DS-14-884. Miami Shores Village
BUILDING
PERMIT APPLICATION
Building Department MAY ®,ora
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (30S) 7S6-8972 BY°
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
Master Permit No.
Sub Permit No.
❑BUILDING
❑ ELECTRIC
❑ ROOFING
❑ REVISION
❑ EXTENSION
❑RENEWAL
❑PLUMBING
❑ MECHANICAL
[:]PUBLICWORKS
[:]CHANGE
CONTRACTOR
CANCELLATION
❑ SHOP
DRAWINGS
JOB ADDRESS: I L,E� ! SA
City: Miami Shores County: Miami Dade Zip: /
Folio/Parcel#: �(J lis 613 27 �ko Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: 1FFE:
OWNER: Name (Fee SimpleTitleholder')). \4c bcc' % / Phone#: Z�
/ 1-77
y
City: \ (' ( f�h WEE S state: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: a 1�� I Phone#:
Address:, 2-57 k) 10 q
City>'()rW pf , A!2 State:®� (C .K _ Zip: 13 Zn -7
T
Qualifier Name:
State Certification or Registration
one#:
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $Square/Linear Footage of Work: � 0
Type of Work: [—].Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of
Specify color
/o�f'�color thru tile:
J
Submittal Fee $ 0'(( Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Notary
Radon Fee $ DBPR $ Bond $,
Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 11.1.9r)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Zip
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 issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature2d
Owner or Agent Contractor
The foregoing instrument was ackno ledged before me this The foregoing instrument was acknowledged before me I
this day of 20g` by (�,1( day of 20 �by �'I A "
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY
My Commissi
RJA'WEORAMO
..... ,..,
MY COMMIg61ON AFF ®14746
Ay 14, 2011
MT4f�----
APPROVED BY
NOTARY PUBLIC:
IQ:-,
Print:
M CoT1 ft!RUMMISBION #FF014745
Y ". ®" .f EXPIRE® May 14, 2017
39&®183
Plans Examiner �e \� Zoning
Structural Review Clerk
(Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
U4/IU/LU14 17:43 FAX
This tP_Pw dEy/Blm nR ZIUM.To:
Kkdwly Ame Abrams, Ft's
3MLEW wgmmiborlyrlyA.Abu=dt1 p.A,
Mmddn Sumt E lbuvpd, FL 33021
Pamd No.: 11,320&v13-2740
.... ................I........................
001
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RECUND 03/24/2014- !2.12:52
DEED DOG TAX 6#000.00 -
HARVEY ROM CLL OF COURT
"'All' -DARE CDllH7T, FLORIDA
- - [ above tGtts tide for roc�erdiagl '
SAO awt March
0 Ami hRiANNA HYNSO AAKA 1+ Ox4Z�RIAIrTrTTipTip $between-Ai<,EXANDRIE
SAND 1 'r 'WELL HYI�ISON, AS .
"Gr"rs," whose post oillce.addrew is 235 NE 91st Street, hGami
FI.33138, end ZACHARY r, CRS AND X4SM T.Lo CROCK=, AS
"AN. FL3 3138 .. "G ,° Whose post office address is 145 NE 95th Sfr % h iami
That the Gri:ors, for and in can�on of the sum of tem doll= ($10.00) aud other
good and valuable cofWderadGR4 to them in h wd Paid by the Gmubees, the receipt whereof is
hereby acknowlAW9 have granted, bwga mot sola, trwdetzed• and deiimed, wtd by these
P=mts do hereby €rdnt, bar$am, sell, transfer and deliver Lento the
rs dad assign.; forever, the folio their heirs,
wing descn`bed land, to Wit
The East % 01' Lot 19, aB-of Lot 2A, 21 and A add the Rpt 10 Feet of Lot
A Block 20, ANCENDED PLAT OF MMM SHORES SICtTON ONE,
acrordb g to -fixe NLap or -Plat thereof, as ireeorded in Plat Book 10, Page 7% of
the Public Racer& of Miami_bade County; Mofl&
as the tenements, hereditments and gWurtemmem
thereto belonghmg or in axTwise alp $.
SBJEG°I' TO any and all condition% easements, raftiedms,.limitafions W'd
nese "`done iD"murd as well oe for the trines for the cnrrew year.
TO HAVE AND TO 'Hp1LD the same unto the Gra , their Trus,
sacawmrs and a dpis, forever.
�The Cis do hereby fully warrant the title to said land, and wiU defend the same
inst the Iawfid claims of all persons whomsoever.. The Camtora also. covenant wi6 �d
C�t~aatees that the Gttmtaas are lawfully seized of stud land is fee dhWe; that the Grmk ss have
t dad lawful luthodW to -sail and convey said lead, and that said lard is fm of -all•
e eept totes accruing subsequad to the imtrent year, and covenants, conditions,
r0stnctrcas dad AAs reeonded in the Public Records.
ZEeeyeDOW -wk 8 hensi„mcGrdes #older iw mm ar P andrheureoyfdresAWdw-fom &mkdwdwpkvur
l3 -1Z17 9
jywrdw D* page 19
Im'tials;
CFN#20140211796 Pagel of 4
U4/15/2014 17:43 FAX
)134M ft March _(;_9, 2014
ftweg sem and delivered m awpr&wtw 0
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............................... .........................................
11
I -Prix lVame
.2 - Sign Name
MARIANNA HTNsoN. I
ARA MARIANNA ROWELL HYNSON
i�maess 2 -Print Hume
GRANTORS' ADD USS: 235NE91AStreet, Miami Shwe&FL33138
i Otdt of-fluft
bd(w8 me, as Mash -Co, 2014, by AT EXANDRE
,WAXDUANO AM) MAR ANNA ELYNSO AKA MARIANNA HOWELL HYNSON,
�, who m Pmonay ]mown to me or = Dave produced a lqorlda DnWs laemse as
NOTAR I
OA 0 My A. Ammmum"
Otf CMM_ bw6" odq M.,
Kftftbegy A=
State of Florida at imp
MYCOmudWiOnex*L= October 5, 2017
INotar.al Sad) MY COMMMM =Mlw is: FF 02MID
Ww7wuy Dead - Page 2 of 2
10OU �07917Pac�
ie3031 CFN#20140211796
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ti �• o`' 'may, N a �_' �p�yo � � 9 ct- This property described as: �
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% The East of Lot 19 and All of m
0.75 cs 48.'?5 �Q ,J l Lots 20, 21, 22, and the West
C41
o«aG s 12 4
x1; 10 feet of Lot 23, Block 20,
4N, Guo 010 AN AMENDED PLAT OF MIAMI
Q sem?/c5 t ,cinora SHORES SECTION NO. 1, #
.0 according to the Plat C
3� cc c
cp st thereof, as recorded in
T 2Z 3�od G'�� D Plat Book 10, Page 70 � tt
,?� • : �j of the Public Records of 2 ��� 1%
U� 5• v Gor?o/ Dade County, Florida.
Chia L�M�2DG��
b Vand u
ilities, if any, of to ate o
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v/e PRO ERS' O A§xan rMaxi no ani; c�
"' 1 5 N;. E 9t
�c Q Not valid unless embossed A ROTINDARV �F 3314$
SURVEY $ 3 e;ARCiA, INC.
with Surveyors Seal. I hereby certify that the survey repre-
sented hereon meets the minimum
95m
technical standards set forth by the PROFLcss1011►At StJRVEYINGANO MAPPING
Bo Land Surve ursuant to
Me
2.027, FI atutes. There areAARMI LANNES & GARCIA, INC.
ST hoe oar men overlaps, easements LB # 2098
ap ring on a Plat, other than as FRANCISCO F. FAJARDO PSM # 4 767
wn beret 359 ALCAZAR AVENUE, CORAL GABLES, FLORIDA 33134
PN (305) 668-7908 FAX (305) 559,34M
Fla. Reg. L d Surveyor No. ,3Z
vfb,E 1 DATE SCALE DRAWN BY DRWC. NO
G.+-29- =� G • 189-4581
RecertifieT, Certifie To and Name Revised'. 0�