1218 NE 98 St (7)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
10114 Time
Type lnsp'n f DS1AJJ uJr
Date
Permit No. ' P ;
For Inspector: )0
Approved
Correction
Re- Insp'n Fee ❑
Name & Date
Name 14EOL . `C SC
Address �1c)= 1 1 TS 3
Company ✓O1 � 119-0,
Phone #
l
BUILDING
PERMIT APPLICATION
FBC 2001
Owner's Address 1 2. a E gib s
Contractor's Address
City t1 I4?1 i S fct.to
Qualifier W q 1'f E f` d, qN C is .
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City
$ Value of Work For this Permit 4 a, 0 0 0 t
Number of: Bays
Type of Work:
Describe Work:
❑Addition
County Escrow Fee $ \ .'6
Education/Training Fee $
Code Enforcement $
Minus Plans Check Fee $
Miami Shores Village
Building Department
ECEWED
SEP 1 2003
Contractor's Company Name L1w / Cook it. Aid( 1,.)61 1 Q. M , Phone #
1685 LJEs( wAa1 Dawc
State 1 L
Master Permit No.
Permit Type (circle) Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) 64 t P' . f D f7L.Sc a Phone # (4c 5) 1 go — 1 1 7 Y .
City 1 144 oil S koa i•5 State L Zip 35 1 3$
Job Address (where the work is being done) 12 1 e) N t. .
City Miami Shores Village County Miam i -Dade
Is Building Historically Designated YES NO X,
Permit No. QPrn3 .1431
Tenant/Lessee Name Phone #
Zip
(,3o51 Bas -2.%
Zip 33k C,
3313
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Phone #
State Zip
Square Footage Of Work: / j- 7 O ' •
Stories Families Bedrooms Baths
❑Alteration :New 433 Repair/Replace ❑ Demolition
eO.Je -AV._ ►V - t-J4 W / *1b�R r1 6-
i... ,i)c
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $
Tech $ Scanning $
Bond $ Struct. $
Total Fee Now Due $
(:
A pp FCC 135a $30.00
Notary $ V—
Radon $
(Continued on opposite side)
Bonding Company's Name (if applicable)
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. I 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: 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.
"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
COMMENCEMENT."
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 reinspection fee will be charged.
Signature (f, t Signature
Chc7r7 /03
Owner or Agent
The foregoing instrument was acknowledged before me this — I
day of Ibea, 20
who is personally kno
1 � 1 1VOTAR � Cr
Y PUBLIC:
Sign:
Print: ; + ; r.. ( 7,
My Commission Expires:
.L
PRISCILLA NOALLA
W Rul&Il°sgl W-gliD 047144
Contractor
/ ' 1
The foregoing instrument was acknowledged before me this" i
day of SC-P ' ii)kA s`
who is personally kno
(' y 1`I' as
NOTARY PUBLIC:
Sign: �,; ,;.`_ ; ) . ,(. (4,
Print: p' ;�' p'
My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
APPLICATION APPROVED BY:
SEP 16 2003 Plans Examiner
Engineer
✓.P
Zoning
P "Y P"B }},,�� • PRISCILLA NON� A
� w iAYGORItu�S r g le }� i #0D oi7iii
. " on A ' iliE k i o ath
- ot Ftp Bonded Thru Budget Votary Services
Bonding Company's Name (if applicable)
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. I 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: 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.
"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
COMMENCEMENT."
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 reinspection fee will be charged.
Signature (f, t Signature
Chc7r7 /03
Owner or Agent
The foregoing instrument was acknowledged before me this — I
day of Ibea, 20
who is personally kno
1 � 1 1VOTAR � Cr
Y PUBLIC:
Sign:
Print: ; + ; r.. ( 7,
My Commission Expires:
.L
PRISCILLA NOALLA
W Rul&Il°sgl W-gliD 047144
Contractor
/ ' 1
The foregoing instrument was acknowledged before me this" i
day of SC-P ' ii)kA s`
who is personally kno
(' y 1`I' as
NOTARY PUBLIC:
Sign: �,; ,;.`_ ; ) . ,(. (4,
Print: p' ;�' p'
My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
APPLICATION APPROVED BY:
SEP 16 2003 Plans Examiner
Engineer
✓.P
Zoning
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acoording the Plat
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Plat Hook 43, Page 80
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MtOrt81Y dl Henderaou, Sex W., and Henderson, Gabriella C.,
1218 H.H. 98th Street, Miami Shores, Florida
AW
•33138•
LANNILO AND (�A INC. •
•
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JOB ADDRESS
APPLICANT
• CRITIQUE SHEET
fib Q 1r®#J
PHONE # pp ,
APPUCATION U le_ i UPI ' /
SHEET OF
MISCELLANEOUS
•
DATE
ZONING
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PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING 1 ZONING DEPARTMENT"
SECTION BY DATE
ZONING
ELECTRICAL •
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with att Federal, State.
County.Viltage rules end regulations. Village assume
no responsibility for accuracy oflor resutts trot
these plans.
2. This copy of plans must be ivallabte of
building site or no tnapecticn will be conducted
COMMENTS INITIALS
Type Insp'n
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
4\Y
Time
Phone # 305
For Inspector: 7P-er Name & Date
Approved
Company
Re- Insp'n Fee ❑
Permit No. 61 .0 + 1 'T I
Name V 1 l �� lam"" cD 1 `
Address ' A M` 121 N 1 " SJ
Date 3 Z 9 q15 Job Address C% a t SV Tax Folio
Legal Description Historically Designated: Yes No
Owner's Address
Contracting Co. (Nc` - ! G I. ddress lO Ca NL ■ \
Qualifier �C`�LC�4- C-, • of . ss# Phone eri
State # 6-3 — 0O5 ° 7 E5 \ Municipal # Competency # Ins. Co.
Architect/Engineer \\ \L L. L t - O Address G QC-CC)
Bonding Company Address
Mortgagor Address
Permit Type (circle oneABU ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION E- r� �GK `a)r
�G, �X \ST�r�CI SG PO�-� .
Square Ft. \�
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- ed contractor to do the w stated.
Signa e o
Notary as to Owner and/or Condo PresidenAp
My Commission Expires:
FEES: ERMI
APPROVED:
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
X.
/ Tenant s, C --IJLS irsTz)1\A S - Master Permit # Z.S
3/i
o President Date
;IAL NOTARY SEAL
• :nriA 11 MONTIEL
, .ig£ION NUMBER
'1401261
"1MISSION •Q2fq
�b`O .if RADON 1 rig/ C.C.F.
Mechanical Plumbing
g8'
Buildin g 1 A3 ?° /
Phone - ? _
Estimated Cost (value) 4k
Signat" a .5 Contractor or Owne - :udder
otary as to Contractor or Owner - Builder
My Commission Expires:
V-0
ICI L
ei SANDRA M MONTIEL
» COMMISSION NUMBER
CC401261
MY COMMISSION EXP.
6. 0r F \. ® AUN. 17 1009
NOTARY • 110 BOND 3 'f)a r
G•<o,. 3 -\%-Ffo
SOME 2-0C.
?— c('
Date
Date
TOTAL DUE .3 i 77
Electrical " G ,'a 70
Engineering
s X4 5 / 'rY
NOTICE OF COMMENCEMENT
98R101853 1998 MAR 06 10:37
PERMIT NO. TAX FOLIO NO. •
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: 1 - E5 c_ cp c �
•1Z- 0 3. 4.3 C °tc5 • c 33 \3 e)
2. Description'of improvement:
3. Owner(s) name and address:
4. Contractor's name and address:
t Nf f.1 G t \T11
5. Surety:(Payment bond required by
Name and address:
Amount of bond $
6. Lender's name and address:
Section 713.13(1)(b), Florida Statutes.
Name and address:
Ads
ignature • I Own • I
Print 0 ners
Interest in property:
Name and address of fee simple titleholder:
ct A\ )AXIS
■$' F-> t °I K S T r—L l cam► -< t
t.
�\1C � S cw Est tzv c;n0►J 1 I c
GT Nl t-lk 5 OOtt_ S A 3 \J
owner from contractor, if any) . OF FLO RIDA, h• a Or coPY °f the
�1�HE�EBY CE RTIFY ow
N W T
office on
r nd OFlcial Seal.
ER ro
l NESS'nY h nd ^ b f Circuit d � ° i
7. Persons within the State of Florida designated by Owner upon whom notices or other documents
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
Notary Public it(); P11 OFFICIAL
FlANOIT i3SlON NOTARY
E SEAL
< �r.
i * G� OM i, NUMBER
Print Notary's N Ite.� Q
My Commissio ET
w
°oa_c-tA
e served as provided
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
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)
ame i� 7 • .G�� Prepared by: 2
Sworn to and subscribed before me this ' day of /19 4 d .
Address: 1b(. (") t) E \ \ \ GT