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DS-17-1663 �s Miami Shores Village 7y SS 10050N.E.2nd Avenue NE E t���+i�.5a�ilf�f� �Jt1y Miami Shores,FL 33138-0000 Phone: (305)795 2204 A E AORYD�' � w .. _ Issue t�att�.�7�f�20'[ Expiration: �112018 Project Address Parcel Number Applicant 953 NE 91 Terrace 1132060030040 S ANTHONY MARTIN Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell S ANTHONY MARTIN 953 NE 91 TERR (305)751-8379 MIAMI SHORES FL 33138-3219 Contractor(s) Phone Cell Phone Valuation: $ 600.00 HOME OWNER Total Sq Feet: 800 Approved:Yes Available Inspections: Comments: Inspection Type: Date Approved:4/26/2007:Yes Final Date Denied:3/16/2007 Foundation Type of Work:PAVERS ON WALKWAY Additional Info: Review Planning Bond Return: Classification:Residential Review Building Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# DS-6-17-64405 DBPR Fee $2.00 06/26/2017 Credit Card $50.00 $88.60 DCA Fee $2.00 Education Surcharge $0.20 07/10/2017 Credit Card $88.60 $0.00 Notary Fee $5.00 Permit Fee $125.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $138.60 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio d zoning.,Futhe ,I uthorize the-above-named contractor to do the work stated. July 10,2017 Authorized Signature:Owner / App scan / Contractor / Agent Date Building Department Copy July 10,2017 1 BOUIMYSURVEY • • • 1 moo 2i, • • • • • • • ••• SOUTH LINE OF THE NORTH 7.5' OF BLOCK 1 UTILITY °dam PLATTED BLOC L1%•• °a • • _aL •�• • • • c� I Z • • • • ••p• T•_r 1 — FIP. 2 0 • at ' FEJt lo, 7' :•: : a No o-�2ii— 0.4' 3' C B.S WALL 'O 5. 1. ' j •• • • • • ••• • • 90152'04 • • • • • • • 0 • • • • • • • x STEPS 2' WALL _71 �' PATIO CONCRETE APR2 0 16 9.4 14.45 x p N M 19.20' I y_ h/ Uml N � x .._ .. .� lV _ rn 11.20'y I O n y z l 1—STORY xo Y �7 z `� Res. # 953 o I o W p p o. ' , 13.60' L z __j �N 1 Uj CONC. c'j ASC d o V) � �17.40 "' I W w f 3. PLANTER \ (p z TILE ,n 9.7 Iw CONCRETE SSS z STATUE N 4 I PAVERS 16.95 0.8' W F= 5 IRON FENCE , � m - to RIND �v ; I L M5, 8 S ® ^ \ 9.5' 15.0' G " PLANTER co 3 4'35' "■� �X .'k`Q `cam �D�IW c *` BLOCK - S. 92'4525" CORNER FIP. 1/2° o c'` A 200.25' No I.D. 4 'c FTP. 1/2° oLD. 14.5'PARKWAY r" z 4 LEGEND �:—� —d—°'—Notread We lyre +aEabd)np EleYatkere Cane.-Canaste R=Radtw � INC. —a—n—Nood Fare �=Cobh�n FJJL-Found hm Rebm U.E=Utlity Eaeanant A-Arc —x—■—Chats Lick Fara ®-Nater Meter F.I.P.-Found hon Plpe/Ph QE app Fit h+DMta PHONE:- 305-822-6062'FAX 305427-9669 b--o—kap Fay 'o+-paw Pole F.NAD-Found Nal R Dbe DAE=Drainap Maintenance T-Tff-Wt 6175 NW 153rd STREET SUITE 321 +1 — —Mmmmt lire `aP/R-set kon Ph/Beia a/C°AE Caulfflaner momt MM LAKES FL 33014 �'---�' Page 2 of 2 o"? � Miami Shores Village i E AVE® Building Department JUN 26 2017 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2W-A f ,, BUILDING Master Permit No.hs �� ' �C.Q(0 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL F-]PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION HOP CONTRACTOR DRAWINGS JOB ADDRESS: n 14N T/t / " Cit : Miami Shores CounnidjA Miami Dade Zi Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: *--- Flood Zone:T—BFE: FFE: '- OWNER:Name(Fee Simple Titleholder): Phone#: YJ �'� r. AddressM 3 °� 7 City: 1 i P State: Zip: Tenant/Lessee Name: / Phone#:5 5—W86- &S8 / Email: CONTRACTOR:Company Name: At) M r� ® �A[ E: Al Phone#: 3eL7U_1_-0'N1w"' Address: 3 IV r LAil /� - City: tate: d' Zip: Qualifier Name: Ain t YZZIQA(�jAt Phone#: .4 7� State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: {�_ Value of Work for this Permit:$ Square/Linear Footage of Work: ®® 5 �— / Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace Demol ion Description of Work: P k/[= Specify color of color thru tile: Submittal Fee$ Permit Fee$ ' 00 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ C1 O V (Revised02/24/2014) 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS,HEATERS,TANKS,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. �/ASignature fZNPt;C Signature �f OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of U rjL 2YY0----�� 1��� by day of 20 by �l r" cQn—i�l®�, hodis persbn�l�y known to who is personally known to me or who has produced �1 CO l��S'" 1- o as®Nme or who has produced as identification and who did take an oath. 1 iC�X identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: �;i.PGg•., MAHARAI K.GONZALEZ Sign =_° f°• MMISSION#GG 044602 Sign: 3w: EXPIRES:November 2.202 Print: otaryPubiicUnderwrters Print Seal: Seal: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 9 Fax; (305)756-8972 2/11/2016 To: Current Owner 953 NE 91 Terrace Miami Shores, FL 33138 Permit: DS-3-07-522 Address: 953 NE 91 Terrace Miami Shores FL33138 Date Expired: 10/24/2007 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance,or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, Ismael Naranjo C (0) Building Director Miami Shores Village .Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 BUILDING Permit No. 1-52Z PERMIT APPLICATIOIN APR 2 6 20071 Master Permit No. FBC 2004 BY-h- Y-64 Type(circle): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) `� Phone# �1p� � ( 71- Owner'sAddress •/� �r �- City �� State 0,1 Zip ` Tenant/Lessee Name 4 Phone# Job Address(where the work is being done) '1'7 -z - 91 (.� City Miami Shores Village County Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES NO__ Contractor's Company Name h ®G Z4Z Contractor's Address City State /•° Zi422" p Qualifier Name Phone# JVI ^ .� State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ a Square/Linear Footage Of Work: DUO Aw-,04T Type of Work: ❑Addition WAlteration ❑New Repair/Replace ❑Demolition Describe Work: A ��., `� Submittal Fee$ Permit Fee$ //���'`s�' CCF$ (�J� CO/CC Notary$ �� Training/Education Fee$ 1 Dy Technology Fee$ 5 Scanning$$� Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ 43G .615 to f �� See Reverse side I ��Pa Bonding Company's Name(if applicable) Af Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address t tQ CityA/ 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 foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of AWL, 20 JA by -1rJMV &JTV day of ,20_,by who is personally known tome or who has produced R, lVO 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: i'-n" NOTARY PUBLIC: Sign: \Q�®aa�a Sign: Print: Cit ° ,s����\��� p�ca. Print: �y My Commission Expires: ;,^.....� ' My Commission Expires: APPLICATION APPROVED BY: Plans Examiner 6 Engineer Zoning (Revised 02/08/06) f / p C/A\ l Planning and Zoning Criteria W„ Miami Shores Village Permit NO. DS-3.07_522 10050 N.E.2nd Avenue ... rnn Typed 1Id+�l[IksiSlabs Miami Shores,FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 IeW <ORl►R' Issue Date: Not Issued Expires: Ot Issued Folio Number)132060030040 Owner's Name:S ANTHONY MARTIN Owner's Phone: (305)751-8379 Job Address: 953 91 Terrace NE Total Square Feet: 2500 Miami Shores Village, FL 33138- Total Job Valuation: $ 1,000.00 Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 4/26/2007 : Yes Comments: Site plan is unacceptable it does not show the proposed development in relation to lot lines and existing structures and is not to scale. 4/26/07 10 FT SIDE YARD SETBACK REQUIRED FOR DRIVEWAY. SEE AMENDED PLAN FOR REQUIRED SETBACK. Pavers are not permitted as landscape material the front yard must be grass except for an approved driveway and sidewalk. Planter is not permitted as a permanent structure in the front yard, no detail is provided for the planter. No hard surface or structures are permitted above the septic system. Please identify the location of the septic system on your plan. More issues may arise as staff reviews the site plan to be submitted. 03/23/07 Pavers can not be used for landscaping in the front yard. The front yard must remain grass except for approved driveway. Structures are not permitted in the front yard including statues and statue bases. The septic system is identified as being under the house. Applicant to verify the location of the septic system on the si to. VILLAGE OF MIAMI SHORES MAR 1 6 2007 1J OWNER BUILDER DISCLOSURE STATEMENT BY-"11-W------------ NAME: '_ i NAME: l / �, � DATE: ADDRESS:(? � ���� Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,FS 489.103(7). And I have read and understood the following disclosure statement,which entitles me to work as my own contractor;I further understand that I as the owner must appear in person to complete.all applications. State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The exemption allows you,as the owner of your property, to act as your own contractor even though you do not have a license.You must supervise the construction yourself.You may build or improve a one-family or two-family residence. You may also build or improve a commercial building at a cost of$25,000.00 or less.The building must be for your own use and occupancy.It may not be built for sale or lease.If you sell or lease a building you have built yourself within one year after the construction is complete,the law will presume that you built for sale or lease,which is a violation of this exemption.You may not hire an unlicensed person as a contractor.It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you,which means that you must deduct F.I.C.A and with-holdings tax and provide workers' compensation for that employee, all as prescribed by law.Your construction must comply with all applicable laws,ordinances,buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this const tion Initial 2. I understand that as ani owner-builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial —A-1, 3. :I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial ^, 1 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code –% only if the structure me the minimum code. Initial 5. I understand that as an owner-builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate`any contract disputes. Initial 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial 8. 1 understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Initial Was acknowledged before me this Lday of , 20 BY CJLIA(q Who was personally known to me or who has Produced there License or as identification. O ER OTARS M100AION#DSM'DIAZ : : MY COMMISSID 483995 A EXPIRES:actober20,2009 TAru Notary Pubic unde"ers CE D N. A. Martin yJs N.E, 91 terrace lvllaml anores rta. 331325 Thursday, March LL, LUV/ (iennemen, my proposal for a permit to construct a circuiar driveway is predicated on three ideals i) dose ana easy access to nouse because of nanaicap 2 j i urn around needs so as not to hack out on 9 i 1 efface 3) Lastly to provide on street parking. i ne proposal request the use or pavers so as to Keep to a minimum the cost, especially because existing area has nv % in place. i ne suriace area pavers are my ariveway, ana ori street parKmg, not ianascape,tney are harmonious and consistent in our vniage, and in particuiar to our street as can De seen at 830. 850. 869. 877. and 879 N. E. 91 Terrace. as well as my neighbor 941 N.E. 91 Terrace. i ne site pian scale nas been nigntigntea, lot lines ana measurement are aetmeatea, ana job proposal worksheet indicate proposed work area and the measurement,as well as reiativAy to lot lines. I he misnomer or a planter is only a evenly spaced cluster or,+palm trees kLI v i✓ v EGG iE—i O—N j.iorming the core area to the circie for the circular driveway. The septic tank area is now shaded and named ror easy recognition i regret tnese transgression ana nope tors satisfy most or all requirements, ana await your issue ora permit. Thank you for your courtesies, and your decision -------------------------- 0. ri. LVICLL Litt Bill r 3 ����MMiapnL oY'ejVi ache FL 0 RIUP' AFFIDAVIT.. ..:APR .2 .STATE OF FLORIDA) B Y _ ;Q COUNTY OF DADE) The undersigned Affiant, A does hereby attest that the (property owner) attached survey,performed by zz,, (name of surveyor's company) performed on_ 31-7 J is an accurate representation of the existing conditions and ( t o surve ) locations of all structures on the property as of this date. The purpose of this 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 now may 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 affect final inspections as applicable to this or other permits.. Further,Affiant sayeth naught. Affiant/Property owner Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this day of *5k-- I Affiant is personally known tome,�r uced as identification. O Notary 050 ©plf� °:PvBd• '00 SO obot an, Donlndfittu� p5 ' PREPARED BY. e.7 /°h p���n � APR 2 6 200 �`l �N / DECLARATION OF USE KNOW ALL MEN BY THESE PRESENTS:! WHEREAS,the undersigned /'1 / l V- is/are the fee simple owner(s) of the following described property("Property") §ituated and-being in Miami Shores Village, Florida: Lot(s) Block of (Subdivision), according to the plat thereof, as recorded in the Plat Book Page of the Public Records of Miami-Dade County, Florida, (address) and WHEREAS,the undersigned owner(s)have sought certain development approval from Miami Shores and are providing this document in consideration thereof and to induce the Village to grant same: NOW,THEREFORE,for good and valuable consideration,the receipt and sufficiency of which is acknowledged, the undersigned do(es) hereby declare and agree: 1. That the Property will not be used in violation of any ordinance 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 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 with the codes, rules and regulations 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 , 200_ W ITNESS(ES) OWNERS: 71q Signature Signature and Print and Print �< Signature Signature and Print and Print STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) I HEREBY CERTIFY that on this day personally appeared before meAkPey Ayrjq who is personally known to me or has produced ttf • (type of identification)as identification and he/she acknowledge that he/she executed the foregoing,freely and voluntarily,for purposes therein expressed. SWORN TO AND SUBSCRIBED before me on this ?_( day of YfL. , 200 My commission expires: ,,NOTARY P LIC, STA E OF FLO ,:�®�d;GPLISS�#�0 48399 1 p'Q1' B4cA� 1V,V` �S.OctobeGo UndenNti�e". Nr9�' oer Bon .;. P1-,tvL,w1t 7 • ��`St(OR fs•`,` . „ , ,,,.,M LGLVj'LLS40rej e �,— •0 FCORIUP 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138-2382_ _ Telephone: (305) 795-2207 Fax_ (305) 756-8972 . A.PR. 2: 6. 700 COVENANT OFCONSTRUCTION WITHIN RIGHT OF WAY BY-------N QKI "--'-` d WHEREAS, // 2 �p� ,hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio#: Lot Block Subdivision Tax Folio R: requests permission to install: [] Asphalt,concret ,brick pavers %l�� [] Landscaping [J Other within the public road right of way of (address) IN CONSIDERATION of the approval of this permit by the Village,the Owner agrees as follows: I. To maintain and repair,when necessary,the above-mentioned item(s) installed within the dedicated right of way. 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 of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 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. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense,within 60 days 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 Owner 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 with1iie land and shall remain in full force 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 day of7T_�`� (owner) SIGNED,SEALED AND DELIVERED in the presence of: . �' k, f ,; ” 11 y . �� 6 NO LIS �' APR 2 200 1 ' *= MY COMMISSION#DD 483995 EXPIRES:October 20,2009 Yo_ %go o Bonded ThruNotaryPublic undOnNnters Permit NO. DS-3-07-522 SH®1% Miami Shores Village Permit Type:Driveways/Sidewalks/Slabs " 10050 N.E.2nd Avenue u ' Work Classification:New US Shores,FL 33138-0000 P e r , Permit Status:APPROVED Phone: (305)795-2204 °h$OR.iDP Issue Date:4/27/2007 Expiration: 10/24/2007 Project Address Parcel Number Applicant 953 NE 91 Terrace 1132060030na0 Miami Shores Village, FL 33138- Block: Lot S ANTHONY MARTIN Owner Information Address Phone Cell S ANTHONY MARTIN 953 NE 91 TERR (305)751-8379 MIAMI SHORES FL 33138-321'3 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 HOME OWNER Total Sq Feet: 1000 Approved:Yes Available Inspections: Comments: Inspection Type: Date Approved:4/26/2007:Yes Final Date Denied:3/16/2007 Landscaping Type of Vlork:PAVERS ON WALKWAY Additional Info: Foundation Bond Return: Classification:Residenti d Sidewalk Fees Due Amount Total Al,.t Paid Amt Due Bond Type-Owners Bond $300.00 -- CCF $0.60 $0.00 $ 0.00 $ 0.00 Education Surcharge $0.20 Notary Fee 25.00 Payment Type: �'� Permit Fee $125.00 Scanning Fee $3.00 Technol,.y Fee $3.13 ADD 3 0 r) 'J Total: $436.93 16 A ID In consid- ition of the issuance to me of this permit, I agree to perform the work -d hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or spec _::;ons submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my it, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFIN nd SWIMMING POOL work. OWNERS 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. Futhermore,I authorize the above-named contractor to do the .,iork stated April 27, 2007 wthorized Signature:Owner / Applicant / Contractor Date B Ll i I cy i ng Department Copy Friday,April 27,2007 1 Receipt Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit Number: DS-3-07-522 Owner Address: Invoice Number: DS-3-07-27866 953 NE 91 TERR Applicant: S ANTHONY MARTIN MIAMI SHORES, FL 33138, Company Name: Job Address: 953 91 Terrace NE Miami Shores Village, FL 33138- Date Payment Type Check Number Amount Change Monday, April 30, 2007 04/30/2007 Credit Card $436.93 $0.00 Total Payment: $436.93 Page 1 of 1