DRIVEWAYPROPERTY OWNER
Name r te/ a.i fa._ ( r9,A.f aC1 eG RFI
Address l
3r6� NE q(e.,St •
K mil; S 5 t , 33 t3g
Home Telephone
Business Telephone
?, —[ 5� - rill
.- 7i
Fax . :,05- 54-(0AaS .
TYPE OF MANAGEMENT (✓ )
NevY 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:
Step 1.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address:
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print 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 along with this permit application.
J cr:53 SL.- (0 i,,;t I"116 S oe S
Address
Folio Number )(Description of Work
Lot Block
Subdivision PB PG
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Apt.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
Subsidiary Permit No.
City
Zoning
State
(oAC
PERMIT APPLICATION
A■AP 1 I tap
33a
Zip
Linear Feet
Square Feet Units Floors
V alue of Work 't 4 oc>0 0 Bldg Value
ax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephte
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 STORAGE. A bond 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 a trailer
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, Planning and Zoning Department.
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. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all
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, 1° 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.
COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Print Name
Sworn to and subscribed before me this day
! - 4
tary Pub i
teof o
0 1
1
` N I . gnature of
SEAL:
c
0 cor.:::. =-o: zau ass
CC78S3 7
Cre
Signature of Contractor / Qualifier
Print Name
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida
SEAL:
$ •PERMIT APPLICATION
Personally kno OR, Produced Identification Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
SECTION
BY
D
Zoning
�� /
( S
Electrical
Mechanical
Plumbing
Fire
Public Works
Building fficial
Building Official
�
j��'
4 �/�% 6
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ 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)
$ (¢.005 / sq.ft.)
(sq.ft. = x/1000
x ¢.60)
(¢.01 /sc.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
TOTAL $
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 FAX (305) 756-8972 o http : / /www.miamishoresvillage.com
EL
T1'PII
Minimum Fee
(Try.
TYPE
Dryer
QTl
TYPE
Outlet, Appliance
QTY
1 YI
Service Repair
QTY
A/C Central 1 -3 Ton
Fan
Dryer Vents, Number of
Outlet, Wall
Ventilation, Cost
Service, Temporary
Air Handler, Tons
A/C Central 4 -7 Ton
Piping, Flammable Liquid
Fire Pump
Outlet, Switch
Fire Sprinkler System
Signs
A/C Central 8 -15 Ton
Bath Fan - Vented, #
Fixture - Fluorescent
Pressure Vessel
Oven
-
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
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. . TYPE
Condensate Drain
QTY. TYPE
Generator
QTY. TYI'I
Refrigeration, Tons
Q'I'1'.
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
Solar Water Heater
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Cap - Fixture
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
--
-
PLUMBING
TYPE
A/C Condensate
QTY.
'TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE,
Soakage Pit
Q' rv.
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:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2002 -1048
Printed: 6/7/2002
Applicant: GABRIEL OBANDO
'Owner: OBANDO GABRIEL
JOB ADDRESS: 383 NE 96 ST
Contractor
Local Phone:
Parcel # 1132060135920 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 21 & 22 BLK 43 LOT SIZE
Fees: Description Amount
FEE2002 -3185 Building Permit Application Fee $60.00
FEE2002 -3186 Buildier's Bond $300.00
FEE2002 -3187 CCF $2.40
FEE2002 -3188 Notary Fee $5.00
Total - Fees: $367.40
Permit Status: Approved Permit Expiration: 12/4/2002 Construction Value:
Work: NEW CONCRETE DRIVEWAY & ERPLACE ASPHALT ON BACK
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
ordinances pertaining thereto and with the understanding that the work will be perfc,
and approved by the proper municipal authorities. This Permit may be revoked at
authorization. A further condition upon whi is permit is granted is the understa
ordinances and regulations pertaining e . rk covered hereby whether shown
by his agents, servant r employe
Signed:
Si
(INSPECTOR)
In consideration o the issuance to me of this permit, I agree to perform the wo
with the plans, drawings, s tements or specifications submitted to the proper autt
myself, my ;`y2Tt. servartst e ployes.
Building Permit
(Contractor o
Contractor's Address:
Barnett
$4,000.00
GABRIEL OBANDO
REBECA OBANDO
4350 NAUTILUS DR.
MIAMI BEACH, FL 33140 -2854
037.116
360 - 41st Street
Mlaml Beach, Florida 33140
Page 1 of 1
Total Fees: $367.40
Total Receipts: $0.00
AOR,
(44
Pay To �M
The Order Of Ii,L 4+02es V 1(C� 1$ 3(,,,,-( 40
�I i co
For `J_Qi\le.welar2.141
1:06 700 39B SI: 2 24 3 i 1989 5 56 3011'
63-398/670
6
224
116
Tax Folio #:
Lot ti` i Ra
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, IA �l
following described property:
Legal description/folio #:
requests permission to install:
[yAsphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of (5? t E
(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 ACKNOW
SIGNED, SEALED AND DELIVERED in the presence o
fl /hami S/lorei (/iC�ccc�e
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (3051756 -8972
cC"A l r3A hereinafter referred to as the Owner of the
(owner)
Block '13 Subdivision
. r
(o517 Ill i �Me
pRluEcwi-y
PPR 0 ✓}Ct-f
uescnpuon:
Lot 21 & 22, Block 43, of AN AMENDED PLAT OF MIAMI SHORES
SECTION NO. 1, according to the plat thereof as recorded in Plat Book 10,
at Page 70, of t Public Records of Miami -Dade County, Florida.
8
Accepted By:
PLC? t?fa�
t -- 9.00'
O '
1
0
NORTH
GOI 1
IJ�ISI✓i��''
23.40'
0
r
EAST
100.00'
c
•
ONE STORY
RESIDENCE
#383
19.40'
7.00' GRASS PWS
C.■3
96 th
A.S.P.H
•
18.65'
Certified To:
GABRIEL AND REBECCA OBANDO, CLEAR 11FLE SERVICES, INC.,
ATTORNEYS' TITLE INSUF.ANCE FUND, INC., AMERICAS
WHOLESALE LENDERITS SUCCESSORS AND /OR ASSIGNS.
STREET
-15 N � EDGE OF FAY
(2200'.4SP.BOFPAV)
12.00' GRASS
0
—1
tal
1V
Community Number: 120635
Panel Number: 0093
Suffix: J
Data of Firm Index: 3 /2/94
Flood Zone: X
Date of Completion: 02/18/02
Property Address:
383 N.E. 96 STREET
MIAMI SHORES, FL 33138
Survey: M7604
* ISO • r n
r :, • • • • • .tv. . 3 * 2 •1 11 1 • L II IG ` 9 • •• e • •— • • • •• • • •� • 1.: .1
• . • • I
: D Z1 tr 4 j� I t5 '
• •
• • •
.. • .
•
4)
5)
6)
GENERAL NOTES:
1) LEGAL DESCRIPTION PROVIDED BY OTHERS..
2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER
RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT.
3) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER
IMPROVEMENTS WERE NOT LOCATED.
ONLY VISIBLE ENCROACHMENTS LOCATED.
WALL TIES ARE TO THE FACE OF THE WALL.
BEARINGS REFERENCED TO LINE NOTED AS B.R.
7) NO IDENTIFICATION FOUND ON PR•PERTY CORRNERS UNLESS NOTED.
3) NOT VALID UNLESS SEALED WIT 1 SIGNING SURVEYORS EMBOSSED SEAL.
9) DIMENSIONS SHOW ARE PLAT AN MEASURED UNLESS OTHERWISE SHOWN.
10) ELEVATIONS IF SHOWN ARE BA UPON N.G.V.D. 1929 UNLESS OTHERWISE
NOTED.
11) THIS IS A : DARYSUR ESS OTHERWISE NOTED.
REPRESENTATIO OF �SURVE •"
•1: ARYD L UNDE Y I E RECTION CORRECT
r
I HEREBY CER 1-1. THAT THIS
SIGNED
THIS SURVEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSE ONLY.
EXCLUSIVELY FOR THIS USE BY THOSE TO WHOM IT IS CERTIFIED. THIS SURVEY IS NOT
TO BE USED FOR CONSTRUCTION, PERMITING. DESIGN OR ANY OTHER USE WITHOUT
WRITTEN CONSENT OF MIGUEL ESPINOSA.
U\w
MIGUEL ES II%
P.S.M. NO. 5111
STATE OF FLORIDA
MIGUEL ESPINOSA
LAND SURVEYING, INC.
6494 S.W. 24 STREET
MIAMI, FLORIDA 33155
PH NE: (305) 740 -3319
L.: # 6463
FOR THE FIRM
Mr. Gabriel Obando
Duncan Doughnuts
8100 Biscayne Blvd.
Miami, FL 33138
Re: Obando purchase from M.S.P.C. Foundation, Inc.
383 NE 96 Street
Dear Mr. Obando:
As you may know, I am the attorney working on your purchase of 383 NE 96 Street. I
have enclosed for your records a copy of the survey for this property. You will need the
survey when you go to obtain the hazard and windstorm insurance on the home.
If you have any questions, please feel free to give rye a call.
Very truly yours,
Andy Feldman
ear itle
e r v i c e s, I n c ,
1111 Kane Concourse, Suite 200, Bay Harbor Islands, FL 33154
office: (305) 865 -5718 broward: (954) 921 -2380 fax: (305) 865 -5710
info @cleartitleservices.com
February 20, 2002
www.cleartitleservices.com