395 NE 96 St (4)•
• r L.
.•\,...pfUo!d
MIAMI SHORES VILLAGE Pr*
BUILDING iNtPECTION DEPARTMENT
APPLICATION F BUILDING PERMIT
An 'fn is hereby made for te approyal of the deta.".■-.:"
ing ce O Fr trueture herein clescr:hed. TLis applit,Ition s •'.
Shor.ts V:.,:aae. Florida, an ions of thv irt tw .
teguistiunt of zhe Building Divis.- of Miami. Shorcs
plant and liedficatior . . must be stpt at building Lirrinii v_rog, •
t of the plans and specificotions loss submitted kr to
•
ipliance and conformity with the
Florida F, all ordinances of Miami Shor s robes
,
( ornpited with, whiting bombs specified at net. A ospy of appssiei
the yrock.
Dam ' .1970
A41/ /A/t4 No -7t ittest.AZg
iabd!or F.n.cin■eei
oc
legal ciescripi! o ipt to 2)t: built 11.
. Illock
ctrec-t. 4. v.te WCTLI o be e, r.i
S , !f . and pt. rt,i, Cucrs) //
fte777,/ rh(f. / 4.5...,70G/A 7:E:P
. sad for no other wipes.
•., v - •Ft.esr,x .. Repairs
1z. . Kin.] iuu
otal colt ;.7f iroprovi nients $ 5, 2
ie
: nen:
'" Fan-se by vac}, floor
.);
s j J the plans ind s t
Asormrit cf Pcrrntt $.
1' in C tbagt
e the :Ithor;:y, kit w -
. .Datkr
)31)41(11.1g lit
PLAC
7 „rgt 5, 541 .
',(-•-■ fee at 'VI'. he (.1
7- /t/g/
fitirAi:tiz LO't
reference to the building and its construction may
. i ' - 1" vr`ki n r i ' ' Ili ''', "1"; '1■11/' tic' :( '•
. •: ; . t' , ■ -',.-star.is in accepts his obli at ..1 an employer
„ . , • r , .. ..eti ',.,tral 1...iros of Florida, nanerst So nent.
, '.... ,.., .
. „i: ,,r ,;...... .ti. P.1 all ccotr sesb ens by hien
... ' - ', ... ;'. .■, .., .,,,, -' , . ta)..i wi': ...
tion. • the
41.1, ...." ..., • 1 . • '' ;,.., po,te t 1 e of the work suc hlic notice
r 1,.. ces .p: ..,. te,,... ; , . ! . ,',.. 1 ' IC .1r.tit . ,lij'it.i L.4.... ,.., . - .■1.1 1 , - J 11:', !Ai, "1 .16COn tX) be pod under this
,‘,... ..re ,..i_ei,-, t., NI;avAi Shur.; \
111111P2
Aster o.ths and take schnowledgnients, personally op-
to use well known,
: emg cr,e tirst au; f VA OM 1.1 o•th dt ,ays t
the ;.- jescnbefi lie has , weft,: ihr turt.„' app ;,cation, and that he did sign the hem, and the; all l
tated are tr.ue
ikfl SW0111 to and Subscribed before me.
Notary Public, State a Florida
'‘....iirnrus-siar. Expires
...-DATE
N/r-1.1},er
povr - .Date
to this application after approval has been obtained from
.1).ide necessary by improper notice for impnlion or bosky
••
;
s
M
r°
3,28'0
VI Lt_AG E V$..- S'
ik �- f,i�3Mr N?
. PERM f
zn t specifi.xtx+ns herewith :w:,annted for the hank -
.e !id . nf with the bu.ltling 'it-dz./lanai of mist ai
..11 . '. enevs of Miami Shores Villape bald tJ s+slr. iod
z...- ts.rt ilVS herein apecifeed or net A caw of approved
la te _. `�IV J_ 127%
1014 14 Al e thfi N0 simt z?`
39s /1/0 5 .7 : _.
//1/77r94.4
/ /C-i w /7W 7 �A 5 SeG,A 7:07) .
.o .. - -.... __�.
7coax
_ and for rx other p.rpoae-
Grr. Corr :a( ._.
ern. e .• `,hr burltdtas eon i!s conatruelior m.*r
.., scrept h,:: ,..n.. •• atepitrti
,. , ,e.:,Cra! :.li"Mt of FleIrtia P...1 See, irmer:c.
'v ?. 'ors or re -tiMUOetote ec.pkr,wd by )u
;; :e . sit.t the wink s.. - -! ((ni`,lec notice
• , r.r , ;F ,se , ..orit ! he iivica i ...:,∎ er 4u •
..,aria 4r4 t eke sane ewleeigo rigs, aarionril! sr
. to zne ,..,'!f it toe►n
that he did sign tna aat:r, u,d th.tt all bets
If. St *ttl a Fi.-eri•.*
•
Date
ricer :ippreweil leas !wn , *btaiu ? fern
- .fawn; improper r'vnct ier ensiwttiu0 or faulty
Nlik-IT APPLICATION Miami Shores
FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
.3.9.E 4 9G.5 s00) 7
Tax Folio O $
// //- j j 'en, -
/ j
r 2 Mas percnit� � ��
sr FP L /•y
.37s �65
Phone
Date Job Address
Legal Description
Owner / Lessee / Tenant
Owner's Address
Contracting Co.
State # CAC V 3 3 rfii 3 1
Architect /Engineer
Bonding Company
Mortgagor
Signature
Date:
Notary s to Owne
My Co''ission Exp
* *
PERMIT FEE:
.1. /O -7o
.SC* 4, S AeLick �o •
Qualifier e44 4 SIN ;73
Ir�n�is�6�!1�1f1•*'R¶Y T.
'4 "Bonded X '*u E Nota y P ull Unth iwtf @r
APPROVED:
Zoning
Mechanicalit$7
Competency#
I
Fire
g Building
P umbing
Address Z. 0
SS #
Address
Address
Address
Signature
Date:
Nota
My Co
*
q =r to
issior
*
`$ �, cz
�
SD.AIIAAtyn D.
Phone j ; 6 is 7J"
Ins. Co.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION 94 P et N 1 A!
Square Ft. Estimated Cost 40 2.70
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO 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).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I 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, SIGNS, POOLS, ROOFING, and MECHANICAL work.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
will be done in mpli a with all p licable laws regulating constru tion and zoning.
Furth ore, I aut ze ove -named 1 Fo tractor to do the work stated
uilder
N
•�- _. COMMIS$IQt CC 1205
s„, �, EXPIRES: June 23, 1995
Br--._ onded Thru Notary Public Underwriters
Electrical
Engineering
*
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) if T5 ed
1
3 f —
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 CO*.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS /ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
•
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
e. v wry Fee
1 —
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
To W A 1
40'
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
1
1
1
1
SWIMMING POOL
1 OUTLETS COMMERCIAL
1
1
WATER SERVICE
-
1 SIGN TUBES
SEWER CONNECTIONS
L - 1 SIGN TRANSFORMERS
ITILITY -SEWER
1 SIGN TIME CLOCK
ITILITY -WATER
1 FIXTURES
SEPTIC TANK
--- - - - - -- - - - --
1 ANTENNA
-
;ELAY
1 TELEVISION OUTLETS
1
1
IRAINFIELD, 4" TILE/RES.
1 VIOLATION
'UMP & ABANDON SEPTIC TANK
1 1 REINSPECTION
0AKAGE PIT CU. FT.
1
:ATCH BASIN
1
1 1
1
1 I SCHARGE WELL
1 1
1
1
]OMESTIC WELL
1
1
1 1
AEA DRAIN
:OOF INLET
SOLAR WATER HEATER
1
1
1 1
1
L
1
IRE STANDPIPE
1
1
0OL PIPING
1
1
AWN SPRINKLER SYSTEM
1
1
1
1 1
1
;AS RANGE
1
--
L_
1
1
1
1
1
ETER SET (GAS)
1
1
1 1
1
1
1
AS PIPING
L 1 1
1
1 1
1
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPL ATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
1
%
Date 5-20 -X1 Job Address '.lam 4 rt .
Legal Description'725
Owner
Owner's Address ? 9 1 Ai (1:- '' G 5
Contracting Co. 6- ✓S-16 c.Ir.J' d ;/ Coo. 1 1 o :) Address C( J ' ' 7 r A/(1=
Qualifier `4. J ra - ? (Phone Z 6 `{ - L ca4IL
State ipGA C63ry- a Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Q ooc.,( D /-7ca
Square Ft. Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO 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).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I 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, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compl'•nce with all applicable laws regulating construction and zoning. Furthermore, I
a0; oriz the a - amed contr =ctor to do the work stated.
•
gnature o
ate:
Notary as to Owner and /or Condo President
My Commission Expires:
** * *
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
to r 31z`'
/ Lessee / Tenant ■S ! � , r TG cc J Master Permit #
and /or Condo President
Zonin
,inY:'ey WILLARD KEITH PHILLIPS, 111
,•% t , MY COMMISSION # CC 472510
_� 4 * EXPIRES*lune 14, II 99 I * * *
Bonded Thro Nobly Public Underwrite
Mechanical
Tax Folio // ',JL 0G- O13 - 53 O
et-. ovc�
Phone '1-S 2 P 1 3
c� .) cOe.J.r -e_ '
Signature of Contr •r or Owner- Builder
Date:
Notary as to C nrractnr nr
My Co i ROL4 j HE9plI1HMTH PHILLIPS, III
,- MY COMMISSION / CC 472510
EXPIRES: June 14, 1999
PO' • ` Bonded Thor Notary Pub& Underwriters
•
owner Builder
**
FEES: PERMIT lPI RADON C.C.F. ,Z So NOTARY TOTAL DUE 4o2. 017
Fire Other
Building Electrical
Plumbing Engineering
J .-43 #-) J"1. S ,LL
39S ri r� 9 C s1"
9 s T"
<Eli1 4
ate of Florida
runty of Dad 'e 96R225505 1996 MAY 24 14:01
E UNDERSIGNED hereby gives notice that improvement will be made to certain re
operty, and in accordance with Chapter 713, Florida Statutes, the followi
formation is provided in this Notice of Commencement.
Description of property: (legal description of the property, and street address if
available) 3 9 S /J IC ST,
" General description of improvement:
Owner information:
a. Name and. Address:
Contractor:
b. Amount of bond$
tary Public
6
STATE OF FLORIDA, COUNP bF DAD
HER EBY CERTIFY that this is a tr
orl gino:t,7 o d i • offic on
t dd% riJA »'U rev•
NOTICE OF COMMENCEMENT
C/O A L
l
v L L �
b. Interest in property: CLJ Q-✓
c. Name and address of fee simple titleholder(if other than owner):
(name and address) v-Yl arc A ,r 4-
Li ? 09-✓ e. 1
Surety:
a. Name and Address
Lender: (name and address)
Persons with 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., Florid
St (name and address)
In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(t
Florida Statutes.
Expiration date of notice of commencement (the expiration date is 1 year fr
the date of recording unless a different date is specified)
torn to and subscribed before me this " day of �'`'�� , 1990.
My Commissio
S1✓o� ature of one&'
:ink, WILL.ARD KEITH PHILLIPS, III
,,: MY COMMISSION 1 CC 472510
tai
EXPIRES: Juno 14. 1999
A; i I NAY Public tMderw,1te>s
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date '20 - DO Job Address 3 `l S U (• ' R -t r Tax Folio
r
Legal Description
/ Lessee / Tenant a Z b e,rr U 4 ( ( Master Permit # ?if??
Owner's Address (o .51 2 . Phone
Contracting //Co. C-4,4 La_)- Address �( � J 4 �J ✓� ✓2�
Qualifier /h.") -)" .o..1
ss# `/.- Phone47)5 '),--)6 / 0 ()a D ✓
State #(,,llc,$35 1. d` Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION K�p,.% ri�l.�c�- �, (•4.u;. ESC ).- Lu(.,Tw /�
Square Ft. - Estimated Cost(value) Z Igj. S i
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO 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).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I 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, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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. Furthermore, I
authorize the above -named contractor to do the work stated.
Signature of owner and /or Condo President
Date:
W . Pax /64
Notary as to Owner and /or Condo President
My Commission Expires:'
** * * *
FEES: PERMIT 5
APPROVED:
r:`l}' W. Keith Phillips, III
% Commission +f OC ONO
Expires Jun. 14, 20Qi i
Tam Val, Atlantic Bonding Ob., kw
RADON C.C.F. 1'1S D
Fire
Zoning ,1 Building
Mechanical ag ( / • �' ,G " / Pumbing
Signature of Contractor •- Owner- Builder
Date:
a1,4 0/in-=
Notary as to Contractor, or.Owner- Builder
My Commission Expi
* * * * :
W. Keith Phillips, III
Commission • 00 829610
Expire* 11. X03
NOTARY --0 ' TOTAL DUEPS d
Other
Electrical
Engineering
NOTICE OF 4 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. 0
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: � — l S" - "1
k \ - S\n co re_ \ 13
2. Description of improvement: \ is..-r C Li
3. Owner(s) name and address: (0 C E_Q_ l w
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address:
5. Surety:(Payment bond required by owner from contractor, if an
Name and address:
Amount of bond $
6. Lender's name and address:
Notary Public 6■/.
Print Notary's Name
`3 S- ova- cL6
1 Ctle 11oL r.
r Col — i•1 Wr\in(
y600- S' w - 1- s A-via t■-)■ t s
Signature of Owner
Print Owners Name Q OC3 -Q ' \' \ u.;;
Sworn to and subscribed before me this day of , 19
,ro,v, COIN
otE ?u
L � u
S"t� . E
r_J . " 9 -r•
c
7. Persons within the State of Florida designated by Owner up. c es 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 Uenor'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)
W. Keith Phillips, III
i4 : 1 = Commsa*n # CC 829610
=pa' ante a We
-;�' Beaded Tim
' nti.ncio Bowling ao., Inc.
008460140 2000 SEP 22 10:42
STATE OF FLORIDA, COUNTY OF DADE
1 HEREBY CERTIFY that this is a true copy of �lp
original rued in tnrs orrice on � 1 Way or
, A D 20 C51ll
WITNESS my hand hand a�ial Seal.
HARVEY RUM, CLERK, cf Crc✓d and Cc•t) C ..rte
E: y G.
Prepared by: SR-' 4'Yt P K i (,lit P
c/o G 1.94 ✓
Address: (46 00-Std.- �S
tit( f Z�1