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120 NE 97 St (2)MIAMI SHORES VILLAG .3UILDING DEPARTMENT i 305- 795 -2204 Building Inspection Request Date 9 ) IS )o5 Type Insp'n 1 OV - D97—J 19 2z Permit No. — X 7-8 Name V ( c A 2 -c( A Address / ZC Company / d V N Phone # C J 15 ? - zge, i Inspection Date / IC Approved Correction Re- Insp'n Fee /8.4-) 02, Dyb:uojiii . , VI S4 MIAMI SHORES VILLA F`do /01 BUILDING DEPARTMENT o 748,5 305- 795 -2204 Building Inspection Request Date 1 1 C �- Type Insp' n .1O CO r �.�/ Permit No. cl 5i`'( j q28 28 Name U t� (Q eo rj Q - Address 1 20 J t c115+ Company Phone # Inspection Date L1 I Approved Correction Re-Insp'n Fee MIAMI SHORES VILLA BUILDING DEPARTMENT 0 305- 795 -2204 ,c70® Z Building Inspection Request Date Approved Correction Re- Insp'n Fee Company 1 05 Type Insp'n� �JUQ ll Permit No. 5 - 1 Z- Name Vi rra 4'iC Address 1 10 AI c Phone # yS/ 7 5 l 1 Inspection Date q 05 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/24/2005 Applicant: VITRA GARCIA Owner: GARCIA VITRA JOB ADDRESS: 1I2© NE 97 ST Contractor Local Phone: Parcel # 1132060132550 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -928 Contractor's Address: Permit Status: APPROVED Permit Expiration: 12/20/2005 Construction Value: $300.00 Work: CONCRETE APPROCH Page 1 of 1 JUL 0 7 ND Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 W1/2 LOT 11 & ALL LOT 12 BLK 19 LOT SIZE Fees: Description Amount FEE2005 -8765 Building Fee $100.00 FEE2005 -8766 CCF $0.60 FEE2005 -8767 Notary Fee $5.00 FEE2005 -8768 Training and Education Fee $0.20 FEE2005 -8769 Technology Fee $2.50 FEE2005 -8770 Scanning Fee $3.00 FEE2005 -8771 Builders Bond $300.00 Total Fees: $411.30 Total Fees: $411.30 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: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building . Electrical Owner's Name (Fee Simple Titleholder) Owner's Address t �) Pz City I t l ' , State PL. Tenant/Lessee Name Job Address (where the work is being done) ,P.O Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address Citv Qualifier State Certificate or Registration No. $ Value of Work For this Permit .°° Type of Work: ❑Addition Describe Work: Total Fee Now Due $ (Continued on opposite side) 41 I . 60, Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)7 2204'.F4x: (305) 756.8972 G, State ❑Alteration Lyra CA ['New Certificate of Architect/Engineer's Name (if applicable) Code Enforcement $ Structural Plan Review. $ Zip ' Phone # Permit No. BR1c-5` Master Permit No. Plumbing Mechanical Roofing Phone # City Miami Shores Villa _e County Miami -Dade 0 /2- Square Footage Of Work: Repair /Replace ❑ Demolition r * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** Submittal Fee $ Permit Fee $ l0 0 CCF $ Q . bO CO /CC Notary $ Training /Education Fee $ o. ao Technology Fee $ p Scanning $ CO Radon $ Zoning Bond $ 300. co 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 be approv inspection fee will be charged. Signature e'- Signature The foregoing instrument was ackno day of� �X , W,by Sign: Print: My Com ission Expire APPLICATION APPROVED BY: chc 05/13/03 Owner or Agent Contractor !edged before me this LAt s�• r • The foregoing instrument was acknowledged before me this day of , 20 , by who isrsonally kn• n o me or who has produced D who is personally known to me or who has produced identification and who did take an oath. as identification and who did take an oath. �vP Mabel \i4tSgikliv PUBLIC: Commission I)D231984 .()ndcd Thni ne c„ Print: * * * * ** * * * * * * * * ** ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * *** ** *** ** **** * **** * **** * **** * **** * **** * **** * ** * * * * * * * * * * * * * * * * * * * * * * * * *) * * * ** *fit * * * * * * * * * * * * * * * * * * * * * * * * ** My Commission Expires: 6� Plans Examiner / Engineer ! �, Zoning 00 0 I Tre--/K-6 being the legal property owner, for the prop 00 00 0 •` 1 Located at: l 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),,And I have read and understand the following disclosure Statement, which entitles me td cork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. Proof of ownership provided ( ) By Produced OWNER : UIL 11 rOr, ecxac, Owner VILLAGE OF MIAMI SHORES 1UILDING DEPARTMENT 0 00 0 000 0 0 0 0 0 0 ER DISCLOSURE • Jy��{�,���� 0 ER DISCLOSURlL', STAT ��'�i `IE0 0 • DISCLOSURE STATEN/LENT initial of reviewing clerk. Th foregoing instrument Was acknowledged before me this 3 day of �3 t4 20 OS who is personally known to me or who has as identification• who did take an oath. No O 0 0.0 0 0 0 00• 0000 0 0000.0 • O 0 0 0 0 0 0 0 0 • • O 0 0 000 0 • • O 0 0 0 0 0 0 • O 0 000 0 0 0 0 ••• O '00 O 0 0 0 O 000 O 000 O 000 O 0 0 O 000 0 • • 0 0 • 0 • 0 ® • 00 0• 0 O 0 0 •0 0• 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 $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 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 Icensed 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. 00 • • \'n gas • mmission 1)1)231984 pires: Ju' 3, 2007 laonded Ihru antic Rondine Co h, 'STATE OF FLORIDA) COUNTY OF DADE) 1 /� The undersigned Affiant, V 17'7 , does hereby attest that the (property owner) A - o - brit.(z-0 attached survey, performed by U`- b performed on f� -!// s 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. Witness(sign and print) �t Q v10- f l-torLe_ fL SWORN TO AND SUBSCRIBED before me this day of /`( Affiant is t/ ersonally known tome, Commlaelon # i B363507 Expires December 5, 2003 Boded Troy ehi-hmronm.Ii 600966.7610 A1~ F IIDAVIT (name of surveyor's company) • 0 0 0 ••• • • • • • • • • . • X • • • • ./• • • • • o ••• • 0 0 0 ••• O 00 0 000 • •0• O 0 0 0 0 0 0 • • • 0 0 0 0 0 0 0 0 0 0 0 • 0 0 0 0 0 0• • • 0 0 0 0 0 0 0. 0• O 0 • 000 0 • 0 00.0 0 0 00- 00 •0 O 0 0 0 0 0 0 0 0 0 0• 0 0 0 0 0 • O 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 00 0 0 0 0 0 00 0. Affiant/Property owner / e, t . Witness(sigd'and print) 4,C':,OCr&-7 roduced as identification. Not ry Phone: (305) 274.0285 Fax (305) 412 -8577 tiV2 Professional Land Surveyor 8 Mapper 10700 Southwest 108th Ave 1X106 Miami, Florida 33176 Property Address' / 2 7 N s . 97 e7 57PEOT /''!VA '`f / y ,L 33458 Legal Description ./...6 tV.0 771E WEST /2 OF L07:- /6 .632 -/9 .gUliD/Y /../ON AI/,4A,/ 61/0SE'S .5Ec772N ONE, ,4 ED /N6 7b 7N P1.4 7; ,5 I4:COP.DOD /A/ P14 7 BMX / ,4 T • P,46E 7® O'F 7 A9B41C REecleps Off' H/ / -4 4LE coo 7" Azzgy F P 75O('') 25.00' r 50 ;oe' I L47 - 12 ®zacx / /. /O'CL 67 A/NL = CENTER LINE E = PROPERTY LINE R W = RIGHT OF WAY C.L.F. = CHAIN LINK FENCE W.F. WOODEN FENCE RES. = RESIDENCE I � 2./O' /0. /O v2, 4, tz ONs -7vvY /2O 39. 35 20'4 04''44 r P4 y L)7 LEGEND F.I.P. = FOUND IRON PIPE. S.R.B. = SET RE -BAR C.B. = CHORD BEARING MEAS. = MEASURED S /N8. D = SET NAIL & DISK CL = CLEAR 24. 35' BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY AGENCY REVISED ON 7- '5 - 95 THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN: ZONE .X BASE FLOOD ELEV. Nf COMMUNITY NUMBER / 2 ° 652 PANEL NUMBER 0 93 SUFFIX , ✓ THIS SURVEY DOES NOT REFLECT OR DETERMINED OWNERSHIP. EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS. IF ANY, AFFECTING THE PROPERTY, THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS. RESERVATIONS OR EASEMENTS OF RECORDS. LEGAL DESCRIPTION PROVIDED BY CLIENT. THE LIABILITY OF THIS SURVEY IS LIMITED TO THE COST OF THE SURVEY, UNDERGROUND ENCROACHMENTS, IF ANY, ARE NOT SHOWN. THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING AND OR FOUNDATIONS AND /OR UOERGROUND IMPROVEMENTS OF ANY OF ANY NATURE. IF SHOWN BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN. IF SHOWN ELEVATIONS ARE REFERRED TO N.C.V.D. OF 1929 THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:10000 . 2.9' SKETCH OF S 0C E 1 LOT / ,3 8LCG/C /9 A p 0 0 0 0 0 0 0 0 0 0 0 0 0 0000 O 0 0 0 0 0 000000 0 0 00 00 000000 O 0 0 O 0 O 0 O 0 0 00 0 , r VISUAL E=NCROACHMENTS NOTED NO ,77-' 5TTEET GATE OF FIELD WORK 02 — 23 REVISED ON REVISED ON THIS CERTIFIES THAT THIS SURVEY OF THE PROPERTY DESCRIVED HERE ON W^.S M'• DE UNDER MY SUPERVISION .. - •rF•S 1'I.E kvWMUN ;TH BY .,rot. , 0u.v.0 tit LAND SURVEYOR ERSIN AND ABBREVIATIONS ARTURO R. TOIRAC P.LS.PL 3902 NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL ENBOSED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER O 0 O 0 0 00 0 ENC. = ENCROACHMENT C.B.S. = CONCRETE BLOCK STRUCTURE CONC. = CONCRETE 0 = DIAMETER D.M.E. = DRAINAGE MAINT. EASTMENT S.I.P. = SET IRON PIPE •0•• 0 0 • • • • • 0 • • • 0 0 • •• • • • 0 • •• • • • • • • • • • 0 •••• 0 • •••• ORDER NO. VEY $ • /7u /OFi. /D ' t/ • - • • 0 • 0 • • • 0 ••• • • 0 0 • • •• • •• 1 CERTIFIED TO: Vlr/z4 G.,ozciA CAU4 w /442 A'&V - Lecv'f reenW /,..<7 7% //e 5ervieei. E -57/ AtAgenta✓, r //G /.ary Co.) �� /TSJUCCCSSB�S Or 0s /905. 47'114. A/C = AIR CONDITIONED UNIT REC = RECORDED F/NBD= FOUND NAIL &DISC U/E = UTILITY EASTMENT MAINT = MAINTENANCE = MUNUMENT LINE