2000 DRIVEWAY e
c
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date bo/o m Address // �'3 N6 X03 L40Tax Folio
Le � �/�aoy�lFlli�
gal Descrlptton HWWda*Designated: Yes No
OwnmLessee/Tenant Frc,11c; r Master Permit# 14"7100
owner's Address // -? 3 VE /a� � Phone lb�r ?sF 9®�'Z
canting Co. DIicAW 6wu�"& F pwas-,.4 Address /O✓Y Awf�c.
Qnauer 'e� SS# Phone Pow W^3-6/
State# Mutdcipat# Competency# C '^9✓tlO'0 Ins.Co.
Arclritect/Enginoer Address
BondingCompany Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN PAVII FENCE SIGN
WORK DESCRIPTION WG4 AVQCJs DMI ZVae44fJ4V r
Square Ft. // ® 0 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 vwark 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
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. Furthermore,I autharize the above-named contractor to do the work stated
E:4
Signature of owner qr Pres' eat Date S' Contractor - Date
Notary as Date Notaryas to ICC737578 Date
MYY COMMISSION#CC 737576 My Com Y~IRES:AprU 2ti,2002 +
IXPIRES Apt5 26,2002 a B=W T n KdVY PWft WtdeMhM {
KIT-
,Ig.•`~aW&d ThM Nary Pt UtMeMw is
FEES: PERMIT RADON C.C.F. NOTARY BOND
APPROVED: TOTAL DUE
No , 76
zoning 7 b �Baildng Electrical
Mechanical Plumbing Structural
CRITIQUE SHEET
1
JOB ADDRESS 1 `• 73 io 3 Sir
APPLICANT PERMIT NO.
ADDRESS:
PHONES MIAMI SHORES VILLAGE
APPLICATION f BUILDING I ZONING DEPARTMENT
SHEET OE SECTION BY DATE
ZONING
MISCELLANEOUS
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFIML
• t. "ect to coatptlsacs va in fadle d,state.
C*Udy.VVAOsrides sadtegidatt4=Y1142e2ssM
as respaasiblltty tar muctcy agoc cesatts float '
. . thesel�
Z. This copy of plaas cravat bo avattabte as
ba dial site at no taspectloa WM be caaQacted.
•, - DATE Gv l COMMENTS INITIALS
OeAq-m �d�c L� t� •
2 u (I s c�rtU ®V�o2�`2`�
r3) ' SV`cc.C, t c�c�i `2 c, d- e r-Ct e�f' •
1
n.,
,,,„' iarni kora) Villaae
�C0 8
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, ���^�� FJ�'` 2 ,hereinafter referred to as the Owner of the .
(owner)
following described property:
Legal description/folio#: '/
Lot 3 Block 2- Subdivision Q f 5 011 yiVF Rvc�e ty'E"/G d 7r.S
Tax Folio#:
requests permission to install:
,„Asphalt,concrete,brick pavers
[] Landscaping
[]Other
within the public road right of way of //23 /VIE /a3 :57716E1
(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 with the 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 ACKNOWLEDGED on this day of
(owner)
SIGNED,SEALED AND DELIVERED in the presence of:
UAWT SMR.
f '
SoIL-
AMC
6-10 of LAC
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vw&vi vv rat L4:zu Y" 3UD 347 0600 McDermott Wlll & Emery
0003
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CRAB ES V. CARR
• LAN SURVEYOR RIIILRB i
9285 S. W. DSTREET TELEPNO
MIAMI, FLORIDA. 33165 221-341616 wrcaNrnsp.
SURVEY NUMBER: 94-0645 �ao4ov�awaNe.�o
BOUND Y SURVEY Oh
LOT 3 BLOCK 2 ��.R+wwaNlNw�wclNiw �.
SUBDIVISION: 'BISCAYNE RIVER RE168TS' .manoww�i�Nr � �
ACCORDING TO THE PLAT THEREOF AS RRCORDED !N PLAT 800K 43 1"-Far
AT PAGE 73 OF THE PUBLIC RECORDS OF DAOE COUNTY. FLORIDA..
0
DATES JUNE 1gTH., 1994 PROPERTY ADDRESS: � a�eseoaaopAamr�aN
1173 N. E. 103RD. STREETOWN=�Afdvwtaie SNOW
as
CERTIFIED FOR: MIAMI SHORES VILLA61. FL.
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NIP
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME*Op FIRST INSPECTION
PERMIT NO. TAX FOLIO NO
STATE OF FLORIDA
COUNTY OF DADE 00R3329`45 2000 JUL 1t 13128
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and In acoordahce
with Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement.
1. Legal description of property and street address: //73 "a /d3
/Ll/4 S iplb,MQ.
2. Description of improvement: lliyg^i�9•..�
3 Owner(s) name and address: i e. n t sJL,. p ✓7( is I'II
Interest in property:__
Name and address of fee simple titleholder.
4. Contractor's•name and address:. *1)2 T$A• ,6✓z -S /a S7 fro
V.i?.lL. ^.
6. Surety: (Payment bond required by owner from Contractor. if any)
Name and address:
Amount of bond: $ _
6. Lender's 'name and addr
7. Persons within the State-of Florida designated by Owner upon whom.notices or other documents; may be sarved
as provided by Section 713.13(1j(a)7.. Florida Statutes.
Name and address:
t3. In addition to himself, Owner designates the following person(s)-Lo receive a,copy of the Lfen6t Notice as *pro_*
v
ided in Section
713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this N •
otice of Commencement cement
• (the expiration date is•1ear
y from the date of reoordirig unless
a different date In fieri
. specified)
l
J,S,t;E-20(owner f .
Print Owner's Name U/dp^JOF
Sworn to and subscribed before ? day of 7, Va'o 0o Prepared by: V �y /�'�2M�jj'
�,rZS'*Notary Public AddresslOStic=2
Print Notary's N ���{s��/���, �
My Commission "" = SmPEDRO
is t N
MIj
EXPIRES:Aprb 26,2002 r
•Rfi t'ti.• Bended Thru DMteryr Public Uedembre
STATE OF FLORIDA,COUNT O7�y
I HEREBY CERTIFY that this is a tru0 _ �,NO Cot►��
origin ofthe ,Q e�oRR
i o,fi �
WITNESS MY h nd,' AD 20 v
HARVEY rcraJ Seal.
of Circuit—County Courts �'fs °i aoo wr nun
p�OE COUIJr