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1301 NE 100 St (2)DATE: NAME OF PERSON REQUESTING FILE: ADDRESS OF FILE REQUESTED: INFORMATION REQUESTED: Acknowledged by: FILE RETURNED TO: INITIAL Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 PLEASE PRINT I z /10C2.. TIME: q' ' 60 0 P,©t) P L _t O t Lz t �o PHONE #: 32-0 CP 4 YOUR ADDRESS: t I S \IEtf-E' 1 W M /g, L 3139 13JI nIE 10O1- PbA/ I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. 6sckaiSD-i4\AA-r. Inspection Number: INSP -15315 Inspection Date: 04/20/2006 Inspector: Grande, Claudio Owner: MARGOLIS, PETER Job Address: 1301 100 Street NE Project: <NONE> Contractor: ORSO INC Building Department Comments Wednesday, April 19, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phogp: (305)795 -2204 Fax: (305)756 -8972 Block: ermit Number: BP2004 -1564 Permit Type: Imported Permit Inspection Type: Final Building Work Classification: Addition /Alteration Phone Number (305)859 -2112 Parcel Number 1132050140020 Lot: Phone: 305/891 -9849 Page 1 of 2 y )4) Passed 0 Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -15315 Inspection Date: 04/20/2006 Inspector: Grande, Claudio Owner: MARGOLIS, PETER Job Address: 1301 100 Street NE Project: <NONE> Contractor: ORSO INC Building Department Comments Wednesday, April 19, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phogp: (305)795 -2204 Fax: (305)756 -8972 Block: ermit Number: BP2004 -1564 Permit Type: Imported Permit Inspection Type: Final Building Work Classification: Addition /Alteration Phone Number (305)859 -2112 Parcel Number 1132050140020 Lot: Phone: 305/891 -9849 Page 1 of 2 kbQ July 22, 2004 Mr. Joel Cohn All Florida Pools 11720 Biscayne Blvd. Miami, FL 33181 Dear Mr. Cohn, As my General Contractor, Al McKnight, informed you, I have changed my plans regarding the swimming pool. I am considering a number of options and feel at this time it would make better business sense to cancel your • = it m coordinate the pool construction. My attorney has verified th as formal notification that your needed. PETER MARGOLIS 1301 NE 100 th STREET MIAMI SHORES , FL 33138 / 7 . 2-7 d In full. Therefore, please accept this letter Is satisfied and no further services will be Print name: 4 �/ /V Tl i Sworn and subscrib ;fore me t ; s day of - 37t, 2004 Notary Public My commission expires: " •; 1T of Florida Jan 23, 2808 • ::D 088241 :al Notary Assn. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / - - 941 Job Address J3 / /00 ST Tax Folio Legal Description /72/4 Y OF Go ia1) 0►J � iZ AGi S / rL T 00(1>K 55 , e.4 20 / Lessee / Tenant UO vEC/9 T »2 Q Owner's Address /- / /°./ /Or S Phone Contracting Co. J oc-K $ iqgi2/A/ eo N S7 )cr1 o t-] Address Qualifier / - 1 - 11x State # Municipal # Competency # Ins.Co. Architect /Engineer 2" 5 41 / Bonding Company Address Mortgagor Address Permit Type(circle one)* BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION C'-O N S'T► - CT 77 /' ,€ 2)0 C Square Ft. 3 (' 0 SF 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 z ning. Furthermore, I authorize the above -names ontractor to do the work stated. Sign • - pwner and /or Condo President Date: r `"`"`' «,� OFFICIAL SEAL MAX LARSON � ;i 1 : My Commission•Expires Notary'` K �' t►eit. • a; ao »resi My Commiss?te Expires: ** * FEES: PERMIT /' I i.vlY RADON APPROVED: Zoning SS# - - Phone 7 6 - 7 — c 7 / / Mechanical * C.C.F. Fire Building Plumbing_ Address 7PO 7 1 4 1 1`7/ /i J Estimated Cost(value) � J' © ©O • OD s� ntraeppp er- Builder MAX LARSON My Commission Erpir April 7, 1996 " • i7 - Sign -tu Date: 7 5 R Ai 7 C ? SST.. Notary da.. .•Cont 10 ° of My Commission Expires: * * * * * * * ** NOTARY TOTAL DUE t ° i Master Permit # 3‘74:9 ilder Other Electrical Engineering FLOR,9A 1,963 LAAS FS 84.131 State of Florida County of The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accord- ance with section 84.131 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property 4301 N E /c a ST /-1/19"4-77 5 & e S -F t 3 /- /3 � r � ?'/e4 C7 45 OF Gael o // ,¢ c rs >� FLAT ,■,, j's F, - 20 General description of improvements cw s -7'e'C 7 Owner � e NOTICE OF COMMENCEMENT Address /30/ >v / 00 S- /"I /.9•A -// . / f'L 33 /.36 Owner's interest in site of the improvement Ott" AJ E� Fee Simple Title holder (if other than owner) Name Address Contractor �UC Address 7 07,:g Surety (if any) Address NE ... 1 A7 / ' J E CUA1...s Te Li G7 /.l .. , G . Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name Address In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 84.061 [2] [b], Florida Statutes. (Fill in at Owner's option). Name i Address THIS SPACE FOR RECORDER'S USE ONLY thEP R€ D 19y : 09 LU /s E E. S/ 1 E - 1.1 -DO 5T Hiy -.tip 7•r2 NE 7 9 Ft 33/3V i 99 // Sworn to and subscribed before me this 7Si — / 9 y STATE OF FLORIDA, COUNTY OF DADE MIRE 3Y CERTIFY t.0: this is a Prue py of fho �i9 doy of 1/. 1; orifice on i, : 't'� % �. /_ A D. 19 Wirgss my h.,nd OUlcial Seal. CL • s sib rcuitoral Co,ntyCourls f .1� • L J J4 . C. } (PREPARE IN DUPLICATE( ST / /1/ •.. •, 1L 33/38 day of ,•• OFFICIAL SEAL MAX LARSON . •„ ., 2 My Commtssion Expires • '' n + •.: Comm. No. CC 191467 94R4-71014 1994 OCT 06 11 :59 Amount of bond $ .,, // Owner N1<c s Notary v blic RWMCO FORM 408 19 MIAMI SHORES VILLAGE Florida Gentlemen: In consideration of the payment to us by you of $1.00 which we have received, we and those holding through us, grant and give to you and your successors the right to install and maintain drainage pipe to drain surplus water and also the right to trim or remove all brush, trees, sod or shrubbery necessary to properly install and maintain said drainage pipe provided any trees, sod or shrubbery so removed shall be replaced on our property described as follows: In the presence of: 1 , J. A. Buckley EASEMENT Commencing at the Southeast corner of Tract B, Gordon Tracts, recorded in Plat Book 55, Page 20, Public records of Dade County, Florida, thence run North a distance of 1.83 feet, thence run west along a line parallel to the South line of said Tract B to a point 1.83 feet North of the Southwest corner of said Tract B, thence South to the Southwest corner of said Tract B, thence East along the South boundary line of said Tract B to the Point of Beginning. STATE OF FLORIDA AND COUNTY OF DADE a Notary Public in and for the County and State aforesaid, do hereby certify that Jerome C. Hofmayer and Marcella U. Hofmayer personally appeared before me and acknowledged the execution of the foregoing instrument for the uses and purposes therein expressed. WITNESS my hand and official seal in said County and State this day of November 19 55 . My Commission expires: (Notary Public, State of Florida a:t Large My Commission Expires May 6, 1958. November 7, , 19 55 7th