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DRIVEWAYFEES: PERMIT APPROVED: "Ming C, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / — I C � C/ Job Address / O 0 E Tax Folio ' E)) 0 S Off 03 (D, D Legal Description , _I Historically Designated: Yes No 1 Owner/Lessee / Tenant (;c16kivci W Q e 6w \— Master Permit # 9 ,D` 3 (f� Owner's Address /00a Ale 7g S "" /Yl, Sk owed Phone 30-5— 7 'S 6° 7 7 Contracting Co. Ai-N-0 c / 44 CA Address l '17 /, 44/ /17 /13(____14 4 1� L � Qu ,/) ' (/' /hcL. k4e.A State # Municipal # Competency # f9 7.2o r ) Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PA FENCE SIGN RIP U t- r s, y - t '' /� (4; WORK DESC TION ., D eL, Square Ft. JF 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 AN 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 ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be d construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signa of owner an or Cond esident ate hue Notary as to Owner and/or Condo President Date My Commission Expires: SHAWN OTOOLE ' COMMISSION # DD 026739 EXPIRES: July 10, 2005 lded Thru Budget Notary Services RADON C.C.F. / NOTARY SHAWN O'TOOLE * MY COMMISSION # DD 026739 N , 0 1 0 EXPIRES: July 10, 2005 er • • .rti ;, . : Notary Services SS# Sus" S 7` ,S'7 &,2 Estimated Cost (value) Mechanical Plumbing Signature of Contractor or Owner- Bt/ilder . complian 7 with all applicable laws regulating C VO Date Notary as to Contractor or Owner - Builder My Commission ires: r?( Date SHAWNOTOOL * MY COMMISSION IIr DD 02: EXPIRES: July 10,20C Bonded Thru Budget Nolery so SHAWN MTATAS EXPIRES: Ju ' 10, 2005 Bonded Thru Budget Notary Services @ Structural Engineer COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY trN WHEREAS, A(.,''mot, )ti . <�+� , hereinafter referred to as the Owner of the ( owner)> following described property: Legal description/folio #: Lot / Block Subdivision CS� Tax Folio requests permission to install: [ As _t alt, concrete, brick pavers [ ] Landscaping []Other within the public road right of way of /O O' 0 V %t , f (� �s� � (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: I. 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 tha Y day of SIGNED. SEALED AND DELIVERED in the presence of: Thiami SIiorei WVCce 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305)_756 -8972 owner} N / 14 ,1 17 18 (PRIVATE ROAD) N.E. 98th STREET LIMIT OF PLAT Location Sketch NTS FOR: Richard Bappert, 1002 N.E. 98 Street, Miami Shores, FL 33138 BOUNDARY SURVEY I HEREBY CERTIFY: That the attached survey was made under my responsible charge and substantially meets the minimum technical standards as set forth by the FLORIDA BOARD OF LAND SURVEYORS in Chapter 61G17 -6, Florida Administrative Code, pursuant to Section 472.027, Florida Statutes. There are no encroachments, overlaps, easements appearing on the • tat or visible easements other than as shown he ELSON M Or' RENA Registered Surveyor & Mapper No. 5504 State of Florida MOJARENA & ASSOCIATES, INC. Land Surveyors & Mappers Certificate of Authorization No. 6698 12925 S.W. 132nd Avenue Miami, Florida 33186 (305) 278 -2494 FLOOD ZONE: AE DATE: 08 -30 -01 SCALE: 1 " =20' LEGEND 0 = Central Angle A =Arc NC = Air Conditioner ASPH = Asphalt BBQ = Barbecue CB = Catch Basin CBS = Concrete Block Structure CH = Chord Chatta. = Chattahoochee = Center Line CLF = Chain Unk Fence CI. = Clear Conc. = Concrete D = Deed 0 = Diameter DH = Drill Hole DME = Drainage & Maintenance Easmt Easm't = Easement Enc. = Encroachment F.H. = Fire Hydrant FIP = Found 1/7 Iron Pipe FIR = Found 1/7 Iron Reber FPL = Florida Power & Light ID = Identification I.P. = Iron Pipe LB = Licensed Business LME = Lake Maintenance Easement L.S. = Land Surveyor M = Measured MAINT. = Maintenance ME = Maintenance Easement M = Monument Line Mon. = Monument N/A = Not Applicable N/D = Nail & Disc N° = Number NTS = Not to Scale 0/S = Offset O.U.L. = Overhead Utility Lines P = Plat PB = Plat Book PC = Point of Curvature PCP = Permanent Control Point PG = Page P.I. = Point of Intersection PKWY = Parkway Q = Property Une PL = Planter PLS = Professional Land Surveyor P.O.B. = Point of Beginning P.O.C. = Point of Commencement P.P. = Power Pole PRC = Point of Reverse Curvature PRM = Point of Reference Monument PT = Point of Tangency R = Radius Res. = Residence R.L.S. = Registered Land Surveyor RNG = Range R/R = Railroad RSM = Registered Surveyor & Mapper RAN = Right- of-Way Sdwk = Sidewalk Sec. = Section T = Tangent TWP = Township U.E. = Utility Easement UTIL. = Utility W.F. = Wood Fence W.M. = Water Meter WME = Wall Maintenance Easement BASE: 8 DWN. BY M.M. JOB NO. 01 -0903 REVISED: SURVEYOR'S SEAL Jnless it bears the signature and he original raised seal of a ' lorida licensed surveyor and mapper, this map /report is for 'nformational purposes only and is not valid. LEGAL DESCRIPTION: Lot 13, Block 180, REVISED PLAT OF TRACTS 178B, 178C, 179A, 179B, 179C, 180A AND N OF 180C OF REVISED PLAT OF MIAMI SHORES, SECTION 8, AS RECORDED IN PLAT BOOK 31 AT PAGE 41, PUBLIC RECORDS OF DADE COUNTY, FLORIDA, according to the Plat thereof, as recorded in Plat Book 43, Page 69, of the Public Records of MIAMI -DADE County, Florida. PREPARED Note: • All dearances and/or encroachments shown hereon are of apparent nature. Fence ownership by visual means. Legal ownership of fences not determined. • Underground structures, if any, not located. • Bearings, if shown, are based on assumed meridian or Plat of Record. • Lands shown hereon were not abstracted for easements and /or right -of -ways of record. • (PRIVATE ROAD) N.E. 98th STREET c 30.00' Fnd. Nail (No I.D.) 0.05' Enc. R= 25.00' A = 90 °10'00' A= 39.34' T = 25.07' Fnd. 1/Y I.P. (No I.D.) 0.15' Cl. 0.15 CI. Fnd. 12" I.P. (No I.D.) P.P. BUILDIN INSPECTION DEPARTMEN APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the det.rled statemenr of the plans and specifka ions herewith submitted fo: the build- ing or o h, - ructure her i described This 1-1 licatcc is made in compliance and con o'rn ty w.th the Building Ordinance of Mia ri Shores Villaec, or da, and all pro isions of the Laws c f the State of I.1,,rid. all o d nances ,f Mi in Shores Village and all rules and regl a , on of the Building Div r of .lam Sho. illage 1- 'I e , o, Tied with, whether herein specified or not. A copy of approved plans and specrficatr , ri° must be kei at building durin progress of tl.e wcrk. Owner' Name and Address__ Registered Architect and /or Engineer _. ‘4x-_Z` Name nd address of licensed contractor Location and legal description of lot to be built on: Lot Block. -- __ -- Subdivision ,-- Street and Number where work is to be done. State work to be done and purpose of building (by floors) -- -- - - -__— - -- and for no other purpose. New Brilding ___ -- - _ Remodeling._ ____ _ .. Addition_ Repairs . No. of Stories T c be constructed of _ _ _ Kind of foundation Roof Cov sing__ s men Estimated ' ,tat cost of. improvements - - p $ i ? ? Amo c ` P erm it $ - . =- - .:_ - - --- - - - -- Zone -ubagc required __ Distance to next nearest building . .. _ ___Size of Building Lot - Maximum live load to be borne by each floor hereby submit all the plans and specuications for said building. All notices with reference to the building and its construction may be sent io - — he uncle sinned appli ant for th s building permit does hereby certify t'iat he understands and accepts his .•bligations as an employer cF I hor under he Florida Workmen's Compensation Act being S tion 5966 Coi p led Gen al Laws of Florida P r anon S ipph rent, and h s compl ed w'th he prov' cons thereof, and will require s•nrilar comn lance from all contractors or sub-contractors cnrplo •ed by him in the wo k to be p rf med under th s pern it and ill post or cause to be posted for inspection on the site of the work su -h public note e or c:tices as arc rcqurr d by the Act. The u. d.r ign d agrees to employ only such abcontr. ctors, on work to be perform d der this :, rmit ad are licensed by M ani. Shores Nil • ge. �c.narks . - ) - -- - -- -- --- - -- - -- (S�g -ced STATE OE FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adm._nister oaths ..nd take acknowledgments, personally ap- pearca. _ -- -- Permit No Disapproved . (Signed) Chairman Member _ Member __ Council Approved • MIAMI SHORES VILLAGE ector PLANNING BOARD plan Cubage `' / Date. -.___ No. and who, being by me first d ly sworn, upon oath depores and says that he is the . of th ahoy de A. ib • structio9 t. therein by him stated e trjie. Member .. .. Member _ Member Date Disapproved _ _ __DATE Notary Public State of Florida My Com:nission Expires ... Street_ __ Read, Sworn to and Subscribed before me. ,19 z X ' I 11 (1/ to me well known, 1 has care ally read the foregoing application, and that he did sign the same, and that _c11 facts Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application ft. .x. approval h is been obtained from the Planr ng Board A re- inspection fee of $1.00 will be charged when such re- inspection is m• e necessary by improper notice fc,r inspe tali or fa ity materials and /or workmanship. Zo r\ QO Cs' co St • Ack,(0, z550 I 0 4e, or Bulkier t e 'ipHot