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390 NE 97 StPERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue ,7 • Miami Shores, Florida 33138.305- 795 -2204 Date e9-5 ? 1 L Job Address 3r0j = 9 i'j Tax Folio 1 ' 320(0-01z.5910 Legal Description attire of 0 Ldt5 14- 2 bkS 3 t •JJtores Jee Pe, 10a P& 70. Historically Designated: Yes No Owner/Lessee/Tenet L zoY S (in s Master Permit # i '712 L '� � C Owner's Address 3 9O /yL 97 Y T Phone 305- Contracting Co. ✓ �'{-1O r '•C 4p9 ��4( Address '3 ?/ t f�/ / 3 Vt�✓ .'' fc 5 517 f Qualifier .� ���/ > 1 � Gl S SS# Phone 3 ' 2% I l oo 3 State # 1E Municipal # iaa4 - Competency # CC/ i SAPens. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): VILDINN ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: X %-4 c--02 1C-ff 6 ' e 0 f' Square Ft. _70 Estimated Cost (value) 2 1 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I 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 all disciplines. OWNERS 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. Furthermore, I authorize the above named contractor to do the work stated. er and/or Condo President APPROVED: Zoning Building 5)x.110 X ��... 51 .1 joy Date Signature of Contractor or Owner Builder Date 6 2.1102, Notary as to Owner an �t' '� ans Date Notary as to Contractor or Owner Builder My Commission Expir �F+ # CC 925828 e % a` Expires April 6, 2004 ,P'"4� Y Vice sans -! 4.2;4'4,:.= B onded Ihcu * *My Commission CC843290 �'' , �`� Atlantic Bonding Co., Inc. '' f ir Expires June 3, 2003 FEES: PERMIT 6 (-) RADON C.C.F ! -'3 NOTARY BOND () My Commission Expires TOTAL DUE ‘ 3 i? 0 Ai 37y 5)11)0> Date Electrical ]] (J COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, / O' >I (f $ , hereinafter referred to as the Owner of the (owner) following described property: Legal description /folio #: 11 — - 32.0 & - 0 t - 3 -S8 0 0 . Lot I Ana `1 Block IP Subdivision l • Shores Sec-l- 4 Tax Folio #: n- - - 3 0-019 - 013 - 5'410 reques permission to install: Asphalt, concrete, brick pavers [ ] Landscaping [) Other within the public road right of way of '39O al I c'd ��{r• (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 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 ACKNOWLEDGE on this 5 day of tdd1 - . o 2 r. aro a anco/Sans _Commission # CC 925828 pril 6, 2004 Bonded 'Mu Atlantic Bonding Co., Inc. SIGNED, SEALED AND DELIVERED in the presence o fl ' ?iami SIiorp,� (/iC�ccr 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (3051.756 -8972 D R W ei.0 ki This property.desgribed as: Lots 1 and 2, B1.Qck 4 AN AMENDED PLAT OF YlIAM1 SHORES •.ECTION NO.1, according for `the Plat thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. Note: Underground encroachments utilities, if any, not located. FLOOD ZONE: X and Certified To: Kingsley Mortgage y, its Compa► M and M successors and /or assigns, Sims, Leroy, Title Services, Inc. and Commonwealth Land Title Insurance Company. A BOUNDARY SURVEY I hereby certify that the survey repre- sented hereon meets the minimum technical standards set rth a Board of Land Surveyors pu au by t to i .. 77 FIS: Statutes. There are Sect no * menti,overlaps,easemen a pp ea r in on the Plat, other than as to. ' Fla it9R. Land Surveyor • . • o , . 9 7 3s} ,4p a► C�j1- iG�i� /1 e 7G E�7G/LO GY/r/id C 7 /,e PROPERTY OF: "Sims, Leroy, - 390 N.E. 97th Street, Miami Shores DATE /0 Florida 33138. LANNES and GARCIA, INC ENGINEERS - LAND SURVEYORS - LAND PLANNERS Office address: 359 Alcazar Avenue, Coral Gables, Florida 3313 Mailing address: P.O. Box 561131, Miami, Florida 33156 DRWG. N( 191-92' o• v3�/ cr y: araM " rm.aus wdsztvita ' ^fir 9;?; . ✓ �L • •,. 0 'Q4IrV di° Alb I cz 1 • ;e• 4© • •_ • ••• • • • •00 •• • • • ▪ •• o� • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • •• • ••• • • • • • • • • • • 0 0 • • • • • • • 0 • • •• • •• • • . • • 0. • • • • • • ••• • ' �. 1• 4. g% 0 attached survey, performed by iumi _ ChoreJ ? A!L 9 ae AFFIDAVIT STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, LGi `7 csA f , does hereby attest that the (property owner) LANNkS 4' GA14i , St'1C• (name of surveyor's company) performed on Mgt , 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. Witness(sign and print) Witness(sign and print) ,o` . �.p ,,, Marola Franco /Sans _: a ° .•r ,., n _Commission # CC 925828 4*. `. 14,f. Expires April 6, 2004 � mod; o , Thna n n a Atlantic Bonding Co., Inc.. SWORN TO AND SUBSCRIBED before me this °' day of P-4A Q0O2. Affiant is personally known to me, produced P L 1k as identification. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/10/2002 Applicant: ANGELA Owner: SIMS JOB ADDRESS: 390 NE 97 Parcel # 1132060135810 Permit Status: Approved Permit Expiration: 12/7/2002 Work: STAMPED CONCRETE DRIVEWAY & WALKWAY Signed: x Signed: Building Permit Permit Number: BP2002 -1065 SIMS ANGELA ST Contractor SUPER STAMPED CONCRETE Contractor's Address: 5204 134 CT Local Phone: 305 - 220 -1163 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 & 2 BLK 43 LOT SIZE 103.600 Fees: Description Amount FEE2002 -3259 Building Permit Application Fee $60.00 FEE2002 -3260 CCF $1.80 FEE2002 -3261 Buildier's Bond $300.00 Total Fees: $361.80 Construction Value: $2,864.00 Page 1 of 1 Total Fees: $361.80 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. (INSPECTOR) BY: 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 employee 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. (Contractor or Builder) BY: • FOR ACH WT 063100277 • EjSce:te cnItunc_ed document. See bark for details.ffl SUPER STAMP CONCRETE, INC. 305-220-1163 OR 305-729-1726 D ) ' !V 0 F-21tiee/I7a C 172671 ° AF 6 • 71/242t., 44t44,4S a`• - Bank of America. •■"' Asood. DATE 11.00 59 7811 1:0 6 30000 4 ?I: 00 S 96 5 9 913 20 AZsPit ow...9 49 NAIVI n N MIA I SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 7 c2 Time Type Insp'n Permit No. Name Address 390 a` Ai& 97s t Company S Phone # For Inspector: 7. 23 _DI, Nam ; / Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 6 ` Time Type Insp'n ° ei'?//-a'4? Permit No. B1 0;eli 0® g Name C4414 Address % , Company Phone # For Inspector: H. Correction Re- Insp'n Fee Name & Date