924 NE 98 St (6)Architect/Engineer's Name (if applicable)
Miami Shores Village
Building Department
BUILDING Permit No. 6f r2-6?-
PERMIT APPLICATION Master Permit No.
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) 7DiT% )1'4"LA
Phone # Aps 7S9 9/eti
Owner's Address q27 N E 9 e ST -r
City 1f /W0-II C'I'O /LeS State
Zip 3 3/ 3j)
Phone #
Tenant/Lessee Name
Job Address (where the work is being done) 67.;4 Iv q 5-6'1 ,33/38
City
Miami Shores Village County Zip
Is Building Historically Designated YES NO___7><„.__
•
Phone #
Architect/Engineer's Address
City
State Zip
Qom '
4 S Value of Work For this Permit l Square Footage Of Work:
Contractor's Company Name
Contractor's Address
City
State Zip
Qualifier
Phone #
10050 N.E2nd Avenue
Miami Shores, Florida 3313E
Tel: (305) 7952204
Fax: (305) 756.3972
Number of: Bays Stories
Families Bedrooms Baths
❑Alteration ew ❑ Repair/Replace ❑ Demolition
Type of Work: ❑Addition 77/s Al
3 L /l� )ce 4 & D
via
Describe Work: _ �07- n G �T
CO/ ,u ooDeL C
County Escrow F Permit Fee $ LC) _ Notary
ey Radon S
EducationffrainingFeo $
Tech $ Scanning
Sind. . $
----
Code Enforcement $ Bond $ Now Due $ N
F o 4s ,
Total Fee o G f (Continued on opposite
Minus Plans Check Fee $ ;y c 2 D , ct 01 C
Signature
VOTARY
Sign:
c7/7/03
•tate Certificate or Registration No.
PPLICATION APPROVED BY:
Owne or Agent
The foregoing instrument was acknowledged before me this _ 7
day of 20 by 00 r d
who is persona known to me or who has produced ►�,�Q 1/
As identification and who did take an oath.
Signature
The foregoing ins
z
0
co
z
o b,
".y
day of
who is personally known to
as identific
G,
ruUK NOTICE OF
w�sce
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 o the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven py f ' p
(7) d fe e wi l the rge ding permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will l be charged.
Contractor
nt was acknowledged before me this
, by
AUG - 8 2003
e or who has produced
'on and who did take an oath.
NOTARY PUBLIC:
YP ; - argas Sign:
L� V) • ' Commission #DD233198Pr4t:
• kv xplres: u 13, 2007
vIy Commission Expires:
', os � ` Bonded Thru Atlantic Bonding Co M y •********************************* * ** * * * * ** * * * * * * * * * * * * *,r * Inc * * * * * * ** * *,t *E **
,r * *,t,r,r * * * * * * * * * * **
(Certificate of Competency Holder)
Certificate of Competency No.
****************#************** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *• * **********s * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
.4 /
Plans Examiner
Engineer
Zoning
Recp Miami Shores Village
OCT 4 2003 , Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. decd " 1D -81-
FBC 2001
Permit Type (circle): uildin Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) 1O 7c.c 1 1' P-/t'C1v Ct Phone # c36 S C e iSit' 9 U
Own is Address Z 4 I• c°r
City State 6'C,,. Zip 3S e3 7
Tenant/Lessee Name Phone #
Contractor's Company Name
Contractor's Address
City
Qualifier
ic Job Address (where the work is being done) I 2 aa
Ci ty Miami Shores Village County Miami -Dade 3 2 ade Zip c3
Is Building Historically Designated YES NO
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
State
County Escrow Fee $ Permit Fee $ 35
Education/Training Fee $ Tech $
Code Enforcement $ Bond $
Minus Plans Check Fee S Total Fee Now Due S
Phone #
Zip
$ Value of Work For this Permit Square Footage Of Work:
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ❑Addition ❑Alteration ['New ❑ Repair/Replace ❑ Demolition
"J( Describe Work: 0 PrUQ SLD 1 , /4"40 112.+>J
Scanning $
Struct. $
Notary S
Radon $
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bo;
Cit
NI(
Mc
Cit
Ap
o1
col
WI
O'
apj
PA
C(
C(
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 _, by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
Chc 10/02/03
/J /-
My Commission Expires:
CD
z c cn
oa r✓ (Di
7'
6
C7
, rn
6.-) O N
rn • c�
Z
N H
/ 4b
\O 4 7
No 7
p ru1F1i In g+uuu Jurrrr Nrur u e.Vfry vJ srrL vr.v ..,... ....,.o.. w..,...,. •.e.. •... .., c.v..•• Ir.,. ,.e e.+ 11, a.,o Fr over
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
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 __, by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: . •
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * *.,, ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
OCT 21 2003
V
Plans Examiner
Engineer
Zoning
BUILDING
PERMIT APPLICATION
FBC 2001
I _am Contractor's 4
Contractor's A
City
Qualifier
Miami Shores Village
Building Department
Permit Type (circle): : uilding Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) (0c-r
Pc-}4 C -Cc
'4' P -I6 i </-7' Own es 2
City 'r� _.f s � State k.. � Zip J 7
Tenant/Lessee Name Phone # III
Job Address (where the work is being done) � (3
City Miami Shores Village - County Miami Dade Zip
Is Building Historically Designated YES NO
MUSI
****************************Fees************* ** * * * *i* *ii** ***
,���
l. a *� Permit Fee $ =' " ' No
c xL x r wt v ar f'...:',"•-- A:t,'' ' n t �a „y r- _ .` 010- � r ,i.
Tech $ ""'`it; t` x i S cammng - Radon
f.{. s i.' a _r ''+ om'.' • C 's ' : t ''f's } y, ,,,,,-:..1 zy .ca
Bond $ F ,
.,:
Due S =�
-Total Fee Now Du i ' � � ,Continued o opposite side
IC
b LLJ
Architect/Engineer's Name if applica ' e :Phone
Architect/Engineer's Address
County Escrow•Fee
EducationiTraIning Fee S ' Y
Code Enforcement
Mims Plans Check Fee S
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No.
Master Permit No. 1 5Pc9 p-O't
Phone # 3b - [ S` t ' - I I 05
Phone #
Zip
$ Value of Work For this Permit Square Footage Of Work:
Number of: Bays . Stories Families Bedrooms Baths
Type of Work: DAddition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
P .- Q- • nl sLPs. I P 4, III 0 1
Describe Work: 0 �D � � ��� '� ' •
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) 0
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 CONDmONERS, 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 _ Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
lay of _ - 20 _, by day of by
vho is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
iign: Sign:
'Tint: Print:
My Commission Expires:
=a . _ .,._ Competency Holder) of
4Iy Commission Expires:
;tate Certificate or Registration No. • Certificate of Competency No.
** * * ** *************** * * * * * * *i * * * * * * * *i * *i * * * * * * * * **
OCT 2:1 2003
•
■PPLICATION APPROVED BY: Plans Examiner
Y _ Engineer
Zoning
attached survey, performed by
s
SWORN TO AND SUBSCRIBED before me this day of
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, 2e f ) / ¢does hereby attest that the
(property owner)
7A'0
(name of surveyor's co pany)
performed on 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..
Further, Affiant sayeth naught.
Witness(sign and print) Witness(sign and print)
Affiant/Property • • er
0
Affiant is personally known to me, 4roduced D r I as identification.
V
.
ab ; arga
: • .. • ¢ =_C, miss #DD23198
-• : ,. Expi - : Jul 13, 2007
' s ' Bonded Thru
��'' '''11 � �` Atlantic BondingCo., Inc.
Located at:
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE STATEMENT
I 7zoi 7 )5 )69,„1. being the legal property owner, for the property
Legally described as
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7; and I have read and understand the following disclosure
Statement, which entitles me to work as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction yourself. You may build or
improve a one - family or two - family residence or a farm out - building. You may also .build or improve a
commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the
construction is completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that people employed by you have licenses required by state law and by county or municipal licensing
ordinances. Any person working on your building who is not licensed must work under your supervision
and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument
Was acknowledged before me this - 1 day of , 20 C, )
By ' )4 CE . who is personally known to me or who has
Produced as identification and who did take an oath.
Pe-
,, rP Mabel Vargas
. ',
Owner 10 . ' = Commission #DD23I984
�
.. T Expires: Jul 13, 2007
'?i; Bo nded Thru
" " '' Atlantic Bonding Co., Inc.
•
LG4'Grb of .SI.RVCy ABeRCVIATION.S
a AG MST 04a.. A/C AR COI'VITIONJC' CDD
C CALCILATGQ 5 CD CATCU DA.* OUL
CL CLGAR CA. CC.Mt2 LNG PCC PONT Of CAPON) CURVG
6NC GNCOOACIUNT PC PONT OF CIRVATIRG POC PONT Of COAf.LNCLK T
FP FOLIO RON PPG POD PONT Of DGCr+JNC Ct DU
DU OVGR UANC WHA WATLa 6LTG12. Cu CUORD DUTANCG
PD PLAT DOOK M I.1r.A X12LD DG DRANACL GA GI.LhT
PA. PROPERTY LNG. CO N' cONCULTG fU FRG LYDRANT
lP UTUTY POLL fD FOLW R RADU5
LEGAL DESCRIPTION:
Lot: 5
Block: 78
Subdivision: Miami Shores Section No 3
According to the Plat thereof as recorded in
Plat Book: 10 Page: 37
Public Records of DADE County, Florida.
ADDRESS:
924 NE 98 STREET
MIAMI SHORES, FL 33138
Encroachments Noted: WO LIE
LACATION bia.TCU
xas,. NT. 5.
NOTES:
AI All Clearances and/or encroachments shown
hereon are of apparent nature. Fence ownership
by visual means. Legal ownership of femme not
determined.
8) The lases of this survey is only for the sachnbe
and specMo use of thane parsos parties or
Institutions shown In the ert1Soation. Any other
Intended use wSl require written approval from the
cartiVng surveyor or firm.
Cl Code restriction and title search are not ref acted
on this survey.
0) The flood Information shown hereon does not imply
that the referenced property will or vAll not be !roe
from flooding or damage and does not create liability
on the part of the firm, any officer or employes ther o
for any dampe that 'souks from Pollan on said
Information.
E) The lands depicted hereon sere surveyed per the
legal description and ne claims as to aurl.r'.hlp or
matters otitis are made or IngSed.
F) Underground Encroachments. If any, not IoasNd.
I hereby certify that the sww.y represented
hereon the minimum t.obNaal .tam
dards forth by the Board of Land Sunsyor,
in cha • 10178 Florida Administrative Code
pursue , . .. 7 Ra. ScatsSas.
o P oR. M. #4858
JJ VAUO UNLESS IMPRINTED WITH AN
' -../ EMBOSSED SURVEYORS'S SEAL
NOTES
1. IF SHOWN. BEARING ARE TO AN 1.SSUMCO
MERIDIAN (BY PLAT).
2. IF SHOWN, ELEVATIONS ARE REFERRED N.O.V.D 1828.
3. THIS IS A BOUNDARY SURVEY.
CONCTLGTG DLacIG .>TRUCT AL
OVGRLLAD UTLRY Ltt.
CERTIFY TO:
Joan Spink
Burton & Lee, Attorneys At Law
Attorneys' Title Insurance Fund, Inc.
Nationsbank, N.A. Its Successors And /Or Assigns, A.T.I. M.A.
N.E.
■CVD
PRC
2.40
ILW
xC
.SCR
ow
3■K
UL
NATIONAL CLODLTIC VGRTICAL DATU.I
PONT OF RLVCRJC CIAVATURG
RADIAL
wan Of WAY
xrnON
JGRGGNGD
.T RAJ PPG
6DGWALIC
IJTL.ITY GA�GbLNT
N .E.
.- oo o0
to 4 �P
97 TI-1
98th
134,60'
5T
-5 T 1 OF 2
fLOOP __ Tl. I�5 A FLOOD
ZARD ZONt .
.TL 5 0 NOT A FLOOD
l.IAZARD ZON .
PAtt.L No,. 93/J
CONMATY #, 120652
PATG.. OF FW■f 07/17/1995
6A. FLOOD N/A
FN,,11 FLOOR N/A
LO\VG.�T N/A
ADJ. OZADG.
5T.
TLIOMA3 J. k L_L_Y, iNc.
Lb. #6486
SI.112.VE.Y09- 5-- MAPPE12S -LAhb PLAT R 3
333 PALLS-MO 4.VLALC. CORAL FLORDA 33134
GAM. (305)444 -7692 BR \VD (954)779 -3288 PAM FAX (305)441 -6494 MVO FAX (954)779 -3260
PATc. FLLD \VOPV
07/08/1999
3CALG.
1 "= N.T.S
. UZ\ t`( NO.
99 -2015
18'.451;1-1. PAV:
23' PA R KWA Y.
9BT' ST
POOL REQUIREMENT
H F-CLOSINGI SELF-LO
GATES REQUIRE
FENCE 4 HIGH (MI
AND NON-CLIMBA
IF NEIGHBORS REMOV
WALL OWNER MUST R
WITH A 4 FENCE ON
OWNER F; PROPERTY
3/43
TI-101v14.5 J. se_a_Ly, INC.
La #6486
.51-1ZYLy012...5-45.PPLIZ.5-LANJ PLAFNINLia.5
333 PALLIZMO AVG.NiG. CORAL. 44.151.1.5. FLORDA 33154
(305) 444-7692 DAM (954) 779-3288 512.\\A) (505) 44-6494 FAX
PATE. FIELD WOr2.14.
07 - 08 - 1999.
5CALG. 1.5112.VCX No.
r- 20 99-2015