660 NE 93 St (6)MIAMI SHORES VILLAGE g5
BUILDING DEPARTMENT /}
305- 795 -2204
Building Inspection Request
Date id 3 110
Type Insp'n J n Qau -Q.44
Permit No. Of 163
Name (J -cli v
Address Vi M E Q3 -
Company CLei d `o
Phone # t3f)S - 303— 9
Inspection Date
Approved
Correction
Re- Insp'n Fee
0
1\4IAMI' SHORES VILLAGE
BUILDING DEPARTMENT /
305- 795 -2204
Building Inspection Request
Date ` 6 13 11(71
Type Insp' n 1 % n CAS;
Permit No. 01- 1 v.) 1
Name L/rCLa - � U
!0
E 43
Address (va
Company C L r g. rad 144 (a 1 5ct.Gf.e---
Phone # 3 0-5— 9 — 7 - 7
Inspection Date 9 it /b
Approved .
Correction ❑
Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bu ding Inspection Request
Dat
Type Insp'n
Permit No
Name
Address Ge40 NE. . q 54-
Company
Phone #
Inspection Date at g.
`,/
Re- Insp'n Fee
Miami Shores Village
RECEIVE) Buildin g Department
artment
J R 2 7 ? 1 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
�` Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No. \ Pam — /03/
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Buildiu Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) . a (S� 110 e4 0 e ms - X4 - � 7 -- Phone # V 86 c/0a 6349
Owner's Address (off Pk. &rfiEe7
City ) /JV-ll sl4V94S State Zip 33 /3
Tenant/Lessee Naine
Job Address (where the work is being done) 66V Nc ?3 Q.EE`7
City Miami Shores Village County Miami -Dade Zip 3343
Is Building Historically Designated YES NO ,/
ao5- IS- cC ll''
Contractor's Company Name
$ Value of Work For this Permit
Type of Work: ['Addition I=1 Alteration
Describe Work: .. i.iUv6uid R 4 C 3
Total Fee Now Due $
(Continued on opposite side)
Master Permit No.
Phone #
Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work: ciao
❑New El Repair/Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $`Q � CIkC t� Permit Fee $ /0/9 CCF $ 6 ( () CO /CC
Notary $ Training/Education Fee $ Technology Fee $ g( 50 r�g
Scanning $ 3 Radon $ Zoning Bond $ 3Z
Code Enforcement $ — Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
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 AIk "CbNDITIONEkS, 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.
The foregoing instrument was ..w edged befor
day of
My Commission Expires:
APPLICATION APPROVED BY:
Chc 05/13/03
Signature
Own r or Agent Contractor
The foregoing instrument was acknowledged before me this
20 orf , by JO46 FPOM'GD ?4)- RP?, , day of , 20 _ , by
who is personally known to me or who has produced £IC 3 y2o
420-23 As identification and who did take an oath. as identification and who did take an oath.
NOTARY IC: NOTARY PUBLIC:
�; #.4. , Alberto Cardona
Sign: _ Sign:
Print: � : E�Ps Dec 21, 200? print:
ham
Atlas Bonding Co., Inc.
who is personally known to me or who has produced
My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
*************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
AUG 2 Plans Examiner
Engineer
Zoning
.07/0
13:13 MIAMI SHORES VILLAGF 4 93057150026
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILT)ER DISCLOSURE .STATEMENT
I e 1'° i - being the legal property owner, for the property
Located at: 66 D /4.. 93
Legally described as Ov "
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 4B9.103(7)0nd I bave read and understand the following disclosure
Statement, which entitles me to 3Work as my own contractor, I further understand that I as the own=
must appear in person to complete all appliations.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for apermit under an
exemption to that law. The exemption allows you as the owner of your property, to act as your
even though you do not have a license. You must supervise the construction yourself. You may build
improve a one - family or two-family residence or a farm out - building. You may also build or improve a
commercial building at a cost of $25,000.00 et kss. The building must be for your own use and occupancy. It
the
may not be built for sale or lease. If you sell or lease a building it have built
le ourse1 ich nny e year rte
construction is completed, the law will presume that you built sale to make sure
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility
that people employed by you have licenses required by .state law and by county or municipal licensing
ordinances. Any person working which means that you must deduct F.C.A. and t*rith- holding tax and
and must be employed by you,
provide workers' compensation for that employee, all as prescaibed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided (✓) 9.A initial of reviewing clerk. The foregoing instrument
Was acknowledged before me this
day of 20 0 t {
gy 4i,. Dfd ci a i �c who is personally known to me or who has
Prdduced � C & '4W 1 f 2 9 / 0 as identification and who did take an oath.
Owner
Alberto done
Commissio 276489
21, 2007
chin ota Mantic Bonding Co., Inc.
NO.098 P001
WHEREAS, 5050 o �} ‘L Z., hereinafter referred to as the Owner of the
(owner)
following described property: '
Legal description/folio #:
L�7' /3
Lot WANT NZ oP LO'f12 -4ll. Block 63 Subdivision fi/gd -+/ Stlor22d / c-77O.) 3
Tax Folio R:
requests permission to install:
/i PPS er`}ctt
fl//ia,ni SIjorpi
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (3051.756- 8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
bi Asphalt, concrete, brick pavers
] Landscaping
( ]Other
within the public road right of way of 660 ,'J& q3
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
1. 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 'away 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 thie 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 ACKNOWLEDGE on this 2- day of ck` L , 200 V
SIGNED. SEALED AND DELIVERED in the presence of:
"',•, o ar • ona
on #DD2l64S9
M
.3 .A '' " Bondut Thru
� a"nr� Atlantic Bonding Co., Inc.
70. 78'
A . 13 /
,�
//
•
f
O'
�
"
11
"
10
"
9
°
8
"
7
50'
6
paAo.idd
RtaiuOz
154.80
' SKETCH OF
OUNDARY SURVEY
95.82
19.90'
4' C.L FENCE
4' C.L FENCE
93rd STREET
IP.
CAP
.10'
— — 0.40'
_::41 0 CONC. FOOTER
REVISION DESCRIPTION
A. R.
LEGEND:
CBS = CONCRETE BLOCK STRUFIURE
C.L = CHAIN UNK (FENC
_ -CONC. = CONCRETE
EJP = EDGE OF PAVEMENT
FO = FOUND
I.P. = IRON PIPE
WO = WOOD
N.E. 93rd STREET
ORG
TOUSSAINT 8c ASSOCIATES. INC.
LAND_ SURVEYORS
FLORIDA CERTIFICATE OF
AUTHORIZATION No. L8 -273
620 N.E. 126 ST. NORTH MIAMI, FLORIDA 33161
ORDER No. 13541 DATE JULY 19, 2004
FB: 506 PGS: 23 SCALE 1" = 20'
A.R.
SCALE: 1
N.E. 92n.d STREET
n n
LOCATION MAP
SCALE: 1 100'
PREPARED FOR:
19
PO
20
It
21
.1
22
50'
23
50'
MR. JOSE HORACIO BAILEZ
LEGAL DESCRIPTION:
SURVEY OF THE WEST 1/2 OF LOT 12 AND ALL OF LOT 13,
BLOCK 83, MIND SHORES, SECTION 3, ACCORDING TO THE PLAT
THEREOF RECORDED IN PLAT BOOK 10 AT PAGE 37 OF THE PUBLIC
RECORDS OF MIAMI -DADE COUNTY, FLORIDA.
SURVEYOR'S CERTIFICATION: _ -
WE HEREBY CERTIFY THAT THS SURVEY IS TRUE AND CORRECT
TO THE BEST OF OUR KNOWLEDGE AND BELEF AS RECENTLY
SURVEYED AND PLATTED UNDER OUR DIRECTION AND THAT THIS
SURVEY CO►IPUES WITH THE MINIMUM TECHNICAL STANDARDS
FOR LAND SURVEYING IN THE STATE OF FLOHIUA, UNDER
CHAPTER 81017 -8 FLORIDA AOMINISTFJATIVE CODE, CHAPTER
472.07 FLORIDA STATUTES.
NOT VALID WITHOUT THE SIGNATURE AND BUSED SEAL UF. THE
REGISTERED LAND SURVEYOR SHOWN HEREON.
TOUSS INT ASSOCIATES. INC
' �gt�if vREs
ALBERT R. IOl6SAF4T
REGMOLED OME R NO. 6975
RET,'6IERRED LANG AINVC,OR NG. 901
STALE OF FLORIDA
DATE: TITLE
JULY 19, 2004 MR. JOSE HORACIO BAILEZ
660 N.E. 93rd STREET
= 20 ' MIAMI SHORES, FLORIDA 33138
DRAWING NUMBER I SHEET DRAWN BY:
13541 1 OF 1 RS
PERMIT NO.
ADDRESS: _
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT
SECTION
BY
DATE
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with di Federal, Slat
County, Village Mes and regulations. Village essunti
no responsibility for accuracy oflor resutts fro
these plans.
2. This copy of plans mutt be available c
buHding site or no Inspection wilt be conducte
JOB ADDRESS
APPLICANT
PHONE #
APPLICATION ►' tuAy
SHEET OF
MISCELLANEOUS
DATE
? s7
ZONI.NG
f0
CRITIQUE SHEET 1 k S - NCO
COMMENTS
D I / S/ 0 Ni (/-6 Y
/5 0 ? QI / , /e
CAD oti ? 31 o r i S flo-
c
v A7GL w, c4() fr v
INITIALS
141 4A
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, HOgAct -Ai LE , does hereby attest that the
(property owner)
attached survey, performed by Q . . 7V OSS4 /nr7- A-S C , >ovt
(name of surveyor's company)
performed on 7- / 9 boy , is an accurate representation of the existing conditions and
(date of survey)
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.
SWORN TO AND SUBSCRIBED before me this . day of
Affiant is personally lmown tome, /produced Pc 8Y 70 VIC1 23 '/ Z) as identification.
Witness(sign and print)
rto Cardona
ission IIDD276489
Expires: Dec 21 2007
„, i Bondea i ni
Atlantic Bonding Co., Inc.
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/9/2004
Applicant: JOSE BAILEZ
Owner: BAILEZ JOSE
JOB ADDRESS: 660 NE 93 ST
Contractor
Local Phone:
Parcel # 1132060141520
Building Permit
Permit Number: BP2004 -1031
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 12 & ALL OF LOT 13 BLK 63 LOT
Fees: Description Amount
FEE2004 -8032 Building Fee $100.00
FEE2004 -8033 CCF $1.20
FEE2004 -8034 Training and Education Fee $0.40
FEE2004 -8035 Technology Fee $2.50
FEE2004 -8036 Scanning Fee $3.00
FEE2004 -8048 Builders Bond $300.00
Total Fees: $407.10
Permit Status: APPLIED Permit Expiration: 1/23/2005 Construction Value: $2,000.00
Work: DRIVEWAY BRICKS PAVERS
Total Fees: $40 OOC 132-
Total Receipts: $ . 0
35
t gi g-io c. Il 3a
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY: