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DS-07-399
Issue Date: 3/7/2007 Expires: 09/03/2007 Owner's Name: GRACIA THERMITUS Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 225 91 Street NW Miami Shores Village, FL Contractor(s) HOME OWNER Phone Primary Contractor Yes Additional Information 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 Amount CCF $0.60 Education Surcharge $0.20 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $106.30 Building Department File Copy 2 /4 Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Invoice Number DS - 3 - 07 - 27700 Total: Parcel #: Block: Section: 0 9 PAID Permit Status: APPROVED Permit Number: DS -3 -07 -399 Phone: Amt Due $106.30 1131010331350 Lot: PB: Total Square Feet: 20 Total Valuation: $ 1,000.00 Re • uired Ins ' ections Foundation Sidewalk Landscaping Final Amt Paid 1 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. Date Friday, March 9, 2007 03/09/2007 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: DS -3 -07 -399 Invoice Number: DS -3 -07 -27700 Applicant: GRACIA THERMITUS Company Name: Owner Address: 225 NW 91 ST MIAMI, FL 33150 -2258 Job Address: 225 91 Street NW Miami Shores Village, FL Payment Type Check Number 148 Amount $106.30 Change $0.00 Total Payment: $106.30 Page 1 of 1 BUILDING PERMIT APPLICATION FBC 2004, Permit Type (circle): Electrical Plumbing Mechanical -7 Roofing Owner's Name (Fee Simple Titleholder) 6 ,V" c e o f , Vie r'jy iti(S Phone # ` ©-S ' 14 0 (e 1 0 b /r Owner's Address G :� }-' `�' y. y : c (An Si, City / lJfl ' S tgdl 'e S State F - o Zip 3' 1st' Tenant/Lessee Name �- jQ (y j - � e tr /Jn LT US Phone # 30S - 4 01 - 7 06? Is Building Historically Designated YES Value of Work For this Permit $ Type of Work: Describe Work: _ Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) L ...S City v Miami Shores Village • County Po/ Miami -Dade FOLIO / PARCEL # Contractor's Company Name 6 C,1 l7i rat (1S Phone # 3O CV- 7069 Contractor's Address (9.9_,5 ,&i IA.) 91 St C i t y W g [ e • s f .S State Pi Zip - 33 /SO Qualifier Name 6-A.14 ( L. t9 ' e -ras Phone # 3 Li 0 1-700 State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # /00 - Square / Linear Footage Of Work: on DA1t tion lew D ,Repair/Replace ❑ Demolition coke, Mill( ° /D l [.0 DPBR $ 11 MOMEWIElt AL FR 2 8X001 Permit No. -a O} ZFf9 Master Permit No. tS f 0 5- a°5 4 cif Rr Pm Zip 733 45 ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ° CCF $ l 6 CO /CC Technology Fee $ 2-60 Zoning $ Double Fee $ Structural Review. $ Total Fee Now Due $ ( 0 ( 0 See R $ � e(iawn Bonding Company's Name (if applicable) e Bonding Company's Address �� City State Zip Mortgage Lender's Name (if applicable) p� 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 law 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. � p� �J q Signature ' G` �- (((( l P � l'"' / 6 J Si /' - ,G ( r -r R � ' G S (Revised 02/08/06) The foregoing ' u s i ent was acknowledged before me this r NOTARY PUBLIC: Sign: _ Print: My Commission E Owner or Agent ires: APPLICATION APPROVED BY: day of , 20 , by y C who is personally known to me or who has produced (�-c- As identification and who dic)za. o �, @�. Up 1, 20 ®'® 4D D 0� 215641 ^ 4 /i // i - „n � °• or mo o, ;• �y�r' Contractor The foregoing instrument was acknowledged before me this ufda of ' A.6.. 20 O7, by 64 4-P�1 rd-: ril&7,, e, A P1/4 , who is personally known to me or who has prctrit* • as identification and wk,' vb 4 '61, '1::' ,a< G� 'R a ° 'A9u� NOTARY PUBLIC: e m ° 1, 2 o o � A % a 6 Q e` r�iir Sign: "�-sf� 9 .. 'on, Print: /J 1 9, . Plans Examiner Engineer ( i p 3 Zoning Planning an Zoning Criter Contractor(s) Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Owner's Name: GRACIA THERMITUS Job Address: 225 91 Street NW Miami Shores Village, FL Permit NO. DS -3 -07 -399 Issue Date: Not Issued Phone Primary Contractor Folio Number:1131010331350 Owner's Phone: Total Square Feet: 20 Total Job Valuation: $ 1,000.00 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/1/2007 : Yes Comments: Existing walkway built without a permit. Plan is approved as to location only. Material and construction to be reviewed and approved by building department . BOUNDARY SURVEY ONE STORY RESIDENCE # 225 F.FL.EL.=1348 EFRAIN C. LOPEZ PROFESSIONAL LAND SURVEYOR No.2300 1800 W. 49th SURE 324E HIALEAH, FL 33012 PHONE(305) 512-3710 cb b.) DRWY. U.P. 8.0.8. A/C A BLDG. C.& CH. CL C/L cONC. 08 17.35' FND. I.R. al 01/2" -s• ?` (NO I.D.) 5 SJBE.WALK " • . . . • . LEGEND AND Al38REVIATION9 • ELEVATION SLR. • DRIVEWAY P.O.C. ,.. UTILITY POLE F.N. - BASS OF BEARINGS P.T. - AIR CONDMONIND PAD E.N.C. ■ ARC DISTANCE F.H. • .• BUILDING ELP. .• CATCH BASIN ELR. - CONCRETE BLOCK STRUCTURE LF.E. .• CHORD DISTANCE LP. ■• CUMII ( ., LINTER UNE (R) .• CONCRETE p /- 15' ALLEY/ 10' PAVEMENT 75.00 \ '-•• • .75.00 ASPHALT PAVEMENT N.W. 91th STIr (70' TOTAL R/' PORCH . ...•••• • • .". 4- LOT 21 BLOCK 136 -P 17.20' C.L.F. / ** 1 1 10' ONPL 11 P. P. g tri FND. I.R. 01/2" (NO ID.) RECORD • (R & .• = •--: ORD & MEASURED TS.e • • • • -••-° - • e • 0: • • • • • • • • • III • • • • • • • • • • • • * 6 .... ********* • • •e *** • • • • • • • 00000 : : • • • o •• P.L••• •• • ■• SET IRON ROD P.R.0 .• POINT OF COMMEN—CEMENT P.C. +., FOUND NAL POINT OF TANGEN • • F.N.D. ,-, CY • • • MC. • • • • • • • • : : • ENCROACHMENT • r: • • • • • • • • • - FIRE HYDRANT • GALE • 4 :. 4 : : • * • • .. FOUND IRON PIPE • • O.E.• • a .• FOUND REBAR 001 pA - LOWEST FLOOR ELEVATION .• LICHT POLE • ■• MEASURED P.O. P.O.% • • • • I • • I • • • FND. I.R. 4 .?.• „„ •1 01/e.,.; , (NO I.) SCALE: 1" = 20' VIVI • B/C • B/C • - • • '134.60(R) 154.541M) RES. •----.....? Ft/VT • SEC. • S.LP. - SIDEWALK UE. .• uttlnY EASBAENT • _ _; IRON — .7. ST( .• STORY r BUILDING CRITIQUE SHEET fL Prbc ice.. Reviewer: Claudio Grande C.B.O 305 - 795 -2204 Ext 1430 Miami Shores Village Building Department 1 0 N B /did Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 19 67 39' Job NamellE2.4 j cos. Date O3- 02 —(2)7 2;2.0 x .