POOLPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
299
Date.. / " 7 Job Address 2tt9 N.E. 99TH STREET Tax Folio 11- 32 -06- 013 -45805
LOT 22 & 23 BLOCK 33, SUB: MIAMI SHORES SEC. 1 AMD PB 10 -70
Legal Description
f
Owner / Lessee / Tenant MR. AND MRS. SMITH Master Permit # a
Owner's Address . -N..E. 99TH STREET, MIAMI, FL. 33138 Phone
Contracting Co. LEISURE TIME POOLS, INC. Address 7091 TAFT STREET, HOLLYWOOD, FL
33024
Qualifier PHILIP MORDENTE Phone ( 305 ) 963 -7946
�f� CALLAGHAN INS. SERVICES
State # CPCO25528 Municipal # Competency #845171 Ins.Co. INC. 1- 800 - 393 -7502
Architect /Engineer YEKTA KAVASOGLU Addres s 2880 W. OAKLAND PARK, OAKLAND
PARK, FLORIDA 33311
Bonding Company N/A
Mortgagor N/A Address
Permit Type(circle one): UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION SWIMMING POOL
Square Ft. 425 Estimated Cost(value) $16,700.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize t e above -named cie ractor to do the work stated.
1.41
Signature 9f owner and /or ondo President Signa ure of Contractor or Owner - Builder
Date: s // Date4.16#3
j ' JOSEPHINE CHURCH
� �' %Notary Pnbiic, State of Noted*
Not ry s to Owner 11 ?1 30, 1996
** * * * * * * * *
FEES: PERMIT k l , % " RADON C.C.F. 06 -0
APPROVED:
Address
Notary as to Contractor or Owner-Builder
My Commission Expires:
WW1"( WSW NM NI 1111111111
NY c01miisiou am. ra.!l,a*
BONDED MU GENERAL IN$. We.
* * * * * * *
**
NOTARY $ i (J® TOTAL DUE P
Fire Other
Zoning Buildin: Electrical
Mechanical Plumbing Engineering
•
r
Ws. =:fir
Date Address . N_F. 99 TH STREET Tax Folio 11- 32 -06- 013 -4580
Legal Description
Owner / Lessee / Teran
Owner's Address
Contracting Co. LEISURE TIME POOLS, INC. Address 7091 TAFT STREET,HOLLYWOOD, .
FLORIDA 33024
Qualifier PHILIP MORDENTE Phone (3O5 INS. . SERVICES
State #rPor25528WMunicipal # Competency # Ins.Co. 800 - 393 -7502
Architect /Engineer YEKTA KAVASOGLU
Bonding Company N/A Address
Mortgagor N/A Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION SWIMMING POOL 16/21
425 Estimated Cost(value) $400.00
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
authoriz- th above -named cV actor to do the work stated.
Signat/ o owner and /or • do President Signa u e Contractor
Date:J` /9fl
Date: l /��� 3
ta• as to Owne
y Commission Expi
** *
APPROVED:
*
PERMIT APPLICATION FOR MIAMI SHORES VILA %GE
• " °B • JOSEPHINE CHURCH
Jo; a ,!tigir.
*
LOT 22
*
7_99
& 23 BLOCK 33 , SUB: MIAMT SHORES SE['_ 1 AMn PR
MR. AND MRS. SMITH Master Permit 4t
N.E. 99TH STREET ,MIAMI, FL. 33138
� • mPs�idl
• ' No. CC197545
Address 2880 W. OAKLAND PARK, OAKLAND
PARK, FLORIDA 33311
0, _4.0C ....1 W'
nee
Notary as to Contractor or Ownec=BiaLIEZ
My Commission xpires:
MOW MIN NMII fff MOM
!tY COMM SS Nil 14. MIS,1101
BONDED MU OEP1M L. UM UIID.
* * * * * * * * * * i **
RADON C.C.F. NOTARY S .JQ TOTAL DUE *I
Fire Other
Zoning Buildin: Electrical
pllammims
Mechanical Plumbin i . ./ / Engineering
10 -70
Phone
or Owner Builder
Date Ma / 9 ��
Miami Shores Village
Building and Zoning Department
Attention: Building Official
SWIMMING POOL _OWNER'S CERTIFICATION
I certify that I am the legal owner of the property described as
, located at ( - .7 i2 l l (T
In accordance with Section 33- 12(f), Code of Metropolitan Dade
County, I certify that I understand and agree that the swimming pool
to be constructed at the above address cannot be used or filled with
water until a separate permit has been obtained for an approved safety
barrier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not
eliminate the need for obtaining a permit and erecting an approved barrier
prior to final inspection and use of the pool.
Legal Owner / / ' /5 //
Note: This certification is to be submitted with a swimming pool
permit application in duplicate.
NOTICE OF COMMENCEMENT
l/ rw
PERMIT NO. TAX FOLIO NO. - ° /3 "7- 5
STATE OF FLORIDA:
1
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 propert a treet dd ess:
/� ozg9 q) 95
Interest in property:
Name and address of fee simple titleholder:
2. Description of improvement: Pool Lvl'1 ST V c/(1 p rj
3. Owner(s) name and address: W i J 0-�6 /e SA7 /Tip
9 'i Joe 9S T )wiii /`s)b-et's /4e.
4. Contractor's name and address: L .
5 l i 17'1 t° 1SQ f / 0
709 I1 Ta ft - r _ 140 1l VV
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
93R255267 1993 MAY 21 08:40
l
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)(b), 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 Owner
Print Owners Name / 111 tiFecs42,77/
Sworn to and subscribed before me this /1 day of _Z , 19 iv .
Notary Public
Print Notary's me
My Commission Expires:
Prepared by: 1, (.1/ t/Les✓ `
Address: ! /2e 5 J cs T
S
:Notary Public, State of fends
�Ay 6ea►ra+suon EYp. Apri130. I' /57149/ rnef '/
1
a f No.
0 CC197545
q
STATE o= FLORIOA.00UNTY 0.: DADE
I milielY CRRItH' 9:•o^rlirs t, o t►ae copy of the
e1J.no• inn rni's t a day of
Yd.rtrE $ my h •nd and QNiclal Seal. •
A O. 19
HAiVF RUVIN CLER . a4Cicc it
Sy c_tmsj.
MAY-10-93 MOH 1 5: 4 1
ABBREVIATIONS:
R/W - RIGHT OF WAY
,FD - FOUND
RES. — RESIDENCE
N - NORTH
E - EAST
.s - SOUTH
:W - WEST
IP - IRON PIPE
COR. - CORNER
STY - STORY
PRM - PERMANENT
REFERENCE
MONUMENT
CENTER LINE
Lk.- PROPERTY LINE
C.L.F. - CHAIN
LINK
FENCE
W.F. - WOOD FENCE
N&D - NAIL & DISK
U.E. - UTITLITY
EASEMENT
(F) - FIELD
(R) - RECORD
ESMT - CASEMENT
D.U. - DRILL IIOLE
0.H. - OVERHEAD '
ELECTRIC
•
MARK M. KRAJNIK • • .
REGIST LAND SURVYOR $3371
STATE OF FLORIDA •
SCALE: 1;! = 4
666.3547
663 -6390 FAX
464.3876 DIGITAL BEEPER
•
LEGAL DESCRIPTION 33
tOTP1/41•4 22. /AND 23 BLOCK
, S
OF /� AMENDED PLAT OF 1 SHOIZtS SECTION LIO t SUBDIVISION .
ACCORDING • TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK I d —AT PAGE 1
OF THE PUBLfC RECORDS OF AAp6 COUNTY, FLORIDA. ( Subject to all restrictions,
reservations easements and right -of -way of record.)
. DRAWN M 13.D.
•
LOCATION
. SCALE:
J
W
J
2—
SKETCH
II1� ZOO1
N E 100 T ' I •1"'
N E CI q r" ST—
CERTIFIED TO: CITIBANK FEDERAL INSURANCE FUND, FRIED &
AND /OR ASSIGNS, ATTORNEYS TITLE
P . A . , WALTER SMITH &'JEANNIE SMITH.
ADDRESS: 299 N.E. 99TH STREET
MIAMI SHORES, FL 33138
UPDATED:
CHECKED BY: Ht .,
F.B: PG.
•
MARK M. KRAJNIK P.E., P.L.S.
CONSULTING ENGINEER
AND •
LAND SURVEYOR
13 3.4
J
'4900 S.W. 74th COURT
MIAMI FL 33155
L
P . 0 1
aj QR CERT.IE r ATIDEL. I HEREBY CERTIFY THAT THE ATTACHED
SKETCH OF SURVEY OF THE ABOVE DESCRIBED PROPERTY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY
SURVEYED AND PLOTTED UNDER MY RESPONSIBLE DIRECTION AND THAT THERE ARE NO ABOVE GROUND ENCROACHMENTS UNLESS SHOWN
1 FURTHER CERTIFY: THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS PURSUANT TO SECTION 472.027, FLORIDA
STATUTES, AND ADOPTED IN CHAPTER 2sHH•6, FLORIDA ADMINISTRATIVE CODE, EFFECTWE SEPTEMBER 1, 1981, AS AMENDED. NOVEMBER 17,
1986. I 5 r DAY OF A I'. 1 59,
DATED : THIS
NOTE: EXCEPT,W ER SPECIFIEq HEREON • 013 WHERE, SHOWN. ON
RECORDED PLAT IOENTIFI THE LEGAL DESCRIPTION OF TE PROP•
ERTY FOR ;CHIS;SURVEY,�NQ SEARCH FOR
NOR RIG :OF;WAY, OF RECORD HAS BEEN MADE. NO EXP.IESSED OR'
OF TITLE, TO THE LAND DESCRIBED, IS MADE.
JOB NO. 0A D 1I 3
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PERMIT APPLICATION FOR MIAMI SHORES VILI:.&GE
Date 5'/7'93 Job Address , (q #0 9q7 V/ Tax Folio //'3 - Q/3 '750
Legal Description 0 t 0W c 073 )t /'
Owner / Lessee / Tenant , n/2 1144 et,3 Master Permit it✓p''/,3.0
Owner ' s Address 01077 'Ue , 99M 8/gee/ Phone
Contracting Co. /W. ( /ge T2 i( Address quo AA() / Fog% /AUDFJ21- _
Qualifier `k/ 74e4P-1 '( Phone 5a 7 -53 ij /
CC mod 7a`'I
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company
Mortgagor Address
Address
Permit Type(circle one): BUILDING ELECTRICAJ PLUMBING MECHANICAL ' ROOFING PAVING FENCE SIGN
WORK DESCRIPTION \3 W//77/72108 / bo/
Square Pt. Estimated Cost(value) 1 7 , 3
/
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.
Signature of owner and /or Condo President Signatu/ of Cont or or Owner- Builder
Date: Date:
1 / 'e- 'I4,— `110:,
Condo President N ary as to Contractor or Owner - Builder
Notary
as to Owner and /or �
My Commission Expires: My Commissio9,� ires: MERTIE M.CANN
''A � - s MY COMMISSION 11 CC 186910 EXPIRES
ii.
i March 17, 1998
aD ND TNRUTROY F ININSURANCE.INC.
** * * * * * * * * * * * ''4,s,: * **
FEES: PERMIT 04° RADON C.C.F. NOTARY TOTAL DUE e / 5- c - "
APPROVED: Fire Other +-,
Zoning ^ Building Electrical '/ 9'
Mechanical Plumbing_ Engineering_