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725 NE 93 St (14)APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. � Date t�-. Owner's Name and Address.... ' / /✓ 7 41 ,.J) . N `k Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) /4 Y � i G i /_ (S: G"'l'' Disapproved / (Signed) i MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss. Street r✓ 4 Notary Public, State of Florida and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 7 Estimated Total cost of improvements $ 5 ✓ eia Amount of Permit $ Zone cubage required Flan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. e > LL i , e ' ) // !///4 /6: / /eye i zi Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true Permit No 7 Date 1' — Read, Sworn to and Subscribed before me. Building nspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 6-71094k Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT Date 305- 795 -2204 Buildin: ns.ection Request Type Insp'n Permit No. v J r d- R0 Name r Yt Address 2 s !" c q 3 Inspection Date V Approved Correction Re- Insp'n Fee Inspection Date Correction rAIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 5 144 Type Insp'n Permit No. B O5 Name ^� q Address ! D-5 10 E q 3 sf Company nct r / Phone # lJ " 1 s l Re- Insp'n Fee ❑ 0 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 lv) Buildi g Inspection Re•uest Date Type Insp'n Permit No. Name Correction Address 7 5 '\ e q s Lv Company " CO/0i t Inspection Date Phone # ggp Re- Tnsp'n Fee ❑ Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -286 Printed: 3/16/2005 Applicant: ROLANDO FERNANDEZ Owner: FERNANDEZ ROLANDO JOB ADDRESS: 725 NE 93 ST Contractor SUPER STAMPED CONCRETE Contractor's Address: 5204 S. W. 134 CT. Local Phone: 305 - 220 -1163 Parcel # 1132060141830 Work: PLAIN CONCRETE DRIVEWAY Page 1 of 1 Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 29 & LOT 30 LESS E2OFT BLK 65 Fees: Description Amount FEE2005 -3403 Building Fee $150.00 FEE2005 -3404 CCF $3.00 FEE2005 -3405 Training and Education Fee $1.00 FEE2005 -3406 Technology Fee $3.75 FEE2005 -3407 Scanning Fee $6.00 FEE2005 -3408 Builders Bond $300.00 FEE2005 -3409 Submittal Fee ($50.00) Total Fees: $413.75 Total Fees: $413.75 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/28/2005 Construction Value: $4,700.00 0 - 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: Miami Shores Village Building Department 10050 N.E.2r1 venue Miami Shores, Florida 33138 Tel: 303 O4 — M O0156.8972 BUILDING ° ` 2 r=' Permit No. e:,tz PERMIT APPLICATION Master Permit No FBC 2001 Permit Type (circle): Tenant/Lessee Name State Certificate or Registration No. $ Value of Work For this Permit Owner's Name (Fee Simple Titleholder) Rol clod o - Fernarcte Phone # 331— 0 2 1 1 Owner's Address a5 me 9 st M. Shores 1F 3313 8 City M 6hores State r L Zip 3313$ Job Address (where the work is being done) E) NE 'I 3 Az City Miami Shores Village County Miar ' -Dade Zip 33 139 is Building Historically Designated YES NN. Contractor's Company Name SO PER s +Qmp tr Nenfreina Phone # 305- •a 0- 1 1 (o 3 Contractor's Address 5204 5u) 13 CA City State F1 Qualifier W i L I i Arri 9115 Architect/Engineer's Name (if applicable) Phone # Type of Work: ❑Addition ❑Alteration ❑New Describe Work: PLATS enti Ett 91Zlv5-IN7 4 4100, 0 0 Square Footage Of Work: 11-loo * * * * * * * * * * * * ****** * * * * * * * * ** F ees * * * *** * * * * * * *** * *A* * * * * * * * **** Submittal Fee $ Permit Fee $ /S CCF $ �^ CO /CC Notary $ Training/Education Fee $ ,�'— Technology Fee $ 75 Scanning $ — Radon $ Zoning Code Enforcement $ — Structural Plan Review. $ Total Fee Now Due $ +0 :7 C e (Continued on opposite side) 1 Electrical Plumbing Mechanical Roofing Certificate of Competency No. E 98 1.9 0 Phone # zip_ 3311.S Lf F:epair/Replace ❑ Demolition Bond $ ?eR® 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 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 82500, 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 comme for the first inspection which occurs seven (7) days after the building permit is issued. In t inspection will not be approved and a rei spectio 'e will be charged. .............. .............. MAR FRA�@ Comma 8224 atuie 4,4 ! Ih1u (80o)432 -425a .NN.w.....110•11 O r Y Aasn., Inc The foregoing instrument was acknowledged beforee this a The foregoing instrument was acknowledged before me this ae day of Fit- , 20 0E by e 1Q (1O I_SYi'AI et,, day of 1 &r , 20 OS, by [..0i )1;A I - 1 JVS who is personally known to me or who has produced Di. who is peally known to me or who has produced Signature Own r or Agent As i ication and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: /� /� // ��� /._� Sign: q -eikA t.L Sa..A4.4.--- Sign: �/�i � Print: a / w! • Print: y t i n -.. S a --. S My Commission Expires: 'I' I Co I 0 $ My Commission Expires: (013/01 1 Chc 05/13/03 NOTARY PUBLIC: APPLICATION APPROVED BY: coo of umtgA e o sz tice, th ;`r COMMIS...$IO # i t7 g091841 !! :: ;10147 ) Contractor de4ey 3 4/d I Plans Examiner Engineer Zoning STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, attached survey, performed by Witness(sign and print) (date of survey) Affiant is personally known to me, flh iami SJorQ� Vdtcte Dp' AFFIDAVIT �ol ardo erwa t ck2 , does hereby attest that the (property owner) (name of surveyor's company) performed on , is an accurate representation of the existing conditions and 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. Affiant/Property owner Witness(sign and print) SWORN TO AND SUBSCRIBED before me this ag day of C 200 S as identification. MARaA FRANCO /SANS "" Comm# DD0282247 s ilea 451=8 SWIM IAN (800)432-4254 Rata Aron., •• ..... (ACKNOWLEDGEMENT-INDIVIDUAL) STATE OF FLORIDA ) ) SS. COUNTY OF MIAMI DADE ) The foregoing instrument was acknowledged before .me by , who is personally known to me or who has produced as identification and who did (did not) take an oath. Signature of Acknowledger: Name of Acknowledger: STATE OF FLORIDA ) ) SS. COUNTY OF MIAMI DADE ) Title or Rank: Serial No.(if any): (ACKNOWLEDGEMENT - CORPORATION) The foregoing instrument was acknowledged before me on by , of a corporation, on behalf of the corporation. He/She is is personally known to me or has produced as identification and did (did not) take an oath. Signature of Acknowledger: Name of Acknowledger: Title or Rank: (Typed, Printed, or Stamped) (Typed, Printed, or Stamped) Serial No.(if any): m ami Shore liar 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 - 2382 Telephone: (305) 795 -2207 Fax: (305)356 -8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, RO I Cl nd 0 - Fe rns ndez, hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio #: ' 3� 0( - D 1 �{ S 30 Lot Re! d' 3 0 - 2014 Block Co 5 Subdivision Tax Folio #: 1I-3l0(c - " O)4 - 1830 requests permission to install: [/fic'sphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of 7a5 1J2 q 3 At (address) IN CONSIDERATION of theapproval 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. ?. 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 ACKNOWLEDGE on this a day of SIGNED, SEALED AND DELIVERED in the presence of: m .,,,,, 3. pktuEtuhv f PPRo4ct-f MAROLA FRANCO /SANS Comm# DD0282247 Expires II Bonded Oyu (800}4800)4 32 2 -4254 'inn Oyu Florida Notary Assn., Inc - ?A5" Ne.q8A-t ALLA,/ po "II, otazpo PDW011 3 Zoning Approved c.'f' STATE OF FLORIDA, COUNTY OF DADE 1 HEREBY CERTIFY that thin is t of iho oriN' filed i n lb' olfica on day of au< _. A D 24-1 5 VIIITT 'ESS my hcni on - ftrcia! HARVEY- IN r E County Courts ey ,/it 1rL,u!1 - D.C. NOTICE OF COMMEJ CEMEN A RECORDED COPY MUST BE POSTED ON TIIE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 1 � — 3 Q 0 (c -01 - X 5 30 3. . Owner (s) name and address: RC l t n d 0 Felrn and22 Interest in property: Name and address of fee 'mple titleholder: 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: $ 6. Lender's name and address: Name and addres unless a different date in specified) -.� SiM gnature otOwner • Print Owner's Name Sworn to and subscribed before e this Notary Publi Print Notary's Name My Commission Expires: �olando — — - leoolrax,: XN a day of rjJr20 O. 1 CFN 200 OR Bk 23125 Ps 2076; (1P9) RECORDED 03/01/2005 14:52 :35 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE STATE OF FLORIDA COUNTY OF 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: 5 N E 93 • �`'� ■ a m I Shora S Sec. 3 tot aq * ' o - E�,o ¢ ' 66 I Pe, 10 ) P 6- 31 2. Description of improvement: PLATO 0-01\1c r -i.e. d r i ve aAy 1 1. • 4. Contractor's name and address: ! NCrete 5R09 BSI I3 I -t■AMi ei 03176 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) ( a) 7., Florida Statutes: 8. In addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713. 13 (1) ( b ) 7., Florida Statutes. Name and address 9. Expiration date of this Notice of Co gj t ( expiration date is 1 year from the date of recording LA F ................. Canynip °8 2247 � 4/6/200e Prepared by: a ro la -F; 6'S Address: 690 6,1) it 01- M R n.1J i FI. 3irS