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DRIVEWAY PERMITS/ZOO �l 4( 9� S % 3 a 0/25/ Date � � 5 Job Address Tax Folio 1/ I )1 5bt Ra V, / ) /� n C71/ Legal Description(,(/ V t �`o c_ / D Owner / Lessee / Tenant ' (h4/i/ 0!/V73L.uf/ Owner's Address Contracting Co. /q 1 //V( Phone e ' - /017 State # Municipal # Competency # Z Ins.Co. Architect /Engineer o .F. Address Bonding Company n/ VN F Address Mortgagor gk Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / `EP4 ✓E 4sPv-ML 2e,ve ,',i P 0/2 Estimated Cost(valu 5 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be do - in compliance with all applicable laws regulating co, ruction d zoning./ Furthermore, I auth . z;e the ab tamed corxVractor to do the work Square Ft. Signature of ot&ne and /or Condo President Date' FEES: PERMIT //t RADON APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /2epO N• �• �?� �T o President Mechanical C.C.F. 1 Fire Buildin Plumbing Master Permit # 376 Phone Notary as Wca Owner- Builder My Commissioi � � � D�‘ 'o 0 14- 0? / 7F * * * * * * ** NOTARY TOTAL DUE Other Electrical Engineering d .�. M�♦ -41P I ',TCrY G . Lit iZ60 The may be additional restriction that are not shown art this survey that may be found In the Pubtfc Records of this county. 2 - Examination of ABSTRACT OF TITLE will have to be made to determine recorded Ihetnmrents. R any affecting property. 3 - location and IdentMcation of Miles R any. are shown In accordance with Recorded Plot, 4 - Ownership fs i•ublecI to OPINION OF TITLE. 5 - Type of Survey: - BOUNDARY SURVEY" e - This Survey Ni not valid unless signed and sealed by the Surveyor of Record. 1 - Baarfngs hereon are reterred to an manned volt* of for the said bedrtng B identical wtth the plot of record 8 - Elevations tf shown are referred to National Geodelt Vertical Datum of Mean Sea Level 1920 Benchmark: Elevation,- Location index: COMMUNITY NUMBER ZOh52 PANEL MfrvIBER SUFFIX t�t.l rf re ' $hc.J a, 7e - /1 eco�c7 e 'sue /es- /9,74 1.1 f; n, r Att,e. 6 obT►ot.ls • . ooslc = c orbs -rE sr r on ro P' ¢ _o N w U o o o w w o � U tY cc Z O Z w Q o > w O d Q } m U u) SURVEY FOR: I HEREBY CERIFY: 1 -t9 Subdivision 74 T AM I f c..Wo �ZQs CERTIFY TO: LUH COMPANY COMPANY, ITS SUCCESSORS INSURANCE FUND, INC. FIRM ZONE AA E /7,,' e ALAN KORNB ASHLEY TITLE BARNETT MORTGAGE AND /OR ASSIGNS AT'TORNEY'S TITLE BASE FLOOD ELEVATION ,e,00 .6.710 g1 Lot 20 LESS the East 15.0 feet and the East 40.0 feet of LEGAL DESCRIPTION: lot 21 Block F 1i ORES_ BAY V I E.W according to the Plat thereof o, Recorder In Plat Book . .0 at Page —ill—of the Public Records of Dade County, Florida. LlLAI-( r= o.E.Ue v1-4 � r r That the survey of the above captioned property was completed under my supervision and/or drectlon, to the best of my knowledge and belief: this survey tneefa or exceeds the Minimum Techntcat Standards Bet forth by the Florida Board of Land Surveyors In Chapter 61 G17 Fl Administrative Code. pursuant t0 Secftch 427.027. Florida Statutes. 6 SKETCH OF SURVEY QEt I .. do wisido r. Pa., Regf t•rrd Lohd Survsye Vote of I i dda 12888 S.W. 53rd ST. DELTA SURVEYORS, LAND SURVEYORS LAND 'PLANNERS . _ PHONE; 223 -9447 NC. MIAMI. FLORIDA SCALE: 1"--, ;o DATE: 6../1 PAEZ DRAWN BY: FB: PE' REVISED DRAWfNG NUMBER ."4 -44! SO 41 3 S SO roc: L DATE Of FIRM It 3.02.9_ Applic.,) is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 speEifi!d2or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer ( 5 Name and address of licensed contractor Location and legal description of lot to be built on: St STATE OF FLORIDA COUNTY OF DADE. } SS. APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Lot �U ' B ock Subdivision / 7/0 treet and Number where work is to be done cT work to be done and purpose of building (by floors) Estimated Total cost of improvements $ : (;)C) v �V Kind of oundation Date Remarks (Signed t� // Amount of Permit S s .4 . anrs / tate exterior c / t - s rs (submit samples r c�'ot(�► /' /({ and for n other purpose. New Building / Q) ' :� odeling ��'� Addition Repairs /j)%/7).r:..)11 To be constructed of ( • Roof Covering No of Stories Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot /Cu 1 X / Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to (‘E? The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, complied with the provisions thereof, and will ,equire similar compliance from all contractors or sub - contractors employed by him in the work to be perform under this permit; a will pest or ca s be pos d' for inspection on the site of the work such public notice or notices as are required by the Act. The undersi ed agrees employ o such su.con acto on wo to be performed under this permit, as are licensed by Miami Shores Village. Before me. the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared 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. Date 1 ce) Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public. State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and■or workmanship. MIAMI SHORES VILLAGE 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. Q�� Date lg�s Owner's Name and Address._... ��. 4 ✓ No.. /.,cZ 6.6 Street_ .A.,/ 1 L 7 / E 2 - Registered Architect and /or Engineer STATE OF FLORIDA, COUNTY OF DADE. Ss' BUILDING INSPECTION DEPARTMENT Name and address of licensed contractor Location and legal description of lot to be built on: Lot_i O ' S / Block 1 8 ° 2 -i Subdivision. 0— " Street and Number where work is to be done /2=6+ W E 9 ,/ State work to be done and purpose of building (by floors) c .. z� s_u and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 3 Amount of Permit $ Zone cubage required plan 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 5968, 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 public 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. Remarks (Signed) I S,. 2,14-d-a'1--1-- 0...rp-td-v-1 . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 l Date 2 — Read, Sworn to and Subscribed before me. Disapproved Date/ (Signed) ....- l�._ Building Inspec - My Commission Expires to me well known, Notary Public, State of Florida 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. BUILDING ELECTRICAL PLUMBING ROOFING i�4 a '1 1 Owner of Building ' MIAMI MIAMI SHORES VILLAGE. FLORIDA PERMIT N9 3647 0 Work to be performed under this Permit Ate Architect Contractor l or Builder :_ t. % Legal Lot Description t #11- * - 43t Address of Building Signed Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. t . DATE Contractor's License No. r• J 7 195_ Amount of Permit $ 2 BY 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. f CONTRACTOR OR BUILDER r. f BY AUTHORITY Date TypeInsp'n Permit No. Name Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDINCI 305—.95-2204 Buil. ng Inspection Request Address /v 4 D /� C Jest- l � Company Phone # Inspection Date BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): .4 Owner's Name (Fee Simple Titleholder Owner's Address City / G i.i?,P.� State 7- Tenant/Lessee Name S Job Address (where the work is being done) ),: C /Y J 94 " ($ 7' City Miami Shores Village County Miami -Dade Zip 3 3) 3c ^ ' Is Building Historically Designated YES NO l +rQy /' Contractor's Company Name Sk 1 e , Now e6 Cr vl Phone # 7g4- 6 \0 - o c o 7 Contractor's Address 1('Q 5 O- I I Cr) I i i v■S A1'e # a 01 City 5UV11 Isles State r L Zip 33160 Qualifier L am / ; S P�n(iq��p P.' S State Certificate or Registration No.X 03 B5 0036 �. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit's . ; 000 Type of Work: ❑Addition ❑Alteratio ❑New ❑ Repair/Replace Describe Work: A ft '1 y 11E►: !M� Submittal Fee $� Notary $ Total Fee Now Due $ (Continued on opposite side) ** Code Enforcement $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 * * * * * * * * * * * * * * * * * * * * ** *F * * * * * * * * * * * * * * * * * ** /50 a- CCF $ 3, CO /CC Technology Fee $ 3 7 J Bond $ 300 Permit Fee $ Scanning $ 9 Radon $ Training/Education Fee $ Zoning Structural Plan Review. $ Permit No. WOW -- /5r( Master Permit No. Plumbing Mechanical Roofing U( Phone # ' O 7$ 7i /b _ Zip 8 Phone # Certificate of Competency No. Phone # Square Footage Of Work: DEC 13 PAID cry a��a * * * * * * * ** f� /00 — ❑ Demolition performed on 'STATE OF FLORIDA) COUNTY OF DADE) /41b 7 l The undersigned Affiant, G' /v r)/) Y , does hereby attest that the (prope owner) attached survey, performed by U i/G Y S X /1/( (name of surveyor's company) , 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. /4 ri Affiant/Pr p owner Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me thi \ day of NO'u Affiant is personally known to me, produced as identification. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION r PERMIT NO/.Y ��� / 1 / TAX FOLIO NO. I/7 r . /� - (V.L) 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. Le • al descri ao 2. Description of impr emept: Pt/ t 4 eit `Ct- /1/ �/ /� _ address: � � � �"�, /v /31- 1 G' A9 t � A 7 3/ 1 Interest in property: / % 1071-el 3. Owner(s) namm tion Name and address of fee simple titleholder: 4. Contractor's name and address: te a ie S ,lrrQ C c C (JO+ (Ov' , 4. 112 (nllfnJ - #0-E — 'rip( 33 J �rC 5. Surety: (Payment bond required by owner from contractor f anv) A COUNTY FDA Name and address: STATE OF � � ORr� t - s a true Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by upon provided by Section 713.13(1 a)7., Florida Statutes Name and address: 9J C7 j .0 .S'h r f ;3 3/s 8. In addition to himself, Owners designates the following person(s) to receive 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 Commencement: (the expiration C �nY is sPe � ) �.G Signature of Owner Print Owner's Name 4 diffe da Sworn to and subscrib :.. -fore me this 6% day of .0 Notary Public Print Notary's Nam My commission ex•'res: 123.01 -52 PAGE 4 8162 of property and street/address: S: 6 t 11 filed office on zo o the i V , who PG oun tfthnents may'6e erved as Courts N Kv3-i/ �1� 1O %��'_�����C �° ' " T I ssion > pp 1984 ' �x p i r� n�' 2007 %fl,antic 130 ' C Inc. 1 , l'G NN' *I Ye P8 nrlg:93 WITNESS my hand date is 1 year from the date of recording 11 11111011111111 hill111111111111111ttii1111 i_ iFN 2004R10941!52 OR Bit 22888 F'9 4595; t1P9 RECORDED 12/08/2004 1¢:55:74 HARVEY RUV_Ith CLERK OF COURT MIAMI -DADE C:OUF;TYr Fl ORICAA unless a Prepared by //L9A Xe/T/V &- U' Address: Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2004 -1546 Printed: 12/2/2004 Applicant: ALAN Owner: KORNBLUH JOB ADDRESS: 1260 NE 94 Parcel # 1132050100180 Signed: (INSPECTOR) Building Permit KORNBLUH ALAN ST Page 1 of 1 Contractor STYLE HOMES CORPORATION Contractor's Address: 16850 - 112 COLLINS AVE, # 284 Local Phone: 786/290 -0507 Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 W6OFT OF LOT 20 & E4OFT OF LOT 21 LOT Fees: Description Amount FEE2004 -12076 Building Fee $150.00 FEE2004 -12077 CCF $3.00 FEE2004 -12078 Notary Fee $5.00 FEE2004 -12079 Training and Education Fee $1.00 FEE2004 -12080 Technology Fee $3.75 FEE2004 -12081 Scanning Fee $9.00 FEE2004 -12082 Builders Bond $300.00 Total Fees: $471.75 Total Fees: $471.75 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 5/28/2005 Construction Value: $5,000.00 Work: PAVER DRIVEWAY 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: 1 CO 1 -f . F I 'Z f3 /ocE reo ne/ 1 - There may be additional restriction that are not shown on this survey that may be found in the Public Records of this county. 2 - Examination of ABSTRACT OF TITLE will have to be made to determine recorded Instruments, if any affecting property. 3 - Location and Identification of Utilities if any. are shown in accordance with Recorded Plot. 4 - Ownership is subject to OPINION OF TITLE. 5 - Type of Survey: "BOUNDARY SURVEY" 6 - This Survey is not valid unless signed and sealed by the Surveyor of Record. 7 - Bearings hereon are referred to on assumed value of for the said bearing is identical with the plat of record 8 - Elevations if shown are referred to National Geodetic Vertical Datum of Mean Sea Level, 1929 Benchmark Elevation= Location Index COMMUNITY NUMBER z06,52 1 1 Z o - ol.{r o GOT / 7 /70 /t/fd SU /e6:7 /SQr-o PANEL NUMBER 413��.E Y f LT `GL� Gn s,tC ETE G6 1.iG S r (Jc 7 E 3 For r 1{ SUFFIX DATE OF FIRM INDES( J 3 -0 2. 94 /reco/66' /5V/ /47 4/ •, 50 C44.&10 L( r1� F E Lin& QTY f' IGG Z�, FIRM ZONE ■ eeo.� r . P % €/LI ALAN KORNB ASHLEY TITLE BARNETT MORTGAGE AND /OR ASSIGNS ATTORNEY'S TITLE BASE FLOOD ELEVATION e2 , . Lot 20 LESS the East 15.0 feet and the East 40.0 feet of LEGAL DESCRIPTION: Lot 21 Block Subdivision MT AN S.Y0RES alla VIEW according. to the Plat thereof as -Recorder in Plat Book 40 at Page 16 of the Public Record of Dade - County, Florida. Z • E �l LtJ t -} SURVEY FOR: f /i ; f 1' O CERTIFY T0: I HEREBY CERIFY: SCALE: l''= Z DATE: 6- /h -°,4 L t.-- le) if c- 1 -� 1 61 N INSURANCE FUND, INC. LUH COMPANY COMPANY, ITS SUCCESSORS ree , • 1 That the survey of the above captioned property was completed under my supervision and/or direction, to the best of my knowledge and belief; this survey meets or exceeds the Minimum •Technical Standards set forth by the Florida Board of Land Surveyors in .Chapter 61 G17 Florie-m Administrative Code, pursuant to Section 427.027, Florida Statutes. I I Pres. 12888 S.W. 53rd ST. DELTA SURVEYORS,11VC LAND SURVEYORS LAND PLANNERS PHONE: 223 -9407 MIAMI, FLORIDA APPROVED 8Y: PAEZ REVISED SKETCH OF SURVEY 9Et1A SURVEYORS, 1 Waldo F. Perez Registered Land Survey() State of f%olrtda 8 DRAWN G . FB: / PG :,��. DRAWING NUMBER �.� - ��.