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DS-07-159Issue Date: 2/1/2007 Expires: 07/31/2007 Owner's Name: ROBERT FRAME Permit Type: Driveways /Sidewalks /Slabs Work Classification: Repair Job Address: 680 97 Street NE Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Contractor(s) Phone Primary Contractor MIAMI DADE ENVIROMENTAL 786- 251 -4099 Yes Type of Work: sidewalk Bond Retum : 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 $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.30 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -1 -07 -159 Phone: 1132060171610 Lot: PB: Total Square Feet: 50 Total Valuation: $ 300.00 Re • uired Ins • ections Final Invoice Number DS -1 -07 -27315 Total: Amt Due $111.30 Amt Paid FEB 0 9 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. REPAIR OF 50FT OF SIDEWALK %4tR 1 6 2O1 V.., 7 2 / b i )r7 5 Passed Inspector Comments Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled re-inspection fee is paid . until Inspection Date: 03/15/2007 Inspector: Grande, Claudio Owner: FRAME, ROBERT Job Address: 680 97 Street NE Project: <NONE> Miami Shores Village, FL Contractor: MIAMI DADE ENVIROMENTAL Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Permit Type: Driveways/Sidewalks/Slabs Inspection Type: Final Work Classification: Repair Block: Phone Number Parcel Number 1132060171610 Lot: Phone: 786-251-4099 Wednesday, March 14, 2007 Page 1 of 2 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Bond $ Code Enforcement $ Structural Review. $ Miami Shores Village F g SAN 2 6 2007 Building Department • y: ! PIK 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 75.2204 Fax: (305) 756.8972 Job Address (where the work is being done) 620 0- 1.-k Z Pte° Contractor's Company Name Hi 4_144i el AI N,* EA) ()j l) Aiteelirat Contractor's Address City /,4.s( State Qualifier Name _10g k4.1 State Certificate or Registration No. S T,'6,61) Type of Work: DAddition DAlteration Describe Work: R vi _ 5 /Z`—® Submittal Fee $ 4-7 Permit Fee $ Notary $ Scanning $ Radon $ Permit No. D5 113 I Master Permit No. Electrical Plumbing Mechanical Roofing Owner's Address City HI ta Ot-tt ctl ®rLa y State F/0. Zip Tenant/Lessee Name �G City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated. YES DNew Phone # Phone # 7R6 t 7 Zip % ?2. . Phone # 7R6?. 6 /— 40 91 Certificate of Competency No. Phone # Square / Linear Footage Of Work:? 5O Repair/Replace Total Fee Now Due $ Soc © **** * * * * * * * * * * * * * * * * * * * * * *** * * * * * ** F * * . ** * * * * ** * * ***** * * *** * * * * * * * ** CCF $ a (0 CO /CC Training/Education Fee $ 1'2-0 Technology Fee $ 7 DPBR $ Zoning $ Double Fee $ See Reverse side -÷ ❑ 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 app a reinspection fee will be charged. NOTARY PUBLIC: Sign: Print :► ► :► • r► w F \ 1 :• Commission Expires: -TO 10 APPLICATION APPROVED BY: (Revised 02/08/06) Sr) k NOTARY PUBLIC-STATE OF FLORIDA Jose Bolanos ,s wr c Commission # DD603343 , Expires: OCT. 08, 2010 IN CO., DM Signature Contractor The foregoing instrument was acknowledged before me this The foregoin trument was acknowledged before me this/7C 14 day of It ' , 20 £Y , by f cos day of24, 1 e), • , 200 , by � who is personally known to me or who has produced who is personally known to me or who has produced - -,, tij L t, As identification and who did take an oath. 1SZ I Jb`$$olas identification and who did MpMCA►ISS COMMISSION MISSION # DD 45 My +` , P1no NotaryP c O^� ers NOTARY PUBLIC: Sign: Print: ,)tt 7 My Commission Expires: Plans Examiner Engineer Zoning '.l • SKETCH OF BOUNDARY SURVEY SCALE: 1 "= 20' 4 p ie &se,•• :: j.4%2: . r\ /Y zz ca vl CO < G AC CZ O. v) e-. C: x C zao e. z'- x < C Z 22 Z C v1 E- s Z v: 42 ▪ « v: • C et C v: z a CD _ 0. C3 C S Z L:: EE += a v r- v 6 LA C • CC C 0=1 • CD Z E. 42 7: k 3 CIC • Z C Z < z �-- it • c E o: rL C M• r E Z E- C < r v: C v. < x LEGAL DESCRIPTION: LOT c I a n r: 2 BLOCK 10C OF "AMENDED PLAT OF MIAMI SPORES SECTION NO. 4" ACCORDING TO THE PLAT THEREOF AS RECORDED DI PLAT BOOK 15 411F THE PUBLIC RECORDS OF D A D E COUNTY, FLORIDA 4ERTIFIEDTO: ROBERT H. FRAME AND ROSALINDA S. FRAME, MARK S. KINNEL,ES QUIRE c z ATTORNEYS' TITLE INSURANCE FUND, INC., AMTRUST BANK, IT'S SUCCESSORS AND /OR ASSIGNS. JOB NUMBER: 01- 0 6 - t 6 ROBERTO R. BRIZUELA & ASSOCIATES 121 N.A. 138 th court MIAMI. FLORIDA 33182 PHONES: (305) 581 -4393 / 228 -1412 FLOOD DDStTRANC X RATS MAP NPORSLATION COMMCNITINO. 120652 PM= 110.181,7K � T. Of7ID1 rail 02 Mgt 0093 J 7.17.95 "X" NONE F I E L D BOOK: 1 C 9 -0 FIELD WORK DATE: n6_1 0_ 7 n n 1 DRAWN DATE: DATE: REVISIONS: - • 6. 5•G " ccrwt E'- LOCATOR MOM • LOCATIONMAP •••• N•T.Sk, ••••• SuBDIYIffioN, AT PAGE 1 4 PROPERTY ADDRE -J 680 N.E. 97th Street,Miari Shores,Florida. *NOTICE* TP1,S SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES MA "ED HEREON.TFE CERTIFICATE DOES NOT EXTENI ANY -UNNAMED PARTY.* • • • • •••• • • • •• • • • • • • • • • • • • • .• • • • • • ••,, •••• :MEND.. ▪ • . P. a EL. PERMANENT RISERENCS somas? LE. P. C.P.. PEBIdA turrcc rrrot. palm. W. F. • WOOD FENCE • F. L P. . ET) i7ND ]SOl1 Pa�E S.I. P. . SEr IROR PIPE v•STAMI4 F.ILIL: • • • •f:@23T'ERLae � -LOWEST FLOOR = L. P. F.L • MAR FLOORELBVA • • R • • RECO�RD , _Wg• i gyp• r. 1 "gr bt M b ttRLtE gL0Cg6'!$t1G7VRE • crx WIT t_ MI CHMENT • • • • SOURCE ELEVATION PRDYIDfD EY DADE touter SQAVET DEPARTMENT *ELATWItTE L16AN $FA U/VEL NATIONAL+OBODETIC VORT=CAL DATUM OP 1929 RENOIWARK 8UEVETOR9 IOT>Eb _• ° .... se`o�es Ls»mh, mad. lb&u duenmdsd L Lae�oq iidtdeotlC ArLItl s It• y w..,..he..IL AU 8 " uND =' SD VEr°1" bY 7•A Ws,e shwa or, labs otha*W a i N et . DnImpae+euaa =taw Bw C.oeeted. Rimy! As ELEVATION • • IIHERM MUFF, Thoth, d'SWICNOP SURVEY' NO. Mao drmbed •eentt so Or but Woo knowbsalys sad %ddas =dr+yabeam, O m tln CedL t4S d� off FlerS Somas Mans ot=L YCeia�aTehaielstaadvdlrt Rath 1yWFbrlda11s1ed 3a C31pir 81011 PIcsida PROFESSIONAL SURVEYOR No. 3084 STATE OF FLORIDA