813 NE 97 St (8)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
r A
Type Insp'n PJpiri C: pcc
Permit No. p
nOin
Name •
Address
d ?� fvF,. /
Company M C.
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Date
*-)
Bui ding Inspection Request
Type Insp'n Lor p9
Permit No. P P)
Name o n 1
Address Q) i3 q i -
Compan }7 SP I C
Phone #
Inspection Date 3
Approved
Correction ❑
Re- Insp'n Fee ❑
Phone #
Re-Insp'xi fee
MIAMI SHORES V I LLIA V ]E
BUILDING DEPARTMENT
305 - 795 -2204
Buildin Inspection Request
Dace
Type Ingp'n
Permit No. A 0.4 - _ f
Marne
Address
Corn pany
5
Inspection Date
Approved
Correction
J
Date
Typc Intp' n
Perrnit No,
Nern
.,)
Address
Company
Phone 4
InvectiOn Date
Approved
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Buildi g Inspection Request
Correction
Re-Insp'n F5c. C71
■■•■•
tj
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Dat
( .()Ck
Permit No. P 0341
ro.nonu-.
Type Insp'n
Name
Address
Company y Phone #
Inspection Date L13
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES
BUILDING DEPAR 1 MEJ.r A
305 -2204
B Ician$ Inspections Raquest "\\u Date ria 0
Type Insp' n
Permit No, 'A _
O
Name C Ui
Company
Phone #
iitspution Data
Approved
Address U 4.�a . J �►� `�
Correeziom
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bui ding Inspection Request
Date
Type Insp' n Q onp
Permit No. PIGS
Name
honrou
Address 813 i J q
Company Slob SPp h C
Phone #
Inspection Date 3i LS
Approved
Correction ❑
Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date i° I
Type Insp'n Lt n)- nycne
Permit No. E� 04 cO•'C➢
Name non nor) •
Address S13 Q� - u 7 34-
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
/ 7/7 / )-` ®/-'7
S t
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bui ding Inspection Request
Date O`
1
Tv ^. rnsp'n I in O I QOP^ i t�I'
Per o. p �� ' �'�J
Name G' TVA `C ? �'f �
Address 13 1 " �-- P (. `�
Company EDeb
Phone #
Inspection Date C9
Approved
Correction
Re- Insp'n Fee
❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date!. •
/-
( I r
Ty insp'n ..
.411
,....
'
'
Perm itNo.
'
Name • ' '
/
Address
, -
Company
Phone #
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\ f,
J . r
4 , ,
Inspection Date . , . ' l
\ , ‘ ' ' •
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Approved
Correction
Re-Insp'n Fee
• s
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date - 1Job Address Z/ A2;6 (17 � Tax Folio //— 56 — 0/ -0.15gO
Legal Descrigion 46r ( ■VS /! i. Historically Designated: Yes No
.s'e bd. dill AJO. 3
Owner/Lessee / Tenant le. hd G3 v1 �D Or �L
Master Permit # 1 #o2- 7
Owner's Address g Q 3 ik.o6 'i -i - i e_5 r - r pt aikt , �, r� �� A- Phone d - 759 i W
Contracting Co. S / / ' ' S Ca' F Address 6 0 3 0 a w 6 / ¢ •i r = / ) . / 1 1 . 1 1 / 3 / Z 4 4 ( 4 4 5 .
Qualifier v/ s%%**P S
ss# , Phone ao.r-2
State # Municipal # -2 boa Competency # C 2o Ins. Co. S2 2 7 &o d
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING FENCE SIGN
WORK DESCRIPTION
i /Svt FA- CA wt s- f n Pr r u-e,oil-ci
Square Ft. SCE O Estimated Cost (value) 9 0°
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOU:.''
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.
Signatup of owner and/or Condo President Date
# S-00 r 77 6 3
fV "e
4
Notary as to Ownercald/ar v — Dile
My Commission E$pires: C i V1Y-An
NV 7 MTh' CY FCAIDp
Cal ! NO. =4
IJ V COMMOS;QN EXP. lb _
FEES: PERMIT RADON
APPROVED:
Zoning
Mechanical
Building
C.C.F. 1 6 NOTARY ,.✓�
to on Ctor or
ssio
Electrical
BOND 3019
TOTAL DUE
S / t /7
ntractor or Owner - Builder /Date
Date
6®
Plumbing Structural Engineer
A�
50.0
AS=
(
limay!
0
o.
0
o1)
0
rI S • 00 P/c— Z i
x �_„_ , �_, Ft.?
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1
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- P
SURVEY
1S' ALL��j . �
• .. SLAP • ?
8.4' 4d
1 1
kr G•8.5. 2E5.
LL. 813
1a•a'
'90
S l'
O C
rl
�0•
Ip
2 0' 'Pa0e...en1
ICJ. . 97t1, ST C
NOTES:
— BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE
— ELEVATIONS WHEN SHOWN ARE REFERRED TO
0
C \Og
SCALE: 1" = 20'
F
I�
a .s..
ua a..1. •
5' Sw *.
7�'POt 305 3 g "WOO i',,
r .., _TN �/ /7/,9 . 3OS 6 3 5 a P
t
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so'
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0
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1
PRQP,ERTY ADDRESS g13 LI•E • °Ii • 5T2EET. 1-+ l Art I , - Lo21 . 33 1 8
go
CERTIFIED TO:
fd
rJ
i
Ifo
LEGAL DESCRIPTION
•
LOT 14 A )l -r HE ..ie5'r 1-►Ai-F OP t41' ►s•
SUBDIVISION H1 1 5Ho¢.e. SEc-7 /J.-
ACCORDING TO THE PLAT THEREOF AS R 'ECORDED IN PLAT BOOK 10
OF THE PUBLIC RECORDS OF r o e, COUNTY, FLORIDA
11
18
8 5T 1 -E E. T
67
lq
5 4-
s T2t;E?
LOCATION SKETCH SCALE: 1" = 2ctto
THE NA11ONAL FLOOD INSURANCE RATE MAP DATED 03 - 0219 '14 PUBUSHED BY THE FEDERAL EMERGENCY MANAGEMENT AGENCY DELINEATES
THE HEREIN DESCRIBED LAND TO BE SITUATED WITHIN ZONF COMMUNITY NO 120 (2PANFl O 3 SUFFIX S
WE HEREBY CERTIFY: That the attached A5 -BUILT SURVEY of the above described property is true and correct to the best of
our knowledge and belief as recently surveyed under our direction, olso that there are no above ground encroachments unless
shown, and meets the minimum technical standards set forth by the FLORIDA BOARD OF LAND SURVEYORS. Pursuant to Section
472.027 FLA Statutes and Chapter 2111 -116 of Florida Administrative Code. Examination of the abstract of title will hove to be
mode to determine recorded instruments, if ony, affecting the property. Location and identification of utilities end /or adjacent
to the property were not secured as such information was not requested. Ownership is subject to opinion of title.
ROBERT W. HANNAU, a single man
FIRST UNION NATIONAL BANK OF FLORIDA
ATTORNEY'S TITLE INSURANCE FUND, INC.
WEISBURD, EISEN & ROTH- CORTINA, P.A.
Jo Mafia & A§§®ta tte , hie.
2
2)
24.
R egistered Land Surveyor, State of Florida
9360 S.W. 72nd STREET, Suite 265
Miami, Florida 33173 (305) 598 -8383 FAX: . 598-0023
Sr
ill
•
REVISION:
REVISION:
cuENT:
ORDER NO
BLOCK 1 5
AT PAGF "5
JUAN J. BONFILL
PROFESSIONAL
STATE OF FLORIDA
DATE. 0 4 - 05-'4
NO. 3179
94- 0 5'7CT '
(
0
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4
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0
4
If
MM �
F
4
OWNER'S NAME
GCitg
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
43 1.I. 11/ 971 3 _ret,
LOT
14 & 1 1,, 15
BLOCK
73
SUBDIVISION
Mali Shores
GEN _RAL CONTRACTOR
G:TIORGE DTI:::,:,,-
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO 11 4 2 9
DATE 5-3-51
PERMIT FEE S
• BUILDER'S BOND
N0 12 . 69
DATE
ZONE REQUIREMENTS 20,000 CU. FT.
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED
PLAN CUBE 20,312 CU. FT.
BY: • G io ,
EST. COST S 20,000
DATE
3'61
X
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
Tile
INTERIOR CONSTRUCTION
Oak floors plaster walls & esti
REPAIRS
DESCR IPTION
Living Room— Di a lim— Nit— Jal. Por— 3 bedrooms— 2 baths Att Gcrage
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE-SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO.
ISSUED
BY
TO
BUILDING PERMIT AND INSPECTION RECORD-MIAMI SHORES VILLAGE
I
DATE
/Z
PERMIT NO. //544 DAT 5 - 5/
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUN DAT iON
FEE
TEMPORARY SERVICE
// qo
30 - 57
$
SEPTIC TANK
6-G.s/ -1//4/4
BEAMS & LINTELS 1
/
-
$
SOLAR HEATER
FRAMING
$
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
FINAL
•
.5'1 —
Q Q
CLEAN -UP
•
` C �
SEWER
CONTRACTOR 4VC) 6).44+^.. -
PHONE
/Z
PERMIT NO. //544 DAT 5 - 5/
FEE $/ . l
NEW BLDG. •-- ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
// qo
30 - 57
$
SEPTIC TANK
6-G.s/ -1//4/4
/
$
SEWER
$
SOLAR HEATER
$
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
.5'1 —
Q Q
GAS
d am
�- ,0 /..Sr
` C �
SEWER
RANGE CONN.
SEPTIC TANK
/ nn
(O .. /R - f/
eh.
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
CONTRACTOR �. "
PHONE
/ / r/V'D'!i � / +
PERMIT NO.�{ f7 1 DATE °e7,' ,rO
U
�y�
FEE $ /r t^a'
NEW BLDG. I ALTERATION 1 ADDITION
1
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
// qo
30 - 57
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
, ��i
f� C��
ROUGHING
d am
�- ,0 /..Sr
�,�Jj �s�/j
..-..
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
'BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL. TO POWER CO. FOR SERVICE DATE
BY
Date j 2- %Job Address ('3 e Tak Folio
Legal Description Historically De ignated: Yes No
Owner/Lessee / Tenant
Owner's Address t / `
Contracting Co.
Qualifier
State #
APPROVED:
Zoning
Mechanical
WORK DESCRIPTION
6
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
� ,4 11/6'e
f,✓
, nom
<771./ ( otary as to Owner a J " Condo President_ -- Date
My Commission Expires:
U3 C Ci.�
:l. � to - 118 .,EAL
;Li;'_N 5 E£GASSE
NOTARY FU3LIC STATE OF FLORIDA
COMMISSION NO. CC238377
MY COMMI SION EXP. OCT. 21,1996
FEES: PERMIT - RADON
aster Permit # #
Address
SS# /�«� , one
Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Square Ft. Estimated Cost (value)
C.C.F. NOTARY
Building
Phone / ? ) . 3 i /06
Electrical
� 3,1 -
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.
C A l l q ‘
(ignature of owner and/or Condo President Date
Signature of Contractor or Owner -Bu er
otary as to Contract• •r O - er- Builder
My Commission E + s: / — ''
.$,%`svtwm. WW ‘wm%s.% %tv` «4«`ms .
< .0` Beverley Darlington
i $ A 2.. Notary Public, State of Florida
< �'' ' ' o Commission No. CC 427770
< ''� of fiS 1.y Commission Expires 12/20/48 >
1 380 - NOTAR :' - Fta. Nonr, 4rrvixo fi i3�n_'0ng co. > ,
!e ? ?ee eee t l c<!!u .l:C!� i ((WYCI
TOTAL DUE
Date
Date
Plumbing Engineering
ADDRESS
V_t,T_ Vin *Ism 813 t1_� _ '7th St. LEGA
RECORD GARBAGE TAX
PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
J.W. V€ n7eee
n \� %
;i ^
/f"
Q,
f
/:% l
✓ ?v! /oi
ADDRESS
V_t,T_ Vin *Ism 813 t1_� _ '7th St. LEGA
RECORD GARBAGE TAX
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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.
O wner's Name and Address
Registered Architect and/or Engineer
✓Name and address of licensed contractor
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Location and legal d scripti n of lot to be built on:
((
Lot J (` 13 Block Subdivision 22/).g ,J-
et and Number where work is to be done
DateG'g 19
No a /,•.? Street /✓4
t1 R .f l�
c c l�
// 1,W /// au" 1L
/ f
gate work to be done and purpose of building (by floors), state exterior colors (submit samples)
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Rol Covering
�� tc
vEstimated Total cost of improvements S 00 �— Amount of Permit S
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
STATE OF FLORIDA
COUNTY OF DADE.
} SS.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an emplo
Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with t
compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: a t • 1
on the site of the work such public notice or notices as are required by the Act. The undersigned agrees . ploy 1 • suc
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)
ovision
post`/
ss
d
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Date
Notary Public. State of Florida
of Labo under the Florida Workmen's
ereof. and will require similar
ause to . 1sted for inspection
ontracto to to be performed
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 foregoin: application, and that he did sign the same. and that all facts therein by him stated are true.
Permit No. ` f ` ru ( Date gl ` Read. Sworn to and Subscribed before me.
Disapproved
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved ate Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
•.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buil B ing Inspection Request
Date I
. �Q(r C -C9I�
Typelnsp'n
Permit No. J- I o 4
Name h a I ) n cn
Address e
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
ti MIAMI SHORES VILLAGE
BUILDING DEPARTMENT �,
305- 795 -2204 �" /
Bui Inspection Request
Date 6 4` B
Type Insp'n ^a t et/ cl)(01.
Permit No. Dc
Name ►� 0
Address
Company
Phone # ao c- X (/
3
Inspection Date
Approved
Correction
Re- Insp'n Fee
lI
❑
701
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n P DeC -\ GO rd
Permit No. _0q e
Name nonnoi--)
Address ILO( B 13 N
Company 0 e Li-
Phone #
Inspection Date �4
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bui ing Inspection Request \
Dat: ' / 0 Q
Type Insp'n R D Po o
Permit No. 13PO4
Name
Phone #
Iiannau
Address g/! 3 NE / 7 451
Company aO5 /V U !, pxJI
Inspection Date
d
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT O
305- 795 -2204
Bu ding Inspection Request \ \
Dat 3 2
Type lnsp'n 6r n K Zr
vvreCvw
N'? q7 4
Inspection Date
Approved
Correction
Re- Insp'n Fee
Permit No.
Name
Address
Company
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date'
'(•`'f
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bui ding Inspection Request
Dated
Type Insp'n
Permit No. " 3 POLF 1 Li
Name , ri rfO
Address /v ` i
Company
Phone #
Inspection Date Q0
Approved
orrectio
Re- Insp'n Fee
(9(6
F/ e
`
root q r af, -14
Date
Type Insp'n
Permit No.
Name
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
fit 0 / 4
Address
Company
Phone #
Inspection Date eq \7 'O 5
Type Insp'n
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT ,
305-795-2204
N
Building Inspection Request
;
Date ( z.) -., 'A ,; -% *
, 7
(-' r?
!,/
Permit No.
Name
Address
r
Company //
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
0 3-
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
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.
property %V?) N� q1 5 cV m I Cm15h2� 'S , l ?-1)13% 1. Legal description of ro erty and street/address:
LOT # 14 ki , BLOCK 93 SUBDIVISION: MICom S h
PB# ID , PG #3`1
2. Description of improvement:
Name and address: N/A
Amount of bond $
6. Lender's name and address: N/A
different date is specified)
Print Owner's Name
Sworn to
Notary Pu
Print Notary's
My commission expires:
, of the Public Records of Dade County, FL
Swimming Pool
1111111111111111111111111111111111
c :1FN 2OO 4- R1OO83!
OR Bk 22821 Ps 0204; Ups)
RECORDED 11/15/2004 11 :31:47
HARVEY RUVIN? CLERK OF COURT
MIAMI-DADE COUHTY9 FLORIDA
LAST PAGE
► tat�1 . .1 . G ��
3. Owner(s) name and address: •l. '� it )
Interest in property:
Name and address of fee simple titleholder: N/A
4. Contractor's name and address: Certified Gunite Co., Inc., D/B /A Custom Pools
13250 S.W. 131st Street, Suite 100, Miami, Florida 33186 -5870
5. Surety: (Payment bond required by owner from contractor, if any)
By
7. Persons within the state of Florida designated by Owner upon whom no ices or o
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: N/A
STATE OF FLORIDA, COUNTY Oe bAo=
I ti1:HEBY GER i IFY !hat Jiffs i , ti op of the
original filed a? . a Mx or , gray cf
Jo f 2
WITNESS my hand a nd Oinr;,' , I
IMP �, ��
. - f tried as
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: N/A
9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a
Prepared by Juliette Collado
Address: 13250 S.W. 131 Street, #100
Miami, Florida 33186 -5870
Tel: 305- 255 -5315 Fax: 305- 255 -9720
Miami Shores Village
Building Department
Permit No.
Job Name
BUILDING CRITIQUE SHEET
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
PERMIT NO. •
ADDRESS: •
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT
SECTION
BY
DATE
ZONING •
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with alt Federal, Slat
County. Village rotes and fegulattons. Village essucni
no responstbtlfty for accuracy oflor resutts fra
those plans.
2. This copy of plans mutt be available <
building the or no Inspection w be conducte
JOB ADDRESS j� ? 7 57
APPLICANT ! °d Wo
PHONE ft
p.04,
APPUCATION
• CRITIQUE SHEET
SHEET OF
MISCELLANEOUS
DATE MUM COMMENTS
/ / /h/ °Y & to /A/0 04 (dam (4.49-A1) —
N r 4 Go
a L kIM (l G p
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POOL ( ECWOIL=' 'cill
Kcala`�' R EC J AL U
AOGH IRON.)
AND NON -CLII f]oA LE
R ti\ 1 O
PIEMOVE rEOCL/
WALL, OWNER MUST REG° LAC
1 11h 6 H; A 4; 'EGUC . CA S
OWNER'S PROPERTY
TS;?
kcuie_ 55'
6-- r ' cc
INITIALS
Signature
BUILDING AND ZONING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES, FLORIDA 33138-2382
TELEPHONE (305) 795-2204
FAX (305) 756 -8972
RECEIPT
1, J 4.,), 4,,, contractor/owner, picked up 2 sets of plans for
(address) 7/ 3 i/ 7 from the B k ding and Zoning Department on (date)
/ 2/3/6.-r to have corrections done to plans and/or get County stamps. I
understand that the plans need to be brought back to Miami Shales Building and Zoning to
due the permitting process.