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1291 NE 94 St (10)APPLII ATUON F®R 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. Owner's Name and Address. & egiatered rehitest and / ®r Engineer.... Name and address of licensed contractor_._ 1. .. cr Location and legal description of lot to be built on: Lot Street and Number where work is to be done Z — f State .rk to be done end purpo of building Estimated Total cost of improvements $_ Disapproved © (Signed) (. -- BUILDING INSPECTION DEPARTMENT Date__ Building Inspector Block Subdivision LRL®0NS PERMIT Date New Building Remodeling Addition Repairs 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, therein by him stated are true. Permit No._ � x�1 � 7 Date � Read, Sworn to PLAN ING BOARD DATE and Subscribed before me. and for no other purpose. No of Stories To be constructed of Kind fou . 'on Roof Covering (7 t7 (7 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 labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance . . all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be :.sted for in .ection on e o : wor uhli cnotice or notices as are required by the Act. The undersigned agrees to employ onl such subco . ac ors or +�'. der this 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 - to me well known, and that he did sign the same, and that all facts Notary Public, State of Florida My Commission Expires Chairman G 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 81.00 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 Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ v._ ❑ DATE 195 p PERMIT 11T° 2 Contractor's License No. ❑ Work to be performed under this Permit Owner of Building B1 Subdi- vision Value of --- Project $ Amount of Permit $ 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. f Signed. 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. CONTRACTOR OR BUILDER BY AUTHORITY 8�+'. Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Build¢ng Inspection Request °F:;/t4 la/ �l tk id e ct st • BUILDING PERMIT APPLICATION FBC 2001 Owner's Address / 02 9 / /1/E city/0 am $ t✓ State / — L Tenant/Lessee Name Phone # Is Building Historically Designated YES NO X $ Value of Work For this Permit Type of Work: ❑Addition Describe Work: Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department I 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 f OCT X0114 Tel: (305) 795.2204 Fax: (305) 756.8972 4/g6sa ""/ Permit No. Master Permit No. 4 r;utwd7 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Aetil J, Y y /c Phone # 30,x 7 ;9' - e 89.3 6 _/Y 4 zip 33/36 Job Address (where the work is being done) /Of/ / / J E TO Jy , City Miami Shores Village County Miami -Dade Zip 3338 Contractor's Company Name 4 £'j.,'4 e r Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # s f a.I/ rick /ao rs , flaes Square Footage Of Work: dos ❑Alteration ❑New X Repair/Replace ❑ Demolition * ** * * * * * * * * * * * ** * * * * * * * * * ** F ees * * * * * * * * * * * * * * * ** * * * * * * * * * * *** Submittal Fee $ .5u `''!C4 Permit Fee $ l CCF $ 3, CO /CC Notary $ Training/Education Fee $ ri Technology Fee $ / 3 Scanning $ Radon $ Zoning Bond $ 360 - q.I3DN 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 $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 • sproved and a reinspection fee will be charged. Signatur- 07,4w i %ro�� /1/( /6 ( 0 / Si Ow er Age Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of eei, 20 UV, by , day of , 20 , by who is personall known to me or whp has- produced who is personally known to me or who has produced Chc 05/13/03 ntification and w . did.an oath. My Commission Expires a -aa -d-oD_S * * * * * * * * * * * * * * * * * * * * * * * *, * ** ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** } °r� LOURDES MARS �+ • 41 Notary Pubic -Stale of Fiatitla . 2, f ^�r` rrIr �.:.: . �.. 4. �. �. F.. n r ?,. Comm al,n # CC994650 APPLICATION APPROVED BY: NOTARY PUBLIC: Sign: Print: My Commission Expires: • as identification and who did take an oath. ocT 1 2 20% Plans Examiner Engineer Zoning Located at: Proof of ownership provided ( ) Was acknowledged before me this Produced Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE .STATEMENT ` 1a/ley . , '/ k being the legal property owner, for the property I • V'g /S C. 3,3/3 0 Legally described as L0 : / . ' , D � % ' • ' _ , , e cu . Do hereby petition the Village of Miami Shores to ac as my own contractor pursuant to e laws of the State of Florida, F.S. 489.103(7),And I have read and understand the following disclosure Statement, which entitles me to akrork 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. initial of reviewing clerk. Tlie foregoing instrument day of 20 B y who is personally known to me or who has o did take an oath. • • Air er as identification '17,C:r Fi5 LOURDES UNARE Notn$y PubEc - State of RartzS MyCornrfte, ErosFnb22, Comm on 0 (.c 4453 ZONE COMM PANEL SUFFIX DATE BASE k E 17065Z 0? ,../ 7-1 7-J5 - a I at F Picrl. - EE \O 147.3 3 C 4 o S0,3S z $0 12.00 7 OO' PLI 21 4? a o c- F OF BOUNDARY SURVE" • SL,r,LE: 1" = • Z- 7 OC'' 374 J )51 ... WI Z11■11011•211■11 REVISIONS 20 4 l-T ( Et-f (FLOOD ZONE INFORMATION) 4F .o 5 c. NOT VALID UNLESS SEALED WITH AN F.MBOSSFD 1.1PVT-Y(-)P Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10/13/2004 Applicant: BRADLEY Owner: YORK JOB ADDRESS: 1291 Contractor Local Phone: Parcel # 1132050100101 NE 94 Fees: FEE2004 -10069 FEE2004 -10070 FEE2004 -10071 FEE2004 -10072 FEE2004 -10073 FEE2004 -10074 Description Building Fee CCF Training and Education Fee Scanning Fee Technology Fee Builders Bond Total Fees: Amount $125.00 $3.00 $1.00 $6.00 $3.13 $300.00 $438.13 Total Fees: $438.13 Total Receipts: *. Permit Status: APPROVED Permit Expiration: 4/5/2005 Construction Value: $4,800.00 Work: INSTALL BRICK PAVERS DRIVEWAY Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -1324 YORK BRADLEY ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOT 12 LOT SIZE 75.000 X 125 OR 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: following described property: Legal description /folio: / ?/ / Lot Block Subdivision Tax Folio R: requests permission to install: ,tsphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of SIGNED. SEALED AND DELIVERED in the presence of: M iami Ch.oreJ 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 - 2382 Telephone: (305) 795 -2207 Fax: (3051756 78972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, r' g 7(� �' , hereinafter referred to as the Owner of the (owner) /.9z( /1/6 SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE 44 da of I`1 P PR o i'rCf s,/ (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 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 Tien 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 fully authorized representative). Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil 'ng Inspection Request Date Type Insp'n Permit No. DP OV-- 13 Name Address l?' / lye q v Company Phone# (3®3) 75-1-/Fe Inspection Date l 65- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date /Of 6 - -% l Type Insp'n ` `� y fSc � f C'1.,:/: .4 fi Permit No. Inspection Date Approved Correction Re- Insp'n Fee p /4 6-- Name Address Company Phone # 17/ e1 / /fi. e" � Air �/ ZONE COMM PANEL SUFFIX DATE BASE t4 E / Zo652 7 3 7--17-.5 — a so r � 4 eL F Cr? Pict. 0 CN I DZ C L O F'! p )4 z ' ' 4- I'TCH OF BOUNDARY SURVEY S`,,- LE: 1" = ZO ' 7012 '" 3� 'P�St o 14:7 i _ r m f4 rf, AA 1 'car 2 F t 4:10 ns Z 3.50 N N N PLATE 8 5 cc) aLL e- rg N Q/ZEd So,3S fitvVy c • 5 PE‘.. 00. Izf 1‘,,o 12.00 75 00 \ S PL Iz K / o ,ArH (FLOOD ZONE INFORMATION) tt- �T• 2o 464pN4L1 T PPV - JT N O --o-? 1- 6 cca j/ fe7�4 NOT VALID UNLESS SEALED WITH AN EMBOSSED StJR' DR'S SF» o flT ' FOR • E3124 DL J. Yozk e r gEPDV E. PAT al0 PROP ADD: I Z I ..E • T" '9T I-t h6, I -11 FL . 38 LEGAL DESCRIPTION LOT: 12 PLAT BOOK: 4 0 PAGE: 1 OF: H 1 d H I— PL PE- COUNTY, FLORIDA LOCATION SKETCH V ° SCALE: 1 = CERTIFIED TO: GL BAL 9e' _; : fe D MENSIONS ANC: Land Surveying Services BLOCK: '— SUBDIVISION: k I A14 ' 7 1-1O ' 2 r34 VIEW .LOB NO: x — ! 44 FIELD DATE: 4 — ( — 41 ) • FIELD BOOK: P7 LE agaDLE-' J • Y ogK 4 pp EPP E- • 1-1:T1 L.lo OJ H T .dAt) Mo>?r6'aG coi-iPdiJY I rh yv 4,*cse -iJ ' /OrL Lib i( JS c F EA ElZ 1-111s1-11 TITLE 1 IOC . 4E-WT TITLE oaeaLl ABBREVIATIONS: SWK= SIDEWALK. CBS = CONCRETE BLOCK STRUCTURE, CIF =CHAIN LINK FENCE. PL= PROPERTY LINE, DUE= DRAINAGE UTILITY EASEMENT, IP =IRON PIPE, F= FOUND, NC =AIR CONDITIONER PAD, P /C= PROPERTY CORNER D/H= DRILLED HOLE. W/F= WOODEN FENCE, RES= RESIDENCE. CL =CLEAR RB =KEBAB UE= UTILITY EASEMENT. CONC = CONCRETE SLAB, R/W =RIGHT OF WAY, DE =DRAINAGE EASEMENT C/L= CENTER LINE, O= DIAMETER TYP= TYPICAL M= MEASURED. R= RECORDED, ENCR = ENCROACHMENT, COMP = COMPUTER, ASPH= ASPHALT N/D =NAIL & DISC, S =SET, FFE= FINISH FLOOR ELEVATION. O/S= OFFSET, P/P =POWER POLE, OHP= OVERHEAD POWERUNE, WM =WATER METER SURVEYOR'S NOTES: 1 .) THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION FURNISHED BY CC.I E ^[ T 2.) UNLESS A COMPARISON IS SHOWN. ALL BEARINGS, ANGLES. AND DISTANCES SHOWN ARE THE SAME AS PLAT VALUES. 3.) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT AND THE SAME, IF ANY MAY NOT BE SHOWN ON THE SKETCH. 4.) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENT WERE NOT LOCATED. 5.) FENCE TIES ARE TO THE CENTER UNE OF THE SAM=. 6.) WALL TIES TO THE FACE OF THE SAME. 7.) ELEVATION WHEN SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM (1929) UNLESS OTHERWI NOTED. B.) THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN. 9.) THIS SURVEY IS FOR MORTGAGt P RPOSES ONLY. NOT TO BE USED FOR CONSTRUCTION PURPOSES. I.NEREBY CERTIFY THAT THE ATTACHED SKETCH OF. ABOVE SURVEY OF THE ABOVE O PROPERTY IS 'A TRUE AND CORRECT REPRESENTATIONOF / JUST 1,. SAi. : L A FIELD SURVEY MADE UNDER MYD IRECTION. AND MEETSMNMUMTECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF. PROFESSK)NAL LAND G13TERHU LAND SURVEYOR #5636 SURVEYORS IN CHAPTER 211+1-6 FLORIDA ADMNISTRATNE CODE, STATE OF FLORIDA PURSUANT TO SECTION 472.027 FLORIDA STATUTES LB # OCJ `$ 74 OFFICE: 7535 WEST 24"IHAVENUE PHONE: (305) 512 -4225 HIALEAH, FLORIDA 33016 :FAX: (305) 512 -1914