POOLDaate
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
• Ye 1/7- urs / s 4' . located. at /0 "if. 100 ST
. 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 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. .
Note: This certification is to be submitted with a swimming pool
permit application in duplicate.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Feb . 10, , 1� A ddress 104 NE 100 Street
Legal Description Lots 13 & 14 Block 16
Owner / Lessee / Tenant Rick Pitchman Master Permit 4�
Owner's Address 104 NE 10 Street Phone
Contracting Co. LaGasse' Pool Construction Co. Address 2877 W. Broward Blvd.
Qualifier William LaGasse'
WORK DESCRIPTION Swimming Pool
APPROVED:
Phone /- (305) 587 -1000
State #CPCO it Competency # Ins.Co. Liberty Mutual
Architect /Engineer Lee W. Holiday Address 6007 S.W. 45 Street (Davie)
Bonding Company Address
Mortgagor Address
Permit Type(circle one)(TBUILDING )ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
•
Square Ft. Estimated Cost(value) �� ,�Q 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 ._• zoning. Furthermore, I
authorize the above- tractor to do the work st. -d.
Zoning Building
ure of Contractor or Owner- Builder
Date
a rtA"-L C <Y Le-)
Notary as to Contractor or Owner- Builder
My Commission ExpiraARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP. MAY 14,1995
BONDED THRU GENERAL INS. UND.
* * * * * * * * **
Fire
Plumbing
NOTARY TOTAL DUE " 1 0
Other
Electrical
Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Feb. 10, 1i a8g Address 104 N.E. 100 Street
Signature
Date:
Notary as to Owner and /or Condo President
My Commission ExpiI iwY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP. MAY 14,1995
BONDED THRU GENERAL INS. UND.
** * * * * * * *
FEES: PERMIT 1 6164 RADON
APPROVED:
Zoning
Mechanical
Buildin
Plumbin
Tax Folio
Legal Description Lots 13 & 14 of Block 16 - Amended plat of Miami Shires Spat i nn 1
Owner / Lessee / Tenant Rick Pitchman Master Permit # ■c,791
Owner's Address 104 NE 100 Street Phone
•
Contracting Co. LaGasse' Pool Construction Co. Address 2877 W. Broward Blvd. Ft• Laud.
Qualifier William LaGasse' Phone (305) 587 -1000
State #CPCo247476Municipal # Competency # Ins.Co.
Architect /Engineer Lee W. Holiday Address 6007 S.W. 45 Street (Davie)
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL 4rEUMBINOMECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Plumbing Hook -up for Swimming Pool
Square Ft. Estimated Cost(value)
Arno
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 applicable laws regulatin_ . s ru on - i zoning. Furthermore, I
authorize the above - rector to do the work st ed.
or Condo President S Rf:'ure of Contractor or Owner- Builder
Date,
Notary as to Contractor or Owner- Builder
My Commission
* *
Expii FiY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP. MAY 14,1995
* BONDED THRU GENERAL IN*. UND. **
* *
C.C.F. NOTARY TOTAL DUE 2 ,A 4*1
Fire Other
lectrical
7 �"negineering
Stet. of Florid' )
• )
County of )
PIrmit No.
Ts* Polio No. ll - 3zoe_ . • T o
The undersigned hereby give• notice that improvements will be made to Certain real
property, and in accnrdsnce with section 713.13 of the Ploride Statutes, the followln9
information is provided in this NOTice or COMHEHGLMENT.
Legal description of property (include Street Address, if available)
. ' 4, / 4' 5 / H14. JNo.LEs
Oenetal description of improvements ' boy Aoe0..04
Owner
Address
Owner', Interest in site of the improvement _1901
Pee Simple Titie holder (if other than owner)
flame
CR∎c • 4 i 'P vi" GHrlAt.J
0 4. P-1.•X, (e o 51 t-1 514o4e.3 , Ft.oa, da
Addra.s •
Contractor O vd •1 EA.
Address. .k'''t 1
surety. . /
Aadriie Amount of bond
Any perso aR nq e, opn ox a co ruc arin.he improvements;
Name r.1'/ A
hddreel
Lesson within the State of Florida designatdd by owner upon whom notices or other documents
m•y be served ae provided.by section '113.13(1)(07., Florida Statutes.
N Arse
Addrlrsa
In addition to himself, owner designates
Of
to receive i o py or E�ia error s o ear as provl " fin $e I.on 713.13 (1) ( ) , Fort' i
etatutde,
expiriitien dads bt Notice of Commencement (the expiration date
recording unless a different date is specified).
tue erica Poet nacokbsn's use owe
I'
931 1993 FEB 24 11 :37
NOTICE of COMMENCEMENT
1M'" Pe a 4.
/ 3.a
88MTNOL! PORN 408
Ps• 713.13
/o .�E /Ca sr.
Ar i-o fs /3 � /t'
r n
TOTAL P.01
9 ..
year from the date of
;MA ure 0 • nee
Sworn to and a b ocibed before me this .P3
day of 19 3^ may- --
�zoF coos coq
ea )1 ;tary gnature
Dat
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address Tax Folio 1/ �.��l0 )2, o�� 7/L
104 N.E 100 St.
Legal Description /sci- Pi (% 1-ig,eil
/
Owner / Lessee / Tenant V-46/1411141 Master Permit # 0/D1/
104 N.E. 100 St.
Owner's Address Phone
Contracting Co. Brite Electric Address 2091 N.W. 139 Street
Qualifier Sidne F Schreidell Phone 685 -0396
State 00000103 ' M unic pal # Competency # Ins.Co. Prudential
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
ORK DESCRIPTION 5w441.»1 ' <. ,4o1- — 47
Square Ft. Estimated Cost(value) slJO•
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.
U
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
4 5 / 6 0 6 F
/I PATRICIA W PEREZ
COMMISSION NUMBER
CCO37154
S gnatu
D-
•
Notary as to Co traot . >>orlr
My Commission Expires:
* * * * * * * * * * * * **
FEES: PERMITlaiee RADON :C.C.F. NOTARY TOTAL DU O ° '
APPROVED: Fire Other
Zoning Building
Mechanical Plumbing Engineering