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294 NE 97 St (8): % o MIAMI SHORES VILLAGE BUILD ING DEPARTMENT 305- 795 -2204 Building Inspection Request LX5 Type Insp'n O G �� ✓l �'��i4,j Permit No. 12) -S — It Name CB C.jv Lt) Approved Correction Re- Insp'n Fee Address ac 9 Company P LM C� 4 e 1 9 C > C i v Phone # :` t Inspection Date C26 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 3J5- 795 -2204 Building Inspection Request \ c Date S1`9 )(J Type Insp'nvr cti Permit No. a 05 e Ts Name ` , Caro y C 1,c4A Address cqq 0 a q1 3 Company Phone # (nc4( C365_ 00(5- 1(63 Inspection Date 5 Is fb5 Correction Re- Insp'n Fee BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): wildi g v Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 1\ 1,0∎ . \ \� t ` 1 2.— Phone # ))(.'') — (.t k - ,. n .) j Owner's Address af 1 lr Cf t . (- o } \ cam'\+ Ci\\10 t Ii '5\ UN',, lc`) State •\ Zip 2 J ) 2l'')k Tenant/Lessee Name Phone # Job Address (where the work is being done) ( ) z L 0 C 11. -‘t \ lk` City Miami Shores Village County Miami -Dade Zip ') ° A ) .,) 'S Is Building Historically Designated YES NO N Contractor's Company Name 1 ,A,•;, ( 41(‘ . t t \ \'? 48Acl Noe Phone # 1 ) (' ( :) ( ;) ),6y "a.0 \2y Contractor's Address City `ON? Qualifier State Certificate or Registration No. . • ` k *.. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 7 )r)- 17 ,)C" b (\( Square Footage Of Work: Type of Work: ❑Addition • ❑Alteration t 1 • b N Describe Work: * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fees '� t Permit Fee $ '�� CCF $ 2, 'ea CO /CC 6C', bC'` Technology Fee $ j i /3 Scanning $ 3 Radon $ Zoning Bond $ 3C7C -- Notary $ j Code Enforcement $ Total Fee Now Due S (Continued or opposite side) Training/Education Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State 1`A Zip `j > 1 ❑New Structural Plan Review. S Master Permit No. Certificate of Competency No. Permit No. I 4-7C �Repai>(eplace ❑ Demolition 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 0 or Agent The foregoing instrument was acknowledged before me this day of 0 \ X , 20 , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ***************** *** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Signature Contractor The foregoing instrument was acknow edged before me this CiS day of , 20 O by i r I % Au L' Sans who is ersotrdlly nown �oh roduced 1ARY PUBUC.S'C4T£ OF FLORID and vl$ita� oat . Commission # DD401796 as identi Expires: MAR. 01, 2009 Bonded Thru Atlantic Banding Co.. Inc. NOTARY PUBLI Sign: Print: APR - ES it ssA Sons My Commission Expires: 3 I I I O 9 ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** March 28, 2005. To: Miami Shores Village Building department 10050 ne 2 ave Miami Shores, F133138 Att: Mabel Thank you, Marola Franco /Sans Vp. SUP J� S CONCRE 5204 SW 134 CT MIAMI, FL 33175 305- 220 -1163 J 7 INC. We will be doing a driveway for Mr. Marty Clarke, he is running his own permit applications at the city hall. He will be paying for the $300.00 bond. Please return this bond directly to him after the final inspection has been approved. If you have any questions call our office at 305 -220 -1163. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/8/2005 Applicant: COLLEEN Owner: CLARKE JOB ADDRESS: 294 NE 97 Parcel # 1132060133980 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -470 CLARKE COLLEEN ST Contractor SUPER STAMPED CONCRETE Contractor's Address: 5204 S. W. 134 CT. Local Phone: 305 - 220 -1163 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 & 2 BLK 30 LOT Fees: Description Amount FEE2005 -4670 Building Fee $125.00 FEE2005 -4671 CCF $2.40 FEE2005 -4672 Notary Fee $5.00 FEE2005 -4673 Training and Education Fee $0.80 FEE2005 -4674 Technology Fee $3.13 FEE2005 -4675 Scanning Fee $3.00 FEE2005 -4676 Builders Bond $300.00 Total Fees: $439.33 Total Fees: $439.33 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/27/2005 Construction Value: $3,250.00 Work: STAMPED CONCRETE DRIVEWAY AND WALKWAY Page 1 of 1 APR 14 J 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: NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT N0. ,..,,2t5--41D TAX FOLIO NO. I 1 3 2DINb • STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal escription of property and street/address: ' '! I. ( ors g r 2. Description of improvement: V,.o Q11 ill c oC dry v (we •� 3. Owner(s) name and address: M2 et ‘`c• �� Z CZR ca)-`ly (1 C \P\ fit- (eL 5 1- \ 33 V21S Interest in property: Name and address of fee simple titleholder: V jt- 1'tyArh 0 9.0 . ( 3k3: A-3 -r 5' — 3 ti 4. Contractor's name and address: �uQQC Z Y P Ct,(1Ct €moo , JiIC Wi`1 �'��\ `Jt \ . C`1(z_reNt 7. 3 Vic) 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) J4 t CSC te -e Signature of Owner �- �Q Print Owner's Name Ood n alo 1 1/►J�- Sworn to and subscribed be e this 01 day of Ige Notary Public Print Notary's Name My commission expire MaDeh afgaS Commission 'DD231984 "5 Expires: Jul 3, 20n 9 j�, . dk Blindda Thru Atlantic bonding Co.. Inc cp tt �0 Gd rd 0 3t N A ts1 -o � • 0 111111111111111111111111111111111111111111111 CFN 2005R0374-367 OR Gk 23273 Ps 2530 °v (1os) RECORDED 04/14/2005 14 =42 =32 HARVEY RUVIN' CLERK OF COURT I1IAMI -DADE COUNTYP FLORIDA LAST PAGE Prepared by Y ess 3 (Y\id Ant CA est-