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DRIVEWAYType Insp'n Permit No. Name Address Company MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ' 7 2. Time Correction Re- Insp'n Fee 1 4. : L� /O/S � st Phone # 30r SS t S / o Z- For Inspector:3 $ D ? Name & to "Pr-- Issue Date: 10/31/2006 Owner's Name: ROBERT BAILEY Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 1015 97 Street NE Contractor(s) HOME OWNER Phone Primary Contractor Yes Additional Information Miami Shores, FL 33138 -2555 Expires: 04/29/2007 Type of Work: REPLACE DRIVEWAY Additional Info: Bond Return : Classification: Residential 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 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 work stated. Fees Due Amount Bond Type - Owners Bond $300.00 CCF $3.00 Education Surcharge $1.00 Notary Fee $5.00 Permit Fee $150.00 Scanning Fee $6.00 Technology Fee $3.75 Total: $468.75 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -10 -06 -2599 Phone: 1132050170120 Lot: PB: Total Square Feet: 1100 Total Valuation: $ 5,000.00 Re . uired Ins ections Foundation Sidewalk Landscaping Final Invoice Number DS - 10 - 06 - 26457 Total: Amt Due $468.75 Av 0 ve UiSa c}G 0305 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Inspection Date: 12/19/2006 Inspector: Grande, Claudio Owner: BAILEY, ROBERT Job Address: 1015 97 Street NE Miami Shores, FL 33138 -2555 Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, December 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 30179 DS -10-06 -2599 2020 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132050170120 Lot: Page 2 of 2 t Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 12/19/2006 Inspector: Grande, Claudio Owner: BAILEY, ROBERT Job Address: 1015 97 Street NE Miami Shores, FL 33138 -2555 Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, December 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 30179 DS -10-06 -2599 2020 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132050170120 Lot: Page 2 of 2 Driveway not 5' from property line on east end. See red markings on floor. 11/21/06 CG. Passed Inspector Comments l l Failed go Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 11/21/2006 Inspector: Grande, Claudio Owner: BAILEY, ROBERT Job Address: 1015 97 Street NE Miami Shores, FL 33138 -2555 Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, November 21, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -30176 Permit Number: DS -10 -06 -2599 Parcel Number 1132050170120 Phone Number w,,ag 2 2 29", Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Foundation Work Classification: New Block: Lot: Page 1 of 2 f0b10 qicth <6Tift:t BUILDING 0124b6 PERMIT APPLICATION{ • l.A"` Master Permit No. FBC 2004 Permit Type (circle). uilding Owner's Name (Fee : imple Titleholder) 92p be."- T FE 44 lc� (o t 5 citJl e l 7 t � t Owner's Address • City /L ucy, Tenant/Lessee Name State Job Address (where the work is being done) City Miami Shores Villa e FOLIO / PARCEL # Is Building Historically Designated Contractor's Company Name Contractor's Address City Qualifier Name State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ a - CAO Type of Work: Addition Describe Work: Acoler_e• Bond $ Code Enforcement $ Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing /0 /5 ni 9? st YES NO ate Permit No. Zip '37 13 Mechanical Roofing Phone # 3 5 - -023r Phone # County Miami -Dade Zip 77/ 3 c- ( ❑Alteration ONew /9 4gt- ter ecv Phofie # Double Fee $ Phone # X Repair /Replace 24 ,0&Ale✓ S . Total Fee Now Due $ 1q1(?; U. \zct Ls Zip Phone # Certificate of Competency No. ( Square / Linear Footage Of Work: / /eV i i c e fcc., O Demolition ******** * *** * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ at • Notary $ 5 "- / Training/Education Fee $ l — Scanning $ Radon $ DPBR $ CCF $ CO /CC Technology Fee $ 3 15 Zoning $ See Reverse side - Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Leitder'sVaine (if applicable) Mortgage Lemke 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 Owner or Agent The foregoing instrument was acknowledged before me this day of ,20 � t`o /M 14( 7 who is personally known to me or who has produced �/ . 9fW 151, '7').4-60-113 (rS-3 identification and who did take an oath. NOTARY PUBLIC: Te`a' e95 o\ S S '3\i 2p ;6° ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** �.;,, ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature Contractor The foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY // M nn UST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO�S ©v �� J ' .TAX FOLIO NO. I =50. / 2 "� STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 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: /0 ( Y v L f7 tL s 1 ' 0 44 bIt L a. bn 3 a r 38' 2. Description of improvement: � + elLetJ 14"C 1 o P-i LP( 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 'I ; NESS my hand ai ". 7EC`F F'_ 0'.I'D" r 0 1 !MTV i?`:137 5. Surety: (Payment bond required by owner from contractor,fif=aiyy teat ;Ms n tito ,nginar ",Icd n rrts office on _ d Dt Name and address: ^/ and l a • = • 2 .1 r .i ( • 7 Ocunt' fits - i 7. Persons within the state of Florida designated by Owner upon whom notice. documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: Amount of bond $ 6. Lender's name and address: 8. In addition to himself, Owners 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 difference is specifi d) t y e&/ ( )) Signature of Owner Print Owner's Name Sworn to and subscribed before me this 1 day of Notary Public / /aiAe 7 ' " I `/ / , j f 11 Print Notary's Name / 'r r r///! / �YL My commission expires: � / O 9 123.01 -52 PAGE 4 8/02 '.4 ? ' y r ;6b e� 7 3a:i : ID(S 6W ' 7 s �.^Gd a pp ;_,,,,/ /0"VA. 7 3/3t' £6e "r /34.715 C tiOntt-Ou/M er) /1/07 do erdiLMillaf Notary public - State of Fonds Comaialioa.No. D11421260- C.asa iaeioa $ 04/21/2009 CFN 2006R119641. OR Bk 25080 Ps 2379► (ips) RECORDED 11/08/2006 11:30:04 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE 111111111111111111111111111111111111111111111 Coyrrs D.C. Prepared by 1 20 d'.7 Address: /o /s � 77 s y/7, i /3k following described property: 7Yhamj Shore6 Vigige Legal description /foliotr: f I 1 et W11 S her es S e ' y g [ halt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of ♦ .5 SIGNED. SEALED AND DELIVERED in the presence of: 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 - 2382 Telephone: (305) 795 -2207 Fax: (305)_756 -8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, 1 • b r i , l , hereinafter referred to as the Owner of the (owner Lot 1 Block I Subdivision Pfl ia01I 8 kor.eS Tax Folio R: /1•- 9..O5 -tj1 ^410 -0 requests permission to install: (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 1. 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 ACKNOWLEDGE on this IS - day of Oetb i ',- LISSETH DIAZ MY COMMISSION # DO 483995 f EXPIRES: October 80, 2009 Bonded Tani Notary Pubao UnW nvmer, „Al w/r PPo ,C(-t NAME: VILLAGE OF MIAMI SHARES OWNER BUILDER DISCLOSURE STATEMENT ADDRESS: tS 4 7 f lc DATE: c. 44, �L 3 3f 3; Do hereby petition the Village,of Miami. Shores to actas my own contractor pursuant to the laws of'the State of Florida, F.S 489 ;1.03(7). And [have read and understood the following disclosure statement, which entitles' nie 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 Dave 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:.[f you sell or lease a building you have built yourself within one year after the.construction is complete, the taw 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 rneans.thatyou 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 zbning' regulations. Please read and - initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Initial 2. I understand that as ari owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial 2/3 '3. .I have an understanding of the 2004 FBC & FRC and understand that this department sand its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4 3 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 meets the minimum code. Initial a.,3 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. 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. 7. tunderstaid that if any person gets injured on my construction project —they are entitled to wdrkmen'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 p 8: I. understand that under state and local laws I can not d'b ariy Electrical, Plumbing, Heating, Air & Roof work on my. property with out first .obtaining the.proper permits by licensed contractors. Initial Initial IZ Initial Was acknowledged before •me this .af day of V l0 20 t ga By ititx,� f' - Ly . wh was personally known to me or who has Produced there License or � —' 12j ;r 6g = 322.._.0 as identification. MONICA USSETH DIAZ $ MY COMMISSION N DD 483995 ` EXPIRES: October 20, 2009 Bonded Tutu Notary Pulelo Underwriters 18/24/2Btlb 12a:40 APPROVED ZONING DEPT BLDG DEPT saa11 +� 1%03. 17.58 SUBJECT TO COMPLIANCE ; TH ALL F DERA TRACT 150A • • • • . • i • • i STATE AND'COUNTY RULES AND REGULA; ; •. • • ...... .. • • :• •„ • •. • • • •. • •. .. • • ••• • • • LOT 11 t ( t . c A ALE I ° m 20' l -SKETC l NO.: 06 -2969 WN BY: r K C S10E 101 2 s •• • • 1 ..