DRIVEWAY324
MIAMI SHORES VILLAGE 4 4
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date / 2 Jos
Type Insp'n tI rIC:1 1 .Dr i v-cu
Permit No. 1'35 - `132
Name 64C—C' O : 4 I Sh rY1C`�I'l
Address 103 4E 9G ST'
Company P r 4-1- 5
Phone # (3°5) 75 — I 19
Inspection Date 8
Approved
Correction
Re- Insp'n Fee ❑
IL CCD (Lei P)-( 60412
loZwib
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bui ding Inspection Request
Date C I
Type Insp'n
Permit No. BP(35- 73z .
Name ci 3h nrrn
Address t C3 NE E 9 9 sT
Company e CS4 c
Phone #
Inspection Date Kfr) I
Approved ❑
Correction'
Re- Insp'n Fee
Aroauct S' 0 izez wc11.1`;(
4446
Lq 6 7/ zi ,
MIAMI SHORES VILLAGE --
BUILDING DEPARTMENT
305- 795 -2204
Buil i ing Inspection Request
Date 2e)
Type Insp'n 1 ,. Fccrd l�
Permit No. 6PO5 -
Name Fl. i r
Address (O � NG S 4---
Company
Phone #
Inspection Date • ) l
Approved
Correction
Re- Insp'n Fee
i0e it/44"
c am-r w
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BUILDING
PERMIT APPLICATI
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Geo r e_ is h tnQv) t
Owner's Name (Fee Simple Titleholder) 1s QvNCy ..N c rJ rC' Phone # 'SOS 7S ' t ( 4
Owner's Address 10 NE- C r? St
City (( ;ain' ShY State FL- Zip '3 CS
Tenant/Lessee Name
Job Address (where the work is being done) Sa.vY
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO le
Contractor's Company Name D W r le r Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No.
Architect /Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work: ❑Addition ['Alteration ENew ® Repair /Replace ❑ Demolition
Describe Work: rv} av e. ( Y.d ct? p1 Q CL. d r a vZiA) to asst kU o_y
ov- tr‘ Loa[k da.ma3eA AD j ` r roa
Submittal Fee $
Notary $ S .
Scanning $ J C:07
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * V
* ** * * * * **
a Ca
Permit Fee $ l 5 — CCF $ 1 .76 CO /CC
Training /Education Fee $ .h 0 Technology Fee $ ?. 13
Zoning l Bond $
Structural Plan Review. $ / e
Radon $
Miami Shores Village
Building Department
1005Q,N. 2nd Avenue, Miami Shores, Florida 33138
T IR - 19 aa' r- 05) 756.8972
IL, v y
NAY 9 8 2655
Master Permit No.
Phone #
Certificate of Competency No.
Phone #
Square Footage Of Work:
Permit No. b025732.-
T15
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. 1 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 n.- . = approved and a reinspection fee will be charged.
Signatur
Sign:
Print:
Chc 05/13/03
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
* *** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** : * * * * * * * **
1
Signature
Owner or Agent
The foregoing instrument was acl.iowledged before 'e this 1 The foregoing instrument was acknowledged before me this
day of C.J , 20 , by l' !_ riff day of , 20 , by
who is personal! k xwn to me o o has p oduced who is personally known to me or who has produced
As ident on and w�o'i Ake an oath. as identification and who did take an oath.
.
NOTARY PUB It✓ t. 90 - . NOTARY PUBLIC:
Contractor
Sign:
Print:
0 �
My Commission Expires:
G0 V
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
®5 Plans Examiner
Engineer
,?
� f 5
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/26/2005
Applicant: GEORGE FISHMAN
Owner: FISHMAN GEORGE
JOB ADDRESS: 103 NE 99 ST
Contractor
Local Phone:
Parcel # 1132060132180
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -732
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 11/14/2005 Construction Value: $2,500.00
Work: REMOVE AND REPLACE DRIVEWAY,WALKWAY AND SIDEWALK DAMAGED BY TREE ROOTS
Page 1 of 1
MAY 31 PAID
c k
8'3o
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 16 LOT SIZE 105 X 115 OR
Fees: Description Amount
FEE2005 -6741 Building Fee $125.00
FEE2005 -6742 CCF $1.80
FEE2005 -6743 Notary Fee $5.00
FEE2005 -6744 Training and Education Fee $0.60
FEE2005 -6745 Technology Fee $3.13
FEE2005 -6746 Scanning Fee $3.00
Total Fees: $138.53
Total Fees: $138.53
Total Receipts: $0.00
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.
Signed: (Contractor or Builder) BY:
Tax Folio #: 11 -- C)6, c O
requests permission to install:
within the public road right of way of 0
SIGNED, SEALED, EXECUTED AND ACKNOWLE
Miami SIzor Vi��ac�e
,'.Asphalt, concrete, brick pavers
([ ] Landscaping
(]Other
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax (3051756 -8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, 20`C�P r 1J�Q�{- / hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description /folio#: I - - j0(c) 01 3 "(P f 8Q
Lot 7 p Block /( Subdivision M•(aty c. e:s\r SC 1
E- 9
(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 Tien 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).
GE •n this day of
owner
SIGNED, SEALED AND DELIVERED in the presence o f: ■ �,:`/ _1
.iOned 2.; 1 re 0
�9jF�Ff�oQ`O� p ,, s: 07
onde ru
:r'anrfC Bbiidin> o„ lne.
pRluEcv/4y
n ping o,ct-f
26 �� (� �1 (Yl� ( being the legal property owner, for the property
Located at:
Legally described as
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 understand 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 licensed contractors. You have applied for a permit under an
exemption to that 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 or a farm out - building. ' You may also build or improve a
commercial building at a cost of 525,000.00 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 completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that 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- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) initial of revi wing clerk. The foregoing instrument
Was acknow jilted before me this 1Y` day of 20 DS .
B �•
Produced
OWNER BUILDER DISCLOSURE .STATEMENT
o� �1 99 �t
Owner
Owner
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
DISCLOSURE STATEMENT
who is personally know n to me or who has
as identificati•s.and who did take an oath.
label "das
mmission DD23rg1984
Expires: in 3 2007
'onded. ('hr,
'Y 'antic Bonding Co., Inc.
4
ADDRESS:
CEIVIFY TO:
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NATIONAL FLOOD INSURANCE PROGRAM,
C0111801 ty Panel No. 125098 0093 F
F. 1. R. 11. Date: MI/ember 4,1987
Base Flood Elevation- N/A
Zone: x
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@Re FP IICEVARIE on d ASSOCEAT110 OIIC
ENGINEERS, PLANNERS and SURVEYORS
Ortiflo Road - Sulto 11011
OWL florid. 11314
13031 181-0331
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05 RI LirtZT)
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LEGAL DESCRIPTION: s - 16,Block 16 of"AMENDED PLAT CIF MIAMI SHORES ,SECTION CNE°
acoording to the Plat thereof as recorded in Plat Book 10,Pacie 70 of
the Public Records of Dade County, Florida.
103 N.E. 99th Street, Miami Shores, Florida 33138
WcY ANCRUK
ENSURE "ftit
(INTRUST IORTGAGE CORP ' s successors
1
LIRVEYOW aNOTES . .
slo alibis Surveil .ths-Logal DisorlotIon.
elded-by ten client ,
2.) do shown Wet mare 'potentiated for sestets.
resedloto se Hobe of way of Met
3.) isorlsoo. If oboe, 414 elate to sold Record Plot
as sotested 14 the field and shout time is the
•Berle Llos
4.) Elegies shet.horen amrsialtve to Um
Subtle Vortical Date of ISM
LOTS 15 & 16 BrOCK 16
AMENDED PLAT OF MIAMI STROKES SECTICN ONE
BOUNDARY SURVEY •
PREPARED FOR: ANCRUM
ORS'
10-26-90 Legal
SCALE: i" I
DATE: 16-25-90
JOB NO. 90536