BP-02-16361��
Miami
Shores Village
10050 NE 2nd Avenue
,,hone: 305 - 795 -2204
9/26/2002
Applicant:
Owner: B m q.e�s
JOB ADDRESS: 1410 NE 102
Buildin g Permit
Permit Number: BP2002 -1636
ST
Page 1 of 1
Contractor ISLAND FENCE OF FLORIDA INC Contractor's Address: 711 E OKEECHOBEE RD
Local Phone: 305 - 888 -9090
Parcel # 1132050240210 Legal Description: MIAMI SHORES BAY PK ESTS AMD PB 56 -86 LOT 4
Fees: Description Amount
FEE2002 -5322 Building Permit Application Fee $60.00 Total Fees: $60.60
FEE2002 -5323 CCF $0.60 Total Receipts: $0.00
Total Fees: $60.60
Permit Status: Approved Permit Expiration: 3/23/2003 Construction Value: $675.00
Work: 25' X 5' HIGH WOOD FENCE WITH 2 WALK GATES
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to cons
ordinances pertaining thereto and with the understanding that the work wil
and approved by the proper municipal authorities. This Permit may be rel
authorization. A further condition upon which this permit is granted is the
ordinances and regulations pertaining to the work covered hereby whethe
by his agents, servants or employees.
Signed:
(INSPECTO
in consideration of the issuance to me of this permit, I agree to perform
with the plans, drawings, statements or specifications submitted to the pr
myself, my agent, sery-mits or employes.
'",\/Signed: (Cor
BLK 3
411 X 41' Wood post
' X''" Woad P
aq
I" X 6" or III X 51,
Wood plc A5
Wood Posts
4' -0° High or Less = 6' -0" o.C.
5' -0' High or Less = 5' -0° o.C.
2915 Fences
2915.1 Wood fences, so located• on a .property
that by zoning regulations they cannot be 'used
as a wall of a building, shall be constructed to
meet the following minimum specifications.
Concu red
(a) Fences not exceeding 5 feet in
height shall be constructed to meet
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts spaced 5 fee -0 inches on
centers, ligving a fiber stress of
1200 p.s.1. in bending, and shall be
embedded 2 feet -0 inches into a
concrete sooting 1 fcot -0 inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply with the
provisions of this Chapter and
Chapter 23:
(b) Fences not exceeding 5 feet and 4
feet in height respectively shall be
constructed as provided in
paragraph 2915.1 (a) . herein,
except that the spacing of posts
may be increased to 5 feet -0
inches and 6 feet -0 inches on
centers for these heights.
I
i'
t
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4—
PROPERTY OF-
�rrr e,t.:n a•a nutlr ntr sx:.Y.� ntR£
ara'rtiE ttRll:;'..1LSt.iDEa tii-AL Ui
rl.utttaa utxcra sux� t7 uw
wvo AW."
- .>_o -vu Names
This property described as:
Lot 4, Block 3
REPLAT OF TRACT A OF MIAMI
SHORES BAY PARK ESTATES,
according to the Plat
thereof, as recorded in
Plat Book 56, Page 86
of the Public Records of
Dade County, Florida.
Z0
f,P,v
5
N.
600,47*10N AMR -
V• .
L.F. EIe1- a dena(es ivwcs;
:Njs:
11�Liiu�le flucr elevetlivn.
Elevallcrt.s sltotr.11 rrfer la
i 1 *.G.V.D. 1 azc1. . .
-Loves( a jc:con( Crane ejev (,,co,
Zoning
8 -Z -R Elev /0,.99/
✓.,� o, �? roved
7e-D4ot, Co -
,2�
Garage Eiev- 6.ao, .
E.I ,.
David . E .- ,; and
y 5::; ::, 1410 N.E.
102nd Street, Miami Shores, Florida
A BOUNDARY SURVEY
33138
I aereoy comfy MM :he survey more-
1.ANNES A`ll (WICIA. INC.
served hereon meets the muumum
tecimiCSl standards set forrh by the Board
L.I3. .a9i
of v++d a+r m m chaotn 6TCT7 -b
Acrida Admw"swmw Cxe vunwrtt to
tiI Its F.Y()ItS- 11API'F.FI >- 1.ANi) 11 LAN,NF:It.S
Sec -•ion c=am. A& Srattues Tleere are no
etseaacin.ertts, oww%4 +. easr.nents
Y
appesnl� the AA. omen than as
�'s'n t!o•
f)(ficr address; JS9 Alraxar:lrraue. ('oral t::sblrs. Florida 1.I! 1r
(JOS) bob-7909 jl)f ) 5_3••8663
.,unvrma.u.. mo Z`f �.
� ----_
FIELD QATZ
SCALE
UKAIYN BY llRWC. NO
111434
and Certified To
revisea.
11;7-
o /.O.
21,10.70-* 71
14.70 y -�o ON o
`1 3 Alc,
J 4
` � • o RE�lDE�Xc�
774
13 1
/ .lao l7.� S 25. So Z, `• J
so'
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1dGUZaI , /
/Vo/�
Page 4
PERMIT APPLICATION
OFFICE USE ONLY
CHECKLIST
❑ OWNER -BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL
(Attach) (Attach) (Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
REVIEWED AND PREPARED BY.
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
$moo
$��_�
(sq.ft. = x/1000
DATE
x ¢.60)
$
(¢.005 /sq.ft.)
$
(¢.01 /sq.ft)
Repair
Mechanical
Alteration Interior
Roofing
Plumbing
Fence
SECTION
BY
DATE
Zoning'
Enclosure
Mechanical
Electrical
Plumbing
Repair
Mechanical
Alteration Interior
Roofing
Plumbing
Fence
Relocation of Structure
Fire
Shell Only
Public Works
Add'1 Attachment
Structural
Other
Building Official
2
2
d
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ h b O 6
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
PERMIT APPLICATION
Master Permit No.
Subsidiary Permit No. f�
INSTRUCTIONS - The following steps must be taken to obtain
Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address: I �Lj o NEio2 na S' FSE7r M/A M I t2E5 FL_ -33(-3
Address Apt. City State Zip
Folio Number
Lot 4- Block 3
Subdivision SAY PK ES-`S PB S(o PG
Current Use of Property 1`'pEt '-n A L
Proposed Use of Property 56
Tenant Information o W1JER °GGU P► En
PERMIT TYPE ( ✓ )
Building
New Construction
Electrical
Enclosure
Mechanical
Alteration Exterior
Plumbing
Repair
LPGX
Alteration Interior
Roofing
Demolish
Fence
Relocation of Structure
Other
Shell Only
ARCHITECT
Name
License No.
Address
Telephone
Fax
Description of Work ass' x 5i '�111(n � _nG
(1) , -1 h CW Walk Gg �.S
as,
Zoning Linear Feet
Square Feet Units Floors
Value of Work 6 % 5, M Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev,
PERMIT CHANGE (✓ )
Ch g. Contractor
Renewal
Revision
Extension
PROPERTY OWNER
Name R- ( M S
AddresI t% { p 1J E S ►
► .
�MA-M1 5tbR4_7S, F-L_ 3.313$
Home Telephone 3 oS -_7 2 — ( 16 1
Business Telephone '3 055- 3 _ Al 8,5'
Fax 30 S- % l I S
TYPE OF MANAGEMENT
(✓ )
New Construction
ence O P F1
Enclosure
,S
Alteration Exterior
f
Repair
h, _ 33 la
Alteration Interior
F
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'1 Attachment
Other
Add'l Detachment
Other
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
F -
Name
ence O P F1
License No.
,S
Address `711 G
- L
Okee,C.hobe-if Rd
le
h, _ 33 la
Telephone
F
Qualifier Nam
Page 2
PERMIT APPLICATION
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the streettsidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, V Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE ORIDA, COUNTY OF MIAMI -DADE
Signatur f er
Print Name
Sworn to and subscribed before me this day of
Si of Notary Public - State of Florida
axw000000a000aooa00000
SEAL: ��pYiG DEAN IL MADIGAN
ac OMMISSION # DD 73672
EXPIRES NOV 20 2095
BONDED THROiTGH
or ADVANTAGE NOTARY
Personally kno OR, Produced Identification
W FA 11 prk 0 �uu 1. 11
.. A1001 0 1
Signature of Contractor/ Fualifief
`-P1Qrr, r4n kn oe2
Print Name
Sworn to and subscribed before me this J(0 0 day of
a°a a-
Signature of N c - State of Florida
O FICIALIV- CTA YR SEgL
SEAL: �IARTII�t C(?,:�,
Nf%TAFY P, -FSLIC STPi'I i O PI (7 r^� b
MY CO,V, &4 C9447i?I
EXP. JN
Personally known OR, ion
Type of Identification Produced: Type of Identification Produced:
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
ELECTRICAL
TY13E
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
Vent Hood, Cost
A/C Central 1 -3 Ton
A/C Wall/Win. Tons
Fan
Paint Booth
Outlet, Wall
Solar Water Heater
Service, Temporary
Ductwork, Cost of
A/C Central 4 -7 Ton
Periodic Inspections
Fire Pump
Barbecue
Outlet, Switch
Process/Pressure Piping
Signs
Cap - Fixture
A/C Central 8 -15 Ton
Fireplaces, Number of
Fixture - Fluorescent
Pump and Abandon
Oven
Sprinkler System
Space Heater (kw)
Cap - Water
A/C Central 16-20 Ton
Gas - Appliance
Fixture Light
Pump, Domestic
Parking Lot Lights
Supply, AC Well
Spas/Hot Tubs
Cap - Sewer
A/C Central 20+ Ton
Gas - Natural
Flood Lights
Pump, Fire Stand
Plugmold/Strip
Temporary Toilet
Subfeeds, No. of Amps
Catch Basin
A/C Window
Gas - Propane
FPL - Load Central
Pump, Re- circulate
Posts
Temporary Water Closet
Swim Pool, Commercial
Clothes Washer
Air Conditioners
Gas Piping
Garbage Disposal
Pump, Replace - Pool
Range/Range Top
Urinal
Swim Pool, Residential
Dental Chair
Chiller
Grease Trap
Generators, etc.
Pump, Sprinkler
Receptacles
Utility - Sewer
Switchboards
Discharge Well
Clear Violations
Ice Maker
Heat Recovery
Pump, Sump
Refrigerator, Comm. (p/PH)
Utility - Water
Temp Serv., Construction
Dishwasher
Compactor
Indirect Wastes
Low -volt, Burglar
Relay Repair
Refrigerator, Domestic
Vacuum Pump
Temp for Test - 30 days
Disposal
Deep Freezer
Interceptor
Low -volt, Fire
Roof Inlet
Renew - Temp Service
Water Closet
Domestic Well
Demolition
Laundry Tray
Low -volt, Intercom/Teleph.
Septic Connection
Repair Circuits
Water Heater
Drainfield, 4" Tile/Res.
Dishwasher
Lavatory
Low -volt, Television
Septic Tank
Service, Number of Amps
Water Heater New
Drains, Area
MECHANICAL
TYPE
Minimum Fee
QTY. TYPE, QTY.
Condensate Drain
TYPE, QTY.
Generator
11111' Q'I-N'.
Refrigeration, Tons
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Solar Water Heater
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Cap - Fixture
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Pump and Abandon
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE Q'I-Y.
Soakage Pit
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
RECEIVED AND REVIEWED BY:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ��30 93 Job Address /`1 /Q AE J02-5T Tax Folio �1 - 320 15, - oz -oz/a /
Legal DescriptionT3)Ad PARK r- 2-41 -C,5
Q/jme,Aejl) P• i r t3LK 3
Lo-r �+
Owner Lessee /
Tenant C- HA^iDt-,E.2
Master
Permit # Z y q ?6
Owner's Address
Phone
`�"�� s GGJ 5)6
Contracting Co.
Address
Qualifier
ho �=
SS;'t� - Phone 7o��-��
�O
State #e-4 e g -
3lunicipal #
Competency # Ins.Co.
Architect /Engineer Addres
Bonding Company Addres
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING
WORK DESCRIPTION
Square Ft
ROOFING PAVING FENCE SIGN
Estimated Cost(value) _ !Ze Q -ee)
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
authaT,izeAhe above -named coyztractor to do the work stated. 1 _
Signature of owner and /or ndo President
Date:
,a
Notary as Lo,O� �/ ono President
My Commission E1pt>~esC .; Y 21,i9
** * * * * * * * * *
Signature of Cont
Date:
Notary as to
My Commission
* *
or Owner- Builder
ractor WCJW9WWBuilder
iW NOON Pubiic -Stcte of Rodda
86mmission Expires AUG 17,1996
COMM # CC 126869
FEES: PERMIT 6 1-670 RADON C.C.F. J2-00 NOTARY TOTAL DUE
APPROVED:
Fire Other.
Zoning_
Building
Electrical
Mechanic
% Z
Plumbing
Engineering
pie'
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING ELECTRICAL MECHANICAL-'
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) p,t>
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS /ESCALATORS
TEWORARY WATER CLOSET
MOTORS OVER 10- 25 FIP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
t
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
a y
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4" TILEAES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date f�Job Address_
-7 li�gS ►
Tax Folio 4.4_ 71"::,02 o.,Io fG
SO MAY RESULT IN YOUR PAYING TWICE FOR
Legal Description 4 J/ ✓6 -7 Mi O jy(t
TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
Owner / Lessee / Tenant,441a M--..e
Application is hereby made to obtain a permit
Master Permit # ry
�
�
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 reouired for ELECTRICAL, PLUMBING,
Owner's Address %D A/I /Az
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
Phone 7' Y' e f X
Contracting Co. f
f
/�
Qualifier6 )R 0, 0AA,11YP 1
SS4>~ - - �'
_ �
_
Phone % -1-7
State # C°re -" OXy&unicipal # 3 `
Competency # f j
Ins. Co.R?"!6Y�e:ss
,
Architect /Engineer Address ll
Bonding Company Address r
a
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFI ` PAVING PENCE SIGN
WORK DESCRIPTIONIrCC L-P,:7
Square Ft...,- �� 6°
Estimated Cost (value) F,;Ws
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 reouired for ELECTRICAL, PLUMBING,
SIGNS, POOLS, ROOFING and MECHANICAL VOR.C.
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
aut,h9 size the bove-n4Wd,contractor to do the work stated.
Signat e o owner and /or Condd Presiden
Signature of Contractor or Owner - Builder
Date. ;�
Date:
Notary ab to Co actor or Owner- Builder
Notary 4s to 07fifer and /or Condo President
My Commission pires:
My Commission 9pires:
NOTARY PLBLiC STATE OF FLORIDA
NOTARY PUKIC STATE OF FLORIDA
MY COMMISSION EXP. DEC.25,1992
BONDED THRU 6ENgZAL INS. Ut
MY COMMISSION EXP. DEC 28.1992
BLED n4ZLVOUAL V'ND.
ISIS.
FEES: PERMIT f < RADON C.C.F. I +aA NOTARY TOTAL DUE�DO
APPROVED:
her
ectrical
Mechanical Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 61/1-5/?3 Job Address (c) /JE IOZ. si Tax Folio 11 - 320 fc,_ 0-2 4 -0Z IG
Legal Description i.oT 14 Z PAR
Owner Lessee / Tenant Cd A J3�,L R 'it>0, � LC- Master Permit 4#
Owner's Address 1002 l t w 77 e-T- . i JAn-, f _ FL 3 IS CP Phone(_bn5) .2,7l ' &S 7S
Contracting Co. F/An -C- o T",Jr Address t Lt l o SL ( q-L- R✓ic �'R�,! �3i8(v
Qualifier RAVA�n SS# -�� Phone('�o5- ) 3 78 -as 22
C 6c-
State # OSo 721 Municipal # Competency 4�
Architect /Engineer.
Bonding Company.
Mortga
Address
Address
Address
Ins.Co. 6/,fA -40 4 2L-s . Go
Permit Type(circle one)( BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 9FMotgF4 Ki'a— cite -1 G�43i "�viETS Ahn Z_)AA —C_ *s< Poarc
Ti�➢',E'/2 x'0.2 IDoo .� J - Q�'f -P�.4c �' `�� c,9 y,�-.D Doo�S ,, s S
Square Ft. 4'e ects'ro 00 5,'c-Estimated Cost(value) 000
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
au t or'z�e thega� love -nod co ractor to do the work stated.
Signature owner and /or Condo Presid nt
Date:
h A Notary 4s "to Owner and /or Condo President
My Commission Expires; : -NOTARY .P.UBUC,ITATE OF FLORIDA
y C £ m EXP. OCT.1,1995
C01
"=:2!,Z x/- A/4�
Signatu of Contra tor or Owner- Builder
Date: ,
Notar as to Contractor or Owner- Builder
My Commission Expires.
NOTAY PUBLIC, STATE OF F!'PRIUA
ti'.Y COMMISSION EAP. OCt ', 1995
FEES: PERMIT /l RADON C.C.F. a NOTARY 4 TOTAL DUE
APPROVED: Fire Other
r
Zoning BuildingG ® Electrical
Mechanical Plumbing Engineering
I ": 15923P61 T08
PEC.
NOTICE OF COMMENCEMENT
PERMIT NO.
TAX FOLIO NQ-'- I 1
STATE OF-* p
COUNTY OF 2)A-hE`
93FC254841 1993 My .21 07 :C,
THE UNDERSIGNED hereby gives notice that improvement will be made
to certain real property, and in accordance with chapter 713,
Florida Statutes, the following information is provided in the
Notice of Commencement.
1. Description of property: (legal description of the property,
and street address if available) Iy rca no-g I-o2 -,- MrI S a2�S
P,g2l� E�iAr,E G t AIM E^11WE 0 6�. 3 5 �j - i�j� (33 L. K' 3 LOT- L4
2. General description of improvement nir-w Sip
/2�n�uaec K %� 61�, sru 3 ry y ,vim, Ld n? ^-6r
3. Owner information
a. Name and address Q4ANIL-t_r!2
/v► P 4 M
b. Interest in property I40ME'pr AI*- -/Z
C. Name and address of simple titleholder (if other than
Owner)
4. Contractor ( name and address) HARcz) 7-/-r- p S &--J
M!9mi FL.A 3 ? Zto
5. Surety
a. Name and address
b. -,Amount of bond $
6. Lender (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.
8. 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.
9. Expiration date of notice of commencement (the expiration date
is(1) year from the date of recording unless a different date
is specified)
`Jignature of owner)
NOTE: A copy of an executed notic , of, combo em.,ent shall be posted
at job site "
fit, �. p
7 prior to the =ht a1 `33u1'xng -Inspection by the city
of GPNNRW Miam p�1
Sworn to ' `�t bt�aV�� b
S"
(Notary
M Commi �r�'n fiT
: y :a ' el.
r..• y9 dltL li0VV9(8
,�* � : i MY CZetAf�fiS'.i1C.9t 0 AA 7a69B5.
rtfii)f: SN
BMW ibrUWirary-N*lkdnimn
Dept.
° kto�lwb4ore me this "17-! -i day of MQy 19 93
— This application should be filed wi.tfiz' R"
: qq=
-
k ` DADE COUNT RCQ ER
4.4 West F3 4g,ler reet, 8 , .Floor
,. Miami, F1
(305)372-1777
n ' °
RECORDED IN CWIVAL RECORDSROOK
Of DALE COwnt -, _.
RECOAD VERIFIED
y HAftff R : RO N i
CLERK CIRCUIT COURT 4
!� .'METROPOLITAN DADE COUNTY. FLORIDA
METRO•DADE CENTER
Vinyl Tech, inc.
P.O. Boaz 749
Venice, F1. 34284- 0749.
NUIWING & ZONING DEPAR7MJNT
SUM! Iola
III N.W. is PREST
MAW FLORIDA t'da11.197a
(305) 375 -2612
Your application. for Product Approval of Series °2QOOQTy„
Aluminum Sli GlAus Door sr p C30 under Sections 203 and 204 of the
South Florida Building Code governing the use of Alternate Materials
and Types of Construction, and completely described in the plans,
specifications and calculations as submitted by Nat nnA1 dr:;f ed
29, 1990 'has been accepted ' by Product Control to be used in the .
Un4neorporated areas of Dade County under the Specific Conditions set
forth on pages 2 -2a and the Standard Conditions on Page 3 for glaZad
Produt,
ACCEPTAN2E No.. -90-QA24 . 1 --
A r, Diamlond, P.E.
APPROVED Tung 1? . 1990 oduct Control Supervisor r
Metropolitan Dade County
EXPIRES Jan, 29. 1994 Building & Zoning Department
.3!_E N..aTg **
Coup ITTg
ED= OF RUES ANO Ap11EA?, NOTI -CE QZ A QZPTA r.Z
This application for Product Approval has been accepted by the
Metropolitan Dade County Board of Rules and Appeals to be used in the
Incorporated and Unincorporated areas of Dade County under the
conditions set forth above.
APPROVED _June t 1 , 1290
-I-.
hOmas 14. Blac , P.E.
Deputy Secretary
Metropolitan Dade County
Board of Rules and Appeals
Q VINYL TECH
Series "2000" Type "Xx0"
Aluminum Sliding Glass Door
SGD -C30
3/8"' by a-' - 0" high
ACCEPTANCE No.
APPROVED �_ u_ ne,?1, 19;
$XPIRES r .
194 lot
fi
AAMA 101-88 SGD -C30
Dade County Approval #90- 0424.1
Expires: January 29, 1994
Approved for installation up to 15..
above grade.
CWTIMU Elevation must be reduced
the coastal construction "zc
Th acts Pa i easA three panel Type XXO aluminum sliding
fixed Panel measUres s' glass oat
- � 3/8 wide by ? - 1I 1 8
panel members not thermally broken. The fixed 1/8" hi /h. high; the
• and sill with one 2" panel secured to the hea
exterior of the fixed long almminim angle retainer each fastened to the
Plastic ,panel guide .located at each end of each �� screws. ow. One
claw -- type. door lock assembly Panel stile hollow.
Stile with the keepers fastened and secured to the fixed dnt
y located at 39 1/2" from the bottom each lc:°
and -the jamb at lack' ositions. xed meeting stile
assembly used at each end of the one adjustable metal single roller
aluminuxm Sill extension added to pa el bottom rails. An extruded
leg-�a,nd siliconed in, place. Frame And p Of the interior vertical sill
screw butt --type corner construction, panel tpp rail corners of double
single screw butt -type corner cOnstructi,on. A steel reinforce
Panel btsttom rail corners of
measuring 3/9n .by � $ meet
hollow. Y / " x 914 long was employed in each interlock stile
A steel reinforcement measuring 3/8" x 1 1/4" x 91" long
employed in the fixed meeting stile hollow.
q
All glazed using 3/z6" a iblevinYiglazing bead. thick tem ere
d glass wit
Gil Diamond, P.E.
Product Control Supervisor
Metropolitan Dade County
Building & Zoning Department
VINYL TECH f�Jgi�ylttiti
07.57 $1g4[��7 ?3655. ._ ... .—�.. ..... _ _.. r _
—y.nyl 'tech, III _ ACCEPTANCE No.: , 90-0424.1-
APPROVED s Jung 11, 1994_
EXPIRES 9 .ran, 29
WEB,'—HERSTEIRRINC: A double strip of polypile weatherstrip (.200" high)
located at each jamb and the fixed meeting stile. A single strip of
polypile weatherstC (.200" high) located at each interlock stile. A
double strip of polypile weatherstrip (.300" high) located at each pane
top and bottom rails. An adhesive back polypile dust plug'measuring
1" x 1 1/2" located at the head and sill track at the interlock sttle ar
meeting stile.
WEEpxoLEsc One weep notch measuring 1 1/4" x leg height located at eac:
end of the sill screen and roller tracks.
SEMANTa Frame corners were sealed with a small joint sealant.
SCREENa_ An .insect screen measuring 51 - 0" wide by 71 - 10 7/8•" high c
butt type employs fiberglass mesh cloth with a hollow vinyl spline; one
plastic pull handle; one flexible vinyl weatherseal1 spring- loaded meta.
roller type retainers. ..
INTERIOR WINDLOADi 45.0 psf
EXTERIOR WINDLOAD: 45.0 psf
WATER RESISTANCE s 5.20 psf
AIRr INFILTRATION : 0.37 cfm /sf
SILL : 24 #10 x 1" PH C$ SMS
DEADER: 24 #10 x 1" PH CP SMS
JAMBS 12 #10 x 1" FM CP SMS
FORCED ENTRY NCTL -210- 0116 -2 NOTE: Ple_.%se see „Mote #11_Plg ._
I?PAO'yHP1 =a RL.EY=IO S UP TQ-. 15. ft. above existing grade
This product must be re- evaluated for structural adequacy when installs,
within the Coastal Construction Zone *in accordance with Chapter 23
Sub - section 2309.2 (b) of the South Florida Building Code.
"Jai
roduct Control Supervisor
etropolitan Dade-County
Building & Zoning Department
r
-2a-
_. .._�. —y ---- ' - - -'_ r� .,. _ nIJ•r�. .ten i.+�i Rt
07:57 elSO04773655 NVINYL TECH f�j016/416
l�l:Vl.^i�1J Ci -IB -9L
•' � � ..# C ��� +AI �aAt�li t;Vtv�a'[IVNS�V[ ;. (;LAZED_kjtQD.v "j
3.
lqi
rtJv mttltrp10 window instnilntions, rrpi) roved ntttili()tt tie- ttwings ntrtl cnlctllnLipntr nit,st 1)
filed with Product Control.
'11119 ncceptrynce will gattilify stlaniler• trrrits of the Annie t1u, t'1, ntnl na►tt'r•iulP teat tlar
unit tested.
+1Atsn61011 of Acceptntice may be ctalraidered after a new "ITIlcuLIM, itrts buett fileci
and tite supporting data, for test reports less slant, four i4l .veers Cold. 1tn9 been re-
evalua ted,
h. Any t'evlRlon or chnnge is Inntcrinis, uqr ear r,rrururttctur
nntomntic:ntly iae Lntme fray I- c1•rnintttican, tllc +aa I,ric,r ltl,lnravnl inrP Lhr. + lat'uduc:L taltltli
or clinalRe. arrrntc cl rot. r•t +vimtjtt
�. Any trrtett Lis file Cury perfor•tttclnce or this lrrrrchrc, (. ear rr r:hrtltf ►c+ ire t :r,eic+ lar r,visi, �,1a R
be grounds lot• re- evaluatiort, !11111
7• `17118 rtCCeptnnct71 sltrtl[ nttt Iae u�aotl nq t1n cl►cic,r °gt+rnt�nl. r,P 11rry I►rr,cluCt frrtlCra �►
ncivermaing pztt�ru .4ee. r
8. Whidvws and islicling doors have been tested lit nc:c»ur cane a Natlonni Standards 1113d Lute '3 speci flea ttolls and wi fir fire
•44FiaCatettfrer's Aesecintitrt S e trclrtectunl AAlnut
ninttln ca
ANSI -AAMtA .Ittl -R;; tar• Pur . wood ultits
ANS1JAAMA SU2 ttrtd 402 nrzd for vinyl ullitg 'AS'1'>V1 IJ- •1(13J -��;.
$' SwID91119 doers shall Ire tested for positive Ftratl raet;ntive wino l�rearartrea ltp
Chapter 23 of the South Florida Building Code, per
10• Ilnrdwnre for all windows toad doors .41117111 corrforraa to Intrusir,tt rtntl 11urgl1j _y :�et:urit
f: mptet• AC.' car the t,ode of Melrcafacalitrua. lirtdr+ C.`r,ltnf;v, y
11. 'Thar spacittit of fasteraets sltall be Fie tested or 24" whichever in less.
R
or mule. rtrr�airutl�tt...c2I�;�frtrca _.r..nct1_s;uruofi nnci tttrrilicart
Mtrallnrrttt IaFnPtrntican of fnAtrrtr.1, lclrnil lie Ftq tnsl.rrl tar• �if4" wltic:hRVpt• is
11!9111'1, Nu wood ur plustic siaields cat• pins slrctll Lee uttud.
Unletas otherwise noted in the terst report, rraitrirrrurra size c,r sc:r•crwrt rtlrrtli hc+
for tlrAt nnci atecnnrl flnrar lnatnilntinras noel Nrr. tt! for nit tal.lrr+t• flee! >rs rtlanve tatirer
flrnL noel nocrand Iirrurtr.
....................
(1711 IJittnttnatl, 1'. h�.
I'rcachu:t. C:c,ntrol Ulvlaaican
Sulaervisor
_•l.
r
Ell
IN
It SO PAM
SO WOW4
@ 1� 1
s !*i�� 4'a: 1a ., •_ 1
Q�P qo° Q
I - I
ppecq,
N
G3 5 ISO' y. 129
rj
-4 P�10
IOt00 17••4°
-41+
0
tip La�l�.. I ou
v '
fgoo &A4
ARY SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET
FESSIONAL LAND SURVEYORS IN CHAPTER 21HH -6 FLORIDA
7 SOCTJ,ON 47 ,2.027, FLORIDA STATUTES.
LEGEND
DENOTES WOOD FENCE
I
---
WIRE FENCE
�� ti
7'
NAIL
Qr¢�G�
p
PROPERTY CORNER
R
RECORD
I HEREBY CERTIFY THAT THIS
M
FIELD MEASURED
FORTH BY THE FLORIDA BOi
C
CALCULATED
ADMINISTRATIVE CODE, PU(
CL
CLEAR
ENCR
ENCROACHMENT
SIGNED
V
f4% S i'VV.� G t 'lSm sf4.i i1 si �tY ,9t . -' De v-fs ✓�A:•t a'}' �.d.sp�'1°'� "
?'� � r �" ": - V 8 -"' *fjasc a.•� � b � � q � C as n j ,'^» ,f��� s'� y� rA ::� 1"f'�•*a� � ,, �r �
�R �Q �7..� '*',r_:F, '!Ly�Ya -o tv } �'�ti -•g � r � O t�,y a`. t Wd' �7 v},Qg`,taxr'•
��••' �' ,3 § �.+ � m ;�y oOY A A l� R 2 4 �•3 x � �' r rr �� %i ���I. •`��h
�' � 't � �'' � £ ' 4 E a`n # � � 4 •3y f/ � �' •"'•,1� .t5 �� tts �'tYt' 61 �''�a$ .�;. t�.�,j..s.L y� t� U. '3 $. '� .' ;
, � I <x s ., . µ � �4{ •ArG �„� � f r. 1,+. ar'�'1 '�. t1 � ,1++•�9 y�« .xx;, 4 q, ti m`u .1�, .. t : .r
�''�'+ r C _ '�;. � T t� . �'���, -^'"" - -�1 �3� i r �,� Jw� t* ��� �� 1a�r �� � F's � 7 J R 7'� � � v�t•.4
110456 01 ow
LEGAL DESCRIPTION
LOT 4, BLOCK 3 OF REPLAT OF TRACT A OF
MIAMI SHORES BAY PARK ESTATES, ACCORDING
T THE PLAT THEREOF RECORDED IN PLAT BOOK
56, PAGE 86, OF THE PUBLIC RECORDS OF DADE
COUNTY, FLORIDA.
COMMUNITY NUMBER: 120652 CERTIFIED TO:
PANEL: 0093 CHANDLER BAILEY; FIRST FINANCIAL TITLE COMPANY
SUFFIX: G OF FLORIDA; TICOR TITLE INSURANCE COMPANY;
DATE OF F.I.R.M.: 1/20/93 J.I. KISLAK MORTGAGE CORPORATION, ITS SUCCESSORS
DATE OF FIELD WORK: 4/29/93 AND /OR ASSIGNS.
DATE OF COMPLETION: 4/29/93
SURVEY NUMBER: G -1849 PROPERTY ADDRESS:
FLOOD ZONE: AE 1410 N.E. 102 STREET
BASE FLOOD ELEVATION: 9.00 MIAMI SHORES, FLORIDA
HIGHEST ADJACENT GRADE: 5.8
LOWEST FLOOR ELEVATION: 8.16
4 CENTERLINE RALPH SWERDLOFF
;m EXISTING CONCRETE REGISTERED LAND SURVEYOR
. -R PROPERTY LINE STATE OF FLORIDA
kIES
1) BEARINGS SHOWN ARE EITHER ASSUMED OR PER PLAT.
2) LEGAL DESCRIPTION PROVIDED BY OTHERS.
3) THE LAND SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT
OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT.
4) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER
IMPROVEMENT WERE NOT LOCATED.
5) ELEVATIONS ARE BASED ON NATIONAL GEODETIC DATUM.
6) FENCE OWNERSHIP NOT DETERMINED.
7) WALL TIES ARE TO THE FACE OF THE WALL.
8) NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYORS SEAL.
9) ONLY VISIBLE ENCROACHMENTS LOCATED.
7700 North Kendall Drive
Suite.409
Miami, Florida 33156
(305) 271 -3655
Fax (305) 271 -8499
800 - 227 -2854
Fax 800- 227 -2860
AND AFFILIATED COMPANIES
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address ` � • �= ! D ✓� Tax Folio / Yc;z r e✓ o
�
/l/
! 7 Vd1 df
Legal Descripti
Owner / Lessee /
Master Permit
p
Owner's Address 1 t -0 . 1,0.2 a Phone 75-4? _ /6 °Z A Contracting Co.
Q Q Address
g� d
Qualifier v" c- A ` Phone
State # Municipal # Competency #k
Architect /Engineer Addres
Bonding Company,
Addres
Ins.Co.
Mortgagor Address
Permit Type(circle one): BUILDING =ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION P w l4 Q� r P�"1 - o 15721,!f4 P
Square Ft.
Estimated Cost (value)
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 e i compliance with all applicable laws regulating construction and zoning. Furthermore, I
a ho i the boveJ- med co rector to do the work stated
C,
ignaturp f caner and /or Condo President Signature of Contracto or Owner- Builder
Date: �1� Date:
a c. JOSEPHINE CHURCH JOSEPHINE CHURCH
a y. �c, a beds �. _t1 r
N ary to Owner and /��� Exp to y as to Co Gr -, l �rnm ss o S�;
M Commission Expires: ':?at o�� No.CC197545 y Commission E p >
�osrl � No. CC197545
' M.I+U..rl�M�Itt
FEES: PERMIT ' d O RADON C. C F. r P P NOTARY .69P TOTAL DUE ` G t9
APPROVED:
Fire
Zoning Buildi
Other
Electrical %27'3
Mechanical Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Date Job Address Iy 1 ll N E I 0 a �'t Tax Folio i =�� L`1 � � ��� r ��� I �✓
Legal Description !'�iC��,Y�1%C' Historically Designated: Yes No
Owner /Lessee/Tenet i6 R CA Master Permit # ` y < to ') r
Owner's Address I (A 10 � � i [� �l O� � � Phone _�5
f rr`' i
Contracting Co. L-6 rycio� C -'C "i- l�t Address i 141 1 V
r �
Qualifier . r _ S S # �:� Phone. -. J i` �y
-J 7T7
`/
State # -f ?M( 0a9 Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTR^ I�CAL�� PLUMBING MECHANICAL ROOFING
WORT{ DESCRIPTION:. 15�iG f t ' i�'iC ► c! 1 1/1 d -9170 I I �'Y 11 t:-L4
160 M 6k i)iCe, '-f`W ° 1 (C, ?is (21 �% �r�1 id -)CQ lc)Y�
Square Ft. Estimated Cost (value a:-] 00
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 ANY 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 all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate an d t t all wor will be done in compliance with all applicable laws
regulating construction and zoning. Furthermore, I authorize the above named con to do th work stated.
6 11Z,162-
�&ifnature of owner and/or Como sident Date
FL _1_->I - �- Ds U - 3sv
rz� _v
Notar
My
JINTANA
as
rft& ES: A t 6, 2005
TATFOFF��\O and Thu Su a otary Services
Cpl /�1��
Date Notary as
My Comm
•actWr or Own r Builder
si N r'rfOGfl� OMIS VI)D 0479
42 III XPIRES: August 6, 2005 r r ded
Thru Budget Notary Services
X
V
FEES: PERMIT a� RADON C.C.F 1. o_ NOTARY BOND
APPROVED: TOTAL DUE
Zoning Building Electrica,
Mechanical Plumbing Structural Engineer
Date
Date
.,I
`S!
r -Dd --
* �Rtse✓
Ne .. IA a/ z y o 200 .4—e
"cte° ®w- 60
c S
FEBE-W GARCIA
* MY COOryMMMIIS�pSI/O�N,y B DO 11pp04633
P GCVICO.Mati131,CWV
WNW ftnkdTw StApt O���Rvb-
LANGER
ELECTRIC SERVICE COMPANY
SINCE 1939 e
KfOCWFp BIADFYf
mOC�M w&L6sm COw.an tsaavvn
I
1=C d)0000ig .g
Corporate Broward
Tel: (305) 759 -5777 (954) 797 -8928
Fax: (305) 759 -3553 Palm Beach
8901 NIN 7th Avenue, iami, FL 33150 (561) 330 -7550
www.langerelect ' . om Fax: (561) 330 -7549
wa ter �•ea'�^e�__
Tot
��.�._5_.oV . "'' .�
3 3,#
00 0
* �Rtse✓
Ne .. IA a/ z y o 200 .4—e
"cte° ®w- 60
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NOTICE OF °•
RECORDED COPY • ON • OF •
W4JM L•3
STATE OF FLORIDA:
COUNTY OF DADE:
TAX FOLIO NO. 9 ^ 39fY5 - C DO 4 " COQ 10
02R402260 2002 JUN 27 10-40
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: e6i 6e ry-L r I i U 10 , 54
e Cal � i 15 h o c c, 28I S-1
2. Description of improvement: 1 l mp ik( (YrA, l) &0 0 �M i> r .i. �10 P m e�
fj?Vr. �-Q(-Pi r to ce 4c) f2i o e of 9 hit2 I occr� Un
3.Owner(s) name and address: rb. IJM. R [ CaCaS i Y 10 -) Ce [ n Q yy-) i ca, h 0 (eS5
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: L- e;lroer jC o, _A)W -14h pUe _
joOiCtr —j , �7- t 33160-)
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:
S. 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)
n re of Owner u D O-2lb6-toI -530 -0
rint Owner's Name ZUk c �5c o�qO6
Sworn to and subscribed before me this day of 7S�-^e. , 20 QQ
Notary Public
Print Notary's Name ;
My Commission Expires
E>(PIl�S:M�31,�
STATE OF FLORIDA, COUNTY OF DADE
I HEREBY CERTIFY that this is ri c of he
originayf7ha in this office on day of
, A D 20
WITNESS My hand and Official Seal.
HARVEY RIJVIWLEJ d County courts
V3 I D.C.
Prepared by
Address:
5?67 9? t V . U). `7 49 L,16
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IN GOD WE TOM
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