269 NE 100 St (9)•
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
cp5, isj)
Date /�'7-a) Job Address a fo q A/6 /0 0 S >- Tax Folio
Legal Description 1 D 1 a 0, t U/ET f DA' o2 / i 3 fo c,e 3 c/ Historically Designated: Yes No
Owner/Lessee / Tenant C if,4 /6 /9 Azao2 S - Master Permit # 4 90
Owner's Address (0 9 it/e /00 57 f1/ Rah i S/S/./ pj3- FL 3 71 Vhone - 77E2 a0 6
Address ? /
/� � Leo
Contracting Co. F p
Act J5 ?i C �o wC.�t7`f ��' �C ? 'a / V S
pal ►V�t roc -33 „
Qualifier (!� UG pp,�7C�F'ld vt Z ( Phone 9V— (a / 6O 3/6j .
State # Municipal # Competency # 1/4 / 34 Ins. CoAt N -1‘1"-
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION //) C/1? . O) R f Vt - u/' G .4"" /X y 5 7/9'rLf perry
Square Ft. 69*
aior C :' „ Presi
;
TtiRlS
VAMiSC,SIOR1 0 CC.. :
Notary as tt? • ; .�� ari /orgprltiCPredidaf 2001
My Commi :4 4, • . s: prwriPo ",P PCP INA
44.0F ATU+NIIC
APPROVED:
/
1 ,1 6r rZ G
Date
Estimated Cost (value) 3 99-7
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YQU'!.
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 the the foregoing information is accurate and that all wor 1 be done in compliance . 'th all applicable laws regulating
construc on and R. F ore, I . uthorize the above -named contractor to do the weed.
S
Notary as
My Co
OF
Electrical
cEor oEXRiBiHf$& . 2001
;1res: BONDED THROUGH
ATLANTIC BONDING CO.. INC.
Date
FEES: PERMIT V RADON C.C.F. cal ' V0 NOTARY BOND70t
TOTAL DUE 3 ,
Mechanical P1 i bing Structural Engineer
'dam- ke,Cor,1 t . 1_ • "zC -rte` time.. - ape. -
NOTICE OF COMMENCEMENT
A° RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TAME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
O O Rc., ° 6 5 5 1 2000 DEC 06 13:55
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:
r■/ 4' /
2. Description of improvement: C ( G-vz 17`)2 1242 5'.7'`-� y -- i
3. Owner(s) name and address: CX, /6 / x'72 ,
a Ali Gs' and0' 1 7 , ,
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: / T / G- C dti cc e 0/
7 ) Ai 40 0,7 rOZ #lob
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
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:
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:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year, from the date of recording unless a
different date is specified)
Signature of Owner
Print Owners Name " X4/1)7.42 /l/ 5Gil/ Prepared by: k 4., 'I v 9G J IC
Sworn to and s ibed before me this c day of J-Q, *D p 0 a1 j I 1, 7 / ml U on
Address: / 7 I (✓( re C G
3
Notary Public
Print Nota Nam
My Commission Expires:
STATE OF FLORIDA, COUNT`( OF DADE
1 HE CERTIFY that this is a true py of the
` f
original in this day
WI. 1 SS
HARVEY
By
NGELi :. .
*•37':K
1079 ;6'1
omer"Cc,nc� �r �r• e
NOV. I <`
12101.52 2/93
7/
requests permission to install:
[ ] Asphalt, oncret brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of Oc -
SIGN
U,q DAMAR
SEALS P gJ\ D in the presence of:
IN
CC634008
r +c. .
'anti Shorej (/iC�ccc�e
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 - 2382
Telephone: (305) 795 -2207
Fax: (3051.756 -8972
00R515379 2000 OCT
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, Cie/l /‘. /14' 4/ , hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description /folio #:
LotRDY- ( 7 OP 1 Block ' S/ Subdivision
Tax Folio #:
a- � 9 tie /6o sr
(address)
the Village, the Owner agrees as follows:
IN CONSIDERATION of the approval of this permit by
1. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may rise by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the
item(s) to be removed,and a lien being placed on the property and/or assessed against the Owner for all
costs incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions -shall be deemed a covenant running with the land and
shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SE D, E D : D KNOWLEDGE on thi .y of `i
pRtue
pf, o,1-cf -t
26 09 :09
STATE OF FLORIDA, COUNTY OF DADE
HEREBY CERTIFY that this is a true c py q I the
original filed in this office on T day or
, A D 20 (fl)
WITNESS my hand and Official Seal.
HARVEY RUVIN, CLERK, of Crrcurt and County Courts
B y •:; QA_L -■-r D.C
DeD
PERMIT NO.
ADDRESS: .
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION
BY
DATE
ZONING •
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with att Federal. State.
County. Vdttage saes tad regulations. VI1tage assumes
no responsibility for accuracy offor results from
th se plans.
2. This copy of plans must be available on
building site or no inspection will be conducted.
JOB ADDRESS a ! NA Joy S 7
APPLICANT C '8141L2 #4 &OFR soI)
CRITIQUE SHEET
PHONE t#
APPUCATION #
SHEET OF
MISCELLANEOUS
0 V /0130106
Ga(ie h r . (4Jre55
17\ \
GuLt(e AI
1j04 0 l pTell" S
204/ 1 fV �j COMMENTS Ma` `
/a /6, r I .60 b 2 j U e A y M u s -z- Oiv 1 e j v/9 -TE 41
/0 /20 T y - /tie 7'. ON / 49>egw/ y (½/ » ei )
A 1 , 4V , o■Cv " 1 eew,y du,
C /Erlie42 i 9 iv- ,- fSr 6E o J
/ of ",
- DATE
CV 11111ov QV I44 °WIWI' re r'equi t
INITIALS
0\ I ■I od Co /iff - erc or 100k e/avts ; wit( revise r
$ L4$Lt'f - lac/ . cor pr'c'seNvd -coA. OC
d ad ;free
BUILDING AND ZONING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES. FLORIDA 33138-2382
TELEPHONE (305) 795 -22,04
FAX (305) 758.8972
RECEIPT
I;x P z. c ►' contractor /owner, picked up 2 sets of plans for
(address), 79 a/ ti...„, k, from the Building and Zoning Department on (date)
Athe
,Clep /c y F/o 3?/ to have corrections done to plans and/or get County stamps. I
understand that the plans need to be brought back to Miami Shores Building and Zoning to
continue the permitting process.
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AMU
PROPERTY OF:
Vet 41.1• 1 %111111111 IntSN« \A mitt:
ar•• n1E (1 n11:11•At. 11.16tD !a.m.
►LU*ID• 1 J( - C!N►:D \r I% 111 ON
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eto
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This property described as:
All of Lot 20, he West 1/2 of
Lot .21 34 - - - -. - -
AN AMENDED PLAT OF MIAMI SHORES,
SECTION NO. 1,
according to the Plat
thereof,. -as: recorded
Plat -Book -10,- -Page- -TO-- - - -
of the Public Records of
Dade County, Florida : .
Anderson, Craig and Victoria, 269 N.E. IQQtb: Street,-
Miami Shores, Florida 33138
L .NN :\ .OD GAM IA. I,1u.
I_B. # :l)tt
sI I(% EN E)Rs- :1Lu1'F.R - L.OD I9_a\.\F Ro
ERN. STO E. ES ?INOSA #2946
A BOUNDARY SultvEr
1 meted. certify that the whey teote-
senred hereon meets the nuram m
technical standards set touts py the OOYd
ot find Surveyors .n Cupid 6101 ?.•
Ronda kanrreurarr.e cone aarsuanr ro
$ectaon 47 7.3r. Fla Statures There are AO
encroachtnenek orettaos. easements
appeann1 the Plat, other Than as
shown
•
iet►e. autrrnoe Awn PIA !PO 2a4SP
Olfitr address: 359 -kaaar %scour. ('ural (.4blr1. Flunda 13133
1.1051 Ott. 'NM 4 4,131 5: J.36
F I F: LU f }:
%y
99
SCALE
/ v. �.
DRAN 4 BY I DRW . 0
.�•D.
1 -
Legal Description
Owner/Lessee / Tenant CJ C 0-7
Date 2 '1 9 I 1 s Job Address Z6, /V E / O or ST Tax Folio
Owner's Address
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
2.&9 / as Jr
Zc /V /a
Contracting Co. 0(11 N e- 7 Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION . 18 / X / C 41z- f A 0 , fr A /J E !T P4 y E S
Square Ft Estimated Cost (value) 2 S O
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 regulatin: •ns tion and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
ature of owner and/or Condo President Date
Historically Designated: Yes No
Master Permit #
4 /&
S/ Phone 3 ° 75 -Y 7 Z F
Signature of Contractor or Owner- Builder Date
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date
My Commission Expires:
FEES: PERMIT
My Commission Expires:
RADON C.C.F. ` Ir NOTARY BOND
APPROVED:
Zoning Building 4 1 5 9q Electrical
Mechanical Plumbing Engineering
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
26 5 6. (00 .
Date , 4Aet L Job Address
Legal Description 6
Owner / Lessee / Tenant
Owner's Address
Qualifier
State° C O4L ”
Architect /Engineer
Bonding Company
Mortgagor
Square Ft. /3
&z 3(7 ‚11 ( . fibs -s
/�u,ur0
.769 foo
Contracting Co. L G 4/el -
4-/J9mi,A14,
Competency #
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING
WORA DESCRIPTION w FC.47 ficcc /1 fig
L t L't r c 6f -' _
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.
1(
Signature of Owner and /or Condo President Signature of C Owner-Builder
Date: Date:
Votary as to Owner and /or Condo President
ly Commission Expires:
A * * * * *
=ERMIT FEE: APPROVED: Fire
Zoning Building
Mechanical Plumbing
Cot OP
Address SW440 AciArd A 5 ` 1 5 144 - 1°°°1
Phone 96 77
Ins. Co MU-4-
Address
Address
Address
fG / Master Permit
Tax Folio /7 73 - +D
Phone
# 3 / 0294,
MECHANICAL PAVING FENCE SIGN
o -
Ar .�
�11
a
Estimated Cost (5
Notary as to
My Commission
* * *
ontractor
Expires:
* *
,Other
Electrical
Engineering
or Owner - Bu
(IOTARY PUBLIC STATE OF FLORID
PY CO ISSI t! EX
" h DE T Of *ROV. 9,199