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DRIVEWAY PERMITMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date (0 Time , Ri (1� pit u 0.9 � Permit No. ! J 134 . Name D O 11/VICISo r Address `"I` S q I 5t Type Insp'n Approved Correction Re -Insp' n Fee Company PUm.5 CO . Phone # For Inspector: t( , ��' Name & Date 0 Date /034 Time MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 1) Building Inspection Request - \V Type lnsp' n ,k (Age 5 O • Permit No. B P C/, -/3337 Name 7,)0iYi 5is Address r95 Ale Q/ Company vv��yy Phone # ✓os " &q 7 3e96 For Inspector: B®'® ' Name & Date Approved Correction Re- Insp'n Fee dizci -th4 DP ItAki "Ay 4 7 /1/544-14ecte �q--S SA.ex -u v /44?$ MIAMI SHORES VILLAGE BUILDING DEPARTMENT LD� 305- 795 -2204 Building Inspection Request Date /10`06 (( Time 5 . � g )?rn , Type Insp'n %3 U.J� -P ala -0,Y3 Permit No. /3/ 3- /5.5 9' Name Address Company Phone # Correction Re- Insp'n Fee 1,5 Ae6 9)/ 6 (365J 867 For Inspector: (3 P I O -0-1'D 3Name & Date 7 CONTRACTOR Name L Au/Ric V PvW 175 0/J Name , 43 C . Home Telephone ( 3,O 5 \ 75' - 7.17 p l I 1 License No. / c - O 7 0 cc I (3oS Fax 75 5,o& Address q3 50 mo 50v FZ, vitvz iZ . MEOCEY FL 33/66 Telephone(3O$ J n ? " 30 70 Fax (, 3 0 s) ee7 _, /s 77 Qualifier Name 3 U 5 /V A 'LA tLPO PROPERTY OWNER Name L Au/Ric V PvW 175 0/J Address 1.1 Lj N.C. RI ST . M1Pokti 514-04E5 , Fc- 3 Home Telephone ( 3,O 5 \ 75' - 7.17 p l I 1 Business Telephone (3oS Fax 75 5,o& TYPE OF MANAGEMENT( .1 ) New Construction / Enclosure Alteration Exterior V Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other Folio Number R C NE UU 12003 Step 1. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: '115 Ar CY f 57 Address Lot 13 k Block Liq M %.r-t., s uot<es Subdivision Sec-nos ■.1o. t. PB /0 PG 37 Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE ( )� Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. ,,,��sr.> - 3 Subsidiary Permit No. /4I4M1 5/4oz$ City State 33 /3£r Zip Description of Work f N S'17°tt_t_ ?cowed, p 1 TiQiJrWfA'( 4 12ETA/miA* MALI. AT 7oo t Ecc< Zoning Square Feet 100 s /F Linear Feet Units Floors Value of Work � S( Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ca\O X30 e 32 Page 2 PERMIT APPLICATION IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for, improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Laur • - 32)ci v\ dSOY\ Print Name Sworn to and sub cribed . - e me this 1 day of 0 -i . SEAL: Signature of No Public - Stat o VIVIAN DeQUESADA MY COMMISSION # DD 099750 EXPIRES: April 18, 2006 1.803.3NOTARY Fl Notary Service & Bonding. Inc. Personally known OR, Produced Identification l7 STATE OF FL Signature of Contrac G Print Name Sworn to and subscribed befo ao3 Signature of No SEAL: Personally known I -DADE 3L- �m1 VIVIAN DeQUESADA MY COMMISSION # DO 099750 EXPIRES: April 18, 2006 1-00x3 ARY FL Notary service & Bonding. Inc. red Type of Identification Produced: - LNY • /lC _ Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY .I.Y,PI. Outlet, Appliance QTY. TN I , 1. , Service Repair <I . 1 ' 1 . A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. t. }'PE Condensate Drain (QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE: A/C Condensate QTY. TYPE. Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DA TE 7'/ q/oj Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official x /49 AUG 2 0 2 Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) $ ( sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) $ (¢.01 /sq.f1.) 003 PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES (\‘.so TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL 0 (305) 795 -2207 ° FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com / 0 r ••• 2 — ti i – z I- /o.243 4 e.z. I /5' • . .4 • . . • : ._ 1/ yyl. I n E , ..„7,-• .a et_lii.,-,.C...:04. 9 , I' .. -... -- •Ii, •\ 4 0 ' • - 0–, 1 4.3.(6 o' zz • Yr• aj k 2o' ss ,- 4L.? , J tar. b,) R ') / 'CI jr N / . .S74e • 0 1/••-••• f■•- ) 111 ri/1-1".E1 (A1 This property described as: Lots 23 and 24, Block 49 MIAMI SHORES SECTION NO. 2, according to the Plat thereof, as recorded in Plat Book 10, Page 37 of the Public Records of Dade County, Florida. 0 7 c./ TA i... A=1,1/ / r kev 41,1„„ 43%ft- • s-r4 P izY SThc gClAbvin& AL.L.. ct Date Type Insp'n Permit No. Name Address 4 Ls 01. �T Company I Phone # ' ! ' 17 For Inspector: 1 1 Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request • Time • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE . 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fwck3 Date I , — 03 Job AII,tf ., liciS NE. chg.'''. C J t- - : Tax Folio 1' 3 a t a -� Bloc y ,4 Nratu.i Sko es 5eclity, a. Legal Description �OtS a3 Historically Designated: Yes V\ ner /Lessee/Tenet ankee 4 1 I—Ct- & I ei V 1 &SO b1 Master Permit # Owner's Address L A CI S IN1 E 10 St 1 Q.rY1 I S rl:Ol'es Phon s 1E1-8979 Contracting Co. Qualifier State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL ORK DESCRIPTION: R Q. Wl0 0.\ oT aS Vca 1. TO. Vs � a re& ■ '60 IAt 140 t.&s WI 11 re.ilae 2 w Square Ft. 1 g 3 SC . scut 1 aoi) 1 t H ated Cost (value) 4 sa , 0 0 -rob r e_vvto zS, WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: 1 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. Furthermore, I authorize the above named contractor to do the work stated. FEES: PERMIT /0 6 0 APPROVED: Ca, 6 d /)c'{ ,J,, Zoning I 2 4 , 0/ nature of owner and/or Condo President / / Date � Notary as to Owner and/or Condo President My Commission Expir s PLUMBING MECHANICAL ROOFING otary as to Contractor or 0 ARLENE J. WM) y Commission dpi s Notary Public. Vito of Floi da 0 ; r,, I my comm. expirw . ! 12.29 No. DDO ,7i8 6 C.C.F NOTARY Signature of Contractor or Owner Builder. D e .. 't ate A ARLENE J. BYRD o m. Notary Public. State of Florida _ �I My comm. expires June 12, 2005 No. DD030778 BOND / • TOTAL DUE /�, v 63. _-c - ° Building Electrical Mechanical Plumbing Structural Engineer 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, attached survey, performed by ,‘cfscp,, does hereby attest that the (property owner) ( ame of surveyor's comp performed on 17 3 a D '�, is an accurate representation of the existing conditions and I ( to of urvey) 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. Affiant/Property owner Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this LI day of . ZQd Affiant is personally 'mown to me, 1 produced f n 49 � o or Pu ei.. Angela M Becker My Commission DD150048 ? C d r Expires November 15. 2008 �0� W N M..a. X JII4 " /711 id cc / I✓yL// _ i8 '4 1 4P/ ;020 u r • Q DG \s • t PROPERTY 01: LOG AT/ Go Al 11./1 Qa _ rAIT b1 0 c.> 4 u' yr' NII I i I.IN SS 111111111 1110 \II:N,t I IIMI A'Il 1 111 111111 41.%1,14 1111 11 SrAl. 1)1 !1 1.11111/ 1.11 11 /SS 11 S11M4 11 4111 AND . 4 •► - 4 .... 0' Jr fry 4:1-) .rs11a11 A Sp.N,/4 0 Qt 4 II 0 o 0 J Q W A v 0 CJ \) l ot b. -' /4 PH /4 7 S7•ai1 =- AS/=." /,er c-) 4.C.) Davidson, Bruce A., and Davidson, Laurie _A BOUNDARY SI,KVC4 1 hriet, truth 11■1 Ihr 4l4v1., 'Elul Ruled 144108 marl1 111► I1111Ungnq 1,4 hill{ al 14484101 1el Iurl■ h1 the thea,d tail hied Stuatiant. on chatter' 41 IC L 11064 Ad " 111r4.wr i 41111 1.411 11.8111 144 54100/1 4/2,00. 11a Slalulrl. 1111of are nu tntloachnn n h. 4(414 ( ten..e. I4 4p/ta1111N On 1 11 ( 1'111, 1111%r. 11818 at .Lawn 11(4(411 c' J S7�r� T 1` . 495 N.E. 0 M W • Pagel 0[ 2 This property described as Lots 23 and 24, Block 49 MIAMI SHORES SECTION NO. 2, according to the Plat thereof, as recorded in Plat Book 10, Page 37 of the Public Records of Dade County, Florida. CJ 7 C) (-_ F,7 tic>3 4 (NO A ) tr 91st Street, LANNES AND ( ;A11c111. INC. 1..11.1121PM SOUVE1'(111` -MA1 PEI1S -LAN17 1'I.ANNIMS I Iilirr mlarr 111rr►rr 411'r11ue, ('urMI l:r hlurl .1.11.11 CMS) (.66.7 05.1) 52.1 «1111.1 1.11''I.1) 1)ATE S('ACE ) 7 " 30 40 Miami Shores, Florida BEALE SMITH 15238 I)1(AWN 111' • .33138 IIUW(.. NO 142033 142047 Leuend 61 SuorekBbbreyialions Holes A Arc Ol.lsnce AiC (C) Calcdalod CO Cl Char C/l INC tncroMMAw.M (IP !IP f send ben r.pe MN 141 Oruhano ORS ro . PIl Beg PC Pit Plowdytew Poo UP Witty Pole WM t r onion • Lid Mt Ce.4lionws Pad Cinch na*b1 Cenla I Me tlschr Irandamsr Pea l.ud I on nod OSiMI&'locates BocF* Pohl of Corvette Point el o.Owtnt Wale 1411, lath M.linl. CoNen.nl firt1 ,Ctrs Car: (I) OA) OUl rcc roc A AC a) All Clearances and /or encroachments shown hereon are of apparent nature. Fence ownership by visual means. Legal ownership of fences not determined. b) The issue of this survey is only for the exclusive and specific use of (hose persons, parties or Institutions shown in the certification. Any other intended use will require written approval from tho certifying surveyor or lirin. c) Code restrictions and title search are not reflected on this survey. d) Underground utilities and encroachments, if any, not located. e) The flood information shown herllon does not imply that the referenced properly will or will not be free from flooding or damage and does nol create liability on the part of the firm, any officer or employee thereof, for any damage that results from reliance on said information, t) Tho lands depicted hereon were l.urveyod per the legal description and no claims as to ownership or matters of Iitlo are made or implied. g) This survey Is not to be relied upon for construction. Fl OOD ZQNE; X EIMILINEQRMAIlD11: Community Number: .12 0 6 5 2 Panel NumberlMap #: 12025C0093 Suffix: J F.I.R. M. Index Date: 7-17-95 Base Elevation: Not Ava i lablt Bearings, If any shown based on CERTIF!EQ TQ: Rapid Title Services Compar / ; Attorneys' Title Davidson, Bruce A., and DaN,id:..on, Laurie, PROPERTY OF; h01 MO W111101.11 1111 /IONA ►Unf 4t 4111 o*OWAI 4A1110 flat Or nekton tlClnfl0 ►U/IVI IVA AND Davidson, Bruce A., and Davidson, Laurie, 435 N.F. 91st Struet, Miami Shores, Florida A.BQUNIZARY SURVEY 1 h...hy e.rllfy that the survey lapcesent.d hereo.l mole the minimum !ethnical elerd.uds eel forth by 1h. Board of Land Surveyor* In duple 1101 /•a flalda Admhil►I,allve Coda Inv *eon! k Mellon 471.0':1 11,. Statutes. Untie Ins no enelofch meals. overlaps, seeement, oppugning on the Plrl, other Wen ea ahnwn hereto nni V. fUnVlton AHD morrrn 110 7•5.2. a0■1111111•r bra.. f County n.tee Controls OW, Slrnch.a Corsrete f curd Maasu.d 0,I*.*, ; Ulih.; lbw► rob. of C.,•...pou,d Gave Point yl Can..encem.nt Cent el Ingle And= (element (reference) 9.whMy Chad !MINK, Ur es.** talanwnt L a l lyth on% I).l.rr..l O.addw V.1ro al Osh.,, Plat Pal* Point nl nova■, Cuvah. Pt Poet .d Twomey 0/S °esti ['ago2•3( 7 Insurance Fund, Inc.; SIP Sell worm. Sent S.d..1* lilt r ter nenl LIT wM - W.I•• 33138 LANNES AND GARCIA, INC. L.B. /!2099 Sul Jeyors- Mappers -Land Planners BEALE SMITII 45238 Office Address; 359 Alcazer Ave, Coral Gables, FL 31.134 (305) 666-7909 (954) 523 -8663 11EL0 OAIC ` SCALE DRAWN LIY 3J —eao a •—�' ORAWI(1(; 440 142033 142047 c O Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/6/2003 Contractor Local Phone: Parcel # 1132060140150 BRUCE A. DAVIDSON LAURIE H. DAVIDSON 495 N.E,91ST ST. MIAMI SHORES, FL 33138 -3150 Pay to the order of a s , , 1)1(0 Bankof merica. ACH Wt 08310027 Date For 1 :0 300004 ?I: 00 2 104 L6354 211' 8453 Building Permit Permit Number: BP2003 -927 Applicant: BRUCE & LAURIE DAVIDSON Owner: DAVIDSON BRUCE & LAURIE JOB ADDRESS: 495 NE 91 ST Contractor's Address: Legal Description: 6 53 41 MIAMI SHORES SEC 2 PB 10 - 37 LOTS 23 & 24 BLK 49 LOT SIZE Fees: Description Amount FEE2003 -3451 Building Permit Application Fee $60.00 FEE2003 -3452 CCF $0.60 Total Fees: $60.60 Permit Status: APPROVED Permit Expiration: 12/3/2003 Construction Value: $352.00 Work: REMOVAL OF ASPHALT PARKING AREA WILL REPLACE WITH TREES .oa3 63-4/630 F1 teb Dollars 8 8453 compliance with all ordinances and regulations pertaining thereto and in strict Premier Banking Aiami Shores Village. In accepting this permit I assume responisibility for all work BY: Page 1 of 1 Total Fees: $60.60 Total Receipts: $0.00 OF QAflE FLORID COUNTY true DA Ore day Of'. STATE RTtFy that tn�s �s a H ginal Ein t h i s office on pp 20 original G and Official Seal, rityCbu►'S. SS m an d � u rr, .t arid Cou p,C W' N' HAS � NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME 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 strool, address: -o1 2-34 21 r 77ock 41 , R;„.t.,• Sher„,., S ec/7', NO • Z Acrc -c/: fee Pal- ¢ 4e,„E a5 rce,rt ti., 7/ I' 5,,,k /0 r e 37 - Add- c55 z f /5 � "/.E, 9/ 57" /'�, .; , F-1...._ 33/38- 2. Description of improvement: /nS L/l fAv c..�s a" ct; v Ja re,'.....;.,- f j L.i./ / of ( tao l deck. 3. Owner(s) name and address: La yr % / e v;d ame Aid -c55 :. vq9 NE -/ sT Interest property: I r e e__ Name and address of fee simple titleholder: v Name and address: Amount of bond $ Notary. Public Print Notary's Name My Commission Expires 4. Contractors name and addres PAi`'fsr! 664C-- 4 I 35 V /� InJ So art, tgl v n � 5. Surety:(Payment bond required by;owner from contractor, if any) • • 6. Lender's name and address: 7. Persons within the Stale of Floeiida 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•hlmsoll, 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 dale Is 1 year from,the date of recording unless a different date Is specified) Signature of Owner �1 Print Ownor'sName L AUAIF t - PAv/PSc'YJ Sworn to and subscribed before •'this 1 1 ay of t j■- 1 111111 1111111111 11111 1111111111 11111 1111 1111 CFN 2003R0!973 OR e.k 21553 Ps 0569; Ups) RECORDED 08/20/2003 11:32:13 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE Propared by MAKC AA7N2iE Address: 6 135 0 /00 _ ✓r1-1 �t vEr2 17A. 1 Ft. 3344 (Signed) 4-- Chairman Member Member _ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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. //.� f� ,19.5.cP Owner's Name and Address._. _(..5 (1 _. ._ 8A PY _. No Street Registered Architect and /or Engineer _ pp Name and address of licensed contractor_ 1/W9 n 12 .1____A V ! nl , 6 g 7 2 . N ' ..1,/0 a 57 Location and legal description of lot to be built on: Lot_. Block .__ g Subdivision Street and Number where work is to be done ' f / ✓ 1" ? f -S7 State work to be done and purpose of building (by floors) p / 4 I / and for no other purpose. New Building Remodeling__ ____. __.. Addition Repairs__ No. of Stories To be constructed of Kind of foundation__. Roof Covering Estimated Total cost of improvements $ �� o 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 doe 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 Public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be erformed under this permit, as are licensed by Miami Shores Village. Remarks __ __ _. _ __. (Signed) •L' 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 c read the foregoing application, and that he did sign the same, and that all facts therein by him sited are true. c �j• Permit No r ,./- " Date... — Read, Sworn to and Subscribed before me. Disapproved ____ _ /2.____ Date _ 7' _. •) ; f 'g - Notary Public, State of Florida Building Inspecto My Commission Expires Date -___ =1 NNING BOARD__ __ . DATE Member Member Member . Council Approved _..Date Disapproved ._ Date NOTE: A charge of $1.00 will be made for making corrections or changes 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. rrt « K L S / v e a J J L 'BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ PERMIT N? ROOFING El et a ts, ❑ E Owner of Building .- r+aa. 1;i i ? Architect Contractor 'Y or Builder - 4 Legal Lot Description 11 B1 Address of Building - CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA 9932 Date Contractor's License No. c 19C Work to be performed under this Permit Subdi- vision Value of (� Amount of � , Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plansor drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or: employees. i-• I t f 1' Signed• `'• -rs g.`s- 'r._,--(1 SPECTOR) BY 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, drawing,%statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work dotig%by either, myself, my agent, servant or employee. BY AUTHORITY //f APPLICATION FOR BUILDING PERMIT 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor..-- .---- .(,.re / STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No Disapproved - - -- MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date-.-- ! 1--f f , 19 d 451 No 41 ! t/ _ Street- r t - / Date • l Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done I /7- 1 J f l J State work to � d purpo� of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ® Amount of Permit $ iP 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such subcont ctors on work o be perforrrled under this permit, as are licensed by Miami Shores Village. � Remarks (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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. 9' 73 (Signed) -- uilding Inspector My Commission Expires PLANNING BOARD 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 changes 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. P tt. !d� g-1( Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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. 1.7W r f Owner's Name and Address 11°6 f�l No. Street Registered Architect and/or Engineer ` 1 1-) c Name and address of licensed contractor • `� ~��`� ' Location and legal description of lot to be built on: `/ Lot�,3�a f Block /I / lt Subdivision � ` C 0 AC. l // �' O' /T 4 Street and Number where work is to be done /Y !/ qs kn) Net R &a (/) work to be done and purpose f build by floors). state exterior color (submit samples) lt.FA 1 ►�G Xp DRIJEUJ� S and for no other purpose New Building Remodeling STATE OF FLORIDA COUNTY OF DADE. J SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Remarks (Signed) Addition Repairs Date J l3 130 vuk (O \Iliu N. uAl 1 To be constructed of Ki d of foundation Roo Covering 11 f � q J ���/ / 1 timated Total cost of improvements s C A • -y Amount of Permit S 11 f 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 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 obligatons 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 unde'this permit: will post or use to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned afire; to em : .. . suc t subcont ctors, on work to be performed under this permit. as are licensed by Miami Shores Village. W W Before me. the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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 forego' g application. and that he did sign the same. and that all facts therein by him stated are true. Permit No " - q " 4 4 Date Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 525.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. Read. Sworn to and Subscribed before me. No of Stories 19 Notary Public. State of Florida to me well known.