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DS06-1661Issue Date: 6/27/2006 Owner's Name: MARTIN PALMER Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 469 91 Street NE Miami Shores Village, FL 33138 Expires: 12/24/2006 Contractor(s) SUPER STAMP CONCRETE Phone 305- 220 -1163 Primary Contractor Yes Comments: STAMP CONCRETE DRIVEWAY Additional Information Type of Work: DRIVEWAY Bond Return : Additional Info: 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 $3.60 $1.20 $125.00 $3.00 $3.20 $436.00 Buildi artment Ile Copy -r 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 - - - 1661 Phone: 305 -310 -4673 PARC2004 -16 Lot: PB: Total Square Feet: 951 Total Valuation: $ 5,100.00 Required Inspections Foundation Sidewalk Landscaping Final Invoice Number DS - 6 - 06 - 25350 Total: ct: 6223C $ ,0O Amt Due $436.00 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 . iUL©Q Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 07/03/2006 Inspector: Grande, Claudio Owner: PALMER, MARTIN Job Address: 469 91 Street NE Miami Shores Village, FL 33138 Project: <NONE> Contractor: SUPER STAMP CONCRETE Building Department Comments Thursday, June 29, 2006 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Foundation Work Classification: New Block: Phone Number Parcel Number Lot: 305 - 310 -4673 PARC2004 -16 Phone: 305-22e-1163 Page 1 of 2 I S : 2 1 15'„ l I Inspection Number:1NSP -20431 Permit Number: DS-6 -06 -1661 Inspection Date: 10/16/2006 Inspector: Grande, Claudio Owner: PALMER, MARTIN Job Address: 469 91 Street NE Project: <NONE> Miami Shores Village, FL 33138 Contractor: SUPER STAMP CONCRETE Building Deaartment Comments Friday, October 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slabs EZT 1 8 Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number Lot: 305 - 310 -4673 PARC2004 -16 Phone: 305-220-1163 Page 2 of 2 Passed � Inspector Comments �- � � Z‘ -- 7/ ./ o, /NS/'. c a� I , �, Failed ' Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until I S : 2 1 15'„ l I Inspection Number:1NSP -20431 Permit Number: DS-6 -06 -1661 Inspection Date: 10/16/2006 Inspector: Grande, Claudio Owner: PALMER, MARTIN Job Address: 469 91 Street NE Project: <NONE> Miami Shores Village, FL 33138 Contractor: SUPER STAMP CONCRETE Building Deaartment Comments Friday, October 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slabs EZT 1 8 Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number Lot: 305 - 310 -4673 PARC2004 -16 Phone: 305-220-1163 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 10/30/2006 Inspector: Grande, Claudio Owner: PALMER, MARTIN Job Address: 469 91 Street NE Miami Shores Village, FL 33138 Project: <NONE> Contractor: SUPER STAMP CONCRETE Building Department Comments Friday, October 27, 2006 Permit Type: Driveways /Sidewalks /Slabs lnspectioro Type: Final Work Classification: New Block: Phone Number Parcel Number Lot: 305 - 310 -4673 PARC2004 -16 Phone: 305- 220 -1163 Page 2 of 2 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled until re- inspection fee is paid . Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 10/30/2006 Inspector: Grande, Claudio Owner: PALMER, MARTIN Job Address: 469 91 Street NE Miami Shores Village, FL 33138 Project: <NONE> Contractor: SUPER STAMP CONCRETE Building Department Comments Friday, October 27, 2006 Permit Type: Driveways /Sidewalks /Slabs lnspectioro Type: Final Work Classification: New Block: Phone Number Parcel Number Lot: 305 - 310 -4673 PARC2004 -16 Phone: 305- 220 -1163 Page 2 of 2 Permit Number: DS -6 -06 -1661 Invoice Number: DS -10 -06 -26560 Applicant: MARTIN PALMER Company Name: TALISMAN DEVELOPMENT CORP Owner Address: 1900 S. BAYSHORE DRIV MIAMI, FL 33133 Job Address: 469 91 Street NE Miami Shores Village, FL 33138 Date Friday, October 27, 2006 10/27/2006 Credit Card Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number Amount Change $50.00 $0.00 Total Payment: $50. 1 Page 1 of 1 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 i cat Tel: (305) 795.2204 .. F c a-(305) 756.8972 BUILDING PERMIT APPLICATIO FBC 2001 Job Address (where the work is being done) Miami Shores Village Building Department Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) / .,v Phone # Owner's Address City ?Y State Tenant/Lessee Name City Miami Shores Village County Miami-Dade Is Building Historically Designated YES NO Contractor's Company Name , T '. Phone # cs, - Contractor's Address City Qualifier $ Value of Work For this Permit Total Fee Now Due $ (Continued on opposite side) Architect/Engineer's Name (if applicable) State . » »n» ,( ° Describe Work: • Code Enforcement $ Structural Plan Review. $ 1 < Permit No. ‘1. = 4 Master Permit No. Zip Phone # • Phone # Zip State Certificate or Registration No. Certificate of Competency No. Square Footage Of Work: Zip Type of Work: EAddition DAlteration New 1:1 Repair/Replace 111 Demolitior ****************************F Submittal Fee $ Permit Fee $ CCF 5 *, CO/CC Notary S Training/Education Fee $ Technology Fee 5 - Scanning S 3 . Radon 5 Zoning Bond S Bonding Company's Name (if applicable) Bonding Company's Address City 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 low 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 �' % Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20V, , by ° APPLICATION APPROVED BY: Chc 05/13/03 State The foregoing instrunent was acknowledged before me this day of Zip , 20�w; , by Coi' actor e who is personally known to me or who has produced who is personally known to me or who has produced "is identi tion, d who did take an oath. as iden 'ficationCl wh4ldid take an oath. NOTARY PfJBLI A NOTARY PUBLIC;'- / / 1 Sign: J r. � ! ° ;��. „> ,hl` ict 1 Uriti Sign: , ,� ,� l ' Print P £1 lA Print: ✓ , "` -) , fission #UI)3239b Print: • _ « litt Prin * * Expires: 2b, zuutr '` o rssion #UU3239fi My Comrission Expires: = ... • . 3o Tt r: My Commission Expires: 4 ... Expires: May 26, 2008 , , �� O P �thi ic�L7TIljl'.,':� • ,, o cn,, • pp}�,}}jB(�o��pndde�d��y�Tuphr(rjj�__� * * * * * * * * * * * * * * ** [* * * * * * * * * * ** [ * * * * * * * * * * * * * *:C * * * * * * * * * * * * ** * * * * * * *�: * *5: �: ** *** * ** ** * * * ** 7CYF1ribithrar<'X,1Jr,'k ********************************** ************* **************** ** ** ****;y ** : **** ******* ***** * ** ***** **** *** Plans Examiner Engineer Zoning WHEREAS, Lot '2L requests permission to install: (owner) within the public road right of way of following described property: Legal description/folio #: Micod% ‘r Tax Folio #: Q � aO ‘q %Lk SIGNED, SEALED, EXECUTED AND ACKNOWLEDG on th' Block LAc Subdivision (a sphalt, concrete, brick pavers [ ] Landscaping [ ] Other 4J '. JL," J' I Ap Lt ,CH- anti SIore U 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 - 2382 Telephone: (305) 795 -2207 Fax: (3051756 -8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY —PO hereinafter referred to as the Owner of the (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: SIGNED, SEALED AND DELIVERED in the presence of: ! 1 Natalia talia ;,�q•• � - Commission #DD323964 a::Q= Expires: May 26, 2008 Bonded Thru "" o' . : ,,,,�,' Atlantic Bonding Co., inc. l . 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 and 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). STATE OF FLORIDA) COUNTY OF DADE) Further, Affiant saye /, - ess(sign and print) aught. Al. I IDAVIT The undersigned Affiant, SIM c ( , does hereby attest that the (property owner) attached survey, performed by 6 tfk) 0 .7 try (name of surveyor's company) 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.. Lt 505 performed on , is an accurate representation of the existing conditions and (date of survey) SWORN TO AND SUBSCRIBED before me this 19 day of Affiant is personally known to me, produced ev\ /AV dent cation. Area �` dy Natalia ]I. S ' E = Commission #DD323964 �.. ,'�° Expires: May 26, 2008 ;9�OF 0. Bonded Thru ''" ," Atlantic Bonding Co., Gnc. i • • ••• • • •, .... •SK TCH OF SURVEY SCALE 1' g • • ••• ---r- • • • • • . _ 4 , • • •. . i ' �p s f ,fir • • • • •• • •••G • • • • • •• • r v AC COFi(�!G To THE NATIONAL AL FLOQC7 I PR0 AM commurey No • of SUBJECT PROPERTY FALLS IN FLOOD ZOt E /20 652- ' g4a4 ; 49 sr GS era J r te°. _ 7 6q q 1 St Tr AJ) COLIN ? :ii.` 3 Ali) TE RPM 9 -/a -95 I „ ri Bill To I MARTIN PALMER TALISMAN DEVELOPMENT CORP 1900 S. BAYSHORE DRIVE MIAMI, FL 33133 Return to: I Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name 10/27/2006 Lost Plans Fee Friday, October 27, 2006 invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Invoice Number: DS -10 -06 -26560 Invoice Date: October 27, 2006 Permit Number: DS -6 -06 -1661 Fee Type Calculated Fee Amount $50.00 Total Fees Due: $50.00 STATE OF FLORIDA COUNTY OF DADE 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: $ Name and address: Name and address: Notary Public Print Notary's Na My Commission Expires: ,, ` Natalia I. Sans � Commission #DD323964 Expires: May 26, 2008 Bonded Thru 1 , 1 1 i Atlantic Bonding Co., Inc. ' S'i'a' :'r OF t=4_ )?, fa:.:i -. +,. Ctt' i'.l::r; .. HARVEY R1;,/;', , cY 111111111111111111111111111111111111111111111 CFN 200680704916 OR Bk 24675 Fs 1114; (lp9 RECORDED 06/2S/201)6 15:35:07 HARVEY RUVIN CLERK OF COURT MIAMI -DACE COUNTY? FLORIDA LAST PAGE Jr D.C NOTICE OF COMMENC j ENT A RECORDED COPY MUST BE POSTED ON THE JOB SI AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 115oZ,6cp . C ('4 0 141 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: lept- a1 c(q (es, S c a co5 1.3 S�' 2. Description of improvement: tee• Cds ri.Cf %/ o.,a • 3. . Owner (s) name and address: ( \O.L . Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: SL.) e/ 4 ovvwvciPo o. 0 .t . \', LA . 1 1.4" . d cad 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: 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) 7., Florida Statutes. 9. Expir : a e this Notice of Commencement (the expiration date is 1 year from the date of recording unless a di a nt date in sp ; ifie Signature of Print Owner's Name ' t \ M e i 2 €� Sworn to and subset day of (. , 20 CC, Prepared by: Q \, , ( 9:14 E Address: Owner's Name and Address M BUILDING INSPECTION DE ARTMENT APPLICATION FOR BLOOLDINO rE 0 rr Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date `74 f`` No (7/ Registered Architect and /or Engineer Name and address of licensed contractor 6 1f L _1f/ C9 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done__:, State work to be done and purpo of building (by floors Disapproved f ( Signed) -_ ._+ Building Inspector ate .--u' -�e� '_ •. and for no other purpose. New Building Remodeling Addition Repairs ', No. of Stories__..' To be constructed of Kind of foundation Roof Covering � s g r, e Estimated Total cost of improvements $ / J Amount of Permit $ Zone cubage required .Plan Cubage Distance to next nearest building ___ _________Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such s contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �� • ,� Remarks e (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ( Date — �° j Read, Sworn to and Subscribed before me. Notary Public, State of Florida , 19 -9 My Commission Expires PLANNI G /$OARD DATE Chairman Member Member Member Member __ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or chinges to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.