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1022 NE 91 Terr (12)P G rl a 4-- °1r }r � v .e c✓ a c.,.. s { wat c� ciC > Passed Inspector Comments V Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INSP -3014 Inspection Date: 04/03/2006 Inspector: Grande, Claudio Owner: SANTOS, RUTHE Job Address: 1022 91 Terrace NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, March 31, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 e�. Permit Number: DS -12-05 -1242 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132050010300 Lot: Page 2 of 2 inspection Number: INSP -3011 Inspection Date: 01/23/2006 Inspector: Grande, Claudio Owner: SANTOS, RUTHE Job Address: 1022 91 Terrace NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, January 20, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, L Phone: (305)795 -2204 Fax: (305)756 -89 2 Permit Number: DS -12 -05 -1242 Perm t Type: Driveways /Sidewalks/Slabs Inspection Type: Foundation Wo k Classification: Addition /Alteration Blo k: Phone Number Parcel Number 1132050010300 Lot: Page 2 of 2 I bt° Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection Number: INSP -3011 Inspection Date: 01/23/2006 Inspector: Grande, Claudio Owner: SANTOS, RUTHE Job Address: 1022 91 Terrace NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, January 20, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, L Phone: (305)795 -2204 Fax: (305)756 -89 2 Permit Number: DS -12 -05 -1242 Perm t Type: Driveways /Sidewalks/Slabs Inspection Type: Foundation Wo k Classification: Addition /Alteration Blo k: Phone Number Parcel Number 1132050010300 Lot: Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2001 Owner's Name (Fee Simple Titleholder) Owner's Address ,0 City 1 oN1M. Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contractor's Address City State Qualifier State Certificate or Registration No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit •? 04011 . o 0 Type of Work: ['Addition Describe Work: Submittal Fee $ Notary $ Scanning $ s State ['Alteration Permit Fee $ Total Fee Now Due $ r'5 + q (Continued on opposite side) f) Training/Education Fee $ Radon $ Miami Shor Building D 10050 N.E.2nd Avenue, Mia Tel: (30.5)1p522#4 t „ DE Permit Type (circle): Building Elec . ica ,ay t \ o 12_ County Mia ['New * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * ** Zoning Code Enforcement $ Structural Plan Review. $ s Village partment i Shores, Florida 33138 A_5). 7.56,8972 rim 1 2'15 Permit No. 0S ,z '12 M #ster Permit No. V p 9— 5 Li 8 lumbing Mechanical Roofing w�J s Phone # C7�� 2,18 -ir ' Zip 3Z 1 Phone # i -Dade Zip `% ) (3 8 Phone # (2vL P_Rct _ L `s J Certificate of Competency No. Square Footage Of Work: P ¶ o 5 � • Zip Phone # 0-- Repair/Replace CCF $ Technology Fee $ Bond $ C O /C ❑ Demolition 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 wil ed and a reinspection fee will be charged. Signature ner or Agent Contractor The foregoing instrument was acknowledged before me this —i.:CD� The foregoing instrument was acknowledged before me this day o� , 20C by JL ( (- 2) C i L Y y a , 20 by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: who is personally known to me or who has produced NOTA ' Y P Sign: Print: My Commissi APPLICATION APPROVED BY: chc 05/13/03 tC� LIC: n Expires. As identification and who did take an oath. Y PUBLIC -ST ,1!L • RIDA , 200 1 ondcd Thru Atlantic Bonding Co., Inc. Signature My Commission Expires: ***************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning M Located at: k 22_ kg- G \ Sr (r 6 ., Legally described as Do hereby petition the Village of Miami Shores to act as m State of Florida, F.S. 489.103(7),_nd I have read and unders Statement, which entitles me to cork as my own contract must appear in person to complete all applications. State law requires construction to be done by licensed contrac exemption to that law. The exemption allows you, as the owner even though you do not have a license. You must supervise improve a one - family or two-family residence or a farm out - commercial building at a cost of 525,000.00 or less. The buildin may not be built for sale or lease. If you sell or lease a building y construction is completed, the law will presume that you built i exemption. You may not hire an unlicensed person as your con that people employed by you have Iicenses required by stat ordinances. Any person working on your building who is not and must be employed by you, which means that you mus provide workers' compensation for that employee, all as pres with all applicable laws, ordinances, building codes and zoning reg Proof of ownership provided ( ) initial of reviewing Was acknowledged before me this l day of ByJC/.A-t_1 Produced (� ti BUILDING DEP • ' TMENT VILLAGE OF MIA i I SHORES OWNER BUILDER DISCLOS RE STATEMENT 65- Owner Owner being the legal property owner, for the property DISCLOSURE STA who is person•lly lmown to me or who has as identifi own contractor pursuant to the laws of the and the following disclosure r, I further understand that I as the owner NT rs. You have applied for a permit under an f your property, to act as your own contractor he construction yourself. You may build or uilding. ! You may also build or improve a must be for your own use and occupancy. It u have built yourself within one year after the for sale or lease, which is a violation of this ractor. It is your responsibility to make sure law and by county or municipal licensing Iicensed must work under your supervision deduct F.I.C.A. and with- holding tax and riled by law. 'Your construction must comply lations. lerk. The foregoing instrument 20 • ation and who did take an oath. Atlantic go 27, 2009 g Co., Inc. WHEREAS, following described property: Legal description/folio #: Lot Block Tax Folio #: requests permission to install: sphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of 1 p 22 sQ, a k i' (i CVI(}tiC.c (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 3. 4. COVENANT OF CONSTRUCT (owner) fl//iam, Subdivision To maintain and repair, when necessary, the above of way. If it becomes necessary for Miami Shores items within public right of way including restorat such expense shall be paid by the Owner or shall o until paid. The owner does hereby agree to indemnify and hol any and all liability, which may rise by virtue of pe right of way. The Owner does hereby agree to remove or relocat notice by the Village to do so. Failure to comply w item(s) to be removed and a lien being placed on tf costs incurred in the removal and disposal of the it The undersigned further agrees that these conditior shall remain in full force and effect and be binding time as this obligation has been canceled by an affi by the Village Manager of Miami Shores Village (c SIGNED. SEALED AND DELIVERED in the presence of: 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 elephone: (305) 795 - 2207 Fax: (3051756 -8972 ION WITHIN RIGHT OF WAY , f ereinafter referred to as the Owner of the mentioned item(s) installed within the dedicated right Village or Dade County to make repairs or maintain said on of street by reason of the Owner's failure to do so, institute a lien against the above described property d Miami Shores Village or dade County harmless from rmitting the installation of these items within the public their facilities at their own expense, within 60 days th this notice will result in the Village causing the e property and/or assessed against the Owner for all m(s). s shall be deemed a covenant running with the land and on the undersigned, their heirs and assigns, until such avit filed in the Public records of Dade County, Florida r his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this day of ' Miumi _ 9Lore6 (/iE4e 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, 4-t/c1 , does hereby attest that the (property owner) OSe.PLI L • ektiri' v. (name of surveyor's company) performed on 2 PI 1.3 , is an accurate representation of the existing conditions and (date of survey) attached survey, performed by 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 regula :ions. 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. Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this J day of Affiant is personally 'mown to me, produced ' • . identification. tary NO —,� TARYP r eny Hernandez turlss i on #D0476455 SEP 27, 2009 Bonded 'r hau ittlantic Bonding Co., Inc. Issue Date: 12/23/2005 Owner's Name: RUTHE SANTOS Permit Type: Driveways /Sidewalks /Slabs Work Classification: Addition /Alteration Job Address: 1022 91 Terrace NE Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: RE -DO DRIVEWAY WITH CHICAGO BRICK Additional Information Type of Work: DRIVEWAY Additional Info: CHICAGO BRICK Bond Return : In consideration of the issuance to me of this permit, I agree to perf orm the work covered hereunder in compliance with all ordinances and regulatio is 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 $1.80 Education Surcharge $0.60 Notary Fee $5.00 Permit Fee $100.00 Scanning Fee $6.00 Technology Fee $2.50 Total: $415.90 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 Pe Expires: 12/15/200 mit Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -12 -05 -1242 Total Square Feet: 250 Total Valuation: $ 3,000.00 Required Inspections Foundation Sidewalk Landscaping Final In✓oice Number Amt Paid DS42sQ5- 23240 $415.90 4415, 99 Tot DEC 48 PAID - -- Amt Due Gtr Phone: 1132050010300 Lot: PB: NOTICE: In addition to the requirements of this permit, there may be add tional restrictions applicable to this property that may be found in the pub is 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. Miami Sho es Village 10050 N.E. 2 d Avenue Miami Shores, L 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: 12/23/2005 Owner's Name: RUTHE SANTOS Permit Type: Driveways /Sidewalks /Slabs Work Classification: Addition /Alteration Job Address: 1022 91 Terrace NE Contractor(s) Phone Primary Co tractor HOME OWNER Yes Comments: RE -DO DRIVEWAY WITH CHICAGO BRICK Additional Information Type of Work: DRIVEWAY Additional Info: CHICAGO BRICK Bond Return : In consideration of the issuance to me of this permit, I agree to pert covered hereunder in compliance with all ordinances and regulatio thereto and in strict conformity with the plans, drawings, statements or submitted to the proper authorities of Miami Shores Village. In acceptin assume responsibility for all work done by either myself, my agent, employes. I understand that separate permits are required for PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is acc all work will be done in compliance with all applicable laws regulating and zoning. Futhermore, I authorize the above -named contractor to stated. Fees Due Bond Type - Owners Bond CCF Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $300.00 $1.80 $0.60 $5.00 $100.00 $6.00 $2.50 $415.90 Finance Copy Miami Shores Village, FL 33138- Pe Expires: 12/15/2006 D'. - 12 - 05 - 23240 T t a l : N ad pu AN G DI it rm the work s pertaining pecifications this permit I servants, or ECTRICAL, SWIMMING ate and that construction • o the work nice Number Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -12 -05 -1242 Phone: Lot: PB: Total Square Feet: Total Valuation: Required Inspections Foundation Sidewalk Landscaping Final DEC 2 8 PAID Amt Due 1132050010300 250 $ 3,000.00 Amt Paid $415.90 4 is.. go 0 ICE: In addition to the requirements of this permit, there may be itional restrictions applicable to this property that may be found in the lic records of this county. THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER ERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT TRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. i • COUNTY -WIDE • LAND SURy 'oRS: lNd. : LAND SURVEYORS.. PLANNED,.. : • 6" ' P.O. BOX 823271 SOUTH FLORIDA,. FL. 33082 -3271 (30 ;) 772x0766 •.• • .' :• •• • • .• • • • r t ;76ek.. • • • • • • • •_�•:r ••• ••• ••• OtA7i LEGAL DESCRIPTION Lot 3 and the East 15 feet of Lot 2 in Block 2 of WATERSEDGE, according to the plat thereof, as recorded in Plat Book 9 at Page 141 of the Public Records of Miami -Dade County, Florida. SURVEYORS NOTES: 1). Legal description provided by client. 2). Only record plat easements are shown. 3). Right of way information obtained from record p &at. 4). IN Federal Flood Zone X Panel 0093 last revised 3 -2 -94. 5). Benchmark used- Dade County Benchamrk # B -62. 6). Elevations are referenced to National Geodetic Vertical Datum 1929 Adjustment (NGVD29). Boundary, Improvements & Elevation Survey Surymy mob Juan & Ruthe Santos 1022 NE 91 Terr. Miami Shores, F1. 33138 CERTIFICATE NOTE, " NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYORS BBAL." I HEREBY • RTIFY THAT THE SURVEY' REPRESENTED HEREON COMPLIES WITH THE MINIMUM T CHNICAL STANDARDS ADOPTED BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS I CHAPTER 62G 17 -6, FLORIDA ADMINISTRATIVE CODE, PURSURANT T0 SECTION 4 .'27, Florlda Statuteas JOSEPH L. MARTIN PROFESSIONAL LANG SURVEYOR * 4368 'STATE OF FLORIDA • :• :. •. 4 S.. _ _.. • • : . : • • •: '. :: • :: : • •• ••: : : '•' • • •• SKF icy No7 'o5 v4cf REVISIO - BY .v N S ?..1.../t • VIK 2 • 1b'33• DATE 0505- 12_ • • • ;41: • .••L ::. • ••• • •• • • ••• • • • •• •• • • • • • • • • • • ,it a/ 78ez, •• • • • • • •• • • PIPe FD' • •• 2 ;`3.l PVM9• 0'