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185 NE 100 St (9)Date 637//3/cn Miami Shores Village Building and Zoning Department Attention: Building Official AMENDED PLAT ofMIAMI SHORES, SEC 1 -------- SWIMMING POOL _OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as EZ of Lot 21 & all of Lot 22, Elk 15 of the located at 185 N.E. 100th St Miami Shores 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 separate 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. Legal Owner Rand G. Griffin Note: This certification is to be submitted with a swimming pool permit application in duplicate. Date eV/ 3 799' Miami Shores Village Building and Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as E of Lot 21 & all of Lot 22, Bik 15 of the , located at 185 N.E. 100th St Miami Shores AMENDED PLAT of MIAMI SHORES, SEC 1 SWIMMING POOt_OWNER`S CERTIFICATION 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 separate 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. Legal Owner R.ndy Griffin Note: This certification is to be submitted with a swimming pool permit application in duplicate. NOTICE OF COMMENCEMENT PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: The E 1 of Lot 21 and all of Lot 22, Block 15, of AN AMENDED PLAT OF MIAMI SHORES SECTION #1, according to the Plat thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida.A /K /A 1.85 N.E. 100th Street, Village of Miami Shores, F1 33138 2. Description of improvement: Construction of a new swimming pool, deck and privacy wall. 3. Owner(s) name and address: Randy Gene Griffin, !85 N.E. 100th Street, Village of Miami SHORES, F1 33138 Interest in piii erfyT Siinp1e7.Titleholder Name and address of fee simple titleholder: Owner named above 4. Contractor's name and address: J.R. Crockett, Inc., 2700 E. Oakland Pk. Blvd. , Ft. Lauderdale, Florida 33306 5. Surety:(Payment bond required by owner from contractor, if any) None Name and address: Amount of bond $ 6. Lender's name and address: Notary . Public . Print Notary's Nam- My Commission Expires: None N/ TAX FOLIO NO. 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 Statutes, Name and address: Owner named above 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: Owner only 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is s•ecified) One year from filing date 4 311411M1111 gnatu • 01 Owner r Print'.wners Name. Randy G. Griffin Sworn to and subscribed before me this day of , 19 roc ett 1 W. al n # CC 843612 Expire. July 21, 2003 .;.• Bonded Thr, %no Atlantic Bonding Co., Inc. S"A'''' ^7F FLORIDA, COUNT? OFbADr I Iho .1/101 ccfhlrf ohm Ibis Is a true cup', I art 1 111,e in t I; office on a HA „� Rlt_ty r ' A. 0. 19 ^nr1 CvUnly Courts 0 C. Prepared by: J.R. Crockett Address: E Oakland Pk Blvd Ft. Lauderdale, Fl 33306 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 PLEASE PRINT DATE: r 1 0 TIME: NAME OF PERSON REQUESTING FILE: PHONE #305-75 I (07 -?YOUR ADDRESS: Acknowledged b _ FILE RETURNED TO: INITIAL /00 sfi ADDRESS OF FILE REQUESTED: /6 /'' ( 0 INFORMATION REQUESTED: POr)/ 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. Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE JobAddress 185 N.E. 100th St 185 N.E. 100th St., Miami Shores, Tax Folio Legal Description E1/2 of Lot 21 & a 11 Of Lot 22 , B1k Historically Designated: 15 of the AMENDED PLAT of MIAMI SHORES, SEC 1 Owner/Lessee / Tenant Randy Gene Griffin F1 331.38 Master Permit # Phone Owner's Address ContractingCo Caro Electric, Inc. Address 7101 S.W. 136th Ave, Ft. Laud, F1 33330 Qualifier George Caro SS# State # Municipal # Architect/Engineer Kehler Engineering & Asso., Inc. Bonding Company Wrtgagor None N/A Permit Type (circle one): BUILDING Address N/A N/A PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Electrical connections for a new swimming pool Competency # M/ Address 4950 S.W. 72nd Ave., Miami, F1 33155 Address Square Ft N/A Estimated Cost (value) $ 1 , 9nn .nn 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. I4— WAIF ignature o. o 111111 'M r eon!' esident Randy G Griffin, 01 as to Owner and/or Condo President Date My Commission Expires: J. R. Crockett Commission # CC 843622 Expires July 21, 2003 , s ': Bonded Thru r AJan C Bonding Co., Inc. FEES: PERMIT 4I � RADON Signa George Caro, APPROVED: Zoning Building Mechanical Yes Nod Electrical (305) 759 -7913 ntractor or Owner- Builder Qualifier � J s to Contractor or Owner - Builder My Commission Expires: J. R. Crockett co son" aaion # CC 843622 Aires July 21, 2003 ti • .• Bonded Thru Atlantic Bonding Co., Inc. Q 1 157 3'-0 Phone ( 954) 557 -4647 Ins. Co. A1'f FA/14 /2 C.C.F. )1 (t NOTARY BOND TOTAL DUE `l )° Plumbing Engineering Date Owner's Address 185 Architect/Engineer R FEES: PERMIT / ' (? RADON APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 185 N . E . 100th St . Tax Folio Legal Description E . z of Lot 21 & all of Lot 22 Blk Historically Designated: Yes No XXX 15 The Amended Plat of Miami Shores, Sec. 1 2 _ Owner/Lessee /Tenant Randy Gene Griffin Master Permit # z/3/ 3 S ContractingCo. J.R. Crockett, Inc. Address 2700 E. Oakland Pk. Blvd. Ft. Laud. Fl Qualifier J.R. (Jock) Crockett N.E. 100th Street, Village of Miami Shore hone (305) 759 -7913 SS# Phone ( 305) 441 -9399 State # CPC010280 Municipal # N/A Competency # CPC010280 Ins. Co. CNA Ins . Co . Kehler Engineering & Asso., Inc. Address 4950 S.W. 72nd Ave., Miami F1 33155 Bon Company None Address N/A Mortgagor NA Address N/A Permit Type (circle one)(BUILDING )ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Construction of new swimming pool, deck and privacy wall. Square Ft. Pool surface area: 434 sq. ft. Estimated Cost (value) 20 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 r - a ating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. nd G. Griffin, NIB ■Alldir Si atur= of or anTh i "do President as to Owner and/or Condo President Date My Commission Expires: J. R. Crockett Commission # CC 843622 *? Expires July 21, 2003 Bonded Thru Atlantic Bonding Co., Inc. j Si J . R Lockett , C.C.F. of Contractor or Owner- Builder S� r j es: Notary as to Contractor Owner- Builder Commission Exp JANET KAY JEWELL NOTARY COMMISSION # CC79 PUBLIC EXPIRES DEC 02. 2002 er G a m/. BONDED THROUGH ADVANTAGE NOTARY ©1 1 2 99 Date 7//Z/9S Date BOND 3 co TOTAL DUE Electrical 5fru J • 21% X3/q Engineering NOTARY — 0