1099 NE 91 Terr (10)BUILDING
PERMIT APPLICATIO
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address
City 11 C `"6 ar 3> State
Tenant/Lessee Name
Architect/Engineer's Name (if applicable)
Type of Work: EAddition
Describe Work: Res-it•.i e-
n
Total Fee Now Due 5
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (VI 795.2204 Fax: (305) 756.8972
❑Alteration
ti a P V v r.
Electrical Plumbing
0A 1, A z-A 260
Contractor's Company Name 1 A L, re- t)1 c L �
Contractor's Address .26 V Y ^ j —
r ,/ �,
City ' i C L•_ 1 State C 4
Qualifier , g , y ` I O A vim.,
State Certificate or Registration No. C /4 le? 3'
S Value of Work For this Permit 1i 460 • G f✓
t -
—
1 1
Permit No. 11 ~C
Master Permit No.
Zip . 3 /3 (
Phone #
Job Address (where the work is being done) 10 'J 9 N C c ? / rCUc. i t A
City Miami Shores Village
Is Building Historically Designated YES NO
County Miami -Dade Zip 33/ ,?
Phone # 364 -- 3 7 l t=
Zip 33 a/ 1 /,
Certificate of Competency No.
Mechanical Roofing
Phone # F •r/
Phone #
Square Footage Of Work:
❑New ❑ Repair/Replace ❑ Demolition
roo A 01
* * * * * * * * * * * * * * * * * * * * * * * * * * **
I _! , T Fees * * * * * * * * * * * * * * * * * * * * ** * * * * * * **
Su bmittal Fee S , 1 Permit Fee $
Notary S Training/Education Fee $
Scanning $ Radon $ Zoning
Code Enforcement $ ^= Structural Plan Review. $
Technology Fee $
Bond S
CCF $ � j E coIcc
3(x-
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.
Signa
Chc 05/13/03
Owner or Ag t
The foregoing instrument was acknowledged before me this 7
day of 'e(t , 20 vy, by 4.0-A 2J /�
who is personally known to me or who has produced
As identification and who did take an oath.
t# i )[) 055A�9
Si �. i'r ar co ; _ _ -= ii . PADRON
Sign: aL� Sign:
Print: II
MY COMMISSION # DD 0S504o! a .( •. c
* . ��' 1 • * 3 i Print: * _1 * MY COMMISSION
1 11 11 4' EXPIRES: Septtti111CV30,
m,� wr oe` 7hru Budgot Notary Serv.c ^.3
My Commission Expires: For
Bonded My Commission Exp es''�oPF.oP Bondedrnrueua
***************************************************************************** * * * * * * * * * * * * * * * * * * * * ** * * * * * * * **
***************************** * * * * * *'' * * * * * * * * * * * * * * * * * * * * * * ** ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * ***. * * **
APPLICATION APPROVED BY:
Signature
NOTARY P
Contractor
The foregoing instrument was acknowledged before me this 7
day of Je't , 2001 , by 120,A w- Q. ' 4 ePsi‘
who is personally known to me or who has produced
as identification and who did take an oath.
SEp 2 0 2004
Plans Examiner
Engineer
Zoning
fl//iamj Sh.oreo
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, c0 At `24)
, hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description/folio #:
Lot 1 3 Block f Subdivision
Tax Folio R:
requests permission to install:
SIGNED. SEALED AND DELIVERED in the pre!'ce of:
I.)t tvLwit 7
[Asphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of / 9 9 Ate 9 ? re✓ ,
(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).
nPf o4ctt
a d
SIGNED, SEALED, EXECUTED AND ACKNOWLEDc E on this 7 da of I
M. C. PADRON
MY COMMISSION # DD 055049
p EXPIRES: September 30, 2005
`oPC Bonde Thru Budget Nota SQM
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, i , giL A Zep D , does hereby attest that the
(property owner)
attached survey, performed by `f-4-1,- mr p f4, v e
(name of surveyor's company)
performed on ID ;r "7 is an accurate representation of the existing conditions and
date s f sury -y)
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.
SWORN TO AND SUBSCRIBED before me this 5 +' �' ,/
/personally day of Affiant is known to me, produced as identification.
Witness(sign and print)
MAN
MY CAMMISAIQN # Do ggsp
EXPIRES; September 30, goo
Bonded Thru Oudpet Notary 6°Mi a
O
JUA Ni ARIZ A2.
low M ( E. a1 TERRA CE
RES .
F.I.P. 3/
28.00'
32.00'
ONE STORY
RESIDENCE
# 1099
6' PARKWAY
4.00'
24.00'
CONC.
0.35'
5' CONC. WALK
N 0.20' 50.00'(R) 50.051M)
ai
6 WOOQ
FENCE
ILE
50.00 50.03'(M)
N.E. 91st TERRACE 50'R/W
28' ASPHALT ROAD
0.22'
1 F.I.R.1 /2"
- - T
0.67'
3.40'
_6' W000
FENCE
F.I.P. 1/2"
3
(01
9.65
lon in "
Appr0v
OUNDARY SUR%
Legal Description:
Lot 13, Block 1, Plat of WA
to the Plat thereof, as recorc
141, of tit:: Public Records c
Florida.
Certified to:
Juan C. Arrazola; First Fina
Florida; Ticor Title Insuri
—Manhattan, its successors and
Panel: 0093
Flood zone: X
Date of fieldwork: 10/28/99
Completio:i date: 10/29/99
Survey number: G -21765
Property Address:
1099 N.E. 91 Terrace
Miami Shores, FL 33138
P A £ 8MZGC
FROM : PADRON BRICK INC
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT Ur4E OF FIRST INSPECTION
PERMIT NO. _ . TAX FOLIO NO.
STATE OF FLORIDA
COUNTY OF 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: 6 0 Q q '`' 9 / " T .
t7 — A- � � r PI
ti
2. Description of improvement: iLC L •
3. Owner (s) name and address: ante..- A la it
/o / "F e�.t_
5. Surety: (Payment bond required by owner from contractor,
Name and address:
Amount of bond: $
6. Lender's name and address:
of Owner
rint Owner's Name
7864972520
Sworn to and subscribed before me this
Notary Public
Print Notary's Name
My Commission Expires;
NOTICE OF COMMENCEMENT
PHONE NO. : 7864972520 Sep. 23 2004 11:51AM P1
u- t « S , C-f
Interest in property:
Name and address of fcc simple titleholder:
4. Contractor's name and address: r, � Q Re� 8' 4 -4I --
-
t
?- 2 S Lcr Y �� +f a s l e� [ � A D
CT, EL„F?:.17113;4
if any)'. ,.. �� , r ,,.
-� Jrst7.T�►...._
\ t' _.' wh
7. Persons within the State of Florida designated by Owner upon whom notices or other documents ,nay be served as provided by Section 713.13
(1) (a) 7., Florida Statutes:
Name and address_
8.ln addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713. 13 (1)
(b) 7., 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 different date is specified)
� ,A 2v / A- Prepared by:
eL day of .' 7 0 p V
MY COMMISSION # DD 055049
EXPIRES''. September30, 2005
61Nasa 6*r e4
COt.3' 1
Address: '""G ce
IIIIIII II1IIII1llIII11111II111 (llul1111111II
�F5 2IC)O4- R08082.4c
OR Bit 22657 Ps 3347; (1P5)
RECORDED 09/15/2004 12.33:47
HARVEY RUVINr CLERK OF COURT
MIAMI -DARE COUNTY, FLORIDA
LAST PAGE
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