946 NE 96 St (2)BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING 0 '""�
P 4,1 .) 1 +J C o Il
Owner of
Building v..>
tJ • I i
Architect
Contractor ;
or Builder
Legal
Description
Address of
Building
Lot
B1
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE,
PERMIT
/V . E C
N? 4348
Work to be performed under this Permit
`+ Lt )
BY
- 1 `7
Subdi-
vision
Value of
Project $ 2 S
FLORIDA ✓
DATE t _ j 195
Contractor's
License Na ? 0 3
t4J
1t,
Amount of
Permit $
This permit is granted to the contractor or builder named above to construe the building or to install the equipment or device described in the application
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 nowle gf the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the sttate;yents or specificati• and tt`h he sumes responsibility for work
done by his agents, servants or employees.
Signed.
INSP
In consideration of the issuance to me of this permit I agree to perform the work covered he - nder 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY sue.
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.
Date
Owner's Name and Address No. Street
Registered Architect and /or Engineer
Name and address of licensed contractor.
__ e."1
State work to be done and purpose of building (by floors)
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
Remarks ( Signed )_ )
STATE OF FLORIDA,
COUNTY OF DADE. J ss
►r.
9
Y
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 $ *— - • `Amount of Permit $
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 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, Pennanent 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.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
to me well known,
Building Inspector 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
-71
Si"
Date
Legal Description L04S .3 /i/ 19lk - 74) Historically Designated: Yes No
1
Owner/Lessee / Tenant — nc, met S
/, �- r
Owner's Address 7 1 (6 X) C. Qc "
Contracting Co. /� /
Qualifier �ezrr X ,(3o v0 SS# $ « Phone ` '/
State # G6G054885 Municipal # Competency # Ins. Co. 8 ` .5-6) _ Cc's-
Architect/Engineer Address C k 11 it B t( V f.
Bonding Company Address
Mortgagor Address
Permit Type (circle one). RICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 1/74S -ka - ICC -/ 01' ad aca acc. y &- C / e ik,, ,/
t t,()P,.,I � ... ?plQt:c. E, #. St u20 (v `b (9" t LK .
Square Ft /0..4 / Estimated Cost (value) 6,666456
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.
OWNERS 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 tie wor . • ted.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
./ Job Address l q A). 6 �(�i' S Tax Folio
Signature of owner and/or Condo Pres
(2.1,1
Notary as to Owner and/or ondo Pres : en t Date
My Commission Expires:
„sr e Walter M. Jones, Jr.
as) , Commission # CC 757019
1410. Expires July 6, 2002
/NEAR TcBONp C. ANC.
FEES: PERMIT , G6 RADON
tr id /' et y Ci
0 1.,h_</oc;
Date
Ac/o,
C.C.F. , ""!
APPROVED:
Z o n i n g Building. g4%, � f i'/ i
Mechanical Plumbing
Address
Master Permit #
Phone ( ) 15 / . 7
9 AJ. St: Poi 7 P/ -a7.1
Notary as to Contractor or Owner = udder
My Commission Expires:
o PY Po Walter M. Jones, Jr.
ag ,:. 45 Commission # CC 757019
Expires
BON July E
Nor rt ANTIC ROP CO.. iNr
NOTARY
(q 9) oo
Date
3//3/00
Date
BOND ; r. -
TOTAL DUE ) ) . )
Electrical
Engineering_
l ay., 1°P
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1. y1174, 0 Tip
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1
PERMIT NUMBER:
STATE OF FLORIDA
COUNTY OF DADE
THE UNDERSIGN hereby gives notice that improvements will be made to certain real pit:petty, and in a
Chapter 713, Florida Statutes, the following information in provided in this Notice of Commencement
with
Legal description of property and street address:
6 Shore, C P^. 3 38 "PS l o / P(7 3�
Description of improvement . (a.r pi 9/c/ C r;cct C-1
Owner(s) name and address: / litoer'tccs &,
Interest in property. Ow nor
Name and address of fee simple titleholder.
Surety. (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond: $
Lender's name and address:
SIGNATURE OF OV i
Print Owner's Name miss E ifhYo
Sworn to and subscribed before me on this 0 15-
day of / i, r . al9
na/ly KnoGrn, or
Produced ID
Oath taken,
NOTICE OF COMMENCEMENT
X : Va er M. Jones, Jr.
"�• -• Commission # CC 757019
i y. Expires Julye, 2002
ut A • ATLANTIC BONDING Ca, INC.
Oath not taken
TAX FOLIO NUMBER:
9v, ,O. c. 9 4
F d%r r 4 ) tqctio c T (o r f c/(0
sT
VY1 a . Sho
Contractor's name and address: U. S_ ar, Ic $ B lO C % %( /U5717 i W . 7.
P(t.� o 1 rt . 33317 kW
Persons within the state of Florida designed 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:
In addition to himself, Owner designates the following person(s) to receive a copy of a Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes,
Name and address:
Expiration date of this Notice of Commencement: (the expiration date is one (1) year from the date of recording unless
a different date is specified)
Prepared by: i2 S- 6r. c,.. S ' vac
AL 4 Address: 9 A c 7
a.,'14 -e Owl L _ 5S ''
Notary Public:
Print Notary's Name: 11.11-44
Commission Expiration
COUri"r'
C!RYIFV Fhcl this
or: rlsr11:r Pint ofnCO on
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Requirements for permit
approval:
(a) Permit application
(b) Two copies of survey
or site plan
(c) Sketch or proposed work
on survey or sit. plan.
(d) List materials to be used
on sketch.
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Pay no, \ e3 O 15
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Concrete appr(Jaches
/0 must have cold joints
4eTb') K every 30 inches
parallel with the
street
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This property described as:
Lots 3 and 4, Block 76,
MIAMI SHORES SECTION NO. 2,
according to the Plat
thereof, as recorded in
Plat Book 10, Page 37,
of the Public Records of
Dade County, Florida..
Mayo, Thomas E. and
PROPERTY OF. • Harriet R., .
low
•171 V44.104111101:1 (111, SIGN4 rllwr
.'u run: IIM IG Lr. \I. A.111C2 1/.11.
;I.411113.1 . ,111.! SV.D •UN\ l\ I1M
t.1 114 r ►11
u7L1
A BOUNDARY wgviv
MAO. cemn that the surrey none.
lensed hereon owes the maims"
IgCt1..1Ca1 {Nerds tat AVM r, the lord
at Land S+rreyan In dhow 11C174
Howie . a,wrotratrye Cain Paseo', NI
Setts" Q2. V. i(t SUMO. there art no
ernatact1111er o. o.ertsos. e»tnlenD
*coming en Me Mil. Other than a
Chown *Meta. /
‘0...#1
`, Gag 4,,, g
1 1141.. Vi
Page l of 1
946 N.F. 96th Street, Miami Shores, Florida
33138
I.ANNES AND GARC IA. INC.
LR. N 2093
1l) 12ti ' I•:Y()K1- .ti1APPER:4- 1.AVl) PL.iNNYR'
It1;YY 41(:UE:SVl' VN V.N.NI. a 4J
U(Ocr atItIras: 3f;') .alcuar Avenue. ( tatbih. Ylurida 3 11 14
IJUSI b41r7404 1954) 37.14
C/CI /• s. t C 1 nuA.WtVltV 1 DIZV1'G. NO
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby mnde 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 h 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.
'
� � G J'' � o
Date..._..._... _.. �.� -..�.• . _._ .._... ,19..1
Owner's Name and Address � �i J:�... �...�...�..�:.:.�`'� � �' ` _. No �.�,� �.�: Street..�:.�- W _ /.la r $.
Registered Architect and /or Engineer e x::. nsn•rt,e,en,ner
Name and address of licensed contractor C.,1;.
., : . A.: . "_1_ / e 7 ice := ..
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done U.!
State work to be done and purpose of building (by floors : _ o.. t .:_� (" ' 4- C'^ � .._.
' a ...:..._. • ._.._—
�., !z _ / •�` / ��w •y,i>
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation Roof Covering.... 11 „l /
... .t:.`....C: "::.t..
Estimated Total cost of improvements $ ,./1 r t" < f_ -.e t` Amount of Permit S. ° r
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 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 pennit 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 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 su ntractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)_.::......._ -
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.._... l ` Date .cif 3 - -„''- Read, Sworn to and Subscribed before me.
Disapproved _ /
� Date.._. (_'
( Signed)
����. f �� _ Notary Public, State of Florida
.�_
My Commission Expires
Building Inspector
to me well known,
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 hecn obtained from
the Planning Board.
A re inspection fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty
materials an<i /or workmanship.
MIAMI SHORES VILLAGE
�` BUILDING DEPARTMENT
305- 795 -2204
Build/ng Inspection Request
Date
Correction
Re- Insp'n Fee
Type Insp'n a —
� L
r� ]
Permit No. �" 0/ 003 '4, ' -
Name s----- fatit'py1
Address q 4 ( J / 4 l e
Company
Phone #
Inspection Date
ezk —e
(Rev. 04/24/03)
Address
Building Officials Approval:
Miami Shores Village
Building Department
Certificate of Re- Occupancy
V (,(, --;^ s°
Permit No.
Date
The following residence is issued a Certificate of Re- Occupancy
10050 N.E.2nd Avenue
Miami Shores. Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
City Miami Shores State Florida Zip
This certificate verifies that the referenced property has been inspected by Miami Shores Village
and has been determined to presently comply with the schedule of regulations of the Miami Shores
Land and Development Code pertaining solely to the requirement that each one - family dwelling is
used and intended to used for a one - family dwelling purpose only; however, this certificate does not
constitute any representation or warranty as to the condition of the dwelling or other structures on
the premises described herein, or any aspect of such condition, and interested persons are advised
and encouraged to make their own inspection of the premises in order to determine the condition
thereof.
/27/2005 15:27 3054451920 INTERBANK PAGE 02
p r• 27 05 02:52p Nancy Dowsc, l'S Team 305- 754-1655 p -2
{Rev. 10 ;02103)
RE- OCCUPANCY
APPLICATION
Bate Z o S
Contact Nanc Itit.,n c C ', r Phone # 30S '''..5 I - C 1 O
Buyer Seller Realtor I / Company Name r, tart LAI l l { h 1 +1
Property Address At/ 6 NIE 9 6 5 +r e-
City Miami $ hpres State Fl Zip -- 3 > %
I hereby certify that 1 understand that the zoning of the property is for single- family residential use and
that it is unlawful for more than one family to reside therein. 1 also understand that any Certificate of Re-
Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is
being used for single- family purposes and that such Certificate does not constitute any representation,
warranty or certification as to the condition of the dwelling or other structures on the property.
OWNER'S AI t iDAVTT: I certify that al a foregoing information is accurate,
Applicant Name
Signature_
Prin .— ,
My Commission Ecp'b es:
Building Officials Approval:
Miami Shores Vi.11age
Bui:Ilipg Department
The foregoing instrum t. was acknowledged before me this � day of
, who is personally kn Wn tome or who h
(W e
10050 N.F..2nd Avenuc
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 - 8972
Permit Nn. r
Loc ID
by 00
( F nt if cation and who did take an oath.
NOTARY PUBLIC:
Rc -Occ. $60 00 V
Notary $5.00
CCF $O.60
Total