C � - v`..
Address I ' r °` ' `i ` y -
\-------K
Phone #
For Inspector: i i �,-.4 ame & D
Compank L1
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building , Inspection Request
Re -Insp' n Fee
-zo'D---7,3
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request `
Date
7.
Permit No. j ,
Type Insp'n
- -- Name T 7, /� .<7be. l �.
Address //) ¥ /V
'
'� Company - - , 6" l f-
r �
Phon ) <'r�?.i ' :
i
For : Ins ec /or r 1
p � i1 I (J �
A%
Approv
Correction
Re- Insp'n Fee ❑
Time
1
Name & Date
''/%f�a
114
Dominic & Kathryn Giacoboni
1044 NE 97 Street
Miami Shores, FL 33138
Dear Homeowner, re: Your check number #9669
You are hereby notified that a check, numbered 9669 in the face amount of $50.00 issued by you on
October 2, 2003 drawn upon South Florida Educational Federal Credit Union and made payable to Miami
Shores Village, has been dishonored.
Pursuant to Florida law, you have 7 days from receipt of this notice to tender payment of the full
amount of such check plus a service charge of $25, if the face value does not exceed $50, $30 if the face
value exceeds $50.but does not exceed $300, '$40, if the face value exceeds $300, or an amount of up
to 5 percent of the face amount of the check whichever is greater, the amount due being eighty dollars
and zero cents ($80.00). This amount must be paid via certified funds (Le. cash, money order, cashiers
check or credit card.)
At this time, your permits are not valid for any work performed. We have instructed our
building officials and public safety officers to stop any work performed by you until such
time payment is received.
Unless this amount is paid in full within the time specified above, the holder of such check may turn over
th dishonored check and all other available information relating to this incident to the state attorney for
cr!mino prosecution. You may be additionally liable in a civil action for triple the amount of the check,
but In no case Tess than $50, together with the amount of the check, a service charge, court costs,
reasonable attorney fees, and incurred bank fees, as provided in State Statute 68.065.
PLEASE GOVERN YOURSELF ACCORDINGLY!
Sincerely,
MIAMI SHORES VILLAGE
Lisa Keeley
Accountant - Receivables
LK:
Enclosure
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138
Finance Department
(305) 795 -2209
November 26, 2003
cc: Miami Shores Village Building Department
Miami Shores Village Code Enforcement Department
Via Certified Mail # 7002 3150 0004 2861 1132
®:.. 030a �_..
FLORIDA
800.&W.117TH AVENUE -'
?L1 MI FLORIDA. 33183
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