DRIVEWAYBuilding Department
.�' 10050.14 E.2nd v e eye, Miami Shores, Florida 33138
Tel: (30 04 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical
Miami Shores Village
Permit No. &
aster Permit No.
bing Me chanical Romig
Owner's Name (Fee Simple Titleholder) A i t6 4 Z Phone # . 0 - 75 ff9"6
Owner's Address /o ��y W 1 N• E. 9 9 e t.
City /a,'fi wt es State f!
Tenant/Lessee Name jt//4
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name ,4r'eti
Contractor's Address / T7 '9 /L/ // j am ,cam
City /7711leaA r ,r,� State f�
Qualifier /Wl/G�JQ e L Ran 4-
Alf 6‘1"di.0
1 T 'p� P , qL& Addition, l iteration
Zip 33/3r
Phone #
/- log /1: 0 v
County Mieini -Dade Zip
NO .l
Square Footage Of
say-670-574A
zip fJoir
Architect/Engineer's Name (if applicable) Phone # _
3e1)
ork: , 2
t 1C' , c s k: 4 a
.4 , L .1f 4 !
VI( .■1 . • ,dc ..
Q Dominion
Submittal Fee $/ Permit Fee $
Tra It Technology Fee $ T/3
-- -- Radon $ Zoning
Code Enforcement $ Struc Plan Review. S
Notary $
Scanning $
Total Fee Now Due $ / . • T3
(Continued on opposite side)
*** kik* ** * * * * ** ******** ***
or-
CCF 5 1 (J CO /CC
Bond $ Fl
0 c t-e
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be a proved and a reinspection fee will be charged.
Signature
NOTARY
Signature
ner or Agent
The foregoing instrument was ackno ledged before me this le The foregoi instrument was acknowle ged before me 's ,s,
day of n- AI'r , 200'7 by t71+ I b� , day of , 20Q,r, by iC {( AlYeit
who is personal , own to me or wh as produced / fi i (who is personally known to m: oLw1ko js,projiuQd_
ath. as identifi
/ ,,,,,
,!y _ Commission Si DD303454
•tary Assn.
Sign:
Print:
My Commission Expires:
Chc 12/15/03
As id
03
APPLICATION APPROVED BY:
O$
& y r(2 -
PUBLIC:
Print:
Contractor
lvly Commission Expires:
NYARINVi 4 t1�,:1;L''' t
nave as # uoissiwuio3 E►
�C3 � s
� ce0sa1vo�ttugJNN ' . , .:
Pl�oi� {o e1o1S - oll4nd NQIoN , �` - o r, :
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No. 9
*************************************** * * * * * * * * * * * * * * * * * * * * * * * * * *w ** 8 * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
•
Tax Folio #:
requests permission to install:
SIGNED. SEALED AND DELIVERED in the pre
M iami SIior� (/i��cccde
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 - 2207
Fax: (3051756 -8972
y
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, XP. 11 11 1 0 •S , hereinafter referred to as the Owner of the
following described property:
Legal description/folio #: ,cc
Lot Block Subdivision Eai ?et, �`j t7;e:5
,A Pf oo (f
[/Asphalt, concrete, brick pavers
[ j Landscaping
[ j Other
within the public road right of way of 4.2.0.e /I/ e. 99 . /iXl!/-71/ f % A
23/3,
(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 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 day of
VI : GUEST
Notary • • - State of Florida
Ccmrk+ion E,ies Ntr24, 20oe
Commission # DD303454
g05
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 1
Type Insp' n co Final
Permit No. Z1 7006 1 F
Name P051
Address lab& c qc U 4 - •
Company
2 ^/ w G 1 it .f
Phone # 3V J r Ic�'1 - e)-Li
Inspection Date 1 1P-1 \0(1
MIAMI SHORES VILLAGE , / CA
BUILDING DEPARTMENT V
305- 795 -2204
gTIns ildin
pection Request
Date 1 50
Type Insp'n POIX VCkO ' AreA
Permit No. Vr -IS
Name P051
Address I ), U 'vE ciq Sl
Compan vcc4A-e
Phone # 3OS J 2-f 'CJ
Inspection Date 1))(4IC'
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Building Permit
Phone: 305- 795 -2204 Permit Number: BP2004 -15
Printed: 1 /13/2004
Applicant: KEITH POST
Owner: POST KEITH
JOB ADDRESS: 1208 NE 8 ST r y ci s ie r''' .
Contractor
Local Phone:
Parcel # 1132050090360
Signed: (INSPECTOR)
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 7/6/2004 Construction Value: $1,500.00
Work: Ggiffigiirf PATIO AND WALKWAY
g ri.C ‹
Page 1 of 1
s I
ad
JAN
Legal Description: EARLETON SHORES PB 43 -80 LOT 10 BLK 3 LOT SIZE IRREGULAR
Fees: Description Amount
FEE2004 -287 Building Fee $200.00
FEE2004 -288 CCF $1.20
FEE2004 -289 Notary Fee $5.00
FEE2004 -290 Training and Education Fee $0.40
FEE2004 -291 Technology Fee $5.00
FEE2004 -292 Scanning Fee $6.00
FEE2004 -293 Code Enforcement Fine $100.00
Total Fees: $317.60
Total Fees: $3_17,..6
Total Receipts: $000
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:
PAID
BVED
JAN 08
BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No.
Master Permit No.
Room
Permit Type (circle): Building Elec rica u»bi g Mechanical
Owner's Name (Fee Simple Titleholder) ' , - dS Phone # 2C"-)S
Owner's Address ���
S
City I A nit • � ► =fate . Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 1 2 / C
City Miami Shores Village County Mi Dade Zip
Is Buildin g Historically Designated YES NO
Contractor's Company Name
Contractor's Address �)
City )' 1 )Y1 I S /
Qualifier
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
1 O
Type of Work: DAddition []Alteration 1]New
Describe Work:
Submittal Fee $
Total Fee Now Due $
(Continued on opposite side)
Square Footage Of Work: `�` • "� /_
* Fees * * * * *** * * ** *ilk * * * * ** * * * * *** * * **
Repair/Replace ❑ Demo
CCFS
Tech nelegy Fee 5
Notary $ Training/Education Fee S (9 ! 0
Scanning $ {9,�" Radon $
Code Enforcement $ /00 Structural Plan Review. S
Bond S -
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. cti *� * n^ --- �a tion has
- curnmenccd -prior it 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
ise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose pr ... is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspec '. hich occurs seven days after the building permit is issued In the absence of such posted notice, the
inspection will not be - d a reins on fee will be charged.
day of
who is personally
Bonded Thru
My Commission Expire s:
APPLICATION APPROVED BY:
Chc 10/14/03
(Certificate of Competency Holder)
V(a/t7
Signature
Agent Contractor
The foregoing instrument was acknowledged before me this '• The foregoing instrument was acknowledged before me this
UCr 20 03, by 6-0 it , day of , 20 by
own to me or who has produced D 1 ( . who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
'.
NOT .' LIC:.1 1 �b�1 Vargas NOTARY PUBLIC:
�''" ' . i missio #DD231981
Sign: 1 1 Sign:
Print: � A .,. sk. Print:
Iiiiir ;
My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
State Certificate or Registration No. Certificate of Competency No.
SAN 1 2 2O k
Plans Examiner
Engineer
Zoning
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bujlding Inspection Request
Company (it bu
Phone #
Inspection Date
Date
Type Insp' n P Ina I vir f l)
P 2
Permit No. � O G
Name poS
Address 1E10
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/7/2005
Applicant: KEITH POST
Owner: POST KEITH
JOB ADDRESS: 1208 NE 99 ST
Parcel # 1132050090200
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -429
Contractor ARROW ASPHALT & ENGINERING INC Contractor's Address: 14799 NW 117 AVE
Local Phone: 305 - 556 -5702
Page 1 of 1
Legal Description: 5 53 42 EARLETON SHORES PB 43 -80 LOT 8 BLK 2 LOT SIZE 75.000
Fees: Description Amount
FEE2005 -4504 Building Fee $125.00
FEE2005 -4505 CCF $1.20
FEE2005 -4506 Training and Education Fee $0.40
FEE2005 -4507 Technology Fee $3.13
FEE2005 -4508 Scanning Fee $6.00
FEE2005 -4509 Builders Bond $300.00
Total Fees: $435.73
Total Fees: $435.73
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 9/18/2005 Construction Value: $1,650.00
Work: DRIVEWAY RESURFACE
1 3) (
APR 11 PAID
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:
STATE OF FLORIDA,
COUNTY OF DADE. J ss'
Disapproved \ I.._J Date.
(Signed)
Cirair.nan
Nferr,ber
Member .. ..
Council Approved
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
MIAMI SHORES VILLAGE
Registered Architect and /or Engineer
Name and address of licensed contractor....
Location and legal description of lot to be built on:
Lot Block Subdivision f7
Street and Number where work is to be done ,/a0.1 l. .S .. X9... .- ._... ..__......_ .� _ _._
State work to be done and purpose of building (by floors).... - 4t .-, Q�L.�C�L.L.g.._•��, !,'r�l L 2. .. .. — ...
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statc,,,ene us me plans and specifications herewith submitted for the build •
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
/ may Date.. 02 _... �... r ..._._ _._..._._�..._.... , 19. Z2-
Owner's Name and Address ��.fe� ' L alitee ._ No..la tf .& treet._..99
BUILDING INSPECTION DEPARTMENT
uildmng Inspector
:,. ,,,... vet •,n „n,,,, ,,,, CH
and for no other purpose.
New Building Remodeling Addition Repairs' No. of Stories
To be constructed of Kind of foundation oof Covering
Estimated Total cost of improvements $ /':fly Amount of Permit S. _.4 0.0
Zone cubage required .Plan Cubage
Distance .to next nearest building. Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida 'Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Perrnxnent Supplement,
and has complied %kith the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performe under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, n work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
PLANNING BOARD DATE
0.
Before me, the undersigned authority, a notary public, duly authorized t o a minister oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and•that he did sign the same, and that all facts
therein by him stated are true..
Permit No. .t r �.. Date ° io /P' Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires _...._..._.._..._
Member
Member
Member
Date Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by Improper notice for inspection or faulty
t)
0
3'
J44