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BP2003-246Dat Type Insp'n Permit No. Name Address Compan � MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request b Time For Inspectoo 1 / D3 -,?Name & Date Approved Correction Re- Insp'n Fee ❑ Phone # C�s ,s6 6 3 @ 9 0 q1 -Cr- q a t L.1■ D VIM 5582 N.W. 7th STREET. SUITE 202 MIAMI. FLORIDA 33126 TELEPHONE; (305) 264 -2660 FAX: (305) 264 -0229 • • • • AGy' F.z - P(4 4 -PIG U/B eig (JoQaP) (P,eH) •• •• • • • I • • • •••• • • • • •••• • • • • • • •• • •• •• 1 • • • • • • • .• • 4•tid Cc • 01 tO • — • • Qj• • • • OIJE SIot€ -' (WE 01112t� _ I/t 140 !ISO (01 4. 0 BOUNDARY SURVEY scale l" _ 1/ Gw) �O o■; Nona Pururtjurs �tx LAND SURVEYORS aviD ti Y Nab ° 1S. ,° 41ex / hMtir/1AO 0 /073/1ti4j aMM fil - 9 3 O` 4 c lP - UNIT OF FIAT (JJ. A,O) SHEET NO. OF 10 11.E L cac41 _ E� 010( <oc,4 ) tau, / C asi r 9 4 4 6 7 0 f a // P rC s 2' 23 24 23 22 7( 20 /9 /d /7 ' • N nd t o o '11 9. / NAN' 4` p4 r 3, 54=' . .9 4 . a . 7 , d tcI A7 // , /7 /4 /4 /4 DRAWN BY: 5582 N.W. 7th STREET, SUITE MIAMI, FLORIDA 33126 TELEPHONE: (305) 264 -26 FAX: (305) 264-0229 Survey of Lot: 4 Subdivision: BAY LURE According to the Plat at Page No. 63 of the Property Address: 1130 NE 92 ST, MIAMI, FL 33138 For: SALVATORE RUSSO A - ARC. NC = AIR CONDITIONER PAD. A.E. = ANCHOR EASEMENT. A/R = ALUMINUM ROOF A/S = ALUMINUM •SLED• • ASPH. = ASPHALTI • • • Q� BLOCK CORNER. • SLUG ..4UILDING. • • • • BENCH MAfIK. • • S.E6b6ASIS OF 99A•11•IGS. C. CALCULATED. • = CATCH BASIN • • E.6.646•CONCRETG FLOC. STRUCTI RE. • • • L a eONCRETALOCINALL. CY.4 - CHORD DISTANCE. • • CH. B. = SLIMIIIN6 • • GL i GVF• • • • C.LF. = tCHAIN UNK GENCE. C.M.E. = CANAL MAINTENANCE • EASEM • • CONC. = CONCR T€. • • C.P. = CONC. PORCH. • t! (UNCRETE SLAB. D.E. = DRAINAGE EASEMENT D.M.E. = DRAINAGE MAINTENANCE EASEMENT. DRIVE. = DRIVEWAY. o = DEGREES. E. = EAST. E.T.P. = ELECTRIC TRANSFORMER PAD. ELEV. = ELEVATION. ENCR. = ENCROACHMENT. F.H. = FIRE HYDRANT. F.I.P. = FOUND IRON PIPE. F.I.R. = FOUND IRON ROD. F.F.E. = FINISHED FLOOR ELEVATION. 'a' 4 uiia Oururipties LAND SURVEYORS thereof as recorded in the Plat Book No. 44 public records of MIAMI -DADE County, Florida. LOCATION SKETCH ABBREVIATIONS AND MEANING F N O. = FOUND NAIL 8 DISK FR, = FRAME. FT. = FEET. FNIP. = FEDERAL NATIONAL INSURANCE PROGRAM F N. = FOUND NAIL. • H =tYGH (HEIGHT) • INM& ECP = INGRESS AND EGRESS • • EASEMENT. • L P. = LIGHT POLE. • L.RE. = LOWEST FLOOR • • • • • 'ELEVATION. 41.E•95 LAKE MAINTENANCE • • EASEMENT. • • =•A91 ES. y1 DISTANCE. • MON. = •AONUMENT. %OW 4 MANHOLE • 4169,140NUMENT LINE N•A. P. = NOT A PART OF. • 44191 GEODETIC • VERTICAL DATUM. • • N• = NC1flTH. N T.S. ••NOT TO SCALE 4 - NO. = NUMBER. 0 /S. = OFFSET. OH. = OVERHEAD. O H.L.= OVERHEAD UTILITY LINES OVH. = OVERHANG. O R.B. = OFFICIAL RECORD BOOK PVMT. = PAVEMENT. PL. = PLANTER. P/L. = PROPERTY LINE. P.C.C. = POINT OF COMPOUND CURVE. P.C. = POINT OF CURVE. PT. = POINT OF TANGENCY. POC. = POINT OF COMMENCEMENT P08 = POINT OF BEGINNING. Block: 3 Scale 1" = x(/,rs . 1 . 1 1 I . $ N. e. N. e. P.R.0 - POINT OF REVERSE CURVE. PROP. COR. = PROPERTY CORNER. P.B. = PLAT BOOK. PG. = PAGE. PWY = PARKWAY. PRM = PERMANENT REFERENCE MONUMENT. P.L.S. = PROFESSIONAL LAND SURVEYOR. R = RECORDED DISTANCE. RR. = RAILROAD. RES. = RESIDENCE. W W. = RIGHT -OF -WAY. RAD. = RADIUS OR RADIAL. R.P. = RADIUS POINT. RGE. = RANGE. SEC. = SECTION. STY. = STORY. SWK. = SIDEWALK S.I P. = SET IRON PIPE L B 46044 S = SOUTH. S N D. = SET NAIL & DISK L.8 46044 SP. = SCREENED PORCH. "= SECONDS. T = TANGENT. TWP. = TOWNSHIP. U.E. = UTILITY EASEMENT. UTIL. = UTILITY. U.P. = UTILITY POLE. W.M. = WATER METER. W.F. = WOOD FENCE. W.S. = W000 SHED. A = CENTRAL ANGLE. W. = WEST. C = CENTER LINE. = ANGLE LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): . EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY. AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS. RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE. EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN. THE TERM 'ENCROACHMENT MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS AND THEY WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION, UNLESS OTHERWISE NOTED. 11115 FIRM HAS NOT ATTEMPTED TO LOCATE FOOTINGS AND/OR FOUNDATIONS. FENCE OWNERSHIP NOT DETERMINED. THIS PLAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY: THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE Situated in Zone: AE Community /Panel /Suffix: Date of Firm: 07/17/1995 Base Flood Elevation: Certified to: SALVATORE RUSSO ROYAL TITLE & ESCROW COMPANY, INC. LAWYERS TITLE INSURANCE CORPORATION LOAN CITY.COM IT'S SUCCESSORS AND /OR ASSIGNS 95RD. Y/ 4 ..... n m 2ND. ". u x•� R erg ZIZZECEZZZLICICC 0.00 x BY: 0.00 SURVEY No. SHEET NO. Date: 07/25/2001 LEGEND TYPICAL SURVEYORS'S NOTES 1) IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PUT IN THE DESCRIPTION OF THE PROPERTY IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY TOWNSHIP MAPS 2). IF SHOWN, ELEVATIONS ARE REFERRED TO 8 4 ELEV OF N.G V D. OF 1929. 3) THIS IS A SPECIFIC PURPOSE SURVEY 4). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. I HEREBY CERTIFY. THAT THIS 'BOUNDARY SURVEY' OF THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61017 -6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027, FLORIDA STATUTES. 120652- 0093 -J 8 FT 1 -UUU It 5 5 l OF STReeT. STRteT, WOOD FENCE. CHAIN LINK FENCE. C B.S. WALL (C.B.W.) EXISTING ELEVATIONS PROPOSED ELEVATIONS 1P 6O } IBARRA (DATE OF FIELD W�f1R ' OFESSIONAL LAND SURVEYOR NO STATE OF FLORIDA. (VAUD COPIES OF THIS SURVEY WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). REVISED ON REVISED ON SEAL CONTRACTOR Name 60 F HA.Cr f IV Gr 1. ce /14 X- License No: , 21 g 00 Address r s. , 14 . kik i h-4/1 I ` -FL- --431 Telephone ecoov7 To O Fax bcor7_ 4.31 Qualifier Name J evc ' f PROPERTY OWNER . New Construction Name _75,04, ��° " e, /2 ; s h Enclosure Address ;4 0.v1 C / 9 S --,/e4 li Alteration Exterior e S Home Telephone' 8f 0,� ,vs g, 3 6 ` e..,..:) Business Telephone n 9 s _ ' 6 � - 6 � 0 "T �/ Fax 9 � 6 6,sue A TYPE OF MANAGEMENT (✓ ) New Construction • • Enclosure ' Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other • 'ERMIT Ty1 (• ✓) •• $6ilding • • • • • 'Electrical ' Mechanical Plumbing LPGX Roofing Fence Other APPLICATION INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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. Folio Number Lot • • • b Address: • • 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. .. .. • • • Subdivision _ • • • • •••• Ctitrent Use of Property • PfdpibStd Use pf PPoljerty • •• tgiatit jnformation • • • Address locLC • • • • PCB •. PG Apt. •PERMIT CHANGE (✓ ) ,Chg. Contractor 'Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax �ln ca,P f wumes ft� i� City ate r Zip escription of Work 1, t /AC e? .9f ri-i C Linear Fe t d w L) ) Zoning Square Feet Units Floors Value of Work i, 7a6 . Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Master Permit No. Subsidiary Permit No. ENGINEER Name License No. Address Telephone Fax PERMIT APPLICATION 90 2- " Bldg Value 1 Page 2 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. l , understancrthat sriparate •permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, ArI1 FE44GE. DRI�)✓`�A , ROOFING and SIGNS and there may be additional permits required from other governmental agerie §. : I, the OWNER of the property, have disclosed all information related to any work at the proper •F tformei.ic t ie prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my,hoipe or business under any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, ttie,;price strDettrh; Must rpeet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost.4f.work to my home or business under this and any other permit exceeds fifty percent (S0 %) of the replacement cost of the structure, :then the.entife structure ■rutnst 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, P' 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 STATE OF F pRIDA, COUNTY OF MIAMI -DADE Signature of Owner I VW 51 S S IV Mrint Name Z 2 Yd- Sworn to d subscribed before me this J day ignature of SEAL: ;) Itc - Siko-NE PENA MY COMMISSION R DD 081349 EXPIRES: April 29, 2006 Bonded 'Rue Notary Put* Underwriters Personally known OR, Produced Identification Type of Identification Produced: SEAL: j Signatur of Contractor / Qualifier PERMIT APPLICATION Y. •••• Print Name Sworn to d subscribed before me this 2 -3 day of 9.LAN,AM.41 Personal y known ` OR, Produced Identification CHRISTINE DE LA PENA :. MY COMMISSION ft DD 081349 iv Bonded hni Notary Public b Ur s • .• • ignatur • h.:. it hlic State of Florida Type of Identification Produced: Miami Shores Village 10050 NE 2nd ve nue Phone: 305 - 795 - 2204 Printed: 2/ 13/2003 Applicant: AMA1 BN' Owner: U UT-IA JOB ADDRESS: 1130 NE Contractor Local Phone: Parcel # 1132050270430 Signed: atit4tA \, 92 This Permit is granted to the contractor or builder named above to construct ordinances pertaining thereto and with the understanding that the work will be p and approved by the proper municipal authorities. This Permit may be revoked authorization. A further condition upon which this permit is granted is the under ordinances and regula4ions pertaining to the work covered hereby whether shop by his agents, sery e 9r employee Legal Description: BAY LURE PB 44-63 LOT 4 Fees: FEE2003 -963 FEE2003 -964 FEE20O3 -965 Description Amount Building Permit Application Fee $60.00 Buildier's Bond $300.00 CCF $1.20 Total Fees: $361.20 Total Fees: $361.20 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 8/12/2003 Construction Value: $1,700.00 Work: DRIVEWAY REPAIR AND ASPHALT OVER LAY CEMENT PAVER ON BOARD 1 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling'! — / / (INSPECTOR) Building Permit In consideration of the issuance to me of this permit, 1 agree to perform the 1 with the plans, d tatem is or speci ons s •' mitted to the proper myself, my a nt, servan r mp yes. Permit Number: BP2003 -246 URA #A Pu0.11 AMANDA ,S ST Contractor's Address: 6 1 St11,77OO Q� moo HaNVU8 OL9/C49 -Cg Lnn Page 1 of 1 BLK 3 LOT SIZE 75.000 X 125 a- r 11 rim, Ert 900L `19Et .11261Eb7'14 hOO Ot:12Eh900L C" arr9OOL9OJ/8 roo • &o WOYYOfung.q JIUeg;euO,,UN uolun ,.... waroomewca la I ;, r, ' V Ti 31VO 81E 'Ij o aS PuZ6 de Tft-rs Ito' 0R Di •1: • STATE OF FLORIDA) COUNTY OF DADE) attached survey, performed by Witness(sign and print) Lcum Vittage . . AFFID,4VIT locations of all structures on the property as of this date. • .. Witness(sign and print) SWORN TO AND SUBSCRIBED before me this day Affiant is L- known to me, produced • The undersigned Affiant, A ' does hereby attest that the (proF..rt4% ner) ro , (name ofsurveyor• company) a? f � 6 per ormed o . Of ; , is an accurate representation ofthe existing conditiOns and ". date o survey) as identification. CHRISTINE DE LA PENA :A MY COMMISSION # DD 081349 ecoded EXPIRES: April 29 2006 'I Rene t inder„ •• . • .. • • th; p . Of this• ndavit is to induce Mia Shores Village to issue a building perm it for the . . •••• • • • .property wi J' out first cd�ci�ng a survey less than six (6) r „ont •The • Afnant, as property owner, further hs old. •• . . .. .. • apices to rtR1CM: or •m Its for any structures which n01i' ▪ • may exist on the property which ace not • •••• :.. DtQnitted • 8r which ma v Violate zoning or building code regulations. The Affiant further understands that the • existent • • • • e•qf trij such str�ugures may affect final inspections as applicable to this or other permits.. • Further, Affiant sayeth naught. ' LE ii i j i rP OIMN 1 • STATE OF FLORIDA) •` COUNTY OF DADE) The undersimed Afnant, ! / LaIflL -- _ )ho j�eo V i1 'cj - does hereby attest that the (prop'rk?r;ter) , name of surveyor' company) , is an accurate representation of t h performed o•: arvey) e exuttng conditions and locations of all structures on the property as of this date. .. .. • • . • • • • • Tt• S. . ose o ti�is Afhdavtt is to induce Miami Villa • ge to issue a building permit for the . • • property v►itl�out first }flpyy a survey less than six (6) months old. . • • • • • •. The Afi as property owner, further • . fees to remove or obtain pztrn its for any structures which now -� • .•••• may exist on the property which are not • p. ppitted o? �•htch maf`iiiiate Zoning or building code regulations. The Afant further understands that the •: •eIcistence eraRy guch sjruchres may affect final inspections as applicable to this or other permits.. • • • Further, A&iiant sayeth naught. attached survey, performed by ... AFFIDAVIT • • A' F°antiitrop nY owner (t) S/ �Ay O.2E- Witness(sign and print) Witness(sign and print) SWORN TO A N D SUBSCRIBED before me this d a y of 24 3 Alnant is ersoaally lmowa to me, produced as identification. . : MY COMM # D PENA • '= n �� OD 081349 ' EXPIRES: ,h,ti�`' Bonded rnN Notary " Underwriters �SS� - • • fl //iami SIiorej 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (3051755 -8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, 1..,�1/ A 7s S a , hereinafter referred to as the Owner of the (owner) following described property: Legal description /folio #: Lot Block Subdivision Tax Folio .. .. • • requests permission to install: • • • • • .•.. • • ▪ • • • • �[ sphilt, concrete, brick pavers '"� • • • [ l LaACSt"apfig A-5 ••• Otber • . /Ai/L �� l / . . . ^� • • within the public road right of way of 1/30 AI . , . 90` •-.- ' 5 j7 . „,,i, viL PS. . (address) IN.CONSI DEI; CIQN of the approval of this permit by the Village, the Owner agrees as follows: • • • SIGNED, SEALED, EXECUTED AND ACKNOWLEDG • •• • •• To mairliaina m nd repair, when necessary, the above- mentioned item(s) installed within the dedicated right of way. If it becomes necessa ry 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). SIGNED. SEALED AND DELIVERED in the presence mami SIiore ?}tL 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (3051756 -8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, 15,d/A � >?is g , hereinafter referred to as the Owner of the (owner) following described property: Legal description /folio #: Lot Block Subdivision Tax Folio #: • .. • • • requests permitsionto install: • • • • • • (ir ksiThilt, Concrete, brick pavers • • [ J LahB3'c*arng • • � • � 4 • • • • VOi};ftet ie pubtijp d right of way of 1/30 it . �� a.o.e �� vrzr'S. • • (address) • IN•QONSIDER,CTLON of the approval of this permit by the Village, the Owner agrees as follows: • 1. To maPntaireand 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). SIGNED, SEALED, EXECUTED AND ACKNOWLED SIGNED. SEALED AND DELIVERED in the presence Y T' ' r rt-- - c J ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYI'1•: Outlet, Appliance QTY. TYI'i: Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton • 0 Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton . • Fixture - Fluorescent 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•Freezeir • • • • .. Low -volt, Fire Renew - Temp Service Water Closet Demolition • • • • • • • - • Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dii!l*asher • • • • • • Low -volt, Television Service, Number of Amps Water Heater New . MECHANICAL i YPE •Nlioinum Fee . Q i i'. TYPE Condensate Drain QTY. TYPI. Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons • • - ...... Cooling Tower Heating Strips, each Vent Hood, Cost •4/C Wall/VNIq. 'Rut • • 0 Dryer Vents, Number of Paint Booth Ventilation, Cost .aij'.ljandler, Tons • . • :Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QT1 ". 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 INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. • •. • • • •• Ilk PERMIT APPLICATION RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE /a id Zoning a!�!P/�i _ �i Electrical Mechanical Plumbing Fire Public Works Structural Buildin Official g ��4�1 �� / 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 Metropolitan Dade County (C.C.F.) Inspector State Educational Fund 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) PERMIT FEES (s . f t. 1000 x (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) •• • • • • • • • •• • • • • • • • • • • • • • • • •••• • • •• • • • • • • • • • • • • • • • • • • • • •• • • • •• • • • TOTAL $ 369 / ► 020 • • • • • • • • • • • ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com