DS-05-1069Issue Date: 1/25/2006
Owner's Name: NICOLAS TRUJILLO
Permit Type: Driveways /Sidewalks /Slabs
Work Classification: New
Job Address: 353 91 Street NE
Miami Shores Village, FL
Contractor(s) Phone
PADRON BRICK SALES INC 305 - 378 -1000
Primary Contractor
Yes
Comments:
BRICK PAVER DRIVEWAY, WALKWAY AND ^^� T DRIVEWAY AT REAR
Additional Information
Type of Work: DRIVEWAY, WALKWAY 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
Bond Type - Owners Bond
CCF
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$300.00
$3.00
$1.00
$150.00
$6.00
$3.75
$463.75
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
Expires: 11/28/2006
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: DS -12 -05 -1069
Phone: (305)756 -7845
1132060136520
Lot:
PB:
Total Square Feet:
Total Valuation:
Required Inspections
700
$ 4,543.00
Foundation
Sidewalk
Landscaping
Final
Invoice Number
DS - 1 - 06 - 23621
Total:
FEB 0 3 PLAID
Amt Due Amt Paid
$463.75 Li-G3
0
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.
Tenant/Lessee Name
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
P ) 1 - o Phone # 3r0 S --- - W - 6 --`2O 5 Owner's Name (Fee Simple Titleho per ! \' � c-.: ,A S - r ;.vi
Nom' cl s ?• 05- C;c/ 6 - C 5jC� _
State e( in Zip ) 3 / 3 k
t
Phone #
Owner's Address 3 ..'
city M - ¶ • `+ -�
Job Address (where the work is being done)
City Miami Shores Village County Miami -Da e Zip > .� % 7
Is Building Historically Designated YES NO
Contractor's Company Name T f>.%:" 2 dam' �r 1 l� Phone # 9 �U .i 3 -7, - f c--)c-, C
Contractor's Address .-6 e c,J cr ti
City )A,: t , ∎ e4. // State I /1 Zip 3 U / ,,
Qualifier l 0 iv 7 - S�t F t / 7 A .M , . '7
State Certificate or Registration No. eii ef 3
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
c- /
* * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Structural Plan Review. $
Permit No.
Certificate of Competency No.
NO R g55
J
Master Permit No. bSOb " 1 o6ci
Square Footage Of Work: 45z °L- `Z 2
Type of Work: Eli<ldition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: /3 —e? J _ c34 v / ,o 1 A n l leI-
AA. d CoAr 7e cirt vac 747' 4 (lie_ Willi Vc tt.a ✓,s
�
Submittal Fee $ Permit Fee $ l cp 112 CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $ 3 • 7 5
Scanning $ •JO Radon $ Zoning Bond $ 00
1 092.
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 IMPR " TENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR 'R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a con
promise in good faith that a
whose property is subject to
• for the first inspection whi
inspection will not be appro
Signature
issuance of a building permit with an estimated value exceeding $2500, the applicant must
the notice of commencement and construction lien law brochure will be delivered to the person
tent. Also, a certified copy of the recorded notice of commencement must be posted at the job site
rs seven (7) days after the building permit is issued. In the absence of such posted notice, the
d a reinspection fe ill be charged.
e Signature
Owner or Agent} fi-J l s u
The foregoing instrument was acknowledged before me this 2 7
day of N vw , 2 , by ) 1'7d I A s ?rw (' (1 Q ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
oily e,,
Sign:
Print:
My Commission Expires:
M . C. PAfl(pry
MY COMMISSION 9 DD 470182
Bonded TM;
Contractor (416".`71— S 4 1A6C)
The foregoing instrument was acknowledged before me this 2 7
day of i) vv-A, , 20 Cir7by Re./4-v-1 D. S'J r PAA`
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PLT
Sign:
Print:
My Commission Expires: *
********************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * *``v4
W/o
**************** * * * * * * * * * * * * * * * *I: * * * * * * * * * * * ** * * * * * * * * * ** 1 * *� * ** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
f'�f
APPLICATION APPROVED BY:
Chc 05/13/03
6
� /dd,plo
YP(/
PADRON
MY COMMISSION a1 DD 470182
EXPIRES: September 30, 2009
*BetedecklInt BullAtIANSLIPAr
Plans Examiner
Engineer
Zoning
t
attached survey, performed by
Further, Affiant sayeth naught.
'Miami, SIioreJ Vi 'tag e
'STATE OF FLORIDA)
COUNTY OF DADE)
��
The undersigned Affiant, \ W A S I - 1 ? - i' , does hereby attest that the
(property owner)
(name of surveyor's company)
performed on lv. 1 Z0d is an accurate representation of the existing conditions and
(date • f survey)
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..
SWORN TO AND SUBSCRIBED beige me this z ' 7 day of ,/dr„IA/
AFFIDAVIT
f6ant/Property owner
Witness(sign an2Yprint)
Affiant is personally known to me, V produced as identification.
,0`,;...," M. O. PADRON
* MY COMMISSION it DD 470182
CSC. f s �A rtc
EXPIRES: September 30, 2009
' 9 Te o , ' „ov Bonded Thor Budget Notary Services
WHEREAS, IQ 1-CO J S Iry
following described property:
Legal description/folio #:
Lot ( ) l 6 ( ( ?/l�
Tax Folio #:
requests permi on to install:
(owner
M iami Sior�
I'®
Block d Subdivision
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
, hereinafter referred to as the Owner of the
Asphalt, concrete, brick pavers
() Landscaping
() Other
3S 9/ � `T
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:
To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
o way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
item ithin public right of way including restoration of street by reason of the Owner's failure to do so,
such expe shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby a_ • - to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or ' .cate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply this notice will result in the Village causing the
item(s) to be removed and a lien being placed on the p • .erty 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 dee -d a covenant running with the land and
shall remain in full force and effect and be binding on the undersigne., eir heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public ords of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized repres '.ative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this 2 7 day of
SIGNED. SEALED AND DELIVERED in the presence of:
rRtki:
6PPec
owner
4 PEOF fx.
M. C. PADRON
MY COMM{SSION 4�
Bonded lhru Budget Notary SerV Cea
ZONING CRITIQUE SHEET
PERMIT # 021
APP ICANT: _
,'� O le S Ir j 'tJ O
APPLICATION:
P . r 1 ' lle/i
�4p COMMENTS INITIALS
%� £ ,0u to 5 Zvi V L LA r r1e,g41, epvr o rt.
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r ah ac r�Pr2���w j o � -, tic • !-�� 3t{�rvctv►re. -S (l'
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JOB ADDRESS:
APP ICANT:
'c v (� ,s r ruk) LI to
APPLICATION:
r1L r Dr11„
ZONING CRITI I UE
7
PERMI
DATE , COMMENTS
iyy" LA%) :9 it •s t � -r PJ :I yak p ro
-
INITIALS
/ 2
NOTICE OF
COMMENCEMENT
A L3D;CO EDD COPY MUST BE POSTED , s'N THE JO : SITE AT TIME 07 MIST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA
COUNTY OF DADE
mum imu ME Mil
: a 2005iR1 24901, 8
OR I3k 24011 Ps 4450F(1Ps)
RE1ORDED 1_/02/2005 15:47=59
HARVEY R Ufl\ r. CLERK OF COURT
T
MIAMI-DADE COUNTY r FLORIDA
LAST PAGE
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:
I. Legal description of property and street address: 3 3 ?/ S i ^(�
2. Description of improvement:
R /l r�
3. Owner (s) name and address: �' re 0/A - S --t—y-
3 •1 S ,-c 9/ s- lc'ir Ar , � JL � f �� 3
Interest in property:
Name and address of fee simple titlehold
4. Contractor's name and address: k A C 1
24 V 143i t4 � ,4 /A �3
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond: $
6. Lender's name and address:
Name and address:
Signature of Owner /
Print Owner's Name
Sworn to and subscribed before me this ? 7 day of Pill , 20 ai
MON
Notary Public /�
FAI
Print Notary's Name • My FISSION 100 470182
My Commission Expires: �' EXPIRES: September 30, 2009
' ��� 0.1,4 1nrr Buoget Notary Services
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13
(1) (a) 7., Florida Statutes:
81n 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)
Prepared by:
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