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DS-10-1468BUILDING PERMIT APPLICATION FBC 2004 Type of Work: Describe Work: ❑Addition Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 B Permit Type (circle): Building Roofmg Owner's Name (Fee Simple Titleholder) sAU / Z/ IU D? Phone # 305- 75/ 45. /D Owner's Address Zia n16 Q,e City /14 / A- 1 5 Ito ‘ 02.E - 5 State PC . Zip 33/ 3 Tenant/Lessee Name Phone # �— Job Address (where the work is being done) 4 Al F q 02, e ted -- City Miami Shores Village County Miami -Dade Zip 33/ g FOLIO / PARCEL # 1 I - 3 , 2 0 6'- Q/4-0079 Is Building Historically Designated YES NO Contractor's Company Name 11.Q44,t J � S L' rM Phone # . 6.5 . gf ci g /7 Contractor's Address )l$3 5 Lt1,Qjt o ,...t Q _, aw City i). i/ Al.,o ly vvq, State l Zip .33 /II C3314,0 Qualifier Name — ,t,.Yt Phone # State Certificate or Registration No. • Certificate of Competency No. 06 ciS 00670 Architect/Engineer's Name (if applicable) Phone # v Value of Work For this Permit $ 3. 5 t Square / Linear Footage Of Work: 1. 1 66'42 i DAlteration 01(e eo" ❑ Repair/Replace aIl1 Permit No. ( ) Master Permit 1Y o. ❑ Demolition ** ** ** **** * ***** * ** * * *** ** ****** **** F * * * ** ************** * * * ** **** *** Submittal Fee $ 60.00 Permit Fee $ CCF $ CO /CC Notary $Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ r 1 0 4 v See Reverse side -, Bonding Company's Name (iffpr[Slicable) Bonding Company's A City State / Zip 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 A1414 'IDAVIT: 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 reinspection fee will be charged. Signature As id NOTARY PUBLIC: Sign: Print: (Revised 07/10/07) 6-1, Devirl/r My Commission Expires: 8:12,-1 / }p APPLICATION APPROVED BY: Si ature Owner or Agent Contractor 2 The foregoing instrument was acknowledged before me this ! The foregoing instrument was acknowledged before me this /3 day of 61 , 20 /0 , by 20(1 ZAAMA' , day of , 20 / by f ' Aul. ,p. FAaci is personally know to me or who has produced caols personally k n to me or who has produced n DANIEL P. DOWER MY COMMISSION # DD917231 ,'' " EXPIRES August 21, 2013 407) 398.0153 F!ortdallotery8ervice.00m t Sign: !/ rP ( Print: `& - My Commission Expires: C Zl * * **** * **** * ***** ******* ** ** **** * **e******************* **** * *******e************ ** * *** CA / I/5 (C7 Plans Examiner Engineer Zoning Inspection Number: INSP - 150119 Permit Number: DS -8 -10 -1468 Scheduled Inspection Date: September 16, 2010 Inspector: Bruhn, Norman Owner: LEZAMA, LOUIS Job Address: 420 NE 92 Street Project: <NONE> Contractor: PAVERS AND BRICKS SERVICES CORP Building Department Comments NEW CIRCULAR DRIVEWAY AND WALKWAY FRONT DOOR PORCH WITH MOSAIC CHICAGO BRICKS Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 15, 2010 Miami Shores, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060140079 Phone: (305)986 -2544 Page 10 of 23 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STAT FLORI COUNTY OF IAMI -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: 2. Description of improvement: r •. _: r' 3. Owner(s) name and address: ,cL X313' Interest in property: _ Zr Name and address of fee simple titleholder: 4. Contractor's name and address: 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 bees 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, Owners designates the following person(s) to receiv 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 ' spec ie nature of s n r Print Owner's Name Notary Public Print Notary's Name My commission expires: 1 23.01 -52 PACGE 4 2/02 Sworn to and subscr • ed before me this MY COMMISSION # DO917231 EXPIRES August 21, 2013 STATE OF FLORIDA, COUNTi`"OF DADE I HEREBY CERTIFY that this is a true copy of he • iai filed in this :: nn v oof WITNESS u hard arid Official Seal. iiARvEY CLE tt.. rc�iit sad County Cooks A ' %' , 3 " D.C. f , Gm 1 111111 11111 11111 11111 11111 11111 11111 1111 1111 Prepared by C :FN 201 IR0549241 OR Bk 27395 Ps 3501; (1Ps) RECORDED 08/23/2010 11030 44 HARVEY RUVINv CLERK or COURT MIAMI -DADE COUNTYy FLORIDA LAST PAGE • • copy of the Lienor's Notice as provided I . • Address: 9.55 e '© _ C, �`C�� e fL 3 7t 3 SIGNED, SEALED 1 � r ra.Q, -M:r wwlia 41 .. -... requests permission to install: Notety Publlo Print Notary% Noma My camagisdon expires: COVENANT OF CONSTRUCTION ITHIN RIGHT OF WAY (owner) within the public road right of way of LGL.r X h015 Asphalt, concrete, brick. pavers [1 Landscaping [ 7 Other 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 , Telephone: (30.5) 795- 2207. • ..:,Fax: (057-$972,. WHEREAS, / 00,4 I . T 4.4 M , hereinafter referred to as the Owner of the following described property: • Legal description/folioar: et. 8/Zt7./C 10 , - Pa 09 't yo Fr Lot /0 Block l/ 11TH Subdivision Tax Folio P r : // -- 3 Ot9 f, 01 - 0 0%9 (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 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, The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which inay 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 4nd/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 Ws fully authorized representative). SIGNED, SEALED, EXECUTE. . Nb ACKNOWLEDGE on t 's d of du G O 40WOR NQ. 9316' Revised this 23rd day of February, 1989 to show. Final Survey. Tield Book -3 9, Page 69. - • • ..... • • • .• • •• • •. BY: • • c N. E, ORDER NO. 9098 Field Book 319, Page 39 u • .. . .. • • . • • • • • • • . LQCATIQN MAP s 1 n =10cg • • • SKETCH OF SURVEY • • SURVEt: 'Of LOt'9, and the East 40 .feet of Lot 10, of Block 49, of MIAMI gHORE$'ECTIC 7 Nt. 2 ", according to the Plat thereof recorded in Plat Book 1b'at Page 37 of the Public Records of Dade County, Florida, lying and being in the Village of Miami Shores, Florida. Containing 11,546 square feet of land, more or less. DATE: April 27, 1988 SCALE: As shown WE HEREBY CERTIFY: that the attached SKETCH OF SURVEY is true and correct to the best of our knowledge and belief as surveyed and platted under our direction in April, 1988. We further certify that this survey complies with the Minimum Technical Standards for Land Surveying in the State of Florida, Chapter 472,. of Florida Statutes. A.. R. TOUSSAINT & ASSOCIATES• INC. LAND SURVEYORS 620 N.E. 126 Street, North Miami, Florida n S i-- -- a ORDER 1 14304: F.B. 318 PG. 70 REVO3 TIAS 26th DAY OF NOVEMBER 2007 TO SHCW SURNEY UPDATE - '22 -- $� 50' ALBERT R. TOUSSNNT REDIMEREDIMMWEtMLBWM REGLSiERED LAND SURER NO 907 STATE OF FLOR M :: . FLORIDA CERTIFICATE OF..AUTHORIZA1 LB -273 ORDER NO. 9208 F.B. 319, P. 65,66 Revised this 13th day of September, 1988 to show foundation location and existing floor elevations.