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DRIVEWAYMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui1Bding Inspection Request Date �p� i 0 , �, Type Insp'n Final D(IvuakiC.) Permit No. 8f 5 X49 Name 1�'lJ� 1rIG Address G 1 JE c 4 Company [ 37 -4041 Phone # 12_eClo bie 1aui rQ Inspection Date 120 Approved Correction Re- Insp'n Fee ❑ ..�� 2.4 via 22 o Type Insp'n Permi 6 as - 7a3 hth-vco-ii Name Address Company Phone # Inspection Date pprove Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil'ing Inspection Request Date / 3 Re- Insp'n Fee ❑ 7o NE 93417 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address 6 Cit t�U=�, 1 \ State Tenant/Lessee Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (30 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES °6BL at.s ( • '-t Contractor's Company Name Contractor's Addres 6 © i City — ' Qualifier s0.'4c� tate � �° G 0\L . Q- ikl � State Certificate or Registration No. CG C (so 832,7 $ Value of Work For this Permit j ..G1 Type of Work: ❑Addition eQc() #1145 Submittal Fee $ '• CO Notary $ Training/Education Fee $ 1 �© Scanning $ Code Enforcement $ Total Fee Now Due $ S • ®� (Continued on opposite side) Radon $ 4Y c 6 615 Permit No. P6 " J Master Permit No. Electrical Pllumbi g Mechanical Roofing Q (3"-)r. / • 0 Phone # ( S -RS - _5 /4- Zip i 3g Phone # go llE 9 1-2-c v 8 Coun ami -Dade Zip 3 I 3 TO .326-4041 Zip 333 1 Phone # Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # ❑Alteration Permit Fee $ 4New Describe Work: cks (1 , J 2ii Square Footage Of Work: _t2O S ) ****************************F / / 0 J � CCF ❑ Repair/Replace ❑ Demolition + LAV.J,s Technology Fee $ Zoning Bond $ Structural Plan Review. $ / ? CO /CC . 13 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 tmderstand that a separate pernlit 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in e sence of such posted notice, the inspection will not be prove and a rein ion fee will be charged. Chc 05/13/03 Owner or Agent I Contractor The foregoing instrument was ackn wledged before a this 1 6 fi\ The foreg ing instrument was acknowl ed yore m this l 1 - day of , 2016, by o.!4R .e1 ' ROA='-' day of , 20t$ , by G_..k °–'-c— who is pe in. ly known o me or who has produced me or who has produced v as identification and who did take an oath. As identification and who did take an oath. NOTARY P Sign - iss on E Bonded Thru Notary Public Underwriters My C ! %L ��- . ICJ — d J APPLICATION APPROVED BY: Plans Examiner Engineer Zoning m ami S/iorc� Wage COVENANT p OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, Yerc C a R�� hereinafter referred to as the w O ner of the (owner) following described property: Legal description /folio #: Lot Block Subdivision Tax Folio #: requests permission to install: (Asphalt, concr [ ] Landscaping [ ] Other within the public road right of way of (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 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 full auth•rized represe tative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this SIGNED. SEALED AND DELIVERED in the presence of: 1 GREGORY L JEAN-LOUIS ;= MY COMMISSION # DD 309339 EXPIRES: June 28, 2008 q"' b; •' Bonded 'Nu Notary Public Underwriters 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 - 2207 Fax: (3051756 -8972 tz _s(4 pR[uECutV f PPe o►4rcH- 'STATE OF FLORIDA) Affiant is Further, Affiant sayeth naught. Witness(sign and print) COUNTY OF DADS) 2 The undersigned Affiant, a ■C , does hereby attest that the (property owner) attached survey, performed by (name of surveyor's company) performed on , 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.. SWORN TO AND SUBSCRIBED before me this l6 ANday of Affiant/Property owner Witness(sign and print) produced as identification. a : GREGORY L JEAN-LOUIS MY COMMISSION # DD 309339 i EXPIRES: June 28, 2008 ,; ,,h Bonded Thru Notary Pudic Undernrftera • ; 'I12,'•5 , V . . /> .wa2 37 ;, 1 6 xD.. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF MIAMI -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. L g al description of pro erty and stye Uaddress: 60 t z 9 3 ..3!uu. k 2. Description dd�f imprwen ( different date is specified) Signature of Owner Print Owner's Name Notary Public Print Notary's N My commission exore: O TAX FOLIO NO. 3. Owner(s) name and address: G q3 Interest'in property: Name and address of fee simple titleholder: 4. Contractor's name and d s: 110 ` - \tJ I o-►� T —c , �cJ 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 provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following. (s) to rece(,►e 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 Cop°rrpenc U c(J\ S\.so&en - :I- 33 ment: (the expiration date is 1 year from the date of recording unless a 0 to , //' ' I repared by Q-° aC2 Sworn to and subscribed before me this !W day of M , 20 0 A e's. 3 (c. EXPIRES: June 28, 2008 Balled Tlvu Notary Public Underwriters 111111111111111111111111111111111111111111111 CFN 20I05R0547347 OR Bk 23420 Ps 0600; (1as) RECORDED 05/27/2005 15:04:18 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE ec.cA /2. O9 t z i�- ,33 (3g 333( .S Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/2/2005 Applicant: PATRICK MORROW Owner: MORROW PATRICK JOB ADDRESS: 670 NE 93 ST Contractor RELIABLE CONCRETE CORP. Contractor's Address: 1101 SW 18 CT Local Phone: 305/229 - 4945 Parcel # 1132060141510 Fees: Description Amount FEE2005 -6732 CCF $3.60 FEE2005 -6733 Training and Education Fee $1.20 FEE2005 -6734 Technology Fee $3.13 FEE2005 -6735 Scanning Fee $3.00 FEE2005 -7149 Building Fee $125.00 FEE2005 -7150 Submittal Fee ($50.00) Total Fees: $85.93 Total Fees: $85.93 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/12/2005 Construction Value: $5,400.00 Work: OLD CHICAGO BRICKS DRIVEWAY & WALKWAY AND PORCH Signed: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 11 & E1/2 OF LOT 12 (INSPECTOR) Building Permit Permit Number: BP2005 -723 Page 1 of 1 1 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: BLK 63