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1290 NE 101 St (3)r z Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 121 03 " /-5 Master Permit No. Permit Type (circle): : wilding Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Se r ('a Ate) Phone # Owner's Address City State Zip Tenant/Lessee Name Phone # / SOS � -SL� OC) Job Address (where the work is being done) 1 a 'l0 �iL !0l � '/ City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name F r giv-v - et/I_i/V � Phone # Contractor's Address (/ City State $ Value of Work For this Permit Type of Work: ❑Addition Describe Work: Scanning $ Imo' Radon $ Zoning 0 Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due (Continued on opposite side) 70 000 a lteration ❑New Zip Qualifier Architect/Engineer's Name (if applicable) p L.J L 45 Phone # Square Footage Of Work: El Repair/Replace ❑ Demolition dP c Submittal Fee $ 7T I ��` Permit Fee $ // 6 CCF $ CO /CC Notary $ Training/Education Fee $ /9— Technology Fee $ 30 — Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 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 CONDITIONERS, 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 day of , 20 _ , by , day of , 20 _ , by who 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: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** MAR 2 4 2004 APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Chc 12/15/03 - s ECEOVE SEB/ 3 0 2003 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Miami Shores Village Building Department Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) EC./.9.-4a., 7 ,E(4/lk7 Phone # 305 "L %r9 -MO Owner's Address /O/ 7 5 --. Co/ /i%iS cAe. • ' Z d ' 9 City A/. /V /Qr/ 6C4 • State f• , Zip 13/ 5 Tenant/Lessee Name Phone # Job Address (where the work is being done) / 2.90 K/6" /0 / 5 < City Miami Shores Village / Is Building Historically Designated YES NO c 1 n. --p Z o.oephone # Contractor's Company Name Contractor's Address . 7575 C!/ 7 / City nGMyu State 1& Qualifier �l� f • C U) I'reE4) County Miami -Dade Zip 33 / 3� Architect/Engineer's Name (if applicable) 'VA LiW /S ,,e,c, fec,erre; Phone # .dos 5 7 2 • 1 Z Z 0 Architect/Engineer's Address /00 /t / , 3e- s1, SV i,`'v Z 3 i S �� L 1 b City /yiq State rt. 3 3/ 3 7 $ Value of Work For this Permit 10 000 Square Footage Of Work: (s deseA,� J Number of: Bays Stories .I Families Bedrooms Baths Type of Work: DAddition Alteration :New ❑ Repair/Replace ❑ Demolition Describe Work: 5-63 SF re f70 da7e4 //'Q ni c cl ele.at f f o v t cda Rni , Z1c2 SF H4 Sips, gafl. OP 031 SF k /fin Kepi v d,c.Qi Ae Zip 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. W,W20053- Sg g • Master Permit No. 3 a - 4/ -3 ;v * * * * * * * * * * * * * * * * * * * * * * * * * *.* F ees . * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 5 •00 5 t 6 U County Escrow Fee $ Permit Fee $ Notary $ 00 , CC) A Education/Training Fee $ Tech $ Scanning $ Radon $ C C.- 1 t K Code Enforcement $ 4 Bond $ Struct. $ -CO'. �'D -f SCE. oa Z o?( /dit' (, O Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) APP I m1 CC 5 0 — Ch e - / l8 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 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 CONDITIONERS, 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. }(Signature � Signature �� �/���� /// Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this f g day of 20 , by ) \' c r rcinip day of •o1.2G , 200% by '. ' Gu�.e-LrLo, who is perso ally known to me ho has produced who is personally known to me or whe- has- produeed ✓ As identification and who did take an oath. as identification and who did take an oath. NOTAR : LIC: I rellariek:Ailak NOTARY PUBLIC: ‘A Sign: � .,.... Var as Sign: Prin a ��� r , - 'Tres: Jul 13 3198 007 Print: ,syJvr, FigrfWetiTrasatifin �tiAnflC _° Commission #DD146956 My Commission Expires: Bondin8 Co,, inc My Commission Exp . Expires: Sep 03, 2006 (Certificate of Competency Holder) ',, ∎, %% Atlantic Bonding Co., Inc. State Certificate or Registration No. CG CO587$a Certificate of Competency No. 3 X397,3 - ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * *+ ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** It /4.43 /�✓� /4 1/41 03 -$ .1 " , z(- 4 -' Plans Examiner Engineer Zoning chc7nio3 APPLICATION APPROVED BY: MAR '2 4 2004 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/29/2004 Applicant: JULIO & GLORIA Owner: SERRANO JOB ADDRESS: 1290 NE 101 Contractor F & F ENGINEERING CONTRACTOR, INC. Local Phone: 305 - 261 - 3200 Parcel # 1132050140010 Signed: (INSPECTOR) Building Permit Permit Number: BP2003 -1588 SERRANO JULIO & GLORIA ST Contractor's Address: 7575 WEST FLAGLER ST. #208 Legal Description: 5 53 42 GORDON TRACTS Fees: FEE2004 -3143 FEE2004 -3144 FEE2004 -3145 FEE2004 -3146 FEE2004 -3147 FEE2004 -3148 FEE2004 -3149 FEE2004 -3304 Description CCF Notary Fee Training and Education Fee Scanning Fee Zoning Review Builders Bond CO /CC Building Fee Total Fees: Amount $42.00 $5.00 $14.00 $102.00 $60.00 $300.00 $50.00 $1,060.00 $1,633.00 Total Fee411,63 Total Receipts: $0.00 1) C t` Permit Status: APPROVED Permit Expiration: 9/24/2004 Construction Value: $70,000.00 Work: REMODEL FLORIDA ROOM, MASTER BATHROOM AND KITCHEN Page 1 of 1 PB 55 -20 TRACT A LOT SIZE SITE VALUE OR MAR 3 0 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: FROM : FANIDFENG I NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT N. 8P-07063 - /J"Ff _TAY. FOLIC NC 1 / oar - 1 �D /a STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby Gives notice that improvements will be made to certain real property, and in accordance with Chaotor 713, Florida. Statues, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: _. 1290 /O/ -ritEr:1 2. Description of improvement: 3. Owner(s) name and address: Interest in property: Name and address of tee simple titleholder: .r,) sJ i k to J - owner from contractor, if arty) %: i- �., : ` 5. Surety: (Payment bond required by own orr � -- ; - ; Name and address: Amount of bond $ 6. Lender's name and address: li/t•lf_ Rf iA HARE':' •_;i 4 Contractor's name and address: _ 7. Persons within the state of Florida designated by Owner upon ir provided by Section 713.13(1)(a)7., Florida Statutes, Name and address:_- er Hof � - ?S i Pe " ezvAve /own/ swot" ' , Fe_ 33134' 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. �o T1w ve Ju�T"E e 30 Name and address:_ �� 2F�Q ^! p / � �—�• NIfl( 10(4QAr 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different data' - +edified) ature •f Owner Print Owner's Name / W Sworn to and subscribed before me this _ 1 -2 . • Notary Public Print Notary's Name } / r'+' i) (7( "i Y r (f ( 'n My commission expires: _ 1.C1• 4 8/02 - — iVAY044rt/ o e _ems -L R Y 'Poe ti eL9,41vEYrtt6 � 7P.r,r + A #A, r 4290 4 c/ix / O t 142trie ' i 4. day of 3p & lla,r 16 2004 05: 0SF'11 F'1 iiIM tl(IiIIIijIRiIIIIIMIMI!O ,....., f ., 03/16/2 it; . HARVEY E riLrV 1 N r '1 -E:Fi OF 1 :0o(i'i ,1tt i i T , , ,..t' 1 r ? s - orottrer'documents l be ser'eFl-ity' - _ ✓u ,TE G 30 7 Prepared by S'4'hJ / 1 " Address: � SP' f3a to — • rP � y • sy ttln #DD146..Sb. _' �� • = ExeS'rd d 0 , 2406 %�•. �: n,t RC(ldltlg,CO., tTIC. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/24/2004 Applicant: JULIO & GLORIA Owner: SERRANO JOB ADDRESS: 1290 NE 101 Contractor ELECTRICAL MASTERS INC Local Phone: 305 - 265 - 7996 Parcel # 1132050140010 Fees: FEE2004 -3127 FEE2004 -3128 FEE2004 -3129 FEE2004 -3130 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $200.00 $2.40 $0.80 $5.00 $208.20 Total Fees: $2 Total Receipts: 0.00 e.t_140 Signed: (INSPECTOR) Legal Description: 5 53 42 GORDON TRACTS Permit Status: APPROVED Permit Expiration: 9/18/2004 Construction Value: $4,000.00 Work: ELECTRICAL WORK FOR ADDITION In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2004 -85 SERRANO JULIO & GLORIA ST Contractor's Address: 8400 N. W. 14 ST. BY: Page 1 of 1 PB 55 -20 TRACT A LOT SIZE SITE VALUE OR LIAR 3 0 PAID Contractor P & M ELECTRIC INC Local Phone: 305 - 949 -6373 Parcel # 1132050140010 Signed: (INSPECTOR) Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2004 -85 Printed: 4/27/2005 Applicant: JULIO & GLORIA SERRANO Owner: SERRANO JULIO & GLORIA JOB ADDRESS: 1290 NE 101 ST Contractor's Address: 1936 NE 148 ST Page 1 of 1 Legal Description: 5 53 42 GORDON TRACTS PB 55 -20 TRACT A LOT SIZE SITE VALUE OR Fees: Description Amount FEE2004 -3127 Building Fee $200.00 FEE2004 -3128 CCF $2.40 FEE2004 -3129 Training and Education Fee $0.80 FEE2004 -3130 Technology Fee $5.00 Total Fees: $208.20 Total Fees: $208.20 Total Receipts: $208.20 Permit Status: APPROVED Permit Expiration: 7/26/2005 Construction Value: $4,000.00 Work: ELECTRICAL WORK FOR ADDITION In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: