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278 NE 97 StMiami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/13/2003 Contractor Local Phone: Permit Status: APPROVED Permit Expiration: 9/9/2003 Work: REPAIR ASPHALT APPROACH Signed: In consideration of the issuance to with the plans, drawings, statements myself, my agent, servants or employ Signed: Bultiding Permit Permit I r fiber: BP2003 -411 Applicant: ARTLES MICHELLE FITTS Owner: FITTS ARTLES MICHELLE JOB ADDRESS: 278 NE 97 ST Contractor's Address: Parcel # 1132060133990 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & E1/2 OF LOT 4 BLK 30 LOT SIZE Fees: Description Amount FEE2003 -1528 Building Permit Application Fee $60.00 FEE2003 -1529 CCF $0.60 FEE2003 -1530 Notary Fee $5.00 Total Fees: $65.60 Construction Value: $500.00 Page 1 of 1 Total Fees: $65.60 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct 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 or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. (INSPECTOR) BY: of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity ns submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either REG C01 032103 0924 MC401 005664 CASH $65.60 (Contractor or Builder) BY: IJUi ,.t. W. STREET POMPANO BEACH FLORIDA 33060 REVISIONS_ A CCURATE LAND SURVEYORS, INC. L.B. #3635 r U�t 3 0.3 0 FFIO. Z 1.67. DATE 2. SHEET 2 OF 2 e . 91-141. �� Zo ' A ZG moo- '' 2S' I\ • O t-1 9ro R-'( 4- 21a 3 11.2 24. , M 'POD L. tom ALLe'( .7 LOT ,ct 17.t J 11.1 ' GO U v, • . ,-O, 3c' . 4 g . 4 70 12-Ad • • • • • • N . •• • •• • • 1(0.4' 12••'• nt h • .. 1 tt\ ••• i ••• i• G. f>.- • • W. I. • Aue HOUSE ' ••• , • • d. 1 2' • ZI. 05' .� )� 5.b 4' w. f. OU L.IF1E l0 / 1 (MIAMI Ill CfflCXL1) 1JY 0 o 2.3 J HIS IS TO CERTIFY THAT I HAVE RECENTLY SURVEYED THE PROPERTY DESCRIBED IN THE FOREGOING TITLE CAPTION AND HAVE ;ET OR FOUND MONUMENTS AS INDICATED ON THIS SKETCH AND THAT SAID ABOVE GROUND SURVEY AND SKETCH ARE ACCURATE AND = ORRECT TO THE BEST OF MY KNOWLEDGE AND BEUEF,I FURTHER CERTIFY THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL =TANDARDS FOR LAND SURVEYING UNDER RULE 61017- ADOPTED DV THE FLORIDA BOARD OF LAND SURVEYORS, MAY 1995. TEL. (954) 782 -1441 FAX. (954) 782 -1442 Fut? 1/2I.P. ROBERT L THOMPSON (PRESIDENT) PROFESSIONAL SURVEYOR AND MAPPER No.3889 — STATE OF FLORIDA BY OR PROFESSIONAL JASON H. PINNELL A 1: UF' Uf<VCY 103. (o 13.23 T IC •0•• • •0410 •0•• • •••• • • ••. •••• • • • •••• a y2 "IP•tFJ G. • •• • • -3 • • • . •00• ••• • • • • 4• 0 •••• •• •• •.•.• • NOTES: SCALE 1'. 2 0 1. UNLESS OTHERWISE NOTED FIELD MEASUREMENTS ARE IN AGREEMENT WITH RECORD MEASUREMENTS. 2. BEARINGS SHOWN HEREON ARE BASED ON A BEARING OF 1.I /A ALONG THE SEAL UNE OF PLAT BOOK _ PACE COUNTY RECORDS. NOT VALID WITHOUT S. THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR OWNERSHIP. RIGHTS —OF —WAY, EASEMENTS, 111E SIGNATURE AND THE OR OTHER MATTERS OF RECORD BY ACCURATE LAND SURVEYORS, INC.. SEAL O RAISED OF A FLORIDA 4. THIS SURVEY IS FOR TITLE AND MORTGAGE PURPOSES ONLY. LICENSED SURVEYOR AND MAPPER. CERTIFICATE: c 0) C cfa 11111) _ MEW `,-,f4:5;77.54 PERMIT NO. ADDRESS: . MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT• SECTION BY DATE ZONING • ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS • STRUCTURAL BUILDING OFFICIAL 1. Subject to compliancy' with aft Federal. State. County. Yd1.age rules and regulations. Wage assumes no responstbttity tor accuracy of(or mutts tract these plans. 2. This copy of plans moat be available oa building site or no Inspection will be conducted. CRITIQUE SHEET JOB ADDRESS T F7 5 /. APPLICANT ft APPUCATION P tr SHEET OF MISCELLANEOUS DATE ZO JI. V y • COMMENTS INITIALS -3/0/0 rt-r4,,,' re,ke e ,472 performed on 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, attached survey, performed by (date of survey) locations of all structures on the property as of this date. • ...... : •.T1 purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the • • • •• • • •••• • • • ..... • property without first prdviding a survey less than six (6) months old. The Affiant, as property ow further rther • ••• •. ••• • •. • •• . •.. agre4s tgr�move o. oa.m permits for any structures which now may exist on the property which are not •• •• !/ J )58 • permitted.or which.may violate zoning or building code regulations. The Affiant further understands that the • ••••• •••• • •••• • • • • existence of any suoit•stsuctures may affect final inspections as applicable to this or other permi • • • • • • • • 'urther: kffi•a sayeth naught. • • 1 , . &N Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this G day of Affiant is personally known to me, produced �� Barbara A Estep • My Commission 00178470 34 o f Expires March 29, 2006 (property owner) (name of surveyor's company) , is an accurate representation of the existing conditions and r ffiantfPro owner oes hereby attest that the as identification. •. •• • • • • • •..•.. • • • • •..••• ••••• • • • . • • OOOOOO • • • •• • • • • •.. mami Shor ?}i?ge 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305)_756 -8972 •••••. • .. OOOOO • • •••• ••.••• COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY • • • • •.2a . •• • • • 'WHEREAS, • • •..L�'� Gl� �} �� r , hereinafter referred to as the Owner of the • • • °••••• (owner) •••••• • • : .fonoiving &Scribed property: • • • •• •••••• • • • Legal descriptiontfolio #: Lot 4. S lit CC t.'k r Biock S 0 Subdivision IT'1 5 wJa.c. t ,,n Tax Folio #: 8 d' 3 3 i C► o P ! © - 7 ' requests permission to install: [['Asphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of 1 p N e 51 SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this da o SIGNED, SEALED AND DELIVERED in the presence of: DKRic f� PPR orIcti (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. 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 represent (owner) e+v� tA ev+ 0ftle S S c • • Lot • • • 0 • •. .• . ®. •^..� • • • • •••••• • • • • •• • •• • • • •. . • • • • • • . . .... . • . . . . • • • ...... PROPERTY OWNER e 3 r1 . 5c o / 0 . M .c tick PAS Address L r 7 •f,t 5 r 7U Iv Home Telephone 5 _ ^7 S - .S fo &S Business Telephone 3o 5 r 7 z5-01 Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: • • •••••• • • Seep Step 1. C omQ1ete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please tnnt or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted alootg with tpispenmit application. •••• • • S1511d►h the competed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the prdtessing of your'.app:cation, you may be asked to submit additional information. • •••••. • • • • • •• •• A PPLICATION • ••• • ... F t •• oladdress: _ g 11 r (9 1 S r ,, City Ad'drds % •••••• • • • • •• •••••• • • • • • Folio Number • • • ". • Lot Block Subdivision Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PB PG Zoning PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Apt. (escription of Work Master Permit No. Subsidiary Permit No. Square Feet alue of Work 9 So Of T Assessed/Appraised Value Flood Zone • State PERMIT APPLICATION 33 .. Zip 14 -?rrr: ne Linear Feet Units Floors Bldg Value Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR•STOR,gGE. Abond is. • • required for work in or near the street/sidewalk. • • • ••••• • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES; Other construction may have • which requires a separate permit. • • •••• • • 6. PORTABLE TOILETS for a construction site require a separate permit. •••••• ▪ • 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, and Zdhhn I apartment. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. •••••• . •••• ' • • • • • 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Depaf{Igent of Envirertntegtal Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications n slythg seweis, • .. • ••••• • • • • AFFIDAVIT - Please read carefully. • Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER:of d}eproperty, certify that •a1P" 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, OF MI , azure . Owner 'lit Name STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier \ f .1_ Print Name Skvom tg,and subscribed before me this day of _ , Sworn to and subscribed before me this day of PERMIT APPLICATION • Signature of Notary Public - State of Fl• da Signature of Notary Public - State of Florida err Barbara A Estep SEAL: SEAL: : ` • My Commission DD176470 v i Expires March 29, 2006 Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: • • ELECTRICAL 'I VPP. :.JijijQtum Fee • . QTY. .. 'TYPE. Dryer QTY. TYPE Outlet, Appliance QTY. 'rvl'1: Service Repair QTV. ` A/C Centrak 1 - . • • :Fan Outlet, Wall Service, Temporary :Ale Central 4-,'Pon • . Fire Pump Outlet, Switch Signs pi./.c Central 8-'15 Ton • • • • : Fixture - Fluorescent Oven Space Heater (kw) ,0,(c .Centraf lf b.Ton .' •, • ■ Fixture Light Parking Lot Lights Spas/Hot Tubs pjc ,r entrai 2 .fon Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C.Windo% • • ••• . � � , FPL - Load Central Posts Swim Pool, Commercial • "Ali &onditiontrs •-. • • Garbage Disposal Range/Range Top Swim Pool, Residential 3hiller •. •• • • _ Generators, etc. Receptacles Switchboards . 'Clear Violations•' • • Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction " Cfifipactor • • • • Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TVI'I Condensate Drain QTY. TYPE Generator QTV. 'INK Refrigeration, Tons QTV. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. T'VI'I Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPI. Soakage Pit Q'fV Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning «. .: Y/a Electrical Mechanical Plumbing Fire Public Works Structural Building Official //, 7L Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) O FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ o $ $ 0 (X .ft. = x/1000 (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION O CONDO ASSOCIATION APPROVAL (Attach) •• •• ❑ BPR APPROVAL (RestaurintS) ; •• • • •.•• • • • • • •••• • • • • • •••••• ❑ CONTRACTARREGISTR#70p1 (On File) ••.•.. •••• .••• • •••••• •• • .••• •.•• • •• •. • • • • • TOTAL $ ffe • • •....• • • ••.•.• • • Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com • ••..•. •••.. • • •.••. • •.•... • • •.•••• PERMIT FEES REVIEWED AND PREPARED BY: DATE: • • ISSUING OFFICIAL CONDITION OF •• Dat Type Insp'n Permit No. Name Address Compan Phone # Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Ree�uest 9 $? I' ,F. 9/_4 For Inspector: 6/ 1 2 % . I 3 P x Name & Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request; Dat %: � f ) V ; Time ( Type Insp'n _' /� rim / Permit No. Name Approved Correction Re- Insp'n Fee i '. f i Address ( .� / / ! ' Company_1c j? A ■ - 1. ,1 /, J Phone # For Inspector: 'J i j f _) ; Name & Date ` ?-