1177 NE 100 StPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date
6/17/91
Job Address
Legal Description 9J"V / 'I / / / Ili 40,
Owner / Lessee / Tenant Mrs. T e a s l e y
Owner's Address 1177 N.E. 100th St. Miami Shores, FL
Contracting 6gbenour Roofing, Sheet Metal u Ca. 7357 N.W. Miami Ct.
�ami, FL 33150
Qualifier James D Obenour SS# Phone 757 -2612
F.C.C.I. FUnd
State# CC0014306 Competency/ 6454 Ins. Co. Capital Assurance
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle on
.,WORK DESCRIPTION
Square Ft.
P IS, /99/
N/A
Address
Address
Address
CTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
REroo entire residence and install new white til roofing.
N/A
N/A
45 sqs
1177 N.E. 100th St.
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 FINANCIN 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 jurisd 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 done in compliance with all applicable laws regulating construction and zoning.
Furt =rm re, I a�tthorize t j abov- -named contractor to do he work stated.
ary as to Owner and /o ondo President
My Commission Expire N o tary Public State of Ronda
* * * £ommissio*Expires F. 18, 199
PERMIT FEE: APPROVED: Fire
Zoning Building
Mechanical
ie
Plumbing
Tax Folio 1 /3205 1 0350
Master Permit./
Phone
Estimated Cost $13,000.00
Other
Notary as to Contractor or Owner- Builder
My Commission Expires: Notary Public State of Florida
* * missio* €xpire F6fi.18,199
. y�
Electrical
Engineering
PERMIT' NO.
STATE OF Florida
COUNTY OF Dade
N/A
a. Name and address
N/A
b. Amount of Bond $
7 `)u 9 3 c_tbOri ST
Hll � z .
STATE OF FLORIDA
COUNTY OF DADE
1 HERE RTIFY that this Is
original t i , office o
WITNESS
Clerk Circuit Court
Sy
MbHSHet.t F.0E0.
y of the
NOTICE OF COMMENCEmfillt
TAX FOLIO N0132050190350
z.
THE UNDERSIGNED hereby gives notice that improvement will be made to certain
real property, and in accordance with Chapter 713, Florida Statutes, following
information is provided in the Notice of canunenoement.
1. Description of property: (legal description of the property,
and street address if available) 1177 N. E. 100th STreet
2. General description of implroven nt
Reroof entire residence and install new white tile roofing.
3. Owner information
a. Name and address Mrs. Teasley
1177 N.E. 100th STreet Miami Shores, FL 33138
b. Interest in property
Owner
c. Name and address of simple titleholder (if other than Owner)
Same
4. Contractor (name and address)
5. Sure tyenour Roofing, 7357 N.W. Miami Ct. Miami, FL 33150
N/A
6. Lender (name and address)
N/A
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 States (name and address) Owner
8. In addition to himself, Owner designates James D. Obenour of
Obenour Roofing to receive a copy of the Lienor's Notice
as provided in Section 713.13(1)(b), Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is 1 year
from the date of recording unless a different .. - is 7= ified)
/( Sigma
and subscribed before me this 17th day o f June
,19 91
My Coimni ssian Expires Notary Public State of Florida
Commission Expires Feb. 18, I99i
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address Mr. Teas 1 e y No 1177
Registered Architect and /or Engineer
Obenour Roofing, Co. 7357 N. 1J, Miami Ct.
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 1177 N • E • 100th St.
State work to be done and purpose of building (by floors) Remove the existing roof, replace with
1- 30.:1b. felt, 1 -90 lb. slate, galv. (lashings and red shingle tile.
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering 48 S CJ S A
Estimated Total cost of improvements $ 4,018 , 00 Amount of Permit $ 10.00
Zone cubage required .Plan Cubage
Size of Building Lot
Distance to next nearest building
Maximum live load to be borne by each flooi
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him-
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the .! such public n . ce
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, ort, work to . performed un this
permit, as are licensed by Miami Shores Village.
Remarks ( Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
BUILDING INSPECTION DEPARTMENT
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully re the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. b
Date (1
Permit No
Disapproved
(Signed)
Building Inspecto
Date_
PLAN ING BOARD DATE
Chairman _ __ Member
Member Member
Member
Disapproved
Member _.
Council Approved
NOTE: A charge of $1.00 will be made for making corr •coons or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee of 51.00 will be charged when such r e inspection is made necessary by improper notice for insp.., tion or faulty
materials and /or workmanship.
{
_Date
Date
January 28
Street
Read, Sworn to and Subscribed before me.
,1s 70
N. E. 100th St.
Notary Public, State of Florida
My Commission Expires
Date