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SCREEN ENCLOSUREThis is to.certify that if this installation emits noise, etc. offensive to other residents of the neighborhood we will be responsible for correcting the installation:( 'aria £hotes9 llage R ® D f/ 6 f COPY Dec. 3, 1954 • Li 0" ybY E q)b—c 9 /L Witness(sign and print) AFFIDAVIT STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, /" t1 LV C � , does hereby attest that the �j (property owner) attached survey, performed by Ge 'VY.t^ SASS (name of surveyor's company) performed on 2 /212 00 ` , is an accurate representation of the existing conditions and (date of 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.. Further, Affiant sayeth naught. SWORN TO AND SUBSCRIBED before me this 4 day of . Affiant is personally known to me,/� identification. '' P UB ' B f ECKER , l r' ,, ` �C• ANGEL) M COMWSS1ON NUMBER qp'.a I CC7a669 79, - " MY COMMISSION EXPIRES c O F F� t Q NOV. 15,2002 STATE OF FLORIDA ) SS. COUNTY OF MIAMI DADE ) The foregoing instrument was acknowledged before me on STATE OF FLORIDA ) ) SS. COUNTY OF MIAMI DADE ) (ACKNOWLEDGEMENT - INDIVIDUAL) tion and who did (did not) take an oath. Name of Acknowledger: (Typed, Printed, or Stamped) Title or Rank: Serial No.(if any): The foregoing instrument was acknowledged before me on by , of a corporation, on behalf of the corporation. He/She is is personally known to me or has produced as identification and did (did not) take an oath. Signature of Acknowledger: Name of Acknowledger: (Typed, Printed, or Stamped) Title or Rank Serial No.(if any): requests permission to install: SIGNED, SEALED AND DELIVERED in the presence of: m 1m1: Sliore� (/iCCccc�.e 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305)_756 -8972 ORtuecu/f-V f PPR ot COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, 114 11- t • - cj 12--( , hereinafter referred to as the Owner of the (owner) following described property: Legal desc /folio #: Lot (---/ Block I Subdivision Q 0 I Tax Folio #: 11 3 o 0 6 0) o c 3 a h.l concrete, brick pavers [] andscaping [ ] Other within the public road right of way of cf/� I ( . / � c / c r / d 1 �� uA �- (_ `l (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 re resentative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this day of 2. 0 t� 1 ) NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. / l '1.2 d '12l - 1 a30 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: 4 W6 qi ST 111/4 Z W 1 4. 1..o7 t LA T" a' &LK I EL P. ETAL "P3 4-161 '(AX 1:0g: 1 1 -3 d 66- 614 - 0030 2. Description of improvement: f D1'7ianl Of' 5 1 1_Ei J L'NCIe se ' /) w/7H 010 1(,)1t cod A. F. MccLosKL'/ 40. NE 91 'ST. /11/4M1 340a5, FL 3313 Interest in property: (,ll wF.e Name and address of fee simple titleholder: 3. Owner(s) name and address: 001F: 15578 1 2000 APR 03 12:57 4. Contractors name and addres J c.,,,,(\ ..r � © C I 01 Q pct '42-r ,n . 1..l.%•C c,.,,� U.( 1 (. 3 `Z n S 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 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, Name and address: 8. In 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), 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) of Owner Print Owners Name Notary Public Sworn to and subscribed before rye this .3 day of -- , I'9 _-oov. g\A j!!!!!!!! . !!!!!!!! !!!!N!!!!!!!!!!!!!e!!!!!!!!!!!! I t o k � " y °0 B� Lora S. Hurtak > � < Notary Public; Stateofftorida ; < „ ' 8` Commission No. CC 545785 < voF My Commission Expires 06/13/00; < 1 400-3-NOTARY • Fla. Notary Service & Hooding Co. : . S s Am ) ))) 11 ) 1 1)1:1111AwAsAwpA. svm*, W w,,,s STATE: Fl OF :, COUNTY 0:- 1 i HE" . CF' " 7r'/ G ;.:i U .. ., ..r , y ... ;lb; # :r:rr15 "r t-; nc L� c 35 my t r. '1 a!i!� • /i; .rJl ...'%i. IVEY, CEE 'riK, 01 Crr-: aoa :;.,..nty Cn:rrt; Prepared by: }` 97NL(u J. Ocei.85K y Address: Oleg IJL- q1 ST • 114/4A41 Si/0426S. FL 3 313 g STATE OF FLORIDA) SS COUNTY OF DADE - ) r:ilina of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and says that under the provisions of Section Ba!368, Sub - section (d), of the Building Code of Miami Shores Village he desires to build .22ME' R;42D1 �6 fli2 on Lot °' .Block / of , "LL /eRZI _ _subdivision; that he is the owner of said property, and will do the work personally, and that he will, at such times as are required by the Zoning and Building Directors 1. File plans and specifications and obtain approval of Village Planning Board and of the Building Inspector. 26 Apply for and secure a permit. 3. Pay the required fees for license and for permit. 46 Execute the work in accordance with the provisions of the Zoning, Building, and Electrical Codes of Miami Shores Village. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workman's Compensation, Public Liability.and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certificates showing the payment required by the Federal Social Security Act to tho State of Florida or the United Status of America. 8. Assume tho responsibility of not employing contractors or sub - contractors other than thoso properly licensed by Miami Shores Village or any part or portion of the-work including, but not limited to, general contracting, plumbing, heating, electrical, septic tank, solar system, lathing, tile, torrazo, painting, roofing and shoot metal work or installation. 9. Not sot himself up as a "Contractor ". 10. Execute Builder's Bond. And further this Doponerit •says not. AFFIDAVIT SUBSCRIBED AND SWORN TO BEFORE PE THIS DAY of A. D., 19 2 Signature of Applicant. Signature of Officer administering oath.