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360 NE 97 St (8)
CONTRACTOR Name SAm es 8 . F'ua 2 • Address 34,o rE Q7 al H iAmi I (FL 33 lag Name S'v Pe e. StAm P Cons re4e =e Business Telephone License No. ect$1401- Repair Address 6244 sw X34 c* f i *Ai i O1 33115 Alteration Interior Telephone 30s•..2.20.1 u Fax :ss ...... 1. 2 .0 . ` Qualifier Name ji liAK J• .vols. Shell Only PROPERTY OWNER Name SAm es 8 . F'ua 2 • Address 34,o rE Q7 al H iAmi I (FL 33 lag Home Telephone 3os ' ' rq — 6 3.3 Business Telephone Fax TYPE OF MANAGEMENT (✓) • New Construction d Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which trust be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 3 6 0 /VF 9 Address Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. Folio Number I 1 - 32 0 - 013•- S$ UO Lot 5 a (.O Block 1 -15 Subdivision M •51 • Sect 1 PB T O PG 7 0 Current Use of Property Q e 5 • Proposed Use of Property ia f: S • PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Subsidiary Permit No. Master Permit No. /4q! ? f > , '.. / 7 3• ..J e City State Zip Description of Work SY G2diete- �/ / 17/e, e Zoning Linear Feet Square Feet a0 1 3 Units 1 Floors 1 Value of Work 75 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address • J 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 13Y 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, tf fi &dWNR of/hb 151-opert)% certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that sepal p$rmits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MEqHANIq,4L, WINDOW, ROOFING. and SIGNS and there may be additional,permits required from other governmental agencies.. I, the OWNER of the property, have disclosed all tnfo related to any work at the prop8rfy 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, P' 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. STAT OF FLORIDA, C Signat Y OF MIAMI - DADE Print Nam Sworn to and subscribed before me this 21 day of JPN 0003 . Signatur SEAL: 1 / of NotitioI yj)Iic - State of FI. da Marola Franco /Sans , `•Go.Commtssion # CC 925828 n.. Atlantic Bonding Ce; i %PiS: Personally known OR, Pr ogd gdulidentication Type of Identification Produced: - ; 11,1 STATE OF / %� Signature "Contra ler 1 A M .0 Print Name Sworn to and subscribed before me this X03 Signature of Nota y teso Fs orida * *My Commission CC843290 '�a.• °� Expiresilu 3:003 a ' 3 • 1`. V Z ;1 ') c,) Personally known r I MProsguteck IdgptificAtiOn1 SEAL: Y OF MIAMI -DADE � N.S Type of IdentificatiotiWgted4 PERMIT APPLICATION d ` .- 8 day of 3 '1' SECTION BY 1/9E A 77( ()- Zoning �/- Electrical Mechanical Plumbing Fire Public Works Structural Building Official __S-- Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) O 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 ISSUING OFFICIAL REVIEWED AND PREPARED BY: 2 (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION LI CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL 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 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. 'I'1'I'F: Outlet, Appliance ()Ty. 'I'YI'E Service Repair QTY. 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 Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTV. TYPE Condensate Drain QTY. TYPE Generator QTY. "I'1'I'I: Refrigeration, Tons QTY. 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 Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUrvIBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYI'F. Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. 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: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/5 /2003 Applicant: JAMES Owner: FURR JOB ADDRESS: 360 NE 97 Contractor SUPER STAMPED CONCRETE Local Phone: 305 - 220 -1163 arcel # 1132060135840 Fees: FEE2003 -772 FEE2003 -773 FEE2003 -775 FEE2003 -781 Description Buildier's Bond CCF CCF Building Fee Total Fees: Amount $300.00 $5.40 $4.80 $130.00 $440.20 Total Fees: $440.20 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: Work: STAMP CONCRETE WITH FIBER MESH If there is no permit package a fee is $50.00, which must be paic This Permit is granted to the contractor o ordinances pertaining thereto and with the i, and approved by the proper municipal authc authorization. A further condition upon whit ordinances and regulations pertaining to the by his agents, servants employees. Signed: In consideration of the issuance to me of 1 with the plans, drawings, statements or spe' 0 ry PAY TO THE ORDER ACH R1T 083100277 Building Permit Permit Number: BP2003 -195 FURR JAMES ST Legal Description: 1 53 41 53 42 8/4/2003 Contractor's Address: 5204 134 CT Construction Value: $7,500.00 ©Security enhanced document SUPER STAMP CONCRETE, INC. 305 - 220 -1163 OR 305 - 729 -1726 7fi w,x.4 Bank ofAmerica® DATE Page 1 of 1 PB 10 -70 MIAMI SHORES SEC 1 AMD LOTS 5 & 6 & E2OFT c S e r bark (o or d etails. © �ze- 7.31crsi a /ii /v3 is 8/3 DOLL) NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 'ERNIT NO. TAX FOLIO NO. /1 3 2 040 - - D /3 - 5t / o ;TATE OF FLORIDA: ;OuNTY OF DADE: 'HE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with ;hapler 713. Florida Statutes, the following information is provided in this Notice of Commencement. . Legal description of property and street dress: K./ .1 i I. Description of improvement: -5 1. Ownerfs) name and address: O merest in property: (7L-- ■ame and address of fee simple titleholder: .//? - ( a Surety: P : ent bond required by Name .. • • address: &mount of bo ress: 'thin the State of Florida 1)(a)7., Florida Statutes, ignaled wner from contracior, � v c.; , i a ? f , > v , �n �f ..� - 1 ;Ais off_ J Ar;, j .. t�J1TiVi:SS my Pi • A 20 . fftC ' Soc,i d2flJCouT2s 1p 'Ire r4ro ner upon who notices or other docume o receive a • • y of the Uen may be served as provr Notice as provided in a. Contractors name and address: 5. Lenders name and 7. Perso Section 713: Nam = d address: B. In dition to him = Owner des ales the following person Section 71 3(1)(b). Florida Statutes. Name and addre 9. Expiration date of this Notice of Commencement: (the expiration dale is 1 year from the date of recording unless a different date is specified) 0 ,0Y ,i,, L ubscribed before me Of day of •JAtn Notary Public Prim Notary's Name i-l1H ot$ F • _ S,4NS• My Commission Expires: 4/1010f A I. h zo o! 'SOS 6 7 /3 f-_; 4, Address: / k 0 /ATV //J ed Prepared by: - /A 7 1 1tYaa 0 CO 0 iI L !�iu�rci SIzorp.? Vi��ccc�e AFFIDAVIT STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, J Cv m PJ /3 0 , does hereby attest that the (property owner) attached survey, performed by J G Cam✓/ /`/�- ( f G performed on (date of . ey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) (name of surveyor's comp is an accurate representation of the existing conditions and Witness(sign and print) SWORN TO AND SUBSCRIBED before me this as day of 3PAJ POO. Affiant is personally known to me, predt - as identification. F.I.P. 1/2' (no cap) 0.2' PORTION OF LOT 7 on Ono F.I.P. 1/2'' (no cap) ,0 340P i• IY A *9 _• � •r - •• • - - • • •• • •• •• • r • • • •• • •� �-.�. _ • - - • _ _ ..._ --._ ▪ • . - • . • -• 1. •W . .. +• + . . _.•• W do • .• . • a � + + W v f + .••.• .0•..... . . . . • CO 7 1 24.48' 24.30' •�• • •, • •- •• • .. • °.'� ! r• i • g20.9O' • • 5' 3a2 15.42' 17.55 V 11.00' 22.80' el yC woo latvo o r tor O. coat .90-4sstt3 TWO STORY C.H.S. RES # 380 N.E. 97th ST. MIAMI SHORES, FL 33198 1 -0.00 29.30' 27.75' 28,60 • 0.72 C a 1 STY. C.R.S. GARAGE 49.70' • 2i .10 --13 LOT 18 LOT 19 LOT 20 13.2. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -1103 Printed: 8/11/2005 Applicant: JAMES FURR Owner: FURR JAMES JOB ADDRESS: 360 NE 97 ST Contractor SUPER STAMPED CONCRETE Contractor's Address: 5204 S. W. 134 CT. Local Phone: 305 - 220 -1163 Parcel # 1132060135840 Building Permit Legal Description: 1 53 41 -6 53 42 PB 10 -70 MIAMI SHORES SEC 1 AMD LOTS 5 & 6 & E2OFT OF Fees: Description Amount FEE2005 -10997 Building Fee $125.00 FEE2005 -10998 CCF $2.40 FEE2005 -10999 Training and Education Fee $0.80 FEE2005 -11000 Technology Fee $3.20 FEE2005 -11001 Scanning Fee $3.00 FEE2005 -11002 Builders Bond $300.00 Total Fees: $434.40 Total Fees: $434.40 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 1/22/2006 Construction Value: $4,000.00 Work: STAMP CONCRETE APPROACH WITH A SIDEWALK INSIDE PROPERTY Signed: (INSPECTOR) Page 1 of 1 1? ex M 412QOme 1 PM t 08 Zo fi L-L p 134 40 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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 City Is Building Historically Designated YES NO State Certificate or Registration No. Describe Work: s Miami Shores Village County Submittal Fee $ Notary $ Scanning $ 3 • 00 Total Fee Now Due $ (Continued on opposite side) Architect /Engineer's Name (if applicable) Type of Work: ['Addition ❑Alteration Code Enforcement $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 F TOE Ju l Qualifier cc �` E Permit Type (circle): Building Electrical Plumbing Owner's Name (Fee Simple Titleholder) r1 t —P � ; Phone # 3(') (- — j ]_t Owner's Address '3G, C N �{- City sa ‘,State L- Zip Tenant/Lessee Name Job Address (where the work is being done) Permit Fee $ t 2 6 % . Training /Education Fee $ 0 . Structural Plan Review. $ Structural Plan Review. $ Miami -Dade x 6.8972 Permit No. Master Permit No. 2 ) . 3 13 Phone # Zip Certificate of Competency No. Phone # Mechanical Roofing L 1 L No fa (i Ca► (3c5)19C7-7566 Contractor's Company Name vp2✓ Contractor's Address b 2 3 W• l as Cv City_ k\ Ch.vv State € < Zip Phone # -- CD - (} G`3 $ Value of Work For this Permit OC..)0 Square Footage Of Work: C� A * * * * * * * * * * * * * ** * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** CCF $ 2 - 40 CO/CC Technology Fee $ 3 .20 ['New ❑ Repair /Replace ❑ Dem SI �Iewc� \ Radon $ Zoning Bond $ 300 00 434.4p C4)1002 Bonding Company's Name (if applicable) 41, 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. 1 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: 1 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 COMM ENCEMENT." 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 reinspec '.n fee will be charged. Signature o ractor The foregoin The foregoing instrument was acknowledged before me thiso�o day of day of who is personall k own . - or who has produced who is personally k ' t As ident ion and who did take an oath. " "- Natalia I. Sans NOTA' P ��E+: Commission #DD323964 NOTARY PUB 4 111 i1V ,L. Expires: May 26, 2008 Sign: 'goo 0\ I3ondcd ru 'ryC tlantic Bonding Co., Inc. Prin My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 Owner or Agent nt was ackno ledged before me this 20.oy Signature My Commission Expires: , 20C, by r who has produced Lini io . i oath. if u , sston ► P ' es: May 26, 2008 Bonded Thru • is Bonding Co., Inc. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **** N * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 4( 4-7 a/9/1 Plans Examiner Engineer Zoning • Tax Folio #: JI - 0/3 - 58 t fO requests permission to install: SIGNED. SEALED AND DELIVERED in the presence of: fl?iami _ C ViCLccc�e 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 - 2382 Telephone: (305) 795 -2207 Fax: (305)_756 -8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, T((, -, T2, F rV - , hereinafter referred to as the Owner of the (owner) following described property: Legal description /folio #: 11 °52OG0- a -513-1G pp p Lot � Block '43 Subdivision ,Cr i cum o -e5 �c--C )4.Asphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of tp @ �l S .. (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 1. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this day of ,/? NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. VI - 3 a0G -013 LAO STATE OF FLORIDA: COUNTY OF MIAMI -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: Zec6 ■1E- cl Sb cre5 ■tcAvv1- 5heres S E - c ' . Ara1p LQ� 5a G q, - L * * 1 "B Ll3 2. Description of improvement: C'o rQreCr4- �,.I 3. Owner(s) name and address: 3u me_S CB Fur,/ ?p 11 E c Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: y..p on. e � S. CI f zi"3 11 l ^ 5. Surety: (Payment bond required. by owner from contractor, if any) I - ,V. :,:CY Th r' _ ;i ; , - Name and address: o' 7:`ii ir Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom ices 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, Owners 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 ig ature •f Owner Print awn: 's Name ( ---- 5 a'Me-S Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE 4 8/02 Sworn to and subscribed efo - rtYe this .Et\ y of 1\166fio, ,l 1)1 CFN 2005R0848606 OR Bk 23671 Ps 4400; (1as) RECORDED 08/12/2005 09:16:49 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE , 2005. Natr 1.a�,Sans mission #DD323964 �•.:o� Expires: May 26, 2008 • 'off: Bonded Thru ' ''" , 1 , ∎"‘ Atlantic Bonding Co., Inc. 111111111 Address: ,51A. •it cvi - LA u'I • '3 Prepared byc"°� g os- FROM :SUPER STAMPCONCRETE INC FAX NO. :305 220 1163 FROM : BIG BROTHER' 1 CONCRETE ! PUMP FPX NO. : ':05 2 a 553 • L . .7 "0/ r Agfir, r d/ • vi c. . • Valitt • . . ♦ � ~ ♦w • r . ♦ sue r � • • . 01 1 7 r/r ZA / �1 V !6 Naw T rye Sro e € -. . ,OE 46705- 7 Tr) Aug. 04 2005 04:20PM P2 Aug. C4 20 05: SSFM N1 Btirll 6 301 JD dea w) 1199 . OE. cn gs\ . rvoS 1)0S- JOB ADDRESS: %(' c` % , S APPLICANT: APPLICATION: -//9j / (/ c c,,-G'l y DATE a ZONING CRITIQUE SHEET PERMIT # COMMENTS cl - (i c'. ( i d0 -I" L G y L) T,'L f -r0 ( T a- /v MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Re Dat 3 Type Insp'n Permit No. Name v) Address Company Phone # 3 For Inspector: Approved Correction Re- Insp'n Fee 'T me MIAMI 1 1 10 O RES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 ,2 3 Building Inspection Request Date 112.:40 Type Insp'n 51 1 jkq tij 1 Permit No. 222405 HO Name (T6tist'S 101 Address 160 A!E 17 5J Company s,7„, sbut Pd C.Orttnl(j, Phone # j6 d 1 2.0 • i1 ) Inspection Date q U105 Approved Correction Re- Insp'n Fee R112�Q Date Type Insp'n Permit No. Name 3477 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request POlf f' ( )i Address Coy �6 Company �� Phone # ' )05 Inspection Date V/ VAS Approved Correction Re-Insp'n Fee S; Cicr "Asphs41 s'C1244i604i'2(0e iczia24) A‘s rhALT � C�c�