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SKETCH OF SURVEY:
Order No. 102722
F.B. No. 173/13 and 1571/57
DATE: August 22, 1970
Scales as shown
The East 1/2 of Lot 17, all of Lot 18
and the West 1/2 of Lot 19, €3lock 32,
AN AMENDED PLAT OF MIAMI SHORES
SECTION NO. 1, according to the plat
thereof as recorded in Plat Book 10
at Page 70 of the Public Records of
Dade County, Florida.
22.5 Parkway ' 9CO A.96
0` As p /g
984 r .
HERBY CERTIFY: That the attached "SKETCH OF SURVEY" of the above described
roperty is true and correct to the best of my knowledge and belief as recent-
ly surveyed and platted under my direction.
SCHW p -SHISK & A ' I TES, INC.
V.Pres.
eaStere and Surveyor # 971
State of Florida
2 Signature
,
' :.
Rcgtnd Surveyor# State of
1
.. 1
Issue Date: 8/15/2006
Owner's Name: STEVEN BERKEY
Permit Type: Driveways /Sidewalks /Slabs
Work Classification: New
Job Address: 251 98 Street NE
Comments:
PAVERS DRIVEWAY BRICK
Additional Information
Applicant Copy
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
Expires: 02/11/2007
Contractor(s) Phone
JAIME BASILIO CORP DBA/ CHAMP Yes
Primary Contractor
Type of Work: DRIVEWAY
Bond Return :
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
Bond Type - Owners Bond $300.00
CCF $1.20
Education Surcharge $0.40
Permit Fee $100.00
Scanning Fee $3.00
Technology Fee $2.50
Total: $407.10
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: DS -8 -06 -2137
Phone:
1132060134410
Lot:
PB:
Total Square Feet: 400
Total Valuation: $ 2,000.00
Re • wired Ins • ections
Foundation
Sidewalk
Landscaping
Final
YLS
JOB M
NS?ECLED
For Inspections, Call (305) 795 -2204 exts 431 & 442. Requests must be received by 3 pm for following day inspections. Obtain Certificate of
Ocupancy /Completion Before Using the Building
Invoice Number
DS - 8 - 06 - 25887
Total:
Amt Due
$407.10
SEP 12 PJ
C 3i5- 122q
Amt 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.
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DISPLAY THIS CARD ON FRONT OF JOB
MIAMI SHORES VILLAGE
BUILDING PERMIT
PERMIT # Day - 2157
OWNER 3E v
ADDRESS I ' ce
CONTRACTOR
DATE
•
PERMIT TYPE cj '
"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 ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
STRUCTURAL
INSPECTION TYPE
INSPECTOR
DATE
Footing
Slab
Columns / Poured Cells
Rough Duct
Tie Beam
Rake Beam
2nd Floor Slab
2nd Floor Columns
2nd Floor Tie Beam
Fireplace Vent
Roof Sheating
Wall Sheathing
Floor Sheating
Suppression Test
Truss, Roof
Truss, Floor
Store Front
Buck
Lath
Pool Piping
MECHANICAL
INSPECTION TYPE
NSPECIOR
DATE
Undgr A/C Pipe
Slab condensate
Slab Jenn -Aire
Rough Duct
Rough Pipe
Exhaust Fan Rough
Hood Rough
Pool Heat Pump
Fire Dampers
Fireplace Vent
Vacuum Pipe Rough
Vacuum Pipe Final
Equipment Anchor
Suppression Test
Tuct Detector
Ventilation
Pressure Test
Fire Sprinkler Final
FINAL
PLUM
INSPECTION TYPE
W
DATE
Ground Rough
Top Out
2nd Floor Rough
3rd Floor Rough
Condensate
Drainfield
Suppression Test
Septic
Sewer
Water Service
L P Tank
Gas Rough
Gas Final
Irrigation Int:
Ext:
Well
Interceptor
Pressure Test
Fire Sprinkler Final
Pool Maindrain
Pool Piping
FINAL
NO INSPECTION WILL BE MADE UNLESS PERMIT CARD IS DISPLAYED
AND APPROVED PLANS ARE READILY AVAILABLE
INSPECTION RECORD
WORK MUST BE COMPLETED PRIOR TO REQUESTING INSPECTIONS
24 HOUR NOTICE FOR ALL INSPECTIONS
STRUCTURAL
- INSPECTION TYPE
Window Installation
Door Installation
Tin Cap
Mop in Progress
Tile in Progress
Shingle in Progress
Framing
Insulation
Drywall
Storm Shutter Anchors
Pool Steel
Pool / Patio Deck
' SPECIOR DATE
Sidewalk
Driveway Form / Rock
Work is allowed
Monday through Saturday
7:30 A.M. to 6:00 P.M.
No work is allowed on
Sundays or Holidays
U
s7
ELECTRICAL
INSPECTION TYPE
Temporary Pole
Footer Grounding
Slab
Service
Rough
B. Alarm Prewire
T.V. Prewire
Intercom Prewire
Phone Prewire
B. Alarm Final
T.V. Final
Intercom Final
Phone Final
30 Day Temp Power
Pool Grounding
Pool Slab
INSPECTOR DATE
FINAL
FOR INSPECTIONS CALL 305 - 795 -2204
INSPECTION REQUESTS ARE ACCEPTED DURING THE
HOURS OF 8:30 AM TO 3:30 PM FOR INSPECTIONS
THE FOLLOWING BUSINESS DAY.
CERTIFICATE OF OCCUPANCY MUST BE SECURED BEFORE THIS
BUILDING CAN BE USED FOR ANY PURPOSE
DO NOT REMOVE THIS CARD BEFORE COMPLETION
OFFICE PHONE NUMBER: 305- 795 -2204
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Inspection Date: 10/02/2006
Inspector: Grande, Claudio
Owner: BERKEY, STEVEN
Job Address: 251 98 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: CHAMPION CONCRETE
Building De artment Comments
Thursday, September 28, 2006
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: New
Block:
Phone Number
Parcel Number 1132060134410
Lot:
Page 2 of 2
Passed
Inspector Comments
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled
re-inspection fee is paid .
until
•
' " " " • • " • •
Inspection Date: 10/02/2006
Inspector: Grande, Claudio
Owner: BERKEY, STEVEN
Job Address: 251 98 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: CHAMPION CONCRETE
Building De artment Comments
Thursday, September 28, 2006
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: New
Block:
Phone Number
Parcel Number 1132060134410
Lot:
Page 2 of 2
Issue Date: 8/15/2006
Owner's Name: STEVEN BERKEY
Permit Type: Driveways /Sidewalks /Slabs
Work Classification: New
Job Address: 251 98 Street NE
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
Expires: 02/11/2007
Contractor(s) Phone Primary Contractor
JAIME BASILIO CORP DBA/ CHAMP Yes
Comments:
PAVERS DRIVEWAY BRICK
Additional Information
Type of Work: DRIVEWAY Additional Info:
Bond Return :
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
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
Bond Type - Owners Bond
CCF
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$300.00
$1.20
$0.40
$100.00
$3.00
$2.50
$407.10
Building Department F ; Copy
Applicant Signature
Invoice Number
DS - 8 - 06 - 25887
Total:
Parcel #:
Block:
Section:
Total Square Feet: 400
Total Valuation: $ 2,000.00
Required Ins•ections
Foundation
Sidewalk
Landscaping
Final
cJWA 122_1
Permit Status: APPROVED
Permit Number: DS -8 -06 -2137
Amt Due
$407.10
Phone:
1132060134410
Lot:
PB:
Amt 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.
o qo f 1 `.
az- Pit,t4
Passed Or Cb
6
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 10/02/2006
Inspector: Grande, Claudio
Project: <NONE>
Owner: BERKEY, STEVEN
Job Address: 251 98 Street NE
Miami Shores Village, FL
Contractor: CHAMPION CONCRETE
Building Department Comments
Thursday, September 28, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
OCT 0 3 Allip
..............
YIP
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Block:
Phone Number
Parcel Number 1132060134410
Lot:
Page 1 of 2
B Y
BUILDING
PERMIT APPLICATION
FBC 2004
Tenant/Lessee Name
Is Building Historically Designated YES NO
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 2 '
Type of Work:
Describe Work:
Structural Review. $ Total Fee Now Due $
State
Miami Shores Village -3-
1-i.-
Building D epartment 311spo
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
['Addition ❑Alteration QNew
4 ,q kreo . D VI/wee-0
Permit No. 05 049 — .2 131
Master Permit No.
Permit Type (circle). Building ) Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) rev ran) e2KC, Phone #
Owner's Address 7 / 4/6
City /'Ii-4,t 4'1 5M '
Zip 7 3 l
Phone #
Job Address (where the work is being done) ,S, -4c_
City Miami Shores Village County Miami -Dade Zip 33/5 if
FOLIO / PARCEL #
Contractor's Company Name C/Z,A.4O /4V CN CU-G).42
Contractor's Address (S33 0 .54A.) (L( a 7- it_
City () /(^/ State f.. Zip 3 3 / 'T 6
Qualifier Name .--/14 / .AGSM t. Phone #
State Certificate or Registration No. Certificate of Competency No. 05 B5 0 0 Pi$
Phone # 3 q
Square / Linear Footage Of Work: Lt 00 / /Ltv
Repair/Replace ❑ Demolition
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /06en $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
See Reverse side -*
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 st be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absen. of such posted notice, the
inspection will not be approved and a reinspection fee will b- harge
Signature
Contractor
The foregoing instrument was acknowledged before me this //)
day of 20"( , by Ye v) ► KQy , day of AJ Jer , 20 a , by J'IQ /'iA. A 5L%1
who is persona y known to me or who has produced D L- who is personally known to me or who has produced
l i Co 766 O6NAs identification and who did take an oath. IS 2f )-'i' /- ' /' as identification and who did take an oath.
NOTARY PUBLIC: NOTAR'.. ATE OF FLORIDA NOTARY PUBLIC:
Gisela Basilio
• Commission # DD491643
Sign: - > k ,
Exp s: NOV. 17, 2009
A:,a,ttic bending C ®.,1AC-
Print: C�„ `, cAjCz 6 1 I ; CJ
My Commission Expires: 1 1 I i ° I 1 a 0 0 c
t******* * * *************************************************************,***** * * * * ** * ** * * * * * ** * * * * * * * * ** * ** **
Owner or Agent
The foregoing instrument was acknowledged before me this
APPLICATION APPROVED BY:
(Revised 02/08/06)
gnature
Sign:
Print:
My Commission Expires:
Plans Examiner
Engineer
Zoning
a i n
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'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant,
attached survey, performed by
performed on o ‘ 6 1 / 0 5 / 0 ,3
(date of survey)
locations of all structures on the property as of this date.
Fu
her, Affiant sayeth naught.
Witn
(sign and print)
AFFIDAVIT
SteVey Ber' ` e y does hereby attest that the
(property owner)
Lamy) e5 avial
64/ 1i- I nv , .Z /)G
(name of surveyor's company)
, is an accurate representation of the existing conditions and
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..
Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this ' day of
Affiant is personally lmown to me, ✓produced (pp1p 71Cla tol- () loci D as identification.
NOTARY PLBL1C -SfAh OF FLORIDA • .. ... • • . • • • ... •
41 Gisela Basilio .. •... •.. • • • • • • Commission # DD491643 • • • • • • �� • • •
• • • .•
Expires: NOV.. 17, 2009 ►� , , �, c �_
Bonded Thru Atlantic Bening Cog lase
0
• • • • • • •
• • ••.•
• • • • • • •• • • • • • •
• • • •
••• • • • •• •
.. • • • •
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• • • • • • • • •
• • • • • . . . •
• . . . . . • • • •
• •. •• • • .. .. ..
000 • • • .. • •
Tax Folio R:
requests permission to install:
(owner)
following described property:
Legal description/foliog:
Lot Block Subdivision
Asphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of
SIGNED. SEALED AND DELIVERED is hec esenceof,• _ - - ••• ••• • •.••
• • • • • •
• • • .• • ••• • • • • • •
•• • • • • •
iami _ ChoNeo (/i��cce
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 - 2382
Telephone: (305) 795 -2207
Fax (3051.756-8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, 7/1/11) - 6 ettLef i l , hereinafter referred to as the Owner of the
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 .ay of
•• ••• • • • •
•
• • •
• •
• •
•• ••• •• - - --
(owner)
•••• •••• •
• • •. • • • • •
• • • ••• • • • • • •
• • • • • • • • • • • • •
• •• •• • • • •• ••
••• • • • • • ••• • •