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 : _ ? 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A/C TIMM ( X11t5P 3.: iF. SPPL Y TQ: AIR r..."OITI@teS t : ;C IRiIT SHIP FLITS RE 7R MIS .. r-c'tf:3ATCRS TRA115' M :: Arc 121ST. OIERARPS BIANSFORIEIS ::.:T R ...0 efaxnas IRNMRIELS N PR WILE -3E. L MIL- L- ?..81 1 - 711a111G ?IL • CUTLETS CaddeCl#L I • ura ET/ a t . S 1 iZES tom.'-:? • • . ICS SIGN IRAMMERS ( 1 SIGY THE CI= ! I (T:L - Lr:L:rr- ATS FI I s 1 ■c TAMC ;,1ITE1INA • l 1 RE_AY TEEM= isi@( CUTL_' sue. ( 1 rCRAINr ice, c TILE S. Y1cu ai 1 1 7--W' S :4340034 S ZJTIC TAW REI/ ,r 110( 1 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.:+-; .€Sr ;C 1ELL AREA :RAM ACCF :11. S:LA; WIG EATER : t ; L -o !: 5 S ri _c :.5 - ?'`G