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EL-04-104Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/30/2004
Applicant: BOB
Owner: BOURNE
JOB ADDRESS: 285 NE 100
Parcel # 1132060134700
Electrical Permit
Permit Number: EL2004 -104
BOURNE
BOB
ST
Contractor BRINKS HOME SECURITY INC Contractor's Address: 9960 N. W. 116TH WAY, SUITE 12
Local Phone: 305 - 887 -8455
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 E1/2 OF LOT 21 & LOTS 22 & 23 BLK 34 LOT
Fees:
FEE2004 -4338
FEE2004 -4339
FEE2004 -4340
FEE2004 -4341
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Total Fees:
Amount
$100.00
$0.60
$0.20
$2.50
$103.30
Total Fees: $102.30
Total Receipts: $0.00 401
Permit Status: APPROVED Permit Expiration: 10/17/2004 Construction Value: $600.00
Work: BURGLAR ALARM 1 MASTER 12 DEVICES
Page 1 of 1
4(ocl y
JUN 2 2 PAID
Signed: (INSPECTOR)
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:
Inspection Date: 07/17/2006
Inspector: Devaney, Michael
Owner: BOURNE, BOB
Job Address: 285 100 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: BRINKS HOME SECURITY INC
Building Department Comments
Friday, July 14, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
JUL 1 9 RECO
Block:
Phone Number
Permit Type: Imported Permit
Inspection Type: Alarms
Work Classification: <NONE>
Parcel Number 1132060134700
Lot:
Phone: 305 -887 -8455
Page 2 of 2
Passed
Inspector Comments / # ,/
( L7 ;I I )' ;' --
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 07/17/2006
Inspector: Devaney, Michael
Owner: BOURNE, BOB
Job Address: 285 100 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: BRINKS HOME SECURITY INC
Building Department Comments
Friday, July 14, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
JUL 1 9 RECO
Block:
Phone Number
Permit Type: Imported Permit
Inspection Type: Alarms
Work Classification: <NONE>
Parcel Number 1132060134700
Lot:
Phone: 305 -887 -8455
Page 2 of 2
BUILDING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES, FLORIDA 33138 - 2382
TELEPHONE: (305) 795-2204
FAX: (305) 756 -8972
GENERAL INFORMATION
• HAVE PERMIT CARD & APPROVED PLANS ON
SITE
• PLEASE CALL FOR ALL INSPECTIONS AT
(305)795 -2204 Leave a message in our voice
ALL PERMITS REQUIRE INSPECTIONS
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
pp Building Inspection Request
Date �� ' e 'v ,�firr
Type Insp'n i ( Ith 0 I f\1!l.� Wtn
Permit No. - 1 0'4 m
Name b
Address y 8S NE_ is
Compan ` Q,ec
Inspection Date
Approved
Correction
Re- Insp'n Fee
2.4 q7
Phone # P
f `
,% - tie et
}'S t t"t-C /07
1' yY L' �jv� ►,OC�c7Ji ® -
1,,
/171°GwP7,%!eG'
g7 062 4u)
MIAMI SHORES SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Bulding Inspection Request
Datk
Type Insp'n fl Fl a I On
Permit No. e r)(.4 OA
Name frDb
Address
osik 1 CO 34•
Compant$ fi
Phone #
Inspection Date CO
Approved
Correction Ca
j '
Re-Insp'n Fee
%
7 ..c7,/ 1 ,tPre tr' . Pe-F/i r ,
/ 9 u'e VA
BOLDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
$ Value of Work For this Permit 462) v
Type of Work: ❑Addy 'on II Alt
Describe Work:
Total Fee Now Due $53, Q
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, IVfiami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
State
Permit No. E) 2dd4r to y
Master Permit No.
Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) 1h,,7--- row Phone # ': Ill /. g77, Z
Owner's Address 416 /641 577 1
city q/2_ f4144.4.0 state Zip ��1 31'
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 028.T A/$ /D 0 flr
City Miami Shores Vi11ape County Miami -Dade Zip
Is Building Historically Designated YES NO
di/i - ‘ ' D l3 • 417P
Contractor's Company Name 4/ /'7 '..3 Phone # Tr 7 8PX
Contractor's Address p, ,/ • 1/e Al • / F
City ° . � zip 6
Architect Engineer's Name (if applicable) Phone #
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
Ci ** *** * * ***** * * * ** *** * * ** * ** *F * * ** * * ** * * * * *** ** * * ** *** ** * ***
RECEOVIED
AP 1 9 2004
Submittal Fee $ ,C) . 00 Permit Fee $ %® ® ® ®p CCF 8, .4 7) CO /CC
Notary $ Training/Education Fee $ 1 'a 0 Technology Fee $ . —S
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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 F.I.RCTRICAL 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
NOTARY PUBLIC:
Sign:
Print
My Commission Expires:
APPLICATION APPROVED BY-
Chc 12/15/03
As identification an t d wh i d take an oath.
• My Comte 130305340 '
Sat Sr f 30, 200E
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Signature Signature
er or Agent Contractor
The foregoing- instrument -was aclmowledged-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 d an oath.
Barbara A. My Commi DD305340
„
,` �o Boa
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
01'4' Plans Examiner
Engineer
Zoning
This instrument was prepared by:
Name WILLIAM F. FANN, 3R.
Address 731 NE 95th Street
Miami Shores, F1 33138
Return to
Name
Address
Grantee 11 S.S. No
g rantee Y2 S.S. No
Property Appraiser's
Parcel Identification No.
(1- .?i.ab- eta- ciao
WARRANTY DEED
(STATUTORY FORM — SECTION 689.02, F.S.)
This Indenture, made eft (6 d October, 2003 ttw
CLAUDIA H. HUNTINGTON, a /k /a CLAUDIA HATTESEN HUNTINGTON, Personal Representative
The Estate of MARTHA MERCER HATTESEN, deceased
whose o fnceaddress's 253 NE 100th Street, Miami Shores, Fl, 33138
of the County of Dade ,State of Florida
ROBERT J. BOURNE _
whose post office address is a 6 / / al 57re . 3 ' /•91W syz.l es., _,...
of the County of ,State of
Witnesseth that said grant for and in consideration of the sum of TEN DOLLARS,
and other good and valuable considerations to said grantor in hand d
•
Ooh°,
said �n� the
acknowledged, has granted, bargained and sold to the said ns of whereof following
barm
Ascribed land, situate, lying and being in Saco. and granteeb heirs and assigns forever, the -
Dade County, T7oridi, to-wle lt:
The East half (81/2) of lot 21, and all of lots 22 and 23, in Block
34, of MIAMI SHORES SECTION NO. 1 AMENDED, according to the Plat
thereof, as recorded in Plat Book 10, Page 70, of the Public Records
of MIAMI -DADE COUNTY, FLORIDA.
SUBJECT TO: easements, restrictions and reservations of record and
taxes for the year 2003.
and said grantor does hereby fully warrant the title to said Land, and will defend the same against lawful claims of all persons
whomsoever.
"Grantor" and "grantee are used for singular or plural, as context requires.
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed, sealed, and delivered in o presence:
(First Witness) VJ[fa/f/f' if,U7A(G
Printed or typed name:
W06om F. Faro, h
WOOMMSSIONf =OW EXPSES
May 2l, 2007
IONISOneunorxun eu
Grantor
,2
/0
Book21801/Page2681 Page 1 of 1
11 11 1 11111111 1 1111111111111111 1 111 1 11111111 1 1
(Serial Number, fluty)
CFN 2003R0$30308
DR Bk 21801 Ps 26810 (los)
RECORDED 11/06/2003 13:31112
DEED DOC TAX 21340.00
HARVEY RUVIN, CLERK OF COURT
fIAt1I -DACE COUNTY, FLORIDA
LAST PAGE
... A4 . A A . 4.
, grantor", and
3e4.72-
, grantee",
(Seal)
CrantorCLAUDIA H. HUNTING ( N, Personal Rep.
Printed or typed name: Est ate of
MARTHA MERCER HATTESEN, deceased
(Second Witness) tfir P or typed n I.,/ et F. ►�lYt /cTt�
Printed or typed name:
(Seal)
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
THE FOREGOING INSTRUMENT was acknowledged before me this
by CLAUDIA H. HUNTT1
produced asidant1Re tionandwhodid(didnot)takean oath.
My commission expires:
day of October, 2003 •
, who is (or are) personally known to me or who has
Notary Public
Printed, typed, or stamped name:
P.mt trwv tarots
Electrical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: EL2003 -344
Printed: 12/1/2003
Applicant: MARTHA MERCER HATTESEN
Owner: HATTESEN MARTHA MERCER
JOB ADDRESS: 285 NE 100 ST
Contractor LANGER ELECTRIC COMPANY Contractor's Address: 8901 NW 7 AVE
Local Phone: 305 - 266 -6777
Parcel # 1132060134700
Permit Status: APPROVED Permit Expiration: 5/22/2004 Construction Value: $7,000.00
Work: General wiring of entire house
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 21 & LOTS 22 & 23 BLK 34 LOT
Fees: Description Amount
FEE2003 -7532 Building Fee $245.00
FEE2003 -7533 CCF $4.20
FEE2003 -7534 Technology Fee $6.00
FEE2003 -7535 Training and Education Fee $1.40
Total Fees: $256.60
Total Fees: $256.60
Total Receipts: $256.60
Gt
DEC 0 8 PAID
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
WIRING OF HOUSE
Passed
Inspector Comments
.,.., -- raggi
Failed
/ Or
1 j (,, eV'
Correction
Needed
Re- Inspection
Fee
($
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 07/17/2006
Inspector: Devaney, Michael
Owner: BOURNE, BOB
Job Address: 285 100 Street NE
Project: <NONE>
Contractor: LANGER ELECTRIC COMPANY
Building Department Comments
Friday, July 14, 2006
Miami Shores Village, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
JUL 1 9 RECD
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number
Parcel Number 1132060134700
Lot:
Phone: 305 - 266 -6777
Page 2 of 2
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
NO. TAX FOLIO NO. I - 1910'013 -L i 700
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 Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: Cl e r C e
a'3t' AZ LOc) Y brr ■ Jho (e 5 Fl 33(31
3. Owner(s) name and address:
t
Interest in property:
Name and address of fee simple titleholder:
Notary Public
Print Notary's Name
My commission expires:
123.01 -52 PAGE 4 8/02
46 1..N , REBECCAGARCIA
MY COMMISSION # 00 104633
SWRES:Match31,2006
' Nof we Seeded Tteu Budget Notary Services
2. Description of improvement: irt 4- (o a). 4 9 M. 1 \ 'P
4. Contractor's name an address: L -CA ' ( ('PQ +( Of /0Ci aye
c1
raw .
(r)Yet. 31SO
ER Y e Cla
5. Surety: (Payment bond required by owner from contrac 'or a�1�,
ar�glnai n
Name and address:
Amount of bond $
6. Lender's name and address:
STATE OF FLORIDA, COUNTY OF DADE
NITNESS my hand and Offi
- IARVEY RUVIN, CLERK,
7. Persons within the state of Florida designated by Owner upon whom notices
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
► t date is speclle
Sign- �--� of Owner �] (,,,� !�
Print Owner's Name ®1 ©4.1` 1� J �(C
Sworn to and subscrib �d before me this 11 day of Ith.) , 2003
RTIFY that this is a true _ cgoy of the
is office on S day of
CFN 200Z3R0897619
OR 8k 21876 Ps 2716; (1as)
RECORDED 12/05/2003 12:42:15
HARVEY RUVINr CLERK OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
5 I.
and County Courts
1nJ C.
INIIIIHNININNININNINNI1NI I N
L'C o%$
r other documents may be served as
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.
Name and address:_
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
d' d t i if' d)
Prepared by I . i
Address: *PD ( . th )1 QQ,
I i etlr1'1 ► 33f' )
ECEOvED
NOV 7 4 2003
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Build' Electr lumbin Mechanical Roofing
1;
Owner's Name (Fee Simple Titleholder) �1�Y
Owner's Address A€35 100
On r
City l C 1(V) 1 State
Tenant/Lessee Name
Job Address (where the work is being done) 5 I (AD 56
$ Value of Work For this Permit
Miami Shores Village
Building Department
Master Permit No.
r-C ZQQ ((Phone # 05 -15q 517
Zip ')1 ?A
Phone #
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
: Phone #
10050 N.E.2ndAvenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. GL, 1003 - 3 1 1
Contractor's Company Name L.cdi C r C.( �� t•_�`I-
Contractor's Address ill 01 )J 1 0
City Orl to itfl l State p k zip .?j' 50
Qualifier
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City State
Phone# ' � - 577
zip
Square Footage Of Work:
Number of: Bays Stories Families Bedroo Baths
Type of Work: DAddition ii 0Alteration DNew Repair/Replace ❑ Demolition
Describe Work:
*' * ** * * * * * * * * * * * * * * * * * * * **** ee Calculation -Misc permits* * ** *'* *'* * ** * * * * * * * ** * * * * ** * * **
County Escrow Fee $ Pertit Fee $ 0‘7 ® Notary $
Education/Training Fee $ Tech $ Scanning $ Radon $
Code Enforcement $ Bond $ Stmt. $
Minus Plans Check Fee $ Fee Totals $ (Continued on opposite side)
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 issue - absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Owner or Agent
The foregoing ins s's ent was acknowledged before me this iq
day of )300 , 20 (23_, by
who is personally known to me or who has produced L QL
8-1 ' s identification and who did take an oath.
NOTAR
Sign:
Print
My Commission Expires:
chc6/18/03
REBECCA GARCIA
******************* * * * * * * * * * * * * * * * * * * * * ** * * * * * * * **
APPLICATION APPROVED BY
The foregoing instrument was acknowledged before me tbisa I
day of Q , 2003, by
who personally kno o me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC•
Sign:
Print:
. MY WMMlam IXPIAES: Matd�31,2
WIRES Mar 81,2008 My � : ;
''ect c, BondadThruBudgetNotarySe:vlces y BandedTlgu Budget Notary Seroims
C
***************************************************************************** * * * * * ** * * * * * * ** * * * * * * * * * * * * * ***
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency.No.
Halt
MY COMMISSION # DD 104633
*************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zoning
ADDENDUM TO EU LD TNC: =RMIT APPLICATION
- , HE OWNS ' S iC=: -TZED S : _ ? E NE_] 1TC: 31 ° ?Er CN r cS' - = tam.r.G" _CKS
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ADDENDUM TO EU LD TNC: =RMIT APPLICATION
- , HE OWNS ' S iC=: -TZED S : _ ? E NE_] 1TC: 31 ° ?Er CN r cS' - = tam.r.G" _CKS
PL LIME fNG
ELECTRICAL
MECHANICAL
SC PIT CJ. FT.
CATCH :AM
JI.:+-;
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AREA :RAM
ACCF :11.
S:LA; WIG EATER
: t ;
L -o !: 5 S ri
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