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595 NE 96 St (3)Inspection Number: I NS P -14569 i' I . '1' _ Inspection Date: 05/16/2006 Inspector: Grande, Claudio Owner: PULDON, MARIA Job Address: 595 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: FW -4 -06 -928 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1132060171600 Lot: Monday, May 15, 2006 Page 1 of 2 Passed lW Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: I NS P -14569 i' I . '1' _ Inspection Date: 05/16/2006 Inspector: Grande, Claudio Owner: PULDON, MARIA Job Address: 595 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: FW -4 -06 -928 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1132060171600 Lot: Monday, May 15, 2006 Page 1 of 2 Date 05/01/2006 Permit Receipt Permit Number: FW -4 -06 -928 Invoice Number: FW -4 -06 -24531 Applicant: MARIA PULDON Company Name: Payment Type CheckNum Cash Amount $119.50 Total Payment: $119.50 Monday, May 1, 2006 Page 1 of 1 4?A 421locv 11'.11 BUILDING PERMIT APPLICATION FBC 2004 B Y: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ / ©" Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 A M Tel: (305) 795.2204 Fax: (305) 756.8972 AP 1.1 nn Permit NoPWO6 — C; I2 � v Master Permit No. Permit Type (circle): uildin: Electri Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) ..Jwd�r hc ' q Phone #('3o) 7,57- 5 P 7 Owner's ddress 59.E A) 6 to T City hui/ 5 State ,— Zip ,3 /eP Tenan essee Name Phone # Job Address (where the work is being done) _> d 06 Q J r City Miami Shores Village County Miami -Dade Zip ..' 3 I . FOLIO / PARCEL # Is Building Historically Designated YES NO v- 4--(786)) y-)- - 2 O 0 --ir Contractor's Company Name 0 i.4./ Phone # C__30,/ 7 r/7 — 8 Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Phone # Square / Linear Footage Of Work: /0 V L, • Type of Work: ['Addition ❑Alteration ONew Repair/Replace ❑Demolition Describe Work: ************************************** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ l0J Fe 6.17' CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ /?C./S/ Total Fee Now Due $ \\ JV See Reverse side MAY X 0 1 nion 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 inspec ' not be rove. reins ion ee will be charged. L Signature The fore oing instrument was ac day oI(__,20 Cicks APPLICATION APPROVED BY: (Revised 02/08/06) Signature Owner or Agent Contractor owledged before me this 1 I The foregoing instrument was acknowledged before me this 1HT C of , 20 _, by who is personally known to me or who has produced who is personally known to me or who has produced 1 "® As identification and who did take an oath. as identification and who did take an oath. NOT R PUBLIC: /, "/ Sign: _ id ,s'� Sign: Iffe Print: u 1 A �j� I ;�y L.It i ,r _ • 4 : DA Print: ' r� " ► : . andez p fires: M Co fission Expires i . My Commission Ex y p n # DD476455 * ** * * * * * * * * * * * * * * * * * * * * * * * * ** ; ' * icesa * *sE*27 ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Bonded Thru Atlantic Bonding Co., Inc. NOTARY PUBLIC: Plans Examiner Engineer Zoning NAME: VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT ADDRESS: S S /UCH 967 ST / ` 33/ g DATE: 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 understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the 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. 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 complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the 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 licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with- holdings tax and provide workers' compensation for that employee, all,as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Initial 7'Z _ 2. I understand that as an owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial 3. .I have an understanding of • the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 9 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code —. only if the structure meets the minimum code. Initial 5. 1 understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial Cf 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial je 7. I understand that if any person gets injured on my construction project —they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Was acknowledged before me this Produced there License or Lb Initial Initial of( day of l--- 20 O �o icv-eJ Bx C --c— who was personally known to me or who has as identification. LIC -ST OR!DA_ orleny Hernandez Commission # DD476455 fires: SEP 27, 2009 Bonded Thru Atlantic Bonding Co., Inc. 'STATE OF FLORIDA) COUNTY OF DADE) -7J— The undersigned Afant, alut attached survey, performed by performed on , is an accurate representation of the existing conditions and Affiant is personally known to me, produced (property owner) (name of surveyor's company) (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 r other pe Further, Affiant sayeth naught. Affia , operty owner Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this 1 1 day of 1 oes hereby attest that the as identification. NOT " PUBLIC -STATE OF FLORIDA Yorleny Hernandez Commission # DD476455 Expires: SER 27, 2009 Bonded Thnf Mande Bonding Co., Inc. Issue Date: 4/19/2006 Owner's Name: MARIA PULDON Permit Type: Fence/Wall Work Classification: Wood Fence Job Address: 595 96 Street NE Additional Information Miami Shores Village, FL 33138- Building Department File Copy 2,2.4.47 Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 04/11/2007 Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: REPLACE EXISTING CHAIN LINK FENCE WITH 5' HIGH WOODEN FENCE Type of Construction: Wood Fence Additional Info: Classification: Residential 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee - Wire & Wood $105.00 Scanning Fee $6.00 Technology Fee $2.70 Total: $119.50 Permit Status: APPROVED Permit Number: FW -4 -06 -928 Phone: Parcel #: 1132060171600 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 Required Inspections Foundation Final Invoice Number FW - 4 - 06 - 24531 Total: C ASV MAYO1 Amt Due $119.50 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. ' OWNER•S NAME Dom iel Sr.hrrr C1 NEW CONSTRUCTION PRESENT ADDRESS .5 - YTS c®lliis Ave. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 54 S 1..1 . E . /Cs STrect 4 . REPAIRS LOT 2 Z BLOCK Ti ALTERATION M I e► 6‘..t SUBDIVISION Shoe Sec./ 4- GENERAL CONTRACTOR e. P ■ IX% 14,a inn. , SUBMITTED TO PLANNING BOARD ADDRESS Ata4r1 0.w. 37 AvE PHONE NO. LICENSE NO. d3'i4, o � BUILDING PERMIT NO. /15 / 2 ' 2 . DATE 1 2. 7A- f y �� PERMIT FEE $ � NO. BUILDER•S BOND ` Z77r DATE , 2...-2. ( - Q. z r : ZONE REQUIREMENTS -i s n CU. FT. PLAN CUBE . FT. CU. " EST. COST $ z 4 2°0 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: el � �'�'`�� BUILDING PERMIT AND INSPECTION RECORD - MIAMI .SHORES VILLAGE DATE. 11.2.7 -Z 1 NEW CONSTRUCTION TYPE C. 6 S STORIES I CD" a ROOF CONSTRUCTION INTERIOR CONSTRUCTION Tote 1 3 Bo d eooii... Z al.. . Pr s REPAIRS DESCRIPTION Residence (cdnc.e.elre. 4...pi ples-e 4ere wegatg ® Ceg le Art ALTERATION DESCRIPTION ,net r �� Loa n 6....(S• 4-� ►o.a. — ,'-le 47 (II • ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFI, TO VILLAGE COUNCIL REMARKS ?:"-.7 CERTIFICATE OF OCCUPANCY NO. / e/ 3 I ISSUED 8:.-' 4 LL B � TO DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: el � �'�'`�� BUILDING PERMIT AND INSPECTION RECORD - MIAMI .SHORES VILLAGE DATE. 11.2.7 -Z 1 INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION $ ROOF DATE FEE BEAMS & LINTELS SEWER POOL $ FRAMING .. $ AIR COND. GAS .;�' _ . FINAL $ CLEAN UP $ FIXTURES SLAB SEPTIC TANK S _ , - S SLAB - SOLAR HEATER SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE BY RE- INSPECT $ SEPTIC TANK DATE FEE $ SEWER ROUGHING $ SOLAR HEATER .. $ $ GAS .;�' _ . SEWER $ . *' $ FIXTURES INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGH ING DATE FEE TEMPORARY SERVICE ROUGHING TUB & TOP OUT .. $ RANGE CONN. H.oW.I{FAT CONN .;�' _ . SEWER MOTORS . *' $ FIXTURES r .4 ca..; SEPTIC TANK S _ , - S SOLAR HEATER FIXTUF ESj& F4N'AL . tr. - FIXTURES �' , 6 , . y ; , - ! "- ,. GAS CONTRACTOR PHONE PERMIT NO. I DATE FEE 5 NEW BLDG. I ALTFRATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING H. W. HEATER CONN. .. $ RANGE CONN. H.oW.I{FAT CONN .;�' _ . $ MOTORS . *' $ FIXTURES r .4 ca..; S _ , - S INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECTI BY TEMP. SERVICE ROUGHING H.oW.I{FAT CONN .;�' _ . . *' I - ... RANGE ON N. ' r .4 ca..; _ , - - r,:. .. ,, FIXTUF ESj& F4N'AL . tr. - � ,. �' , 6 , . y ; , - ! "- ,. CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS DATE I ALTERATION I ADDITION PHONE FEE $ REPAIRS ELECTRICAL PERMITS & INSPECTIONS 'AP.PROVAL.70 POWER CO: FOR SERVICE DATE• • 1Z CE . .- L H N l._ 1 N 6L .� =- C-. VJ -N1 FE S 14-1 E--I . V COMMUNITY NU AMR 120652 2' PANEL NUMBER 093 LOT 21 BLK 99 3• SUFFIX J LOT 2 BLK 99 4. GATE OF FHM MOE% 7/17/95 FND I /2• IP 140 ID 5. FIRM ZONE _7 .20 CL 4•CLF 1.65 CL FND 1/2' 1P/ NO 10 5.0' W cc y EPIEAAL ROTES. 11 OASIS OF SEARING, *$9JUCO MERIDIAN 21 ELEVATIONS STOW HEREON ARE RELATIVE TO NATIONAL OEOOETIC VERTICAL DATI4 N.O.v.0.1 31 LOCATION ANO IDENTIFICATION OF UTILITIES ON NOIOR ADJACENT TO TIE PA:WERT? HERE NOT SECURE AS SUCH IIFORNATION HAS NOT REOt1ESTE0. 41 NOT vAL10 WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SI ANO MAPPER. 5) THIS S.IVEV IS NOT INTENDED FOR CONSTRUCTION PU 81 ENCROACHMENTS AO VIOLATIONS ON St IF ATIYI/ 0) 'CBS WALL P N/A BOUNDARY SURVEY 4. 4 . 1 5' 1.70 CONC.CURB 6• BASE FLOOD ELEVATION LOT 1 BLK 9 ASPHALT 15.0' ALLEY 50.0' ASPHALT DRIVE 23.35' STORY RES A S CBS 33.6' 50.0' CONC. WALK N NE 96 STREET (20.0' PAVEMENT) — — — — — — — — I— — — — — 80.0' TOTAL R /ti SKETCH OF SURVEY SCALES 1' • 20' LEOENOh FNO • FOIJO GA • CONCRETE MOI0 IR • IRON R00 IP • IRON PIPE air • RIONT OF VAT POB • POINT OF BEGINNING POC • POINT OF commove PC • POINT OF CIRIVE POC • POINT ON A CURVE -•— • CHAIN LINK FENCE -/---• 11000 MACE PB • PLAT goat P • PAOE N • MANNED 0 • 0EC0 R • RADIUS A • ARC A • CENTRAL ANGLE C • CNORO X.XX ELEVATION -1 -1- FOA••EHIDULAN Access LIME .• ' 41 •U• • 0VERHEA0 LINE 6.65' 16.65' • N • CONCRET 0•..wax • O • CATON BASIN +./ TREE LEGAL DESCRIPTION LOT 22 IN BLOCK 99.0F AMENDED PLAT OF MIAMI SHORES SEC NO. 4. ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 15. AT PAGE 14. OF THE PUBLIC RECORDS OF MIAMI DADE COUNTY. FLORIDA. to D u u FND 1/ • IP NO I 35.0' FND 1/2 IP PI ID SECTION: 6 -53 -42 CERTIFICATION OF BOUNDRY SURVEYS I HEREBY CERTIFY THAT THIS SURVEY VAS MADE UNDER MY RESPONSIBLE CHARGE AND TO THE BEST OF MY KNOWLEDGE AND BELIEFS THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE BOARD OF PROFESSIONAL LAND SURVEYORS,IN. -6 FLORIDA ADMINISTRATIVE CODE PURSUANT"TO SECT 10N FLORIDA STATUTES. y,,: JULIO S. PITA. P.L.S. PROFESSIONAL LAND SURVEYOR LICENSE NO. PSM 5789 STATE OF FLORIDA • 41 41.• 4141 •• • • • • • • • • • • • • • • •• • • • • • • _ ,' • • •; •• • • • • • • • 4000 • • . • • ; ••• ••• • • • • • • • : . • • .4.• •• ••• • • • , • • •• • • • F we - q V v VECMEME1T R 1 1 200 J.S.P. SURVEYORS, INC. LAND SURVEYORS LB ■ 6971 7605 CORAL WAY. SUITE 11SA MIAMI. FLORIDA 33155 PHONE. (305) 262 -2404 I COUNTY: DADE CERTIFIED TO: MARIA F. PULDON MARIA CARBONELL XXXXX. ITS SUCCESSORS AND /OR ASSIGNS. ATIMA EXTREME TITLE SERVICES. INC. FIDELITY NATIONAL TITLE 595 NE 96 STREET MIAMI FL 33138 DATE: 01/25/03 I REF: 03-01-57 Lig • • .•• 41 41. 4141 • • • • • • 4141• • . • • • • :4141 ,4141 • • DWG:GL4670 • •