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1269 NE 98 St (6)BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electricai Plumbing Mechanical Roofing --�� Owner's Name (Fee Simple Titleholder) *)'ei die.$ Clat !R n..0 L-L. Phone # - .'.r,9- " Owner's Address t.9- � E S 41% City �t vo. LiS State '! t4 . Tenant/Lessee Name Phone # Job Address (where the work is being done) 1 ?b`i. W ' 'j set City Miami Shores Village Is Building Historically Designated YES NO fir" Contractor's Company Name U br�l L LL U. Phone # (4�) 1 .(� r�- -pd 1 Contractor's Address d10 ( t `` z • City ,P1 State (c1.— • Zip 3 3 3 t'! Qualifier Th w i= S = '" VJ b State Certificate or Registration No. 9 is 0 5' certificate of Competen No. qv k 4O Architect/Engineer's Name (if applicable) Phone # 4 $ Value of Work For this Permit bino . Type of Work: DAddition Describe Work: Submittal Fee $, . Permit Fee $ Notary $ TraininglEducation Fee $ Scanning $ 6,-r Radon $ Zoning Total Fee Now Due $ 3 % Ci ' (Continued on opposite side) Miami ,Shores Village Building e p a r tm en t 10050N.E.2nd Avenue, Miami Shores, Florida 3313$ Tel: (305) 795.2204 Fai: (305) 756.5972 County Miami. -Dade Zip 3 3i 31 ❑Alteration ONew Fe Master Permit No. zip gri 3e •. 6� Code Enforcement $ —` Structural Plan Review. RECEIVED �s Permit No, BFb5 -2.72 Square Footage Of Work: 164 * CCF S 71 ► CO /CC Technology Fee S 5 1 7 ''-� 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. 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 approved and a reinspection fee will be charged. Chc 05/13/03 The foregoing instrument was acknowledged before me this day of F 4( 4 )e 20 oc, by 0-f+m. i C pike LL who is personally known to me or who has produced A ,1 1 L gee —f e As identification and who did take an oath. NOTARY PUBL Sign: Print: 5;6 XfILL /a f My Commission Expires: /j /0/ ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Signature NOTARY PUBLIC: Scott Williams `s .. 213 • Expires: Feb 03, 2008 Bonded lbw Bonding Co., Inc. Sign: Print: Contractor The foregoing instrument was acknowle ged before me this /r - day of r i . h t t t Y 20 0 5, by Tfl mt C f &tip who ' personally known me or who has produced as identification and who did take an oath. ''' Scott Williams _ Commission #DD287213 Expires: Feb 03, 2008 F oF 0. ' Bonded Tiny 1 ') %%%% AtlanticBonding Co., Inc. My Commission Expires: Iwo •22C5 l t� 7 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date CS Type Insp' n +i r)Ci P ermit No. I 2 1 P Name 0010I, Address 12G C t NJe C1 KS Company US (iC L Phone # Inspection Date Approved Correction Re- Insp'n Fee 0 IAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name �CC(Dl Address \ a_vo\ fk ) e G 0 E' Company Phone # `- (PJ% ? 01 Inspection Date 1 �Ut l QS arlA 'fie \C\ Correction Re- Insp'n Fee ❑ Z 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant,3 Ukg 4 C 'P 34Lp L.(— , does hereby attest that the (property owner) attached survey, performed by AL.0:1,11:c"" ,�- -('l.� C ms(µ y j ( 3 (name of surveyor's company) performed on 7 1 b rvO I , is an accurate representation of the existing conditions and (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 to this or other permits.. Further, Affiant sayeth naught. IlorP4 ' L1 i L?L 9 a Q lJ . A t/Prop owner Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this d day of fi/l /AA,l y. GUS Affiant is personally known to me, produced ve e r � � r as identification. Scott Williams Commission #DD287213 Expires: Feb 03, 2008 Bonded 1tn• r Atlantic Bonding Co., Inc. M Sh,oreo COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS,cJ A & S L_L_ , hereinafter referred to as the Owner of the (owner) following described property: Legal description /folio#: ( 3 ��— 001 -O.9- o Lot IS Block Subdivision Tax Folio #: (t— 3 2.O _ e2 — (f:30 requests permission to install: [Asphalt, concret brick pavers [ J Landscaping [ J Other within the public road right of way of k 1p c 1 (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. I f 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 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) -756 78972 7 SIGNED, SEALED AND DELIVERED in the presence of: Scott �IIS ` ` O S ► pY P(B i ? '� = Commission #DD287213 * Expires: Feb 03, 2008 Bonded Thor Atlantic Bonding Co., Inc 1� P P R c't-f ALE i"-20' pL4.1-.1 opg \/ ET 1 ,t&.LE 1" -2v1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -272 Printed: 3/14/2005 Applicant: ERICA RICHTER Owner: RICHTER ERICA JOB ADDRESS: 1269 NE 98 ST Contractor US BRICK I& BLOCK SYSTEMS Contractor's Address: 2701 REESE ROAD Local Phone: 954- 792 -0076 Parcel # 1132050090260 Building Permit Page 1 of 1 Legal Description: EARLETON SHORES PB 43 -80 LOT 15 BLK 2 LOT SIZE 75.000 X 109 Fees: Description Amount FEE2005 -3257 Building Fee $125.00 FEE2005 -3258 CCF $4.20 FEE2005 -3259 Training and Education Fee $1.40 FEE2005 -3260 Technology Fee $3.13 FEE2005 -3261 Scanning Fee $6.00 FEE2005 -3262 Builders Bond $300.00 FEE2005 -3263 Submittal Fee ($50.00) Total Fees: $389.73 Total Fees: $389.73 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/24/2005 Construction Value: Work: DRIVEWAY AND WALKWAY WITH OLD BARCELONA CLAY BRICK Signed: (INSPECTOR) $6,700.00 Qlv t om . (741- 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: • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 3 ' Job Address /269 /1/4" 9 ? Tax Folio // d9 Q &o Legal Description •A Z " e Owner / Lessee / Tenant £'c/,' ' C420" Master Permit # 339 Owner's Address .4ifdv /2‘9 WG ''J f7• Contracting Co./4 2er✓4G14i A-1d1aT Q WORK DESCRIPTION r AS'l -Cr Square Ft. /o ¢S' S¢ Signature of owner and /or ondo President Date: x/7/93 • V -el Gct J St • i6 - �7S=d -49 --¢630 AP • Notary as to Owner and /or Condo President My Commission Expires: NOTARY PUBLIC, STATE OF FLORIDA. MY COMMISSION EXrIRES: AUG. 21, 1996. BONDED THRU NOTARY PUBLIC UNOERNRIi ERSJ Address / %o XjeJ 73 S"7 Qualifier .0 y f{/ i SS# Phone P.. ` g4 . State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOF ENCE SIGN Estimated Cost(value) E,YeS -r Phone 7 S -a-4a 7 /oo 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 done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Sig t re Con f or or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: NOTARY PUBLIC. ;T° Cr FLORIDA: MY COM;I'.:$'_: r _ tF• .%.U3. 21. 199 BONDED ThiRU :l•. E..Ri 1'.:3Li C: .,1v0 ERWRITERIN ** * * * * * * * * * * * * * * * ** FEES: PERMIT " ` " V'6 RADON C.C.F. 1 !rti NOTARY TOTAL DUE YD r K6 APPROVED: Fire Zoning Buildin:'�y //161 Electrical Mechanical Plumbing Engineerin Other • 2- Z /2 . 01-1. 7.1q 7./4. • z_ 7 77 tt LA 7 • APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the 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. Registered Architect and /or Engineer Location and legal description of lot to be built on: � Lot 1'-5- ' Block .1 Subdivision Street and Number where work is to be done \'..4-.,�1.... _.Q . State work to be done and purpose of building (by floors)...-1. _. \N.,DA..4.:s\.R..,_. \; , -....> ....S.l) C.) 4..C...._ C311 s New Building Remodeling Cxxcc To be constructed of 1/4.-e rc Kind of foundation .(.W.2s.s Q4 ..5: Remarks..._ (Signed) ' Disapproved Date. (Signed) MIAMI SHORES VILLAGE Bui ding Inspector BUILDING INSPECTION DEPARTMENT P ANNING BOARD DATE Chairman - Member Member Member Member ...... _....__..__._...___....._ Member Council Approved _ Date Disapproved Date... . `.i k\SC. >_...._....._ _. ...... Owner's Name and Address ..:.`.:..`. �.,...�..`. \� ....... _ No ....... Street.. WCLV\\ cLa..s.A c tte Name c \ Nae and address of licensed ....CAA:::.t\ QS:I. • and for no other purpose. Addition, Repairs No. of Stories Roof Covet'tn ..2 Estimated Total cost of improvements $ 'SAC COD Amount of Permit S,. 2-1 5 ' Zone cubage required plan Cubage OPtzN 1 t Distance to next nearest building 0 -3 Size of Building Lot 1 5 �9 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 pennit 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, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Poesy_ N Notary Public, State of Florida My Commission Expires .g. .43 I 4 1 Q � STATE OF FLORIDA, COUNTY OF DADE. Ss. Bcfore me, the undersigned authority, a notary public, duly authorized to administer 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 hire stfte e�true. / Permit No._._ .__ ___ Date ) Read, Sworn to and Subscribed before me. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. has been obtained from Owner's Name and Address STATE OF FLORIDA, I COUNTY OF DADE. Ss. Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the 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. Registered Architect and /or Engineer ) _` �40 ) Name and address of licensed contractor -.(c -�Q t- Y.4layaF.- dtt! ,1,d� - �'l e�1� /FCs "� ��( 7 - ,c Date .24 -97/ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done `'t?f9_._ _ ___)) Z , State work to be done and purpose of building (by floors) 1,lh ve a4 sVz h&a No Street-_ ,19 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 7 Estimated Total cost of improvements $ d et • � Amount of Permit $ Zone cubage required Plan Cuhage 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, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) — – Before me, the undersigned authority, a notary public, duly authorized to administer 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 Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) PLANNING BOARD DATE My Commission Expires Chairman Member Member Member Member - Member Council Approved /`� Date Disapproved Date NOTE: A charge of $/.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. // MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the 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 13uilding 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. Date 4 2 Owner's Name and Address P1 No street. Registered Architect and/or Engineer Name and address of licensed contractor :' Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done Subdivision 5 State work to be done and purpose of buildi7 ( floors) 1 9 Remodeling Addition la re and for no other purpose. Repairs C * . No. of Stories { O . Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required _Plan Cubage Size of Building Lot 2 r6A g ' At('1 4:%1A New Building To be constructed of Kind of foundagpn ac iNe Roof Covering Distance to next nearest building 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 pennit 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, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 Permit No / 7 Date / - 2_ ( --- - 7 7--- Read, Sworn to and Subscribed before me. Disapproved (Signed) Date. Bui ding Inspector to me well known, Notary Public, State of Florida My Commission Expires PLAN BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.