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560 NE 95 St (11)Issue Date: 3/3/2006 Owner's Name: PATRICK LEE Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 560 95 Street NE Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: CONCRETE DRIVEWAY Additional Information Miami Shores Village, FL 33138- Type of Work: DRIVEWAY Additional Info: Bond Return Classification: Residential 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Bond Type - Owners Bond CCF Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Amount $300.00 $1.80 $0.60 $5.00 $150.00 $3.00 $3.75 $464.15 Permit Expires: 03/02/2007 Parcel #: Block: Section: Total Square Feet: Total Valuation: Required Inspections Permit Status: APPROVED Permit Number: DS - - - 521 one: (305)757 -0468 1132060140800 Lot: PB: 0 $ 2,500 00 Foundation Sidewalk Landscaping Final Invoice Number DS - 3 - 06 - 24005 Total: ®IVd SO dVW Amt Due $464.15 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Inspection Date: 11/28/2006 Inspector: Grande, Claudio Owner: LEE, PATRICK Job Address: 560 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Monday, November 27, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number,: INSP -11019 i § Permit Num Hoy 2 9 NM Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number (305)757 -0468 Parcel Number 1132060140800 Lot: -5 . Page 2 of 2 Passed t, 1 � y r Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 11/28/2006 Inspector: Grande, Claudio Owner: LEE, PATRICK Job Address: 560 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Monday, November 27, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number,: INSP -11019 i § Permit Num Hoy 2 9 NM Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number (305)757 -0468 Parcel Number 1132060140800 Lot: -5 . Page 2 of 2 nspection Number:' 150 f'r Inspection Date: 04/18/2006 Inspector: Grande, Claudio Owner: LEE, PATRICK Job Address: 560 95 Street NE Project: <NONE> Monday, April 17, 2006 Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: f 305)795 -2204 Fax: (305)756 -8972 Block: Permit Numbers D -3-06 -521 Lot: Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Foundation Work Classification: New Phone Number (305)757 -0468 Parcel Number 1132060140800 Page 2 of 2 A 4(1 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number:' 150 f'r Inspection Date: 04/18/2006 Inspector: Grande, Claudio Owner: LEE, PATRICK Job Address: 560 95 Street NE Project: <NONE> Monday, April 17, 2006 Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: f 305)795 -2204 Fax: (305)756 -8972 Block: Permit Numbers D -3-06 -521 Lot: Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Foundation Work Classification: New Phone Number (305)757 -0468 Parcel Number 1132060140800 Page 2 of 2 DS -3 -06 -521 Project: <NONE> Owner: PATRICK LEE Phone: (305)757 -0468 Parcel: 1132060140800 Job Address: 560 95 Street NE Miami Shores Village, FL 33138- Block: Lot: Scheduled Insp # 0110112999 INSP -11017 Monday, April 17, 2006 Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Type Sidewalk 0110112999 INSP -11019 Final 0110112999 INSP -11018 Landscaping Inspection Status Inspector Date Completed Default Inspector Not Complete Default Inspector Not Complete None None Driveways /Sidewalks /Slabs None Default Inspector Not Complete 0411412006 INSP -11016 Foundation APPROVED Claudio Grande 411412006 FORMS ARE NOT AS PER PLANS. FLARES ON DRIVEWAY ARE INTO NEIGHBORS PROPERTY. NEED 5' MINIMUM AREA FROM PROPERTY LINE TO FLARES IN DRIVEWAY 0411812006 INSP -15059 Foundation Pending Inspection Claudio Grande Not Complete Page 1 of 1 \O- 1 1 pI +.se . Passed Inspector Comments 641)//(5 CU-e__ 24 it L.C61-4-) .) I/ - ;Q_ /(-c %,41-412 6,; -- k / 66° _ , , , . i 1— Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection Number INSP 1101 Inspection Date: 04/14/2006 Inspector: Grande, Claudio Owner: LEE, PATRICK Job Address: 560 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Wednesday, April 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (38)795 -2204 Fax: (305)756 -8972 Block: rn4Numbef DS -3 -06 -521 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Foundation Work Classification: New Phone Number (305)757 -0468 Parcel Number 1132060140800 Lot: Page 1 of 2 \ 3 17 IDG Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle Owner's Name (Fee Simple Titleholder) Owner's Address 5 - 690 / de- City 44 ( A-11 /1 514 State Tenant/Lessee Name VA Job Address (where the work is being done) 54 City Miami Shores Village County . • Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name O ne e.. Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ CPO Square / Linear Footage Of Work: 4 Z D v Type of Work: iZddition ❑Alteration New U ❑ Demolition Describe Work: Building Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 p Electrical CcD nr"p. Zip Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ NM 2 ROCA x _1.0 Permit No. D50 G- 55a i Master Permit No. Plumbing Mechanical Roofing Phone # 7 5 . 75 7. 01/4,8- 33)3? Phone # ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * ***F PPS * **** ** ******* * * * ** * * * * * ** * * ** * * *** * ** **** ** Submittal Fee $ Permit Fee $ /5D ( --- CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ $ Sap .CO See Reverse side -3 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 w 'r occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be a. • r.ved and 5treinspection fee will be charged. Signatuu (Revised 02/08/06) Owner or Agent The foregoing instrument was acknowledged before me this day of � a tl C 1 , by 1 ' 1 ��c 1 eF . who is personally known to me or who has produced As identification and who did take an oath. NOTAR PUB IC: abel Vargas Sign: ► 9 ,;_;; Commission #D ' R4 Print: Sign: �.*- 7,xpiro 13.2.00', nrian Print: tichnEidintc(1s „�� My Com fission Expires: _ My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** ********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Signature Contractor The foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: J% /rOc Plans Examiner Engineer Zoning [ Asphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of SIGNED. SEALED AND DELIVERED in the presence of: / iami _ Ch,oreJ 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 ... Fax: (305)-756 -8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, / I ' t_ (.�— , hereinafter referred to as the Owner of the (owner) following described property: -- <0 Q AIE 9 5"T1* 3r Legal description /folio{*: Lot Block Subdivision Tax Folio R: requests pern}ission to install: (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 fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this . day of ' C o IVED MR 0 2 El 0 o m o 0 0 o p o O. 0 0 0 #DI 1984 ires: Jul 13, 2007 Bonded Iluii ,i,� tiondingCo., Inc. VILLAGE OF MIAMI SHORES OWNER BUI //LDER DISCLOSURE STATEMEN NAME: -- -1`!' tC -i LE - DATE: ADDRESS: 6 0 ME_ 5T 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). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; 1 further understand that 1 as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the 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. You may also build or improve a commercial building at a cost of $25,000.00 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 complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the 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- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construct Initial 2. I understand that as an owner - builder I must abide by all zoning ordinance and building regulations in effect at the time of permit application Initial 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the ode. There is a copy of the code in this office for review. Initial MGEEOVED Va 22 0 0 0 0 • 0 0 ao 4. I understand that the building official and inspectors are not there to d sign, alter or give advice on how to meet code — only if the structure the minimum code. Initial % L 5. , I understand that as an owner - builder, that any contractor disputes with sub - contractors and myself must be handled in a civil court with the advice of attorney. The department will not mitigate'any contract disputes. Initial 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial 7. I understand that if any person gets injured on my construction project —they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could in lude loss of wages during recovery from injury. Was acknowledged before me this day of Produced the Initial 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obt.; ing the proper permits by licensed contractors. Initial eY ,20Q . who was personally known to me or who has or as identification. OWNER NO R �n Mabel sgpg1YA l �i iii a.bel ', argas Commission D231984 xpires:Ju 13, 2007 --;:;':°;6:°9"s'- :I,..1 nhi11 4 tianric bonding Co.. Inc Legal Description: • ••• • • • . . •• • • • • • .• .. • Lot 5, Block 55, of MIAMI SHORES SEt:7 ,;accirdipg to the plat thereof as recorded in Plat Book 10,•at Pigg'37 o'f the Pub is Records of Miami-Dade, Horida. • • • • • • ••• • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • Certified To: ••• ••• ••• . PATR]CK LEE AND LESLEY CASTE LLANOS; CLEAR TITLE SERVICES, INC.; ATTORNEYS' TITLE 1N6Ui2AI\IE,E j�IJI'D, frt.; EASTERN FINANCIAL MORTGAGE COR'P ors • • • • • • • • • ••• • • • • and /or assigns. Community Number: 120635 Panel Number: 0093 Suffix:.1 Data of Firm Index: 3/2/94 Flood Zone: X Date of Completion: 8/28/01 Updated Survey: 5/5/05 Property Address: 560 N.E. 95 STREET MIAMI SHORES, FL 33138 Survey: M5710 Aspha Parkway o i Parkway ' a C!tvE Nia 0 2 2006 F.1 /2.P W /NO /ID off ,sZ � z 128.75' 128.75' 3 scale: 1 "/ 20 rn A 28.50' Grass F.1 /2.P W /N0 /ID ■ F.1 /2.P W /NO /ID j n ••• • • • • •• • •• • • • • • • • • • • • • • • • • ••• • • ••••• • •••• • • • • • • ••• • • • • • • • • • • • • • •• • • • • • • • • • .,,, • • • n • - •_{• • • • • ••• , • — ^• DAV0 I ° I Zi - •• ••• •• :• • 1• -._)F • • ��, .. • . . J • •;.: n• .�,- • • • •• •'-. •J0• • • ••• • . ., •• ••• • • • .1.:_•.S SIGNED GENERAL NOTES: I) LEGAL DESCRIPTION PROVIDED BY OTHERS 2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER. RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT 3) UNDERGROUND PORTIONS OF FOOTINGS. FOUNDATIONS 01? OTHER IMPROVEMENTS WERE NOT LOCATED. -1) ONLY VISIBLE ENCROACHMENTS LOCATED. 5) WALL TIES ARE TO THE FACE OF THE WALL 6) BEARINGS REFERENCED TO LINE NOTED ,4S B.R. 7) NO IDENTIFICATION FOUND ON PROPERTY CORIZNERS UNLESS NOTED. 8) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSED SEAL. 9) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. 10) ELEVATIONS IF SHOWN ARE BAS D UPON N. G. V. D. 1929 UNLESS OTHERWISE NOTED. I I) THIS IS A BOUNDARY SUR 1 Y UNLESS OTHERWISE NOTED. 1 HEREBY CERTIF REPRESENTATIO THAT THIS BOU J IA SURVEY IS A TRUE AND CORRECT F A SURVEY P A `; D UNDER MY I' CTION. GU 11L ESPI 1 .S.M. NO. 510 TATE OF FL DA FOR THE FIRM THIS SURVEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSE ONLY, EXCLUSIVELY FOR THIS USE BY THOSE TO WHOM IT IS CERTIFIED. MIGUEL ESPINOSA LAND SURVEYING, INC. 6494 5.W. 24 STREET MIAMI, FLORIDA 33155 PHONE: (305) 740 -3319 LB ` 6463