537 NE 96 St411 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 4/29/93 Job Address 537 N.E. 96th St.
Legal Description Lots 15 & 16. Block 99
Owner / Lessee / Tenant Gregory F. Pillon
Owner's Address 537 N.E. 96th Street, Miami Shores. F1. 33138 Phone305 642 - 1440
Contracting Co. S 41uorez
Qualifier SS# Phone 821 " 32
State 'Pa./C. CC22.2.4 # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Troy & Nichnls Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING( PAVING FENCE SIGN
one
WORK DESCRIPTION ifigigtift ( ,fAct( f IE � - L - (Y - 1"C0 QIIW. 3C ) qc
CO Li 1 F, (-.;; . _ham i : 111-e- so (c1 - f lyr wo ,
Square Ft. 3, CEO -- Estimated Cost(value) 11 « ( ..3C - ( �
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 construc on and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Signature o% f dwh and or Condo President ill of C f or or Owne uilder
• I
Date:
Pat4C:LCO(.2iC.t Leh
,Date :;,
1
Notary as to Owner and /or Condo President
My Commission Expires:
!C Ak NGF <tR'a SEl! -- NOTARY S OL'
Aft ,� _ • VERIA•9EnT.. '
Address
Tax Folio 11-3206-017-1570
MIAMI SHORES SEC. AMENDED Plat Book 15, page 14
Master Permit 4� '�` f o C
Notary as to Contractor or Owner- Builder
My Commission Expires:
�a.Ldrt�+Id 4 r
Z i 5TAIM CII TIXK A " q c c r� � r .
** * NOTARY PUBIC V Al c BFI WIOR. 1 * * 1 * * **
MY CO=11531011 E hA M ' , 1 gin
FEES: PERMIT 76 RADON C.C.F. _5 ( 0 NOTARY TOTAL DUE 35+ a
APPROVED: Fire Other
Zoning Building k fr) Electrical
Mechanical Plumbing Engineering
/4225 i�. ft -th Ave
(,/,
� 't_ :i: *!1 .�r
NOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO. 11 - 3206 - 017 - 1570
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: 537 N.E. 96th St., Miami Shores, Fl. 33138
I ots 15 & 16, Blank 99 MIAMI SHORES SFC 4 AMFNOF0 rPrnrrieri in Plat Rank 15, page 14
of the Public Records of Dade County, F1.
2. Description of improvement: "Roof
3. Owner(s) name and address: firPgnry P11 1 nn
Interest in properly: Owner
537 N.E. 96th Street; Miami Shores, F1. 33138
Name and address of fee simple titleholder: rrp Pi 11.,n
537 N.E. 96th Street, Miami Shores, Fl. 33138
4. Contractor's name and address: SQ AI VOre Z
9275 W. )64-k Ave.
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address: Troy & Nichol s
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 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)
Signature of Own
Print Owners Narr .
Sworn to and sub
My Commission Expires:
Notary Public �,v \ Jc Q,t •
y of April .1993 .
Print Notary's Name Aixa L. Perez -S i l vei ra
'OFFICIAL NOTARY SAT'
AIAA L. vvrtro1f T
NOTARY PUBLIC STATE OF FLORID
My Commission Exp. MAY 1, 1993
STA, F O r FLORIDA, CO' ;N: Y o= w
p .,u -r c m ;2? G' :;:is .a G:vc. r, : :4 (.7
V $S
Glt_,4 11" Coul' :7
9382 16479 1993 APR 29 16023
Prepared by: Arognry Pi 11 nn
537 N.E. 96th Street
Address: Miami Shores, Fl. 33138
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the det,iled statemere of the plans and specific.i )ns herewith submitted , -,. the build-
ing or o h, -ructure her 1 described This ri licabc is made in compliance and con min ty w th the Building Ordinance of Mia li
Shores Villaee, or da, and all pro isions of the Laws c f the Statc cf F krid. all o d nances .,f Mi m Shores Village- and all rules and
rrgu a ion of the Building Div . i of lain Sho. illage F '1 ,e o ipl.ed with, whether herein specified or not. A copy of d
plans ,aid specificati .ms must be key at building durin progress of tl.e work.
Owner' Name and Address
Registered Architect and /or Engineer._. /_ %r_ . _ .
Name nd address of licensed contractor ec_: -.___ _ _, _ . ______- .____ _ . ___ ____________ _._ .
Location and legal description of lot to be built on:
Lot Block..
Street and Number where work is to be done
t work to be done and purpose of building (by floors) A
Sta
r ci /' - -, , '! P , ' G A , ,,,I
__ _ Repairs -
New Building _ . Remodeling_
Chairman
Member -_ ._ .. _.
Member _
Council Approved
Sri ATE CF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
BUILDIN INSPECTION DEPARTMEN
i Date
No.
Subdivision
Addition__ .
PLANNING BOARD
(Signed)
Member
Member
M
To be constructed of. ._ _ _ Kind of foundation
Estimated " ; /4( ;77" r T
tal cost of improvements $_ Amount cf
Permit $_
Zone -ubage required __. plan Cubage___. __._ _ .._. ____
_Size of Building Lot________
_-DATE
Street e': _-.
and for no other purpose.
No. of Stories
Roof Cov >ring
Distance to next nearest building
M7xinimn live load to be borne by each floor
hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
o:, scut to __ _
The undo signed appli ant for th s building permit does hereby certify Ciat he understands and accepts his .- bligations as an cniplrn cr
of 1 bur under he Florida Workmen's Compensation Act being S. 'tion 5966 Coi p led Gen al Laws of Florida P r anon S mph uent.
and h s compl ed w'th he prov'aons thereof, and will require s•niilar come lance from all contractors or subcontractor:; cinplo '(d h} him
in tha wo k to be p rf med under th s pern it and ill post or cause to be posted for inspection on the site of the work su h public not- n
or ctices as are fey= d by the Act. The u. d. r ign -d agrees to employ only such ajconlr. ctors, on work to be ,pgrforn, d der
pern-it as as are licensed by M am. Shores N, ih• ge.
Remarks
C/
C/
Before me, the undersigned authority, a notary public, duly authorized to adm.nister oaths ..nd take acknowledgments, personally ap-
pcarcd
to me well known,
and who, being by me first d ly sworn, upon oath depores and says that he is the ._
of th abov de c. ibed • ,struction t. • li has careially read the foregoing application, and that he did sign the same. and tl at .11 facts
therein by him stated are tr re.
Permit No _ _ `- ,
Date__ -_:. - _ Read, Sworn to and Subscribed before me.
Disapproved _ _ .__ __ _. 7 , 7 ._ ___. Date__
`''-, = Notary Public State of Florida
(Signed) - s ,..,.- e, -
Building Inspector My Com:nission Expires. ._ - _____ ._. -___
.Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or ^hanges to this application 'ft' r approval h !s lei n obta'ned from
the Plain' me, Board
A re- inspection fee of $1.00 will be charged when such .e- inspection is m . necessary by improper notice Err inspc Lip or I;;. , ty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
0 DA
o PERMIT N? 14793
ntractor
Er Work to bn performed under this Permit
Architect
Contractor
or Builder
Legal
Description.
Address of
Building 3
In consideration of the issuance to me of this permit I agree perfOrm the work covered hereunder in compliance with
pertaining thereto and in strict conformity with the plans, drawings, ts or specifications submitted to the proper suthor
In accepting this permit I assume responsibility for all work done by either, myself my agent, servant or employee.
BY
This permit is granted to the contractor or builder named above to construct the building or to install the e_quipmant or
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be per(
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities.
time if the work is not done in compliance with such ordinances or if the plans are changed without authoriaation. A helium
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough luionitokte
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or sperifkations and AM
done by hie agents, servants or employees.
Lot
CONTRACTOR OR BUILDER
Value of
Project $
4.
Signed. "...•\ '%-11"senaliL BY
carittor
Co's
am**
Permit
Amt 0$
as t ree,