688 NE 101 St (9)'t t � _ ,��Cq.���
4531
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 1 15
Type Insp'n KI)
( � ® 3(
D
Permit No. CU t 21
Name COO YYrCIO _
Address G s s 101
Company � � CC 3R _an
Phone #
Inspection Date ‘11 10
Approved
Correction
Re- Insp'n Fee ❑
Buyer
Comments:
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
_1, hereby apply for a certificate
to re- occupy the single family residence known as : (address)
/1 /E7/
Legal Description:
Lot: / 9 „z Block /o
I hereby certify that I understand that the zoning. of the property is for single- family residential use
and that it is unlawful for more than one family to reside therein. I also understand that any
Certificate of Re- Occupancy that may be issued by Mami Shores Village, certifies only that the
referenced property is being used for single-family purposes and that such Certificate does not
constitute any representation, warranty or certification as to the condition of the dwelling or other
structures on such property.
Applicant Date �'lJ — CLD
Print Name / / E #
**************************************:,******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: � /t�,1 y, J
Seller Realtor !/ Company Name oL�
Application Fee ($50) paid: Cash Check No.
Inspected by: F. LUB I ENCVr Approved X Denied Date 3/13/00
PAGE 1 OF 2
, Miami Shores, Florida.
PB & PG:
Telephone: o,_5"- 7.5F— c5-6mCS
CER1 ICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single- family residential purposes.
By:
THIS CER1TNCATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE-FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON THE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERES IEll PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERWHNE THE CONDITION,
THEREOF.
PAGE2OF2
MIAMI SHORES VILLAGE, FLORIDA
Date of Certification: 3 / 13 /0 0
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date ; ° --4.2 -- - Job Address Co / S Tax Folio // . � / . i i i? 6
Legal Description 1 ° er* / fi'`' ,.„Jo `"� ,(e-A- I "t
E mer i/ Lessee / Tenant 8 1 ( c
Owner's Address
‘',FS Dv c= /4:
Contracting Co. L .", c „ -'C Address / °'' i 7 .11 -k..) ek.,h 5 ��,. -
33 - 1 - 6
Qualifier 50S' 1't1 r C ltGt.. ' Phone G 3 S -L yz-_
State #C4 CQ.0 gb` Municipal # Competency #ve a5" 44ns.Co
Architect /Engineer /� ^'' f '. ="JG c ' „
Bonding Company
Mortgagor
N /
WORK DESCRIPTION "NJ r4 CC SC - c'� -�
r and or Condo President
Notary as to Owner and /or Condo President
My Commissioi! Expires: , 4.5 q
APPROVED:
Fire
Address /1i r. �.�tF /
Master Permit #
Phone
L f c' A
76 5
Address
Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIG:
L + .✓� C S `� lC�` i� N 9 (� J t .nd '
8
Square Ft. / 0 Estimated Cost(value)
Other
,P
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU:
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, an
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat:
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 wil.
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, -
authorize th- above -named contractor to do the work stated.
Signature of o . //
Si
g Si azure of font
Date: : S 9
Notary as to Contractor or Owner- Builder
My Commission Expi: /e 1 ec �'ca :-
NOresTARY PUBliC t STATE A
** * * * * * * * * * * * *Bonded MY CO6 M ISSION *EXPIRES,4 /09/94 **
fhru Stotler - Adams & Sw ,
FEES: PERMIT O4 7 J RADON C.C.F. .Z O NOTARY ST O TOTAL DUE "t
ctor or
Owner- Builder
Zoning Building 1 ?1/ Electrical
Mechanical Plumbing Engineering
ru"I1 I w jay' ro11O ro.
tate of Florida
,unty of Dade
;E UNDERSIGNED hereby gives notice that improvement will be made to certain real
- operty, and in accordance with Chapter 713, Florida Statutes, the following
;formation is provided in this Notice of Commencement.
. Description of property: (legal description of the property, and street address if
available)0 4 / /P3 AM-Y) PL 1 51ae-} 1 /
. General description of improvement: . � t 5 A(L ( c L.t,3 ✓�t..f
. Owner information: AA
a. Name and. Address: ZstarT N. (J4QPINIINE, 6445 NEL le)( Sr Mme.. � S
b. Interest in property: t •I4jt. kl
c. Name and address of fee simple titleholder(if other than owner):
. Contractor: (name and address)
. Surety:
a. Name and Address
b. Amount of bond$
. Lender: (name and address)
. Persons with 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)
. In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes.
. Expiration date of notice of commencement (the expiration date is 1 year from
the date of recording unless a different date is specified)
Signature o er
4orn to and subscribed before me this day of A7,4 y
IyTATfc OF FLORIDA
COUNTY O: C6.'J2
E :EP.C3 ' CG: rL Y h 1.:111 is a truc copy
fil.d in :i1is :rt. on
A. D. 23.
WITNESS y P. ;.nd Oiiic :ai Szal.
Cr te:c Circuit Court
By
1'.
j a a6 / '/ ,4
NOTICE OF COMMENCEMENT
92R174346 1992 MAY 118 09:55
Ampoodid
C-11114 ...60 CiAkr
tM U tt37 Ae
'e4s&d 1e th►.ri l 3.1ot6
Alb mum..
3tary p ublic My Commission Expires: e tf' 9z
, 199f:'
C0 flAL GABLES. ) FLAs33134 201 THOMAS - J . 'KELLY INC.
DADE t 1303) 444 -79e2
a9w0 I305) 779- 3299 LAND SURVEYOR
FAX : (3091 441 -6494
S KETCH OF SURVEY,
SCALE: I ": ee
SURVEY NO.90 J
SHEET L_ OF Z
Building Insp
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Joseph P. Isom
Chairman
Member
Member _ -
Registered Architect and /or Engineer
Name and address of licensed contractor b eonQ T'Tay EXteraiinating Co. 463 2. 9 St. KMl'1,
II -3
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date Ju l y r 1.4 19 69
Owner's Name and Address J L, ' iI , ' of er No 638 Street._ T T • 11 • 1.C1-
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 688 1N1, 2 • 101 St.
State work to be done and purpose of building (by floors)._
ijylon Tent nialgation
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Amount of Permit $ 5. 00
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor___
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks__ (Signed
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No 1 3 ` . Date - 7.---(7-C-7 Read, Sworn to and Subscribed before me.
Disapproved _ D to
( Signed)
I..' / Z Notary Public, State of Florida
- - - --
My Commission Expires
PLANNING BOARD DATE
Member
Member
Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
F U M I G A T I O N N O T I F I C A T I O N
Location of Structure:
Type of Structure:
Distance to Nearest Building:
0 - County Health Dept.
ECONO -WAY EXTERMINATING CO.
Company
468 East 9th Street
Hialeah, Florida. 33010
Address
NYLON TENT FUMIGATION
Date and Approximate time of Release Ju] '.8, 1969 10:00 pm
688 Y.Z. 101 St, Miami Shores
Owner's Name and Address aalt€ar K. Fouler
story (73
Approx. No. Cu. Ft. 50,000
Name and Quantity of Fumigant: Puno
Length of Fumigation Periods 24 hour:''
25 : "cot
are
Certified ( or Special ID ) Fumigator in Charge:
Name : JOSEPH P. ISERN
Telephone: 885 -4966 822 -4745
Day Night
25 Batons
FUMIGATION SHALL BE PERFORMED IN STRICT ADHERENCE TO THE FUMIGANT'S
REGISTERED LABEL AND FLORIDA STATE BOARD OF HEALTH RULES 1701 -2
NOTIFICATION TO BE RECEIVED NOT LATER THAN THE DAY PRIOR TO RELEASE
OF THE FUMIGANT BY:
0 - Fire 0 - Other
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal.
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
DATE
❑ PERMIT N° 3491 Contractor s
License No. J ',
❑ Work to be performed under this Permit
Bl
Amount of
Subdi-
vision
Value of
Project $
Permit $ ,100.11••
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: BY
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 ac-
cepting this permit I assume ,responsibility for all work done by either, myself, my agent, servant or employee.
NTRACTOR OR BUILDER BY AUTHORITY Bc=