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1263 NE 94 St (8)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 0 305- 795- 2204 Building Inspection Request Inspection Date Correction Re- Insp'n Fee Date \3)\615 Type Insp'n 5/ 1 41 Ic rPL- el/VA')/ Permit No. /6/ © 4 4 ' -- / o c# Name g / ali- Address 1 3 4'i- q1-7L Sr Company Phone # ti Tel: (3051795.220_ _ 4 Fa . 05) 756.8972 'E17 iEI E BUILDING triEZ CM PERMIT APPLICATIO1 FBC 2001 Permit Type (circle):Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Ti 0/4 .✓ _ SG Kry Phone Dr- - J 3SS Owner's Address I a- L 3 N 4_ A 'r Sr City i' s SFf bRgs State 71-- Tenant/Lessee Name Job Address (where the work is being done) / -G3 2. City Miami Shores Village County Miami -Dade Is Building Historically Designated YES Contractor's Company Name Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. 41 4 Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: Describe Work: Total Fee Now Due $ ['Addition (Continued on opposite side) Miami Shores Village Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 "f — qy ST NO ✓ Code Enforcement $ Structural Plan Review. $ Permit No. 6' 61 -/O? Master Permit No. Zip 3 3 t Phone # Phone # 410 Phone # - *quare Footage Of Work: 345 9 Zip 3 3 t 3 F /3 /8 5F Alteration ['New El Repair/Replace ❑ Demolition C C<IF sb Submittal Fee $ � Permit Fee $ � CCF $ 3r 65 CO /CC Notary $ ' Training/Education Fee $ // a 0 Technology Fee $ Scanning $ Radon $ Zoning Bond $ 36v - Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 4) o a 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 $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. Owner o Agent Contractor owledged b ore me this g The foregoing instrument was acknowledged before me this _ I ►f til day of , 20 _, by who is personally known to me or wi as pro P z-O L who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. The foregoing instrument was ac day of _ , 20 0 NOTARY P Chc 05/13/03 Si. • / :6 . : OpQ , op xptres �l d " "' Atlantic Bonding D323870 26, 2008, � 3 40/ � ( 4 lei ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: 01,5e /)///f r .Signature N7 .RY PUBLIC: Sign: Print: o., Inc My Commission Expires: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0v 3 \bt-f Plans Examiner Engineer Zoning / -- (11 :Leee, ee //c;v: ' 6/) V zt ,, ( 1 Z- - 75' % �, / N ,95'91 l ca ,95'92 l in tn N 75' in 97.0' 7 8 / 9 10 11 12 N 13 / ., ° ° ° 75' ji 75' 75' 20 19 .*Z'S£ t CO N ,95'91 l ca ,95'92 l in tn N 147.42' 14 J r) O PO OVHO - WOO - POLE 75.00' 10.11' PLANTER 10.07 FD. 3/44 I.P. 3.70' CL FD. I.P. 0 0 tii 0 N O SKETCH OF BOUNDARY S URVFY 75. . 0' 0 N 3' C.B.S. WALL & 3' C.L FENCE ° 0 0 c+� 0 N N.E. 94th STREET r p�0.3' SOUTH W.M. SET SPI 273 Zoning Approved 0 I\ 0 t rs N.E. 94th STREET 20 40 60 SCALE: 1 INCH = 20 FEET 0 I LOCATION MAP SCALE: r— 100 LEGEND: A C = AIR CONDITIONER C.B.S. = CONCRETE BLOCK STUCCO C.L — CHAIN UNK FENCE CONC = CONCRETE ENC. = ENCROACHMENT FD = FOUND IP = IRON PIPE O.H. — OVER HANG OVHD = OVER HEAD ELECTRIC WIRES = PROPERTY UNE LS = REGISTERED LAND SURVEYOR WM WATER METER 80 SURVEYOR'S CERTIFICATION: WE HEREBY CERTIFY THAT THIS SURVEY IS TRUE AND CORRECT TO THE BEST OF OUR KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED AND PLATTED UNDER OUR DIRECTION AND THAT THIS SURVEY COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA, UNDER CHAPTER 61G17 -6 FLORIDA ADMINISTRATIVE CODE, CHAPTER 472.07 FLORIDA STATUTES. No. NOT VAUD WITHOUT THE SIGNATURE AND RAISED SEAL OF THE REGISTERED LAND SURVEYOR SHOWN HEREON. DATE: NOVEMBER 29, 2004 SCALE: 1 =20' DRAWING NUMBER A. R. TOUSSAINT & ASSOCIATES, INC. LAND SURVEYORS FLORIDA CERTIFICATE OF AUTHORIZATION NO. LB -273 620 N.E. 126 ST. NORTH MIAMI, FLORIDA 33161 FB: 508 PG. 11 j T DATE:NOV. 29, 2004 ORDER No. 13626 1 ■I SCALE: 1" = 20' LEGAL DESCRIPTION: LOT 8, OF "MIAMI SHORES BAY VIEW ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 40 AT PAGE 16 OF THE PUBLIC RECORDS MIAMI -DADE COUNTY, FLORIDA. A.R. TOOD T x ASSOCIATES, INC. BY; I✓�%�� -✓ /� - �L7 iaali PRES. ALBERT R. TOUSSAINT REGISTERED ENGINEER NO. 8939 REGISTERED LAND SURVEYOR NG. 907 STATE OF FLORIDA TITLE Mr. JOHN D SCHMIDT II 1263 N.E. 94th STREET MIAMI SHORES, FL. 33138 SHEET 13626 1 OF 1 I DRAWN 8Y: RS 75' 7 75' . 19 9 10 11 75' In 12 N . 97.0' 1 eP 13 75' 5 75' 20 . 19 �Z 5£ co • i' 6Z ,95'92 co • ,9S'9Z in Ln n 147.42' 14 Zo 0 0 in 0 N O SKETCH OF BOUNDARY SURVEY 0 3' C.B.S. WALL & 3' C.L FENCE ci 0.3' F SOUTH I W.M. SET I.P. 273 N. E . 94th STREET Zoning Approved N.E. 94th STREET 40 LOCATION MAP SCALE: 1"= 100' LEGEND: A.C. C.B.S. C.L CONC F = IP = 0.H. — OVHD = ILLS = WM = 60 SCALE: 1 INCH = 20 FEET AIR CONDITIONER CONCRETE BLOCK STUCCO CHAIN UNK FENCE CONCRETE ENCROACHMENT FOUND IRON PIPE OVER HEAD ELECTRIC 'AIRES PROPERTY UNE REGISTERED LAND SURVEYOR WATER METER 80 SCALE: 1" = 20' DRAWING NUMBER A. R. TOUSSAINT & ASSOCIATES, INC. DATE: NOVEMBER 29, 2004 LAND SURVEYORS FLORIDA CERTIFICATE OF AUTHORIZATION NO. LB -273 620 N.E. 126 ST. NORTH MIAMI, FLORIDA 33161 FB: 508 PG. 11 T DATE:NOV. 29, 2004 ORDER No. No. 13626 N SCALE: 1" = 20' LEGAL DESCRIPTION: LOT 8, OF "MIAMI SHORES BAY VIEW ", ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 40 AT PAGE 16 OF THE PUBLIC RECORDS MIAMI —DADE COUNTY, FLORIDA. SURVEYOR'S CERTIFICATION: WE HEREBY CERTIFY THAT THIS SURVEY IS TRUE AND CORRECT TO THE BEST OF OUR KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED AND PLATTED UNDER OUR DIRECTION AND THAT THIS SURVEY COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA, UNDER CHAPTER 61G17 -6 FLORIDA ADMINISTRATIVE CODE, CHAPTER 472.07 FLORIDA STATUTES. No. NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF THE REGISTERED LAND SURVEYOR SHOWN HEREON. A.R��CT :I.�TES, !NC. BY: ALBERT R. TOUSSAINT REGISTERED ENGINEER NO. 8939 REGISTERED LAND SURVEYOR NO. 907 STATE OF FLORIDA SHEET 13626 1 OF 1 PRES. TITLE Mr. JOHN D SCHMIDT II 1263 N.E. 94th STREET MIAMI SHORES, FL. 33138 1 DRAWN BY: RS i Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /21/2004 Applicant: JOHN Owner: SCHMIDT JOB ADDRESS: 1263 Contractor Local Phone: Parcel # 1132050100070 NE 94 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -1609 SCHMIDT JOHN ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 6/6/2005 Construction Value: $6,000.00 Work: DRIVEWAY WITH BRICK PAVERS Page 1 of 1 Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOT 8 LOT SIZE 75.000 X 125 OR Fees: FEE2004 -12781 FEE2004 -12782 FEE2004 -12783 FEE2004 -12784 FEE2004 -12785 FEE2004 -12786 FEE2004 -12787 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Builders Bond Total Fees: Amount $150.00 $3.60 $5.00 $1.20 $3.75 $6.00 $300.00 $469.55 Total Fees: $469.5 Total Receipts: — W00 Dom. y PAID 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: VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT Gf n/ S& Lf v1q 1 o(being the legal property owner, for the property Located at: f 5- 3 N t1- ri 1 m A M I S 4 z Legally described as . 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. 489.103(7),,.gnd I have read and understand the following disclosure Statement, which entitles me td work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or 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 525,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) Was aclmowledged before me this 2 day of ' , 20 By r 5014u d Pro initial of reviewing clerk. The foregoing instrument who is personally known to me or who has as identification and who did take an oath. rgas D231984 s: Jul 13, 2007 Bonded Thru (+.tlantic Bonding Co . Inc Owners Name and Address ... ..... 4 M Registered Architect and /or ginner Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR . UILDING 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. C ._ L 0 Subdivision St; work to 4one and purpose of building (by floors).. No.,,/ (c:..L . Street._... / ` o ` ....'.,/ , and for no other purpose. New Budding Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 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 permit does hereby certify that he understands and accepts his obligations as an employer of Libor under the 'Florida ‘Vorkmen'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 public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under permit, as are licensed by Miami Shores Village. Remarks (Signed) . �,.�_! - STATE OF FLORIDA, COUNTY OF DADE. ss 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. ._. /L7 G' - Date ✓ -26 Disapproved / Date (Signed) PL INC BOARD DATE Chairman Member Member Member Member ...... Member ..... Council Approved Date Disapproved Read, Sworn to and Subscribed before me. Notary Public, State of Florida Bui Inspector J \ My Commission Expires to me well known, Date NOTE: A charge of $I.00 will be made for making corrections or changes to this application after approval the Planning Board. A re fee of $1.00 will be charged when such re- inspection is mado necessary by Improper notice for inspectitm or faulty materials and /or workmanship. has been obtained from NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION e i/ PERMIT NO. FOLIO 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. Legal description of property and street/address: 1-- v T 9 ») , • S Nb Roft, B Jay V W Iac.3 z '9'1 s '., m >ai -- 5 - ALra- 3313Il 2. Description of improvement: R-c- 3. Owner(s) name and address: —J J Oft .� N 0 t{ 61 A t4 i )-i-3 N g.- ci , t ST w g Q.ii k S/4646 , i Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contractor f,any)a this onccn on Name and address: f' - - -' ° ') :c I Seal. Amount of bond $ 6. Lender's name and address: nature of Owner Print Owner's Name f �Sworn to and subs before me `• Notary Public Print Notary's Na ' e My commission e 123.01 -52 PAGE a 8/02 1910N - R S`iATEO-f:I_O°1'):A, .),- L'•.Ji e• 1•... �� OFf •VITNESS my hcnd IARVEY NUM, Expires: u ,\+':Antic 13ondingCo . tni. 111111111111111111111111111111111111111111111 CF RA 21304-R it 172960 OR Bk 22952 Ps 2876; (1Ps) RECORDED 12/29/21)I)4 14:29:22 HARVEY RUVINP CLERK OF COURT MIAMI -DADE COUHTYP FLORIDA LAST PAGE 3313$ ii and Couray Co!.rw n.C. 7. Persons within the state of Florida designated by Owner upon whom notic -- 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 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 date is 1 year from the date of recording unless a different date is specified) Da() t S1 t4 • Prepared b Oh is m P Y this a of l / ` ' Address: Ou.....“_./K Mabel V argas P �Q : Commission unn23 00 7 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /21/2004 Applicant: JOHN Owner: SCHMIDT JOB ADDRESS: 1263 Contractor Local Phone: Parcel # 1132050100070 Fees: FEE2004 -12781 FEE2004 -12782 FEE2004 -12783 FEE2004 -12784 FEE2004 -12785 FEE2004 -12786 FEE2004 -12787 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Builders Bond Total Fees: Amount $150.00 $3.60 $5.00 $1.20 $3.75 $6.00 $300.00 $469.55 Total Fees: $469.55 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 6/6/2005 Construction Value: $6,000.00 Work: DRIVEWAY WITH BRICK PAVERS Signed: NE 94 (INSPECTOR) ST 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) Building Permit Permit Number: BP2004 -1609 SCHMIDT JOHN Contractor's Address: BY: Page 1 of 1 Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOT 8 LOT SIZE 75.000 X 125 OR PERMIT APPLICATION,,FOJ MIAMI SHORES VILLAGE Job Address 2- n ' Tax c5! ter /l - E - ' - ' i a- , .31. Da t el Legal Description '. II Owner / Lessee / Tenant l .4 Owner's Address Square Ft. 077 OWNER'S, be dope su o th' r Notary as to My Commissio ** * * FEES: PERMIT APPROVED: * C.41-p ) &J-1106(for i /D oz -S' . 6 ° d664144446e7/2 ss# Phone ,5,1 -,SV 3a Estimated Cost(valueP4S * NOTARY Folio 8'326 IV. . 38b0 . 8" 7( 3 - /us sue. Master Permit 0 S ! 1 9 Phone / S —Cf ��/ / J Address ®e Notary as to /Contrq4tor My Commiss n &spires: ractor or Owner- Builder or Owner- Builder I. 52,1995 TOTAL DUE 2 ** Other Electrical Engineering fv ( SthW cC fcteSts?(;Je Ems.riA Rip olt IZzS edasr PERMIT APPLICATION, ,FOR MIAMI SHORES VILLAGE Date ` Job Address /7'4-3 '‘ 9' - Tax Folio Legal Description Owner / Lessee / Tenant Mk ' MRS T ho\➢ S 1IM,UT Owner's Address 12.63 Ill • E . q/.7- Phone ll 0 0090 2- Master Permit # 35 200 a Contracting Co .PAM AMF I C.AA rna0S 10 e.0 . Address Qualifier J. FRA,JK McCo(f WORK DESCRIPTION ReSOR.FACE gieSi.577J` D1ZIJQw i / f i. Signature of owner and /or Condo President Date: FEES: PERMIT 31%5O RADON APPROVED: Fire Zoning Building Mechanical Plumbing Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN FENCE SIGN cs?_ Square Ft.t2-2 124. Estimated Cost(value) 1000 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 done in compliance with all applicable laws regulating construction and zoning. Furthermore, I autho,a the above-named ntrl tor o do to work stated Ultk My Commission Ex ► - = /off Cvr�d gr esade 4 Notary as to s ires } L ; � ,� gri,TE FLOTUDZA. r or 7 a T tC r NO. C.C:17 197 *it * * MY r �' 61-- - 2kir: Si _'a ure of Contract r •r Owner- Builder Date: Notary as t Cont actor or Owner- Builder My Comm ssioa Eipsres:. 1 Na ._�.�._ ; .' 1 ** C.C.F. '' NOTARY TOTAL DUE V.00 Other ? ( Electrical Engineering