BP-05-632 (2) Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Mami Shore ,FloQrida 33138
Tel: (305}795:.2g4Faa (3o 756.8972
BUILDING Permit No. �rZ
PERMIT APPLICATION �. . . - er Per No.
FBC 2001 -
Permit Type(circle): Building Electrical - Plumbing Mechanical Roofing
Owner's Name(Fee Simple Titleholder)....- ?�L ,t756� Phone# 7SZ-7/y3/
Owner's Address 9Z S- A) P2- 57—
State
7State Zip
Tenant/Lessee Name Phone#
Job Address(where the work is being done) YZS/U� S
City Miami Shores Village County Miami-Dade Zip 3 ,313e9
Is Building Historically Designated YES NO P-"
Contractor's Company Name &.57 0- eCYLM6M— UL Phone#--f -5,19 7 97P4
Contractor's Address 106 qV IC)l✓ IF,.)" 14U19-
city
4U1City A-VbPG State Zip ✓-73/7-6
Qualifier
State Certificate or Registration No. Certificate of Competency No. &a3/C)d
Architect/Engineer's Name(if applicable) Phone#
$Value of Work For this Permit Square Footage Of Work: 7577b
Type of Work: ❑Addition RAlteration ❑New Repair/Replace ❑Demolition
Describe Work
to do t 9F „eS** * * * * ,�** �r �r***
Submittal Fee Permit Fee$ CCF$ 0 C
O/CC
Notary$ ...— Training/Education Fee S 0 Technology Fee$ F C
Scanning$ Radon$ Zoning Bond$ 34Vd
Code Enforcement$ Structural Plan Review. $
Total Fee Now Due$
(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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
,for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The fo4pDrsonallyy
g ins ent was acknowledged before me this 28 The foregoing instrument was acknowledged before me this
day of 20 C)S, by day of 20 05-'by,
who is known to me or who has produced who is person all;k�n�n�to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY P I 4 �•`"urr,•, �10II13S F1LZ$L'T3ld
`�o�°!pti�.�''.CommisgioII i DD161337 NOTARY PUBLI n ur,,�
2006 aRY�oe, Thomas Fitzgerald
Sign: wN: :q= Oct Si _ �?Commission#DD161337
--ExPfffs-UcL 28, 2006
Print: �i���ii�� Atlantic Soadi gCo.,Tnc �rF.,, :Qom.`
Print: 0 �O�� Bonded Thru
uAttmac oIl CQ,TIlC,
My Commission Expires: My Commission Expires;
3 �S
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
Chc 05/13/03
� V
�0 V 1�1`'' ll Miami Shores Village
I
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax: (305)756.8972 ! APR 0 7 2014
INSPECTION'S PHONE NUMBER: (305)762.4949
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. X32
Permit Type: B�UILDING ROOFING
JOB ADDRESS: I y✓ oc x�ioc" .
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): f%?*G ( r �(,;(_'1,.. �r _ Ct�
y Phone#: 22
Address: ��` / �- ,
City: 01'adj�;r �1�=.'r � State: CL Zip:
Tenant/Lessee Name: Phone#:
Email:
�- '
CONTRACTOR:Company Name: �' � '� ,��,' t�"`�`� �''tv Phone#:
Address: U, '- Q`a} 5'3 pe yr-
City: I ex-,r State: n_. Zip: :'� C�'
Qualifier Name: 1K-yx eft,- -7—c), b6 Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Addition OAlteration ❑New ❑Repair/Replace ❑De lition
Description of Work: -<
Color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
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 issued. In the absence o uch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
r
Signature ' Signature —--- -
Owner or Agent `�'� ontracto
The foregoing instrument w s acknowledged before me this7t— The foregoing instrument was edged before me this
day of 20 by U �� ��" day of 20 by
who is ersonall known t me or who has produced who i
p Y P personally known to m or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC•
Si =
Print: 126if Print:
M Commission Expires: =•l :+ MY COMMISSION#FF 100079 on Ex ', M. ADYLENE RUIZ
Y p EXPIRES:March 10 2018 My Commissi pires: =*; :r MyCOMMISSIO
=�• - N#FF 100079
'•. 'd?
EXPIRES:March 10,2018Bonded TluNotary Public Underwrter
Bonded Thru Notary public Underwdters
APPROVED BY D 68 Plans Examiner
Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
55 �+
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date 1[y, /27 /05
-{-�• riv y
i Type Insp'n + }'7Cy � D �C..C�C�
Permit No.
P — G32
Name � ( /5�- I�asCGc�vc cch10.
Address 1Z,5 W-7
Company A r +f 5 4- C- �c
Phone# (305 ) 888- 4�5(
Inspection Date C�blzs
Approved ❑
Correction
Re-Insp'n Fee ❑
y
Miami Shores Village `, .� _.
Building Department SLS'' 3 0 2013
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax: (305)756.8972
INSPECTION'S PHONE NUMBER: (305)762.4949
611
F 20
BUILDING Permit No..
PERMIT APPLICATION Master Permit No.
Permit Type: BUILDING ROOFING
JOB ADDRESS: 2a CS OV C qo2 S
City: Miami Shores County: Miami Dade Zip: 33�3g
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): �n AA (tea _Phone#:
Address: 9a
City: I as, ' State: !`L Zip: 3313
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: CPhone#: 3 W—
Address: q l _
City: State: Zip: 3316 C.
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this PerM##: $ ..Z, g Square/Linear Footage of Work:
Type of Work. ❑Addit ❑Alteratio ONew Likepair/Rerjace Demolition
Desc ' tion of Work. ti i'i C
\ ,
Color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
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 issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signaturek _ Signature
Owner or Agent ,A_ Contractor a
The foregoing i strument was acknowledged before me this.,EY The foregoing i trument was acknowledge before me this J \
day of ,201 ,by ,� day of S 201_�>by t &1C;
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 PUBLIC: NOTARY PUBLIC:
Sign: Y Sign:
MY SI FF
Print: Print:
'•,Af m u
My Commissi My Com S OwdedTNVPwb►myu,&.11w.
APPROVED BY S Plans Examiner Zoning
Structural Review Clerk
(Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
OR
' ic103 D�
Miami shores Village
L✓ Building Department
�v 3Q x.013 ' 10050 N.E.2nd Avenue
�ORtDA Miami Shores, Florida 33138
-- Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR/ARCHITECT
Permit N. r 0 —G3 a
Owner's Name(Fee Simple Title Holder): E Phone#:
Owne 's Address: a — a-
City: icy.,..� S Df S State : lin Code: 331 ZS?
Job Address(Of where work is being done):_ 9Q 9 a S h
City: Miami Shores State:_Florida Zip Code: 3313&
Contractor's Company Name:R T-'A�S�k C, (�Y,0 t24le 6ro0phone#: 305--1z&n ROq S—
Address: _
City: 14 ta i State: 1- L Zip Code: 33 16 6
Qualifier's Name : Lic. Number:
Architect/Engineer of Record Phone#:
Address:
City: State: Zip Code:
Describe Work: S . &_1
t4
Ve ca,
I hereby certify that the work has been abandoned and/or the contractor/architect is
unable or unwilling to complete the contract. I hold the Building Official and the
Miami Shores harmless for all legal involvement.
Signature Signature
.wnr� O r Aaeet e� iQfi��, ontraCf OS_
The fstrume d ed or me The fore trtteiY Its fo le
ommithis
IR J 1� yb,(�. this Notmp
pF tyd Bo ed Thm Notary Pu s 1=1-1 ers sA
Who itFmrfi� figs�p duced who is personally known to me or who has produced
as indentification. as indentification.
Nota Public:, Nota, Public: f
Sign: Sign:
Seal: Seat:
r
Y
Z� IL
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date ' a1
Type Insp'n hnd -flit
Permit No. 1C� 7s _
Name
Address ''• #v "
Company �1
Phone#
Inspection Date _
'Approved
Correction ((( ❑
Re-Insp'n Fee ❑
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9/12/2013
Artistic Concrete
10090 nw 89 ave
medley, fl 33176
re: open permit city of Miami shores/925 ne 92 St
Please contact us immediately at 786 586 0133, we no longer want you to be the
qualifier for this permit.
Thank you
Frank Mainade
1
N �
Miami Shores Village Building Permit
ries- �uem��
10050 NE 2nd Avenue --
Phone: 305-795-2204 Permit Number: BP2005-632 ,,, `
Printed:5/16/2005 Page 1 of 1
Applicant: ELISE MASCIOVECCHIO
Owner: MASCIOVECCHIO ELISE
JOB ADDRESS: 925 NE 92 ST
Contractor ARTISTIC CONCRETE Contractor's Address: 10099 N. W. 89 AVE, UNIT 8
Local Phone: 305-888-4565
Parcel # 1132060060070 Legal Description: AMD
PL GOLDEN GATE PK PB 7-54 LOT 9&W1/2 LOT 8 LOT SIZE 75.000 X 140
Fees: Description Amount
FEE2005-6159 Building Fee $125.00 Total Fees:$383.53
FEE2005-6162 CCF $1.80
FEE2005-6165 Training and Education Fee $0.60 Total Receipts: $0.00
FEE2005-6166 Technology Fee $3.13
FEE2005-6167 Scanning Fee $3.00
FEE2005-6168 Submittal Fee ($50.00)
FEE2005-6169 Builders Bond $300.00
Total Fees: $383.53
Permit Status: APPROVED Permit Expiration: 10/26/2005 Construction Value: $2,387.00
Work. REPLACE STAMPED DRIVEWAY
Jf�
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:
#its Cal i -)hore6 'ui Ll.a 4 jc e
t tn* 10050 N,E. SECOND AVE.
YORtMIAMI SHORES, FLORIDA 33138-2382
Telephone- Q05) 795-2207
Fax: f305l_7$6-8972
COVENANT OE CONSTRUCTION WITHIN lR ICUT OF WAN'.
WHE,RLAS, rYJU/V�SdL� A,hereinafter referred to as the Owner of the
(owner)
following described property,
Legal descriptionlfolio-: '32o6-Lbs-bb7G
Lot Block Subdivision Aqb "0Z
Tai: Folio ;
regtsesLs permission to install;
1 sphalt,concrete,brick-pavers
Landscaping
Other—, .
:within the public road right of way o � �2 S—
(address)
l"a CON'SIL`3f:RA"l IO'N' of the approval of this permit by the 'V lls e,the Go=ner ageees as fofloN s;
To maintain and repair,when necessary,the move-mentioned item(s)installed within the dedicated right
ofw y, if it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason carafe Owner'$failure to do spa,
such expense shall be paid by the towner or shall constitute a lien against the above described property
until pair!.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability,which may rise by virtue of permitting the installation of these items within the public
right of way-
The Owner does hereby agree to remove or relocate their facilities at their own expense,within 60 clays
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the
item(s)to be removed and a lien being placed on the property and/or assessed against the Queer for all
costs incurred in the removal and disposal of the item(s),
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and
shall remain in full farce and effect and be binding on the undersigned,their heirs and assigns,until such
time as this obligation has been canceled by an affidavit filed in the public records of Dade County,Florida.
by the Village Manager of Miami Shores Village(or his fully authorized representative).
SIGNED,SEALED, EXECUTED AND ACKNOWLEDGE on this 0/ day of W1 2-005-
(owner)
°o5-(o ner)
Thomas Fitzgerald
Commission#DD16tW
SIGNED.SEALED AND DELIVERED in the presence o
Atlantic Bonding Go.s =