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53 NE 101 St (7)BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address 53 1./ / / 57, eT City MOM/ 5 State F Zip 3 Tenant/Lessee Name .(///- Phone # Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Cit M /i4AN/ , 444t. Qualifier e/07.0yw ,YJ GiCE,</) -;E Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing Mechanical Roofing deq ieM5 63 A/6" /D(5rc6 County Miami -Dade 0 J State - olv�a¢ Permit No. Master Permit No. Zip '3 / 3- Zip 33/ x / RECEIVED OCT 1 4 114 D Phone # 3vey iA9 9000 R ���/ o � # 005 Contractor's Company Name /l 2 /�ieies C2A/S77 JCl/od Z� ,4B z! Contractor's Address 300 7/ S� / /fir State Certificate or Registration No. Ce7C- t%'& Certificate of Competency No. Architect/Engineer's Name (if applicable) /¢ -c.- /7>T--Tyi2t D,eACS Phone # 309 .6)4 f 87 $ Value of Work For this Permit 4 ' 6 5 0o. 615? Square Footage Of Work: • ititTE rc _ Type of Work: ❑Addition dAlteration ❑New ❑ Repair/Replace . _,.�� "� ❑Demolition Describe Work: / /C-42,0247711 of / _er 2 o0,25 a94i r 7 3W ///TE ,eio,2 , , c ' )-c)E11—;Al /2ECOi•/9/42 >4 feu) ,vt/ 6E/¢2/1 wx-US ', /,vae sE o, _ E A /ic/ CLOj E4Cf /ZOOM G$ 9I /7� 7 it !1n/P /A/ liecoeoshvce wiTh D-E eov.7 /�Roeilve.r4.1=od.¢ ,c/o77CE5 , e/�►4nl fE vvr �Ria�2 Doo,2S 4 N/A/1)014.15 7 /�CCc%�ivF of �/ . /cer,evv�7 DiC / OG cj¢ * * * * * * * * * * * * * * * * * ** * * * * ** a S * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** t1c �� L LtJp ,)4 $0.2... S * * Sv'X 4' I' yi r S . ;* Pi7a: ic4L 27); ,�l; Submittal Fee $ Cermit Fee $ 3 6 CCF $ qr. ito CO /CC Notary $ � �"' Training/Education Fee $ � ga Technology Fee $ C,-/ Scanning $ 36 Radon $ Zoning Bond $ 366 Code Enforcement $ Structural Plan Review. $ 4- iv-3 -fr Azeftc,,. 1-ee.. 36.E Bonding Company's Naane (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 brochur will be delivered to the person whose property is subject to attachment: Also, a certified copy of the recorded notice of comm ' cemen Lust be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. . the . s e e of such posted notice, the inspection will not be appro d and a reinspection fee will be charged. is personally know 4C- Sign . ignature The foregoing day of w NOT Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 4 1 ,� , / 1 1 _ i,':= Agent r • 1 ment was acknowledged before me this so The foregoing instrument was a knowledged before 20 OA by JO r j e. I \I (2 S me or who has produced As identification and who did take an oath. ..,. MY e t5T11104* * ki EXPIRES: May 26, 2007 t; • Bonded T ru Notary Pubth Underwriters Signature\ day of who is personally known to , 20 6 ttJ by tor as id ,a lion and who did take an oath. NOTARY PUBLIC: Sign: Print: My Comrm §. onesP Bonded Thru, iris I Rondme o * * * * * * * ** * **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Wc. 'QS b has produce * * * * * * ** Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FOIST INSPECTION PERMIT NO. J 9 /-- 13 / 3 TAX FOLIO NO. ii - M04 1 ' - 0 /3 - /V 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: ,LDT /> 74 or I.OT /7, t3 .-R /1 4# i4ME ? 1 Auo C iA/ -Tv rifE Pa wk A-s )o EZ hat PAr 800g- /O 47 PAaE 9e. i7& 0 f /d/1 / - 2. Description of improvement: f il/GO� per/ 0"2.477 QC SE b4- t� t4O4 5 1. 1/T7l /'! L'4/ A-705 7'7 / / aitsE c& K 4 m I , b / BDtom L/Q1/ d Same/. 3. Owner(s) name and address: '4 G 1(v4S , s3 gE /0/ S 7 T Mid#1 /5/ ES, R . 33/36 Interest in property: � `/ • Name and address of fee simple titleholder. b42444 a // j 4. Contractor's name and address: /L$ A C a sTgve-- c� O �f gfi1 / -1idH/ l f it/ 1 • 5. Surety: (Payment bond required by owner from contractor;. if any)„ ;I t.,s!st► ui t f;�^ [ . Name and address: ; . i . x n , M y ( rc _ Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon wH provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 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 Sworn to and subscribed before me this / 41- day of No vo- "' be,, , 20 c'-I 1 Notary Public Print Notary's Name %/ONCE /vA"✓ R/O-S My commission expires: ,i/// / 4 7 25 ZOO'S , : , JORt3E NMI ii • in LION 100281990 EXPIRES: January 25, 2006 e Rantktd Thu Beset Nolan Scyviees 123.01 -52 PAGE 4 8/02 CFN 2004R099040 OR Bk 22805 Ps 3933i tips) RECORDED 11/08/2004 15:01:19 HARVEY RUVINr CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA LAST PAGE Prepared by • 101111111111111111 11111111 !i \ `Sr'`• f'• .:, notices or other documents may be served as Address: (',0 "7 \O S . 4 Alc o?- Z. MI ft I act L.3 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION �/! PERMIT NO. iDY 13/ 5 TAX FOLIO NO. II 0/3 -1 ,e2 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: .1.oT l8 7z r of ./OT /7, 134069k 1/ /QA! ,4M &Alb ) PG/-i OF Ham/ 51140E5, Aceoi@'114f 7z• 77k ,°z,lr )6oEb id PLAT goo- /O ifT Alas 7e. o/' 77/ /4ive l-eoie tc4 oic 2. Description of improvement: )k(eO,e," v7 /,i GiC SE UER1t, POGKET thooi2S u11777 77/E R&S1Picc C — 4A/f A- 7- fi 4 s4o 1 41)e evft. r 1 L1gir E Swim,//. 3. Owner(s) name and address: ( :)049 , 4 /fi i"4 - 5 ; S3 ,*/ 10/ 5 ) EZ7 Aeheik / $, o 6S, R . 3 • Interest in property: �-- Name and address of fee simple titleholder: �7 7 4t 'E lfi rs 4. Contractor's name and address: 50.11-e7/ I D/edeS CeleS7Rde.77OA! C63 ' A907/ S eE'i ; M /�dM/ /�E I f - 331c/ 5. Surety: (Payment bond required by owner from contractor, if,,any)) I_t GtiUN1 Y Ahh %4 ^' uwnf 'V f Fl�;T!FY that this is � Y of 111e / ti Yap. Amount of bond $ ew n/ hcJ_/ 9�A rl. Name and address: orij :r o?i4 :2 on_ ,, • n4'Iv!: L i t (}�f;ei�i J°aI. �:� it Gltn c»' �3L' "`; Lam.. �� �7; �..,..- Y/ 7. Persons within the state of Florida designated by Owner upon wh _ notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 6. Lender's name and address: 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 differ -.t d- • is spec Sign re of Print (owner's Name Zorz_66 RC fl 5 Sworn to and subscribed before me this j day of No VU`" 6w i• Notary Publics Print Notary's Name ✓0R w/MN 4 /OS My commission expires: .j4/ /Wq 2 y 2 S 20015 `''':`• Z,t, JORGE IVAN RIOS * MY COMMISSION it DD 281990 EXPIRES: January 25, 2008 Bonded Thru Budget Notary Services 123.01 -52 PAGE 4 8/02 P repared by , 20 cq. 111111111111111111111111111111 11111111111 1111 CFN 2004Rn9910400 OR Bk 22805 P9 3933; (1P9) RECORDED 11/08/2004 15 :01 :19 HARVEY RUVIH, CLERK OF COURT MIAMI -DADE COUNTY► FLORIDA LAST F'AGE Address: 1:015 611 R Go (1/4.4.N 1 \O S . S oRt 0R- 9-t\ MI ek ActI) 1—L3j( STATE OF FLORIDA COUNTY OF DADE Structures on the property as of this date. Further, Affiant sayeth naught. • 1 Miami Shores Village 10050 Northeast Second Avenue Miami Shores, Florida 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 www.miamishoresvillage.com AFFIDAVIT The undersigned Affiant, 0 .4 9 4frE ,/ 'L4 S does here by attest that the attached survey, performed by /1/9/1 eS6A/ 4, i%i2' /67/04!1 /�CrC performed on 7 /0 / /Zoo`/ , is an accurate representation of the existing conditions and locations of all The purpose of the Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which may now exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may effect final inspections as applicable to this or other permits. SWORN TO AN SUBSCRIBED before me this --gO day of Affiant is personally known to me produced ,./Ace. ba ..o n� „Y' ., KARLA MIRANDA � � MY COMMISSION # DD 189245 •"• EXPIRES: May 26 2007 • Bonded Thru Nota ry �'!' Public Underwriters A( „h� 1 as identification. OAAJ_e&__ RESTRICTIVE COVENANT DECLARATION OF USE PREPARED BY: d Print My commission expires 41IP WITNE . AP . I mo__ l/ DECLARATION OF USE SWORN TO AND SUBSCRIBED before me on this day of KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the u ndersigned is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Lot(s) / b f 1- Block 1 / of AlA tVo (Subdivision), A.K.A. (address) j H€ /D/ S according to the plat thereof, as recorded in the Plat Book /0 Page q.O of the Public Records of Miami -Dade County, Florida, and Whereas, the undersigned owner(s) ■/0,4eK /Q /LA `S • desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: 1. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. 2. That the property will be used for a single family residence only. 3. That the use of the property or building will be as follows: NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance of said Village then in effect. IN WITNESS WHEREOF, the undersigned has/have caused hand(s) and seal(s) to be affixed hereto on this day of 20 . ST • E OF FLORIDA): COUNTY OF MIAMI- DADE): I.HEREBY CERTIFY that on this day personally appeared before me----/ who is personally known to me or has produced (type of identification) as identification and he/she acknowledge that he/she executed the foregoing, freely and voluntary , for purposes there in expressed. Y'r"'•• KARLA MIRANDA 'y: MY COMMISSION # DD 189245 EXPIRES: May 26, 2007 %EE.f\r Bonded Pau Notary Public Undenvdters o 0 4 . TARY PUBLIC STATE OF FLORIDA Oct 26 04 03:29a N SHORES VILLAGE 10(150 N.E. SECON 1) AVE. M IA MI SI !ORES, FLORIDA 33138.2382 Q__GUNNAHGONELL--- 11.15iiTd DEPARTMENT EX Eel ITIVE ASSISTANT OFFICE SUPERVISOR Oi S Phone: 1305) 795-2209 Fax: (30S) 756-S972 p.1 Oct 26 04 03:29a p.2 OR Bk 225 RECORDE! DEED DOI HARVEY MIAMI-D Prepared by and re to: Oscar Grisales- Raeini President Jericho Title Services File Number. 03 -01 -959 Will Call No.: [Space Above This Line For Recording Data This Warranty Deed made this 5th day of August, 2004 between Richard Jude Cacc:• Caccamise, husband and wife whose post office address is 3402 NE 171 Street, North Miami Be and Jorge Rivas, a single man whose post office address is 53 NE 101 Street, Miami, FL 33181, gr (Whenever used herein the toms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal 11 individuals, and the successors and assigns of corporations, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO /100 DOLL good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof i has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the fc situate, lying and being in Miami -Dade County, Florida to -wit: Lot 18 and the East 1/2 of Lot 17, Block 11, MIAMI SHORES SECTION 1, according plat thereof as recorded in Plat Book 10, Page 70, of the Public Records of Miami- Florida. Parcel Identification Number: 1132060131530 Grantor warrants that at the time of this conveyance, the subject property is not homestead within the meaning set forth in the constitution of the state of Florida, nor i to or a part of homestead property. Grantor's residence and homestead address is: STREET, NORTH MIAMI BEACH, FL 33160. Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said lane grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully land and will defend the same against the lawful claims of all persons whomsoever; and that encumbrances, except taxes accruing subsequent to . In Witness Whereof, grantor has hereunto set grantor's hand and seal Signed, delivered in our presence: Warranty Deed Richard Cac There = Y. Caccamise day and year first abov Written. Sc c Pss 0117 - 118; (217ss 18/16/2004 11:35:28 TAX 2,280.00 VIN. CLERK OF COURT E COUNTY? FLORIDA ise and Theresa Y. t, FL 33160, grantor, lee: ".'.acntatives, and assigns of ZS ($10.00) and other , ereby acknowledged, )wing described land, the map or ode County, e Grantor's contiguous 402 NE 171 pertaining. n fee simple; that the irrants the title to said d land is free of all Oct 26 04 03:29a P. 3 OR BY. 22575 PG 0118 LAST PAGE State of Florida County of Miami -Dade The foregoing instrument was acknowledged before me this 5th day of A • I.2004 by Richard Jude Caccamise and Theresa Y. Caccamise, who L] are personally known or [X] have produced a �� = s license as identification. [Notary Seal] _ �OI� •tary Public 17 ted Name: My Commission Expires: Miami Shores Village Building Department Permit No. Job Name 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8' " 2 BUIL ING CRITIQUE SHEE aCX 70 P -- 7\ 69° 1V11 dl l 11 01101 GS V 111 ag G Building Department ELECTRICAL CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name Ri °Y j d - /3,2r,/ / .f / t ? /, 2 cI e ; v y�.� � .fa ,%l7P vim /?te,%1- ®G ecZ �� � rcJ o� d im '7 07 Yi Pz> / Uh- rj S 1 47 lies ocvnze . / eze 4/ 5 Ovrz6 — 1 )/4E74 4gli-E- iami Shores Village tip M.) UIL wilding Department GC Job Name TIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. No (9 Li- / /42\___7\ 69e -4 Miami Shores , v Wage Building Department ELECTRICAL CRITIQUE SHEET g o/ , ',#> ---- /a / ' WC— ,OZ e 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ©A/ > .5/5 Job Name iTi l 4 & &NO o 7 , a)6 °rs°G / - (z.Z pi- � lrpAi — /`3X 5 `›z/ -