DRIVEWAYBUILDING
PERMIT APPLICATION
FBC 2001
Tenant/Lessee Name N •
.fob Address (where the work is being done) ¶ & rYt ie
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
City Miami Shores Village County Miami -D
Is Building Historically Designated YES NO
Architect /Engineer's Name (if applicable)
Scanning $ 3 Radon $
(Continued on opposite side)
Type of Work: ❑Addition ❑Alteration
Notary $ Training /Education Fee $ 0 -40
Total Fee Now Due $ 434 . 00
Permit No.
Master Permit No.
Phone #
Zip
Contractor's Company Name 4y (tau yh ( ci Ei,,1 ( )16 , e v,v► Phone# 30- L ±) /
Contractor's Address // i 'L 1+'L1.11.7 A V P .
cit L4i �iJ:ea. — — A L State Ft ori�� Zip .34,f
Qualifier _MA j, }G�� -- -I o- f'
4
***********************,*****f et x*^:a *lk ** Y * *x* ******** ** ** * * * ***
Submittal Fee $ G , J X Permi � Fee $ ` Z I • CCF $ 1 Cl0 CO /CC
Permit Type (circle Building Electrical Pl umbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) gi, c tr s ki, c kt p v Phone # 30S - 'o f
Owner's Address /04E) f f Cr/ "► .i C t.
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City IILtYt'1t chip re C State C ( jrrl Zip 33 ( 30
State Certificate or Registration No. of Competency No. t ( '1 7 "� 0
Phone #
$ Value of Work For this Permit j 2_ 2 • 4o Square Footage Of Work: 724
New /y Repair /Replace ❑ Demolition
Describe Work:
1 A4,
Technology Fee $ '.. 40
Zoning Bond $ 300 . CEO C X14)
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Comp
City
Mortgage Lel
Mortgage Leif
City
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Application ,' p
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commenced .
44 construction. 1 � . W t
WELLS, PC / Q N
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applicable 4 Q
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OWNER'S
, `WARNItr r
PAYING
CONSULT
COMMENCEME
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Notice to Applicant.
promise in good fail
whose property is subject /0 attachment. tits°, u
for the first inspection which occurs seven (7) days after the building permrr is
inspection will not be approved and a reinspection fee will be charged.
Signature
NOTARY PUBLIC:
My Commission Expires:
APPLICATION APPROVED BY:
chc 05/13/03
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NOTARY PUBLIC:
Sign: Sign:'_ -�
Print: Print:
tiiit.,,,....L..)
/ Signature _?�>
Owner w
ner or Agent Contractor
The foregoing instrument was acknowledged before me this q The foregoing instrument was acknowledged before me this Wit'
e_ 1 , 20 C3', by day of 2 I
day of —
Y '�— Z � ��✓1, C �L � -F'./Z Y 0 G J , by ►. t� L' �,
who is personally known to me or who has produced 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.
My Commission Expires: 124
vusrif AJ010t+i tlmldAtpeptldref * *, tct$,$, ;*
I P L6Cf ad # uoissiwwo3 sr a
1 903VP l oeCse1 guonuwo3 °.
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VID2IV9 ANbff „ °,
* * * * * *, * * * * * * * * * * *_ * * * * * * ** * * * * ** *_ * * **
• �
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...��",,,. JANY GARCIA
=9r Notary Public - State of Florida
41, ' , MOM
*
W ��� P s Commission # DD 349724
1 ,, : • • _ • By National Notary Assn.
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -709
Printed: 6/24/2005
Applicant: EMERY SWARTZ
Owner: SWARTZ EMERY
JOB ADDRESS: 1045 NE 97 ST
Contractor
Local Phone: 305 - 556 - 5702
Parcel # 1132050170100
Building Permit
ARROW ASPHALT & ENGINERING INC Contractor's Address: 14799 NW 117 AVE
Permit Status: APPROVED Permit Expiration: 11/9/2005 Construction Value: $1,225.00
Work: RESURFACE DRIVEWAY
Signed: (INSPECTOR)
Legal Description: 5 53 42
Page 1 of 1
PB 43 -51 REV PL MIAMI SHORES SEC 8 LOT 10 BLK 180
Fees: Description Amount
FEE2005 -8709 Building Fee $175.00
FEE2005 -8710 CCF $1.20
FEE2005 -8711 Training and Education Fee $0.40
FEE2005 -8712 Technology Fee $4.40
FEE2005 -8713 Scanning Fee $3.00
FEE2005 -8714 Builders Bond $300.00
FEE2005 -8715 Submittal Fee ($50.00)
Total Fees: $434.00
Total Fees: $434.00
Total Receipts: $0.00
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:
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Ir( VI/IONS
1309 SE 1st Street ACCURATE LAND SURVEYORS, INC.
(305) 782 -1441
i o
asphalt
dri ve
planter
concrete
75. 00'
co
of
17.65'
\p1 anter
cD
0.8
FOUND 1/2"
IRON PIPE
BLOCK CORNER
10.0
NOTE.
BEARINGS SHOWN HEREON ARE BASED ON A BEARING OF /V /A
ALONG THE LINE OF
PLAT BOOK PAGE COUNTY RECORDS,
140T1 •NL
DATE BT
SHEET 2 OF 2
15' ALLEY )In
75. 00' 101asphaltJ N
FOUND 1/2 11 IR ON
PI PE ON ALL PROPERTY
i 1 CORNERS
chainlink fe nce X
( typical)
75 ,2 /W
6.8'
22 asphalt
N.E. 97th STREET
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M
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`ng al I
0
Pompano Beach. FL }C=
33060
alley
NE 97 ST.
LOCATION MAP
not to scale
9 s, 4' L
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/UVF� /
�s - 3 // /4 tA'2'24
SE AL
•HOwN u,B[O• w T ION Ow IP, RIGHT••OI•WAT OA L•(<LMLN•/
NOT iALIO UNLESS
SEALED NENE WITH
AN EMBOSSED LAND
8URVET0R SEAL.
CERTIFICATE THIS SURVEY IS FOR TITLE AM MORTGAGE PURPOSES ONLY
THIS IS TO CERTIFY THAT 1 HAVE 1CCCNTLY SURVEYED THE PROPERTY DESCRIBED IN THE FOREGOING TITLE CAPTION AND HAVE
SET OR FOUNO MONUMENTS AS INDICATED ON THIS SKETCH ANO THAT SAID ABOVE GROUND SURVEY ANO SKETCH ARC ACCURATE ANO
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF, I FURTH ?R CERTIFY THAT THIS SURVEY MEETS THE MINIMUM TE '.HNICAL
STANDARDS FOR LANO SURVEYING UNDER RULE 0,1617.6 F.A.0 ADOPTED BY THE FLORIDA ROAPD OF LAND SURVEYORS. OCTOBER 1993
PROFESSIONAL LANG SURVEYOR NO. 3869 • STATE. eFLORIDA
ROBERT L. THOMPSON
DArI 01 /uI1v(T
/0 -6- 95
DPAw■
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FI
BOOK 333-10
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JOB ADDRESS: 1 ,
4 / - 2
APPLICANT:
APPLICATION:
ZONING CRITIQUE SHEET
PERMIT #
D TE COMMENTS INITIALS
e
( Ic5 s) 5e rt/` r /5 /( '
Bonding (
Bonding ( CO
City
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Mortgage! l Z
Mortgage
City
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4-1 44
AppIicaf o
commen
c W�S , Z
OWNEI
applicah',
"WARN
PAYIN (
CONS!:
COMM:
NOTARY PJ,I�I,IC:
Sign:
Print:
/e
Notice toAppriccuir.' AS ZILU.tutuv�csys,sc , - _� _ - -- - - -
promise in good faith that a copy of the notice of commencement and construction lien law brochure wiii be uerrvereu ru Erre peraun
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 or Agent
The foregoing instrument was acknowledged before me this -"5s'. The foregoing instrument was acknowledged before me this-
dayofj) ,4 t.,, ,20f..' •k ,by r• �t t . 'kt.4'. , dayof " = -r" -- ,2(Y''! by 1' „(le
who is personally known to me or who has produced - ` . • 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.
U - L Print: .)k
My Commission Expires: - C , My Commission Expires
(Certificate of Competency Holder)
State Certificate or Registration No C ) �� L . 'M ` { � t S Certificate of C petency No
*************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * *,' *A* * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 10/14/03
❑ ❑
NOTARY PUBLIC:
Sign: .
a)
Lt.
C4
i
Signature
Contractor
Plans Examiner
Engineer
Zoning
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
_
Owner's Name (Fee Simple (?5b) - 6
Titleholder) r) � f G1 �I�1�D � • l/()/'11�C1 �Cf��Phone #(3
Owner's Address
City mom) 9) / -/D)2 S State Fe- Zip 33) 3q
Tenant/Lessee Name Phone #
Job Address (where the work is being done) :0115 OE ' 1
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company N
Contractor's ddress
City / 9
er
Architect/Engineer's Name (if applicable) AJ �
$ Value of Work For this Permit
Notary $ ` Training/Education Fee $ L
Scanning $ 6 �-- Radon $ •■�
Total Fee Now Due $ 37
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No.:CC:
-' 44
Master Permit No.
Zip 3
J qsq - ?5c - q;
/elf 4 O Phone # < ' C ;E— 22,9'5
/‘ �v�
State Zip
e3:33/er
Square Footage Of Work: 1 q
Type of Work: ■ Addition glAlteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: v '1n
Vlet
t�
,I °� * * * * * * * * * * * * * * * * * * * * ** * * * * ** F * * * * * * * * * *** * * * * * * ** * * * * * * * **
Submittal Fee .. Cr, nPermit Fee f / / r CCF $
Technology Fee $ Q� t
Phone #
Bond $ - 30(7
Code Enforcement $ Structural Plan Review. $
requests permission to install:
within the public road right of way of
/ia,ni S/iorQ vd/ctye
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
, hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description/foliog: `lm 2 Ord 00
Lot 11 0 Block g Subdivision 8'Za
Tax Folio #: 3 ri 010
41 Asphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (3051756 -8972
f� PPR ott
�'w1i 9 aftles
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
I . To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
of way. I f 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). c
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this day of l
vc
\b‘L
• (owner
SIGNED, SEALED AND DELIVERED in the presence of: lN� — � -� , /_3/g-_ 9
'STATE OF FLORIDA)
COUNTY OF DADE)
SNORES' G!!
M iami - liore:S 1 111
The undersigned Affiant, °n I
gn E @ 1/01(Qele, does hereby attest that the
(property owner)
attached survey, performed by AQZ,OPP,Te (A9 la &WM `+ a OLSa -J
(name of surveyor's com .any)
Affiant is personally known to me, produced
performed on /0 ° -° • , 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.
)<GZEW
3 ffi . op" owner a -7L/ - &/ -34l - (�
itness(s ' and print)
SWORN TO AND SUBSCRIBED before me this 3 day of ° . g-05`c
as identification.
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1309 SE 1st Street ACCURATE LAND SURVEYORS, INC.
(305) 782-1441
y�- v
/ 65
0.1
0.8 -- r
FOUND I /2 "�
IRON PIPE
BLOCK C.ORNER
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N
KIND
h
O
X
6.
10.0'
10
0)
N
h
co
110.0
a
rn
/ 6.3'
'9O
asphalt
drive
16.7'
1 8.5'
20. 5'
planter
o \ 0 �
SHEET 2 OF 2
ALLEY h
75. 00 u lO'aspholt N
( 4' chainlink fe nce
( typical)
concrete •
18. 0'
ONE STORY C. S.S
RESI DEN C E
#1045
0 20.7'
N.E. 97th
75 e w
1 6.5'
17.65'
CP
\ 0
0
x1_X1,r 1
h x
o „_ 0 5'
cAS
ov Ifv
STREET
9.95k
O
h
0.45'
wingwall
rs
O,
0 0,
NOTE,
BEARINGS SHOWN
ALONG THE LINE OF
PLAT BOOK
NOT( THE LANDS SHOWN HEREON WERE NOT ASSTRACY(D FOR OWN
C E RT I F I C AT E THIS SURVEY IS FOR TITLE AND MORTGAGE PURPOSES ONLY
REVISIONS
HEREON ARE BASED ON A BEARING OF N/A
PAGE COUNTY RECORDS,
CAVE BY
DATE Of •uA WC
ORAWN
•Y
ROBERT L.THOMPSON
6P
' CHECKED
Ir S V
Pompano Beach, FL )0
33060
alley
NE 97 ST.
L OCA TION MAP
not to scale
FOUND 1/2 " IR ON
PI PE ON ALL PROPERTY
CORNERS
g/ CIL,A
aito rtg9
SEAL
�o
//
IP. RIGHTI•OF•WAY OR CASEMEN•S
NOT iALID UNLESS
SEALED HERE WITH
AN EMBOSSED LAIID
SURVEYOR'S SEAL.
THIS IS TO CERTIFY THAT I HAVE •'IECCNTLY SURVEYED THE PROPERTY DESCRIBED IN THE FOREGOING TITLE CAPTION AND HAVE
SET OR FOUND MONUMENTS AS INDICATED ON THIS SKETCH AND THAT SAID ABOVE GROUND SURVEY AND SKETCH ARE ACCURATE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. 1 FURTH ?II CERTIFY THAT THIS SURVEY MEETS THE MINIMUM TErHNICAL
STANDARDS FOR LANO SURVEYING UNDER RULE (9IG17.6 F.A.0 ADOPTED BY THE FLORIDA NOA ►:D OF LAND SURVEYORS. OCTOBER 1993
PROFESSIONAL LAND SURVEYOR NO. 3869 • STATE F FLORIDA
YIELD
BOOK 33 3 - /o
•
RECORDED COPY MUST BE POSTED ON TFdE JOB SITE AT U E OF FIRST INSPECTION
ERMIT NO. TAX FOLIO NO. j ( 3065 LI I D Q
TATE OF FLORIDA:
:OUNTY OF MIAMI -DADE:
HE IJNDERSIGNED hereby gives notice that improvements will be made to
ertain real property, and in accordance with Chapter 713, Florida Statues,
:te following information is provided in this Notice of Commencement.
. Legal description of property and street; address: 'r
? ) 1 K I € s o C 1 '3 / 0E - qj &41-)
. Desc:ri. Lion of improvement
Mary Public:
int Notary's Name:
y Commission Expires:
N InE OF CS MillENCEMENT
. Owner(s) name an address:
1oLs /V•L
iterest in property:
ame and address of fee simple titleholder:
Co tractor's name and address:
C ony
. Surety: (Payment bond required by owner from contractor, if any)
acne arid address: I I
mount of bond $
U�l
. Lender's natne and address:
. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
rovided by section 713 :13(1)(a)7., Florida Statutes.
aim and address:
1-IV 11 1 1111 1 1 C lc 3 1 11 1...
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S7 � , ,ii t , _ca-1oRi. /L 3."? 13g
\ �� o Po $ o> i (0 �
IVY
id w
ignature of Owner � -
7n t Owner's Name: S `/ -7 L 6) -3 q g -
norn to and subscribed before me [hts 30 dal: of (fl.0 -rte (rte 2C0'4
4J "LUbj
SYf, M or: r t C =;iii, t, C :C, : 7 ,; i,, n r oA r. "
f lilfff 1111!!iilf iilll lilli ii!II III1I i!if II1I
cFNI 2004-Rn250093
DR Bk 2219: F's 2154; (ips)
RECORDED 04/09/2004 15:17:57
HARVEY RUiV'IN? CLERK OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
PL M i he ze &Q I' + i o
. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
iffcrcnt date is specified)
. In addition to himself, Owner designates the following person(s) to receive a copy of the i ienor's Notice as provided in
ection 713.12(])(b), Florida Statutes.
ame and address:
Prepared IDL
Address:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/2/2004
Applicant: EMERY SWARTZ
Owner: SWARTZ EMERY
JOB ADDRESS: 1045 NE 97 ST
Building Permit
Permit Number: BP2004 -442
Contractor CAPORELLA GROUP OF FLORIDA Contractor's Address: 160 S UNIVERSITY DR
Local Phone: 954 - 452 -9299
Parcel # 1132050170100
Legal Description: 5 -6 53 42 PB 43 -51 REV PL MIAMI SHORES SEC 8 LOT 10
Fees: Description Amount
FEE2004 -3471 Building Fee $110.00
FEE2004 -3472 CCF $3.00
FEE2004 -3473 Training and Education Fee $1.00
FEE2004 -3474 Technology Fee $2.75
FEE2004 -3475 Scanning Fee $6.00
FEE2004 -3477 Builders Bond $300.00
Total Fees: $422.75
Total Fees: $
Total Receipts:' $0.00
Permit Status: APPROVED Permit Expiration: 9/27/2004 Construction Value: $4,290.00
Work: DRIVEWAY BRICK PAVERS
Signed: (INSPECTOR)
Page 1 of 1
APR 13 PAM
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:
BLK 180