1224 NE 96 St (7)BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
ale
Owner of ' ' -,-�
Building ' L.1 'I11;` 4 ` :14
MIAMI SHORES VILLAGE, FLORIDA
i3 �
DATE 19
PERMIT
N° 7624
CONTRACTOR OR BUILDER BY
Contractor's
t
License No.
Work to be performed under this Permit
•
Signed- /e/ /
Architect
Contractor ?
or Builder k '
Legal Lot Subdi-
Description II Bl. vision
Building ss of / o� .4' 1 . ..l 94 `4 _ 1, Y Value of ,4 I 1 Amount of y e.
G '' Project $ 2 ,,. I1 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 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.
v
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereundeivin compliance vGith all ordinances cad regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao
cepting this permit I assume responsibility for all work done by either, myself, ray agent, servant or employee.
AUTHORITY ABBOT AfEW
Street and Number where work is to be done
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.
Owner's Name and Address )° M n /2S ' No 0 Zf Street
Registered Architect and /or Engineer �
Name and address of licensed contractor �?repez e C.e. ., 'ter.)
Location and legal description of lot to be built on:
Lot_ Block Subdivision
2 Z'4
State work to be done a(d p ose of building (by flo )s)
441_4
-2 t °iii U.s , t _ —_ _
Date `.oio le 19 ( O'�'
,✓_ c - 7� `
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 $ 27 Amount of Permit $
Zone cubage required_ _____ Plan Cubage
_Size of Building Lot
-,
Distance to next nearest building
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 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)
e•r e_ /Le
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.
Permit No (_ of Date 6 3 ' fO Read, Sworn to and Subscribed before me.
Disapproved _ Date
(Signed)
nspector
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 o ,licc for inspection or faulty
materials and /or workmanship.
o
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Contractor's Company Name
Contractor's Address 110
City
Qualifier `‘..\
State Certificate or Registration No. • L (-- 1 50 $ ' 11
Architect/Engineer's Name (if applicable)
S Value of Work For this Permit 0 �.$
Total Fee Now Due S
(Continued on opposite side)
Building Department
10050 N.E.2nd.Avenue, Miami Shores, Florida 33138
Tel: 305 795.22 t ; : - K t . 756.8972
NO 105
Elec Plumbing
Owner's Name (Fee Simple Titleholder) L - G 5�
1 u A..1 Q,.i r
Owner's Address 1 1 1 L I IV. _ ° I
City �`a fv S h d f c_..1 State . L. Zip 31111r
Tenant/Lessee Name Phone #
Address (where the work is being done) 111\1 XL l_ S 6 S �
City . Miami, Shores Village . County J1'Iiami -Dade
Is Building Historically Designated YES NO
k1�
�t9 W�4 M� -
IV. U►J;vs-Cri'1) Qf -
i N s State S L. Zip_
GNchro
Phone #
Certificate of Compel Name
PhD!
Square Footag
Type of Work: EAddition ❑Alterat :New
Describe Work: " A (,.S- _ _ C-X 11 iN V., i cl`� s ) N
S :�cy 0 l),(�TN; l5 Dre
exi s 4 -z7 , C7 Ia . s VtuTr.
*** * * * ** * *** * *** * ****•* * ** *F * * ** ** ** * * * * * * **
Permit Fee $ Z. 0 - 'CCF 1
Submittal Fee $
Notary $ Training/Education Fee S Techr,
Scanning S Radon $ Zoning__.
Code Enforcement $ Structural Plan Review. S
_1 172.
Permit No.
aster Permit No.
Mechanical Roofing
Phone # 2Us 3gci 56e9
Date
Type Insp'n ° \ 1 i
UF_ ,x63--
)1/401r.
Address l q (:I —
Company O u ° � 1 SC .
Phone # C F s4 qS
Permit No.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
B 'Wing Inspection Request
Time
For Inspe
Approved
Correction
Re- Insp'n Fee
4
9cP
2 g Name & Date
)6 7g4 7.5
Qui•i0. cuuu c•Ltrm
Botitling Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
weer or Agent
The foregoing instrument was acknowledged before me this x,71
day of C.) c�C . 20 by
who is personally known to me or who has produced L
0- I,. As identification and who did take an o
NOTARY PUB IC:
Sign:
Print:
My Commission Expires:
e ** *fir * ** * * * * * * ** ** ** ** **
*** *********** 5 **** 5 ***** * *5*** * ** *5 **** * * *A8 * *** * * ** *5*
APPLICATION APPROVED BY:
Chc 05/13/03
Signature
* * * * * * * * * ***
1
Iru.uDUI r L/
•
Zip
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 COMMENC IVIENT 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
4 0 inspect 'ot be approved and a reinspection fee will be charged,
1rr �'►�
on
The foregoing instrument was acknowledged before e this
day of , 20E25, by Limo'
who is personally known to me or who has produced
as identification and who did take an oath.
W7r! •
Pmt rr Rebecca Velez
MYCOMMISSlONil-- DD11963 SIRES
My Commission Expires: .. �.. January 12, 2007
of DAI
* *e * * *** *�4**** *�Y *�4*P*w**p ***� l * ******* *** * ** , *** * ** ,i rWW i * ***es ** THRUTROYF ** N * INSURANCE,
**** *** * * * * * * ** * * * * * * * * **M ** **
Plans Examiner
•
Engineer
Zoning
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.
Owner's Name and Address 4 414 et %
Registered Architect and /or Engineer
Name and address of licensed contractor !i.,.., a a Cc 7 fe:/e C ., 4a al - 1:9 1___t_et Ca ,
Location and legal description of lot to be built on:
Lot___ Block Subdivision
Street and Number where work is to be done
State work to be done a pose of building (by flogrs) __
l; f - , °�� UH. I� )
Chairman
Member
Member
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
nspector
L
Date `° dv t ° 19
No 2- I' Street /b' C ' ` 7(o
7
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 $ -2.7 ® — _Amount of Permit $ •�
Zone cubage required_ ______plan Cubage
_Size of Building Lot
Distance to next nearest building
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 rovisions 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 spch 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. /
Permit No (Y__ 0O Date —/' 3 - eo 4 Read, Sworn to and Subscribed before me.
Disapproved COZ __ _________ Date
( Signed) _ -- - -- _ - �
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
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 „ Mice for inspection or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
BUILDING DEPMENT 41
305-795-2204
B 'Iding Inspection Request ( Jc)
Date !Ai Time
Type Insp'n E.- T \ 1 {
a
Permit No. UE
Name l Y
Address ( l ` 0 S 1--
Company SC
Phone # .�IJ 1 qs
For Inspe
Approved
Correction
Re- Insp'n Fee
Z g Name & Date
.1-5.o).
❑
Building Department
10050 N.E.2nd.Avenue, Miami Shores, Florida 33138
Tel; (305) 795.2204 Fax: 3 5 .:l56.8972
RECEOVED
NO 1105
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Owner's Name (Fee Simple Titleholder) L - o .1.,i f Phone # 2 (S 3 g 9 56 O °I
Owner's Address 1 I 1
City ( n M S , h v c s state L .
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 1 1
City . Miami Shores Village County J fiajni -Dade
Is Building Historically Designated YES NO
Contractors Company Name I-. V w st_4 t1 M� Phone # ° 15 ` i Sol 0 ).A0 3
Contractor's Address
City - V ; N s state S L. Zip 3 3
Qualifier c, Gp,S h r 0
State Certificate or Registration No. • C ( J - C- 50 $ \' S l Certificate of Competency No.
Architect/Engineer's Name,(if applicable)
S Value of Work For this Permit U )C
Type of Work: Addition
Describe Work:
U 0 'Cw:N
1 K L4u't 4 e3
O'. eo • LN S
Submittal Fee $
Notary $
Scanning $
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
❑Alters 'on ❑New Repair/Replace ❑ Demolition
Training/Education Fee $
Elec Plumbing Mechanical Roofing
26 . S t f u Tte0.— pity-621S
Permit Fee $ 2-5 0 r�
aster Permit No.
zip 3 313
Phone #
Square Footage Of Work:
** * * ***** *r.** ** * * * ** *** ** * ** Fees * * *Iv * * * * *a * * ** **** ** * * Or* a
1 7Z
Permit No.
Zip
CCF $ _ CO /CC
Technology Fee $
Radon S' Zoning Bond $
Structural Plan Review. $
Jul•IJ• LUUJ L•L'rrm iYU U�UI r • u3
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit .to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance . of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HATERS, 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 pasted 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 •
inspect- not be approved and a reinspection fee will be charged,
APPLICATION APPROVED BY:
Sign:
Print:
My Commission Expires:
* * * * *** * ** ** * * * * * * * ** * **
Chc 05/13/03
Signature
NOTARY PUB
S'
Print:
My Commission Expires:
/?-
wner or Agent ! on
The foregoing instrument was acknowledged before me this The The foregoing instrument was acknowledged before e this
day of ( J , 20 Q 5 ,by L: t..J c, l o . 4\ k,' day of ,,p
, Y , 20Z� by (-;
who is personally known to me or who has produced S L - who is personally known to me or who has produced
0- L - As identification and who did take an o: . as identification and who did take an oath.
NOTARY PUB IC:
Rebecca Velez
963 24IRES
January 12, 2007
******************* W******,** ** * ** ******* * *******w * *** . **** ** *�** ****** ** *INSURANGEING
*** * * * * *F* lit *** * * * * * *yty* *** **** #*** ***** * *pr *** * * * **** ** * ** ****** ** **** ******* * * * ** ***k * * *** *** ******
Plans Examiner
Engineer
Zoning
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
'TYPE
Outlet, Appliance
QTY.
'TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan
Outlet, Wall
Service, Temporary
Dryer Vents, Number of
A/C Central 4 -7 Ton ( / —STMT
■
Fire Pump
Ventilation, Cost
Outlet, Switch
Air Handler, Tons
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Fire Sprinkler System
Space Heater (kw)
Process/Pressure Piping
A/C Central 16 -20 Ton
Fixture Light
Bath Fan - Vented, #
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
Disposal
Refrigerator, Domestic
Interceptor
Temp for Test - 30 days
Roof Inlet
Deep Freezer
Water Closet
Low -volt, Fire
Domestic Well
Renew - Temp Service
Laundry Tray
Septic Connection
Demolition
Water Heater
Low -volt, Intercom/Teleph.
Drainfield, 4" Tile/Res.
Repair Circuits
Lavatory
Septic Tank
Dishwasher
Water Heater New
Low -volt, Television
Drains, Area
Service, Number of Amps
Meter Set (Gas)
Sewer Connection
MECHANICAL
TYPE QTY.
Minimum Fee
'TYPE
Condensate Drain
QTY.
TYPE
Generator
QTY.
'TYPE
Refrigeration, Tons
QTY.
A/C Central, Tons t— S
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons ( —f'/ . w►
Dryer Vents, Number of
Bidet
Paint Booth
Filter Replace
Ventilation, Cost
Pool Piping
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Sprinkler System
Process/Pressure Piping
Cap - Water
Gas - Appliance
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Cap - Sewer
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE
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
Relay Repair
Utility - Water
Vacuum Pump
Dishwasher
Indirect Wastes
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
Gil c49,a* �1
PERMIT APPLICATION
J
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
Zoning
Electrical
Mechanical
/4'4'
4.t t• `'
Plumbing
Fire
Public Works
Structural
Building Official
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
❑ CONCURRENCY
(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
•
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
$ (¢.005 /sq.ft.)
t
(sq.ft. = x/1000
x0.60)
(¢.01 /sq.ft.)
REVIEWED AND PREPARED BY:
R
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ 8
ISSUING OFFICIAL
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
Primary Zone:
1400 SINGLE FAMILY RESIDENCE
CLUC:
0001 RESIDENTIAL- SINGLE FAMILY
Beds /Baths:
4/3
Floors:
1
Living Units:
1
Adj Sq Footage:
2,630
Lot Size'
11,360 SQ FT
Year Built:
1957
Legal Description:
5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 15 & W3OFT OF
LOT 14 BLK 84 LOT SIZE IRREGULAR OR 19815 -3201 07 2001
1
Year:
2005
2004
Land Value:
$234,751
$160,406
Building Value:
_
$267,906
$243,474
Market Value:
$502,657
$403,880
_
Assessed Value:
$335,137
$325,376
Homestead Exemption:
$25,000
$25,000
Total Exemptions:
$25,000
$25,000
Taxable Value:
$310,137
$300,376
Folio No.:
11- 3206 - 014 -3931
Property:
1224 NE 96 ST
Mailing Address:
LINDA TONDEUR
1224 NE 96 ST MIAMI SHORES FL
33138 -2554
Sale O /R:
19815 -3201
Sale Date:
7/2001
Sale Amount:
$362,000
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CONTRACTOR
.,
Address
1224 K e X 16 +G Spa e e. �
' s 1tt t `t S (/l cr1t e t - FL 51 S g
Name Dp
License No. coe,..w Sd'SS3
Fax
Address
Address
112-1 C 4rrt CT }} ilkiv4 FZ 33010
Telephone .30 k0 4-5 %2, Fax
3(
i 51 1?
Qualifier Name
Oan Gv
Relocation of Structure
PROPERTY OWNER
Name LA N Ji I^ pt I N A G R
Address
1224 K e X 16 +G Spa e e. �
' s 1tt t `t S (/l cr1t e t - FL 51 S g
Home Telephone •. D -- s- A (“42,1
Business Telephone 30s q 6 f 603
b
Fax
ENGINEER
New Construction
Name
Enclosure
License No.
Alteration Exterior
Address
Repair
Telephone
Alteration Interior
Fax
. •
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
Step 1.
i K Job Address:
122 (4 N E GTO
Address
Folio Number I 2o6() ( (i 3 t
Lot Block
Subdivision PB
APR 2, 2 20 gste Permit No.
Subsidi ry 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 submitted
along with this permit application.
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
PG Zoning
Current Use of Property Square Feet
Proposed Use of Property Value of Work
Tenant Information Tax Assessed/Appraised Value
Flood Zone
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Telephone
Fax
ek-/eek emti Skates 'F L z3 8
Apt. City • State Zip
J •
31 K Description of Work ( IA3e QJ P- I C. iv r
Linear Feet
Units
Z3
PERMIT APPLICATION
Value ---
Floors
ase Floor Elev.
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.
ST - E • r FLORIDA, COUNTY OF MIAMI -DADE
iil
Milr fS ✓n
Signature o • wne
SEAL:
Li MAC Te »emu R
Print Name ,, 1
S�yom to and subscribed before me this N day of
ti
Signature of
Personally known _ t R, Produced Identification
Type of Identificat
STA
Signature of
Print Name
SEAL:
0
of Notary J ublic - Stat of Florida
UNTY OF MIAMI -DADE
or ( Qualifier
(V (oc
Sworn to and subscribed before me this
PERMIT APPLICATION
Personally known OR, Produced Identification / f,
Type of Identification Produced: F..1 ,�� v 5.1 0 ^(� y l/^ 1
'
-
_ -"
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/28/2003
Applicant: LINDA
Owner: TONDEUR
JOB ADDRESS: 1224 NE 96
Contractor OMAR & SON
Local Phone: 305 - 756 -7091
Parcel # 1132060143931
Permit Status: Approved Permit Expiration:
• Work: CHANGE OF AC UNIT
Mechanical Permit
Permit Number: ME2003 -73
TONDEUR
LINDA
ST
Contractor's Address: 1221 EAST & SON
10/25/2003 Construction Value: ,, .00 /h
7_C AVM "
OMAR AND SON SERVICES INC
1221 E 9TH CT
HIALEAH, FL 33010
Page 1 of 1
Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 15 & W3OFT OF LOT 14 BLK 84
pertaining thereto and in strict
assume responisibility for all work