125 NE 98 St (12)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address t '�`� • Tax Folio (1 . 3?: U 13 )1
Legal Description i ISlt f p t , tert Historically Designated: Yes No
O^r/Lessee / Tenant 'P%+BALD (j) ki—ORP1
- Master Permit # p a & c • d l
Owner's Address d� A:6 q d \ 'C...► Phone
Contracting Co. ‘) i 1401 � �L , � L , Addressr3C'q0 N-0 -0 , f t� 1" (16cf t f:1:33(41
Qualifier Ro ,-o e -c Phone3D -
State # <� C C T3`1 � 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 e p.m \ .- . A-sQtkosC'- vvk ,g„"' ' I A-HD 'Ng-TALL
Square Ft. 5C15
CuJDC (b c.LA f
/ C
Estimated Cost (value) 7). -- '' D
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.)
-lication 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
rnrmed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
'^•NS, POOLS, ROOFING and MECHANICAL WORK.
I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
F i .re, I authorize the above -named contractor to do the work stated.
No Y Coon. o President a
Preside
pEFs, p.e
APpRO " "ul
3t
OMAN NOOINON
Ay Cana NR 9Y M
Na cc a66024
I IDNIw0
bing
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Signature of Contractor or Owner- Builder
tary as t
Commission Expi
C.C.F. NOTARY v --.
Electrical
or or Owner- Builder 'D
Structural Engineer
BOND QO
TOTAL DUE
D to
NOTICE OF COMMENCEMl�� • • • • ;' •' •
• • • • •••
A RECORDED COPY MUST BE POSTED ON THE JOB SITE Ai' TIME'OF FIRST I NSPECTION
1MIT 140.
VIE OF FLORIDA:
UNTY OF DADE:
• • • • •. ••• • •••••• ••
•
E. UNDERSIGNED hereby gives notice that improvements will be made to certain 434 piogeity, an • d D1'accOrjlance with
•• . • • • •
ipter 713. Florida Statutes, the following information is provided in this Notice of Commencement. ..
t•
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.egal description of property and street. address:
, •
ad
Mere date is
re er
' ' " .nors Name
ibscribed before me thisa6_day of
)40 P6-0"
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• • • • ... • •
i • •
TAX FOLIO NO. 11 mob 0 11 � )1 ' ' .•: • • , •'
• ••• • • ••• • • •
O2RCs6 07 2 uu2 FEB 04 15:18
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)ascription of improvement: t= 71-cpo P{ 11'HSe1W ' DeivEcc»( RNA) 1.1-1S' LL' Nt)
Dwner(s) name and address: VOi /l t1✓t kiA
Gas tJ�• q "► j M (A�`� I t-b
Brest in property: , l
Mme and address of fee simple titleholder:
Contractor's name and address: / t4V' Q NC.� f. "x .- `
/ 14E1 �-- Rte. M 1,A/4 1 3V 9
Surety:(Payment bond required by owner from contractor, if'ar�y� = `�ORID . courvry o= DADS
that th,s is , ,
true and address: +r on J �
nowt of bond 1L1,- A D 2 0 ' = �-e =� V
Iti':'r'r: yhan el ender's name and address: LY r� , and CounryCours ^ n :7.::: - ..6::::::
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Persons within the S t a t e of Florida designated by Owner upon whom notices or other documents may be s e r v e - - ; — provided
Section 713.13(1)(a)7., Florida Statutes,
ime and address:
In addition to-himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
action 713.13(1)(b), Florida Statutes
ame and address:
. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
ELIZABETH ANDERSON
My Comm Eap. 9/6104
Na. CC 966024
IIP.noollylbwa Maw LA
IND
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Address
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, � G\ 01 4 Pc2.- , does hereb y attest that the
/ (property owner)
survey, performed by oCit i' rt 4 2/1 atA. j ( 6"t .Gk_ e ek. vL e
performed on /oZFS / ( 6, is an accurate representation of the existing conditions and
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
(name of surveyor's company)
Further, Affiant sayeth naught.
Witness(sign and pr
'Miami Slwre� ViEttg
AFFIDAVIT
Affiant/Property owner
it iess(sign and print)
SWORN TO AND SUBSCRIBED before me this day of
Affiant is ersonall !mown to me, produced D L .- P9. r' p y 6yas identification.
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‘01Y14,'14.,.,.. . JOEL JACK BROWN
. *i MY COMMISSION 0 CC 875013
rot , " Bon d fire N October
Notary uliic Un d rwritare
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This property described as:
Lot 18,. Block 17,
AN AMENDED:PLAT OF MIAMI SHORES
SECTION NO.- 1
according toLthe Plat
thereof, as recorded in
Plat Book 10, Page 70
of the Public Records of
Dade County, Florida.
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Pelham, 125 N.E. th :do.
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th Surveyor's Seal. _ A.BOUNDARY
Ei LANNES and GARCiA,
I hereby * ertily char the c.lt t-ey ItTcc t'
seated hereon meets the Ith■11(t),„ , '') LNCINIERS - LAND SURVEYORS - LAND P1 h., .
technical scandal Net forth
Board ot 1 and Sot vityorc. put o.c.icti cc.
Sc nor. 472 027, fla. Statutes. 1 here .cc- !.;; Office address: 4080 S.W. 84th Avenue, Miatni. fl'. fa 33155
rittencr oacinnetch,ovecLots,,t4s,o.e c . c ..
appearirot ,on rt)1! Flit. ril,,,, „, ,T7 Mailing addrev i
s: P.O. Box 561131, Miami, Hor i
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Village of Miami Shores
10050 NE 2nd Avenue
Miami Shores, FL 33138
Phone: 305- 795 -2204
Printed: 2/11/2002
Applicant: RONALD
Owner: PELHAM
Contractor
Local Phone: 305 - 493 - 2250
Work:
Fees:
FEE2002 -830
FEE2002 -831
FEE2002 -832
Permit Status: Approved
Building Permit
Permit Number: BP2002 -281
PELHAM
RONALD
BEAUTIFUL CONCRETE OF SOUTIAaaress: 20401 NW 2 ND AVE
Parcel # 1132060132301
Job Address: 125 NE 98 ST
Cellular:
Page 1 of 1
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 18
Description Amount
Building Permit Application Fe$60.00
CCF $2.40
Buildier's Bond $300.00
Total Fees: $362.40
Permit Expiration: 8/10/2002 Construction Value: $3,500.00
EXCAVAGE EXISTING ASPHALT DRIVEWAY & INSTALL NEW CONCRETE DRIVEWAY & WALKWAY
Total Fees: $362.40
Total Receipts: $0.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the I
ordinances pertaining thereto and with the understanding that the work will be perfo
and approved by the proper municipal authorities. This Permit may be revoked at
authorization. A further condition upon which this permit is granted is the understar
ordinances and regulations pertaining to the work covered hereby whether shown o
by his agents, servants or employees.
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work
with the plans, drawings, statements or specifications submitted to the proper auth
myself, my agent, servants or employes.
Signed: (Contractor or
yW 9 &mt.( carol y. grown
VL4 PirnaAlatters
10791 ,NW 21st et.
Sunrise ix 33322
(954)801 -7293
Pay to the
Order of 11
:1(
WASHINGTON MUTUAL BANK, F.A.
SUNRISE/SAWGRASS FIN. CTR. 1753
12590 W. SUNRISE BOULEVARD
SUNRISE, FL 33323 1.800- 788 -7000
For ?fir v 1 /4( -Part
BLK 17 LOT
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5220
cm(� ?- tit1 .i sa-8--
ollars 8
I r• rinn - ,.• .•, - -
Vueei
Inducled. Dews
M
Type Insp'n
Permit No.
Name
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date '6- Time
Approved
Correction
Re- Insp'n Fee
4 lead2E
p p 2fd2
6 ace 75.E.A.,,z,
Address f Ne
e 72S ✓(
Company —13 4 &1.62_447
Phone # 3� S 7t2 ('
For Inspector:.... Name & Date
E'iMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
a+/� 0 - sr ,,C//0 c° Tax Folio // ,
Date 9 Job Address /0t,5
Legal Description /9 /11
ate:
Owner's Address
Contracting Co.
Qualifier
State('
Architect /Engineer
Bonding Company
Mortgagor
ig attire of Qwne and o �ndo President
t� y as to Owner and /or Co
omm'ikssion * Expires °!"// b��o President
'
• �k fir
ERMIT FEE: APPROVED:
.57/ COn /®
Zoning
Mechanical
Competency 0
Owner / Lessee / Tenant //_ 1,47m,5 /' t . / ?./9-9
���• ,.5,4 Phone
WORK DESCRIPTION / tic As ri4/G /72 ,772-72j
Square Ft. u 7,5'
Fire
Address 1 15;4 - 00 3 w ,S p ,ele: / )7, P•WG'.S
Phone /5 ® S 7 y 7
L _ � OCR()
;IARNING 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 PROPEIITY (IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
ZECORDING YOUR NOTICE OF COMMENCEMENT).
'.pplication is hereby made to obtain a permit to do work and installation as indicated above, and
)n 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
iermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
111 be done in compliance with all applicable laws regulating construction and zoning.
'urt4rmore, I authoriz t 1 above-named contractor to do the work stated.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANIC PAVING 'FENCE SIGN
eP7VidX,;;;4(//%4,4/
No y A4 to Contractor o� Owner — uildn-
* M Commission Expires: Af /G //
*
�k
�uilding
Address
Address
Address
Estimated Cost 7C) 0 ` '
S }j nature of Contractor or Owner - Builder
'bate:
Master Permit 0
75'6 00731
4' N /.t=
Ins . Co . ij2,Z- 7 O
//+ 7/ z L d / 4-07&%2 0 e /-i
Other
Electrical
Plumbing Engineering
8ivtw1f iK
axssr, y waLL
GRAS' y' •
1 /9'
EdiiE
29' — 7 1 '
CORPORATION
6500 S.W. 5th STREET
PEMBROKE PINES, FL 33024
Ex 157 /NG
OWA 0.
/ 5 Nt 99 Sr"
aSPMgt r
DRAIN
ro w
Mira
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NE 98 ST
MES{E PLANS ARE APPROVED :
R ISSUA,: E OF A IRUI )RIG P! " " ii'ii
VARIA E(SI. DYED OLD 'REMARILV
:■!!'.; TIRES ES OUILDING AHD EWING
L:i: '": SPECIFICALLY LISTED BELOW. v
AND COLD ::TY LAWS MUST I3E C@ WLIED
4ijt - i 4 S'n .we DPI&
• WITH VD VP '`; 0 WITH
NO OTHER [E=IATIO •S Rini T:'e
ORDHIACICES WILL BE PEH °.` 11 r1.
ALL OTHER APP" IC ;; F gATE
"iITH BY ALL P IVIES.
;IRE DEPAR : i ;: i
PLi�LiV I «li:i.■J
1 (�y}s OR:
--
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- -�
I POIJCE DEP.:R 1 i iE : i •
LtI tLnD�:f G Dp {:EEC +Os
-
`'
g�r�
PLAN JtbG & Z..i :'al :.ti :__
tI1I1AGE CODUCI`.
APP I'M
PRELIMINARY: Fps
REMARKS:
COMPLIANCE WITH THE SOUTH FLORIDA 8111 CODE AS ADOPTED
DV KM SHORES VILLAGE IS RE' UiREO. T:hE ARCHITECT. BUJ.DE &
SUB CONTRACTORS ARE E ... t; ,, •- x: •O-gip Fr,rE r¢ Pi. 61 :193.
am 0GULA IONS WHETHER 114 NOT SPECIFICALLY INDICATED HERM.