Loading...
308 NE 99 St (5)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Build Inspection Request Date ` Type Insp'n d '2/;t.6-Y ) Permit No. EL 0 — a 79 Name " Ag t ; s • Address sql Company A Pa g`CJ Phone # / oc /57 Inspection Date / q Approved Correction Re- Insp'n Fee IT l/,17/ /"'° 7 •e0 €'d .072- / f- LLcf rr / 1 a p )- G ,e i ifi1 ° 'iced pm72. .Q to at x``:41 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Build' g Inspection Request / Date • t Type Insp'n 7 1 ; ( - 4( 4 ° Permit No. 7 o v- a 7e Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee O6 Al 1 5 /5eta laCee.t. !AAV 1 VAIL. 1 5LcJ MIAMI SHORES VILLAG4 BUILDING DEPARTMENT 305- 795 -2204 Build ng Inspection Request Date 0 25 Type Insp'n ` J € \ Prr . Permit No. 1P V "1 - t . 2_ Name ✓5 Address � &f2_. Company O ft-Q- t Q)G ) POd Phone # Inspection Date 16 Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B uc Ming Inspection Request .\ Date 1' q . Type Insp'n f 1 pc.yr, t ' pr- Permit No. 6 P Oy -27 Name 2� ) , � re- Dv--i3 Address 2 Iva 34 S Compan e k)- . unty p2o V Phone # Inspection Date 11 J Approved Correction Re- Insp'n Fee ❑ Pad ee--,,q5,3 -eP a -C., 75 ,06 IbPb/'H2 2 446 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 \ • DC-1 p TypeInsp'n v \ i t- 1k(?i/1Ql Permit No. 9?. . Z OOL t pc � Name 0 cos Address StI (OE qc c, Company Phone # Inspection Date . Approved ❑ Correction ■,)V Re- Insp'n Fee ❑ Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT + 305- 795 -2204 "\ Building Inspection Request Date 1 O / ?,S ‘RXY�, n d /`-^ Ct Cwt ,o Name _W l• (p Address N " a q q Company Phone # 1 Inspection Date 1 O �� Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date I 0 Type Insp'n ��� EcnC Permit No. e net Name Q ' U � Address KiP_ �n`�'l Company 131/l x L UJO ACJ Phone # Inspection Date l LS Approved LK Correction ❑ ?--S �/ ` � Re- Insp'n Fee ❑ ef'T (01 1 BUILDING PERMIT APPLICATION FBC 2001 City MAR/ 6.1 Ck, 6 State . Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Address /t/ M IAMI AVE-. City MIAMI State I'L Qualifier AQ P/f44 / PEA��i4NO Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756,8972 RECEIVED t4 2104 Permit No. SP',. °S6* l- � Master Permit No. Zip, Phone # Permit Type (circle): Buii / ' Electrical �" l Plumubing M ltanicai Romig Owner's Name (Fee Simple Titleholder) { . "` l F r f2,7, 2 Phone Owner's Address 31 N� i'q's1- zip 3313? Contractor's Company Name bia ti/AfR 1- F8-. Phone #(3) 5 Zip 931g7 State Certificate or Registration No.4 /6 1f967_ Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit .1 b ) 000. Type of Work: EAddition / DAlteration Describe Work: // 4/G P 01- (Continued on opposite side) Phone # Square Footage Of Work: Repair /Replace 0 Demolitieil Submittal Fee $ ' Permit Fee $ ' 60 .00 ccr S q .63 coicc Notary $ Training/ atioi Peek "°5• Technology Fee $ $ . -CDC . Scanning $ 39 -- Radon S 1 , Zoning "'-- Bond $ 30, """" Code Enforcement $ Structural Plan Review. $ 50 Total Fee Now Due $ / - O • 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. Signature The fore day of who is personally known tome or who has produced identification and who did take an oath. _ r�lhrunp ` , ' es. :hy /7 C Miriam , m nission t?D12DBa3 Ns NOTARY Chc 05/13/03 Sign: Print: My Commission Expires; APPLICATION APPROVED BY: Owner or Agent oing nstrument w s acknowle 209 / , by Signature �//�� Contractor ed before me thiSOA' The foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBL Sign: ( r -; 7) Print: -1 41114441-.4k' {9 # D D09 P S My Comi r i MY COMMISS Expires: „ C ' `d� * * * * * * * * * * * * * * * * * * * * * ** **********************.**, a'*** * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** '�'F'••• *. BONDEDTH I ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** C 7 2 ''/t 4° .5 /rue; j; Plans Examiner OCT 1 8 2004 Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305 - 795 -2204 Permit Number: BP2004 -1282 Printed: 10 /19/2004 Applicant: KRISTINA BURROWS Owner: BURROWS KRISTINA JOB ADDRESS: 308 NE 99 ST Contractor Local Phone: 561- 721 -3330 Parcel # 1132060135590 BLUE WATER PLUMBING CONTRACTORS, 1516ntractor's Address: 1486 SKEES ROAD #E Signed: (INSPECTOR) Page 1 of 1 Permit Status: APPROVED Permit Expiration: 3/23/2005 Construction Value: $16,000.00 Work: Swimming pool - POOL DECK PERMIT BPO4 -1296 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 9 & 10 BLK 41 LOT SIZE 100.000 Fees: Description Amount FEE2004 -10254 Building Fee $480.00 FEE2004 -10255 CCF $9.60 FEE2004 - 10256 CO /CC $50.00 FEE2004 - 10257 Training and Education Fee $3.20 FEE2004 -10258 Technology Fee $12.00 FEE2004 -10259 Scanning Fee $30.00 FEE2004 -10260 Radon $6.25 FEE2004 -10261 Structural Fee $50.00 FEE2004 -10262 Builders Bond $300.00 Total Fees: $941.05 Total Fees: $94 Total Receipts: $0.06 gq'.O`3 OCT 2 0 PA 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: ASPHALT CONC 20.50' 25.35' • 5.00' CONC SWK 25.30' CONC 2 csi • • ••• • • • .• •. •• • • • •• • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• 20.00' ASPHALT PAVEMEST : • : •: •. • • • • • .. • :: ••••• NE 99 STREET • • f ] TILE ONE STORY RESIDENCE # 308 TILE 34.25' CONC 26.45' GRASS — G 100.00' PIM • ....../ • 22.00' GRASS PKWY 100.00' P&M GRASS 54.65' 3.40 5l 1 10.00' ASPHALT PAVEMENT '• ALLEY 20,45' • • • • • ••• •• 21.20' PL 6.00' 4 4' I0 u X 1 NORTH SCALE 1/20 Legal Description: Lot 9 +10, Block 41, of 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 Miami -Dade County, Florida. Accepted By: Survey: M22001 ,•O N. J e too s .= r te, • 99 H 31111111111 4 ,3a 3 ST- ET 5TR STR ` •1' W Certified To: JAIME BURROWS AND KRISTINA BURROWS , DELUXE TITLE AND ESCROW, INC., ITS SUCCESSORS AND /OR ASSIGNS. Panel Number: 0090 Suffix: J Data of Firm Index: 3/2/1994 Flood Zone: X Date of Completion: 3/23/04 Property Address: 308 N.E. 99 STREET MIAMI SHORES , FL 33138 N E. [ `u ` • 11 9g TM GENERAL NOTES: 1) 1 HEREBY CERT FY REPRESENT SIGNED TI • HAT THIS B F A SURVEY 101 GUEL ES ; OSA P.S.M. NO. 5 1 STATE OF F ORIDA PHONE: (305) 740 -3319 LB # 6463 3T: ET ARYSURVE LT SS OTHERWISE NOTED. MIGUEL ESPINOSA LAND SURVEYING, INC. 6494 S. W. 24 STREET MIAMI, FLORIDA 33155 • Y SURVEY IS A TRUE AND CORRECT ED UNDER MY DIRECTION. • LEGAL DESCRIPTION PROVIDED BY OTHERS. 2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT. 3) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 4) ONLY VISIBLE ENCROACHMENTS LOCATED. 5) WALL TIES ARE TO THE FACE OF THE WALL. 6) BEARINGS REFERENCED TO LINE NOTED AS B.R. 7) NO IDENTIFICATION FOUND ON PROPERTY CORRNERS UNLESS NOTED. 8) NOT VALID UNLESS SEALED WITH T SIGNING SURVEYORS EMBOSSED SEAL. 9) DIMENSIONS SHOW ARE PLAT AND ASURED UNLESS OTHERWISE SHOWN. 10) ELEVATIONS IF SHOWN ARE BAS • , PON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. 11) THIS IS A BOU FOR THE FIRM THIS SURVEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSE ONLY, EXCLUSIVELY FOR THIS USE BY THOSE TO WHOM IT IS CERTIFIED. THIS SURVEY IS NOT TO BE USED FOR CONSTRUCTION, PERMITING, DESIGN OR ANY OTHER USE WITHOUT WRITTEN CONSENT OF MIGUEL ESPINOSA. A A/C ADD ADJ AE ALUM. ASPH B/C BCR BLDG BLK. BM BNDY B/W C CB CB5 CD CJB CLF CM CMP CONC. COR. COV. D DB DCR D.E. DOT E/F E/P E/W ELEC. ELEV. ENCL. EM ESMT F/C F/L FF FH FIP FIR FN FND FN &D FN &T FP &L GAR GAW HW ID INV IR IP L LB LC LO LFF LP L5 ARC LENGTH AIR CONDITIONER ADDITION ADJACENT OR ADJOINING ANCHOR EASEMENT ALUMINUM ASPHALT BUILDING CORNER BROWARD COUNTY RECORDS BUILDING BLOCK BENCHMARK BOUNDARY BACK OF WALK CALCULATED CATCH BASIN CONCRETE BLOCK STRUCTURE CHORD DIRECTION CABLE JUNCTION BOX CHAIN LINK FENCE CONCRETE MONUMENT CORRUGATED METAL PIPE CONCRETE CORNER COVERED DEED DEED BOOK DADE COUNTY RECORDS DRAINAGE EASEMENT DEPARTMENT OF TRANSPORTATION END OF FENCE EDGE OF PAVEMENT EDGE OF WATER ELECTRIC ELEVATION ENCLOSURE ELECTRIC METER EASEMENT FENCE CORNER FENCE LINE FINISHED FLOOR FIRE HYDRANT FOUND IRON PIPE FOUND IRON ROD FOUND NAIL FOUND FOUND NAIL & DISC FOUND NAIL & TAB FLORIDA POWER & LIGHT GARAGE GUY WIRE HEAD WALL IDENTIFY, IDENTITY INVERT IRON ROD IRON PIPE LENGTH LICENSED BUSINESS CHORD DISTANCE LEGAL DESCRIPTION LOWEST FINISHED FLOOR LIGHT POLE LAND SURVEYOR LEGEND OF SURVEY ABBREVIATIONS M MAINT MH N0. N.T.S. 0/H 0.P. O.R.B. 0/5 0/W P PAR PB PC FCC PCP PG PI PK POD POC PP PRM PRC PT PVMT REC RCP RE5 RET RNG R/W SAN SST SCN 5E SEC SEW 5N &D SP SP &C 5R SRC STA 5TM STY SUED T TB IBM TRANS STWP TYP UE UGD WD WM WV MEASURED MAINTENANCE MANHOLE NUMBER NOT TO SCALE OVERHANG OPEN PORCH OFFICIAL RECORDS BOOK OFFSET OVERHEAD WIRES PLAT PARCEL PLAT BOOK POINT OF CURVATURE POINT OF COMPOUND CURVATURE PERMANENT CONTROL POINT PAGE POINT OF INTERSECTION PARKER KALON POINT OF BEGINNING POINT OF COMMENCEMENT . POWER POLE PERMANENT REFERENCE MONUMENT POINT OR REVERSE CURVE POINT OF TANGENCY PAVEMENT RADIUS OR RECORD RECORD REINFORCED CONCRETE PIPE RESIDENCE RETENTION / RETAINING RANGE RIGHT - OF - WAY SANITARY SOUTHERN BELL TELEPHONE SCREEN SOUTHEAST SECTION SEWER SET NAIL & DISC LB #6463 SCREEN PORCH 5E71/2" PIN & CAP LB #6463 STATE ROAD SET REFERENCE CORNER STATION STORM STORY SUBDIVISION TANGENT TOP OF BANK TEMPORARY BENCH MARK TRANSFORMER TOWNSHIP TYPICAL UTILITY EASEMENT UNDERGROUND WOOD WATER METER WATER VALVE ••• • • ••• - 0 - • • • ••• • • • • •• •• • • • • ..■ s • • • 111 • • • • • • ••• • • . • • • Phone: (305) 740 -3319 740 -3320 •• •• ••• • • • • • • •• ••• • • • • • • •• • • •. • • • • • • • • • • • • • • • • • • • ••. • ••• • • • •• • • • • • •• M CUE, ES? X100 BA LAND SUR E U fNG DNC. 6494 CORAL WAY MIAMI, FLORIDA 33155 LAND PLANNERS — SURVEYORS Fax: (305) 669 -3190 0 • 4 8/15/2006 To: Current Owner 308 NE 99 Street Miami Shores Village, FL 33138- Permit: BP2004 -1282 Address:308 NE 99 Street Miami Shores Village FL33138- Date Expired: 6/24/2006 Dear Sir or Madam Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 In order for us to serve you better, we need to keep our files up to date. Our records indicate that the above reference Permit has expired. The Building Department has determined that the work applied for has been completed with out the required inspections and it has been more than 180 days since your last approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida Building Code. You are required to renew your permit and schedule all required inspections. In the event you do not comply with the requirements herein, the Building Department will file a complaint with Miami -Dade County Building Code Compliance Office for possible disciplinary action against your licensed contractor And /or if permit was obtained by the home owner the requirements of the Unsafe Structure Code of Miami Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed unsafe and a permit shall be obtained to demolish the structure or bring the building in to compliance with applicable codes as provided herein." Please contact the Building Department, immediately upon receipt of this letter. Sincerely, Mabel Vargas Administrative Assistant NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: TAX FOLIO NO. THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: 40 7/10 y P-1.4•4-ii QME "1 Z ?GAT �F /414,q/ ,51-IP&i4 NV 1 3tT of ' q4 ' tit ,411/ S/IOk'I ' ) FG• 3313P 2. Description of improvement: /UM'Gf/ /, P7L 3. Owner(s) name and address: t /tlit / igG' 0G(/: 507 /t/f 9� 5r ' f/AN/ Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: b/-V,E 11/A ,F,-/' /vc' A • /AM/ i/ft / / 14. .3.312 7 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: 'D-i- AT , - lGWC's r, ^uF.TY Cr caDE Amount of bond $ (J gnus r ! . r ''c" 6. Lender's name and address: Ill A i e irmori, � Ate 7. Persons within the state of Florida designated - �fbh r � or gut doc ejltssnay be served as provided by Section 713.13(1)(a)7., Florida Statu fit;, �� Name and address: Print Owner's Name Notary Public Print Notary's Name My commission expires. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a • - rent • ate is sp ied) Sir `nature of Owner $fr - Expires June 30, 2008 am A Pellerano Commission DD129952 Sworn to and subscribed before me this 64 day of r; rte od 11 111 11 1111 11 1111 11 111 11 111 111 111 111 111 11 111 1 C:FN 2 004R0890906 OR Bk 22722 P9 3998; (1p9) RECORDED 10/12/2004 11:58:21 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE repared by 1�G A 40 , ��t,�'r 0 �l ti-L- r Address: 3 `f 222 ,4/ /A/t'll /1'2 tiller/ 33.1 ''G!7!IMrrlC`ttj s(GNATURE "& DATE CONTRACTOR'S NAME (PLEASE PRIM) . s :oi ` Ilalor laibert NOT ARY PUBLIC = *' MY COMMISSION # 00099888 EXPIRES Iiiril - '�` June 14, 2006 BONDED THRU TROY FAIN INSURANCE INC . tw t,e,X tu a r BUILDING DEPARTMENT 10050 H.E. SECOND AVENUE MIAMI SHORES. FLORIOA 33138.2382 TELEPHONE (305) 795.2204 FAX (3051 756-8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or nstalled at Miami Shores,. Fl., and hereby affirm that one of he following methods will be used to meet the requirements of Chapter 515, Florida itatutes. please inii *al the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved salty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with •release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and /or up to 60 days in jail as established in Chapter 775, F.S. 'S SIGNATURE & DA NOTARY' UBUC f N' • Miriam A Pellerano • My Commission DD129 52 d Expires June 30, 2008 �1� NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowled a that a new swimming pool, spa or hot tub will be constructed or nstalled at Sb ha Miami Shores,. Fl., and hereby affirm that one of he following methods will be used to meet the requirements of Chapter 515, Florida itatutes. please ini *al the method(s) to be used) ✓ The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with•release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and /or up to 60 days in jail as established in Chapter 775, F.S. AA\ttL 100-1 SIGNATURE & DATE CONTRACTOR'S SIGNATURE & DATE NOTARY PUBLIC : ek 111 Dolores Imbert 8 EXPIRES June 14, 2006 BONDED THRU TROY FAIN INSURANCE, INC . kot,e/X1,lla r BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138.2382 TELEPHONE (305) 795.2204 FAX (3051 756 -8972 V. OWNER'S NAME ( PI • SE PRINT ) NOTARY PUBLIC omission DD129952 of or Expires June 30, 2006 pelierano RESTRICTIVE COVENANTS PROTECTIVE POOL ENCLOSURE PREPARED BY: 1 WHEREAS, the undersigned '.' &VOA is/are the fee simple owner (s) of the following described property situate and being in the Village Lot (s) Blo r � 0 �tL IJp�I It • .:•7 �' I dV i( ub ivuion), I � A.K.A. (address) !� • /Am/ ,� - —� according to the plat thereof, u recorded in Plat Book in Page 7r7 of the Public Records of Dade County, Florida, and KNQW A MEN BY THESE PRESENTS: WITNESS(ES) � - d,. and Print Sa nd rint STATE OF FLORIDA ): COUNTY OF DATE ): DECLARATION OF RESTRICTIVE COVENANT Whereas, the undersigned owner (s) 6 desire to utilize said Lot (s) as . a single building site, and the undersigned owner (s) do (es) hereby declare and agree as follows: 1. That the property will not be used in violation of any ordinances of the Vlllage or Dade County now in effect or hereinafter enacted. 2. That the purpose of this covenant-is to Induce the Village 'o !me a permit for a pool where the required enclosure Is not on the subject property where the pool is located. • 3. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our /my property shall fall to meet code requirements for pool barriers, we, as owners will Immediately • install a protective enclosure to meet code requirements and will obtain a permit for such fence. • 4. That, we, as owners, hold the Village harmless for any negligence or injury that results from not having the enclosure FURTHER, the undersigned declares) that this covenant: is Intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by the • Village i , or its successors, in accordance of said Village then in effect IN WHERE unreed hu/Irave ased affixed hereto on this day of SWORN TO AND SUBSCRIBED before me on this 6 e day o MY ommission Dv / eexpir s : �, v 6 � I ,r W �/1 / by,, Dolores Imbert • MY COMMISSION # DD099888 EXPIRES June 14, 2006 BONDED THRU TROY FAIN INSURANCE, INC. Signature and Print Signature and Print hand (s) and seat(s) to be I HEREBY CERTIFY that on this day personally appeared before me ., .� t _ �! i 1.), • • o is personally {mown to me or has produced (type of identification) as Identification andheIshe acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. • - s th tuAtias 4 4v (4q I >,, NOTARY ' UBLIC ST OF FLORIDA Rev. 4 Miriam A Pellerano My Commission DD129952 , # Expires June 30, 2006 RESTRICTIVE COVENANTS PROTECTIVE POOL ENCLOSURE PREPARED BY: DECLARATION OF RESTRICTIVE COVENANT KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned 4 erAi d d2Ri ate re the fee simple owner (s) of the following described property situate and being in the Village Lot (s) 410 Block o , L,!% ISI - P • ► , °' 1 A.K.A. (address) O� g g4 /)')i - / (Su division) according to the pia thereof, as recorded in Plat Book 16 Page ?n of the Public Records of Dade County, Florida, and Whereas, the undersigned owner (s) desire to utilize said Lot (s) as . a single building site, and the undersigned owner (s) do (es) hereby declare and agree as follows: 1. That the property will not be used In violation of any ordinances of the Village or Dade County now in effect or hereinafter enacted. 2. That the purpose of this covenantds to induce the Village -o issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. - That if any of our adjoining neighbors remove any portion of their fence or wall, or if our /my property shall fall.to meet code requirements for pool baniers, we, as owners will immediately • install a protective enclosure to meet code requirements and will obtain a permit for such fence. • 4. That, we, as owners, hold the Village harmless for any negligence or injury that results from not having the enclosure FURTHER, the undersigned declares) that this covenant U Intended and shall constitute a restrictive covenant concerning the use, enjoyment and tide to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by the • Village , or its successors, in accordance of said Village then in effect. IN WHERE undersigned Me caused hand (s) and seal(s) to be affixed hereto on this day of i � ` � ' / ` y" i �� WITNESS(ES) STATE OF FLORIDA ): COUNTY OF DATE ): Signature and Print ^^�� FCd I Si e anQ'Frint SWORN TO AND SUBSCRIBED before me on this d•■. day MY commission expires: 000 000I ,.�.k: ":' ?p'••. Dolores Imbert MY COM1v # DD099888 EXPIRES 4, 2006 6 F,,°:' BONDED THRU TR FAIN INSURANCE, INC I Al4t14,1 Signature and Print Signature and Print 1.1-(, (1a 6 -tjr I HEREBY CERTIFY that on this day personally appeared before me known to me or has produced (type of identification) as identification and he/she acknowledge at he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. • ATE OF FLORIDA Rev. 4 Nitis M.nam A Pellerano • • My commission DD129Q52 It di Expires June 30, 2008 aw 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, 741/1(E- EA T //vA �� /O 2 , does hereby attest that the (property owner) attached survey, performed by fri/ / t5' //V7 A //WA rbv& //1/C (name of surveyor's company) performed on ?j . � P' f , 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. Witness(sign and print) • Thiarn, Siior� Vc�LC[.c�e SWORN TO AND SUBSCRIBED before me this day of Affiant/Property owner Witness(sign and print) Affiant is ' personally known to me, produced as identification. , shooV AP ,► Miriam A Pellerano My Commission DD129052 o, „Cif Expires June 30, 2008 STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, J�iti/E J / /6l ii4 Bt /:X(21li , does hereby attest that the (property owner) attached survey, performed by hi / (7i& L 14/2/4/06 , ,LAN4 sf, Y /N1-2 //i/ (name of surveyor's company) performed on j . • 01 "/ , 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. Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this 0 day of Affiant is V3ersonally known tome, produced 'Miami ShorQ� Vi�Cac�e �a� ► Miriam A Pellerano My Commission DD129952 0 , „ Expires June 30, 2006 as identification. Date Miami Shores Village Building and Zoning Department Attention: Building Official be used or filled with water WWI . barrier and, 'such barrier I further understan obtaining a permit 4 1. certify that I aL.U'a the legal owner o 1 fr/7t i/ tl 71'0%7 *Ml 61/0g1;& FL . 3313r In accordance with Section 33 -12(f), Code I understand and agree that the swimming pool to Date Miami Shores Village Building and Zoning Attention: Building Offaei I certify that I am the legal of the kl6r1 ✓a egke W,5 H/14111 odeE. , FL . 33J5 ' In accordance with Seclion 33-12(f), Code of be used or Iled with barrier, and Such I further undero obtaining a permit I understand and agree that the '!tuning pool to be Date 12/05/2005 Permit Receipt Permit Number: BP2004 -1282 Invoice Number: imp -12 -05 -22888 Applicant: None None Company Name: Payment Type CheckNum Check 7131 Amount $480.00 Total Payment: $480.00 Monday, December 5, 2005 Page 1 of 1 Miami Shores Village ,a1K,, Building Department Permit No. Job Name BUILDING CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 (04-ta4) j -/,g - gP 64-lava 1) tiro / ilift/i4;+ »Lj//ad /0.0.4 Ola q\d()\619, Miami Shores Village . aiK „ Building Department Permit No. Job Name BUILDING CRITIQUE SHEET .g\a(\m9, 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BP Oq-b#2 1) ,fr-eoc,r 7J3A44+ ided -A pal .:lax ,1y PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT SECTION BY DATE ZONING • ELECTRICAL MECHANICAL PLUMBING FIRE " PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compilance with alt Federal, Sta County. Village rules and regulations. Village cssucr, no responsibility tor accuracy otlor results In these plans. Z. This copy of plans mutt b• available building cite or no Inspection wail be conduct JOB ADDRESS . OS" /vC (/ s7" APPLICANT .Cr 4ie$ c' S PHONE # APPUCATION Poet SHEET OF MISCELLANEOUS DATE MUG CRITIQUE SHEET COMMENTS 71 / a Y (r) 1 . /4'a Te yt✓ .afEivcE7 ke - tit. D POOL REQUIREMENTS: SELF - CLOSING/ SFI F- LOCKING GATES REQUIRED FENCE: 4' HIGH (MIN,) AND NON - CLIMBABLE IF NEIGHBORS REMOVF FFNCF/ WALL, OWNER MUST REPLACE WITH A 4' FENCE ON uwN &H'S PROPERTY INITIALS Inspection Date: 01/25/2006 Inspector: Perez, JanPierre Owner: BURROWS, KRISTINA Job Address: 308 99 Street NE Miami Shores Village, FL Project: <NONE> Contractor: BLUE WATER POOLS OF SOUTH FLORIDA Building Deaartment Comments Wednesday, January 25, 2006 Inspection Worksheet Mia i Shores Village 10050 N -. 2nd Avenue Miami Shores, FL Pho . (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Mechanical Phone Number 305/758 -9868 Parcel Number 1132060135590 Lot: Phone: 305/573 -6269 • Page 2 of 2 Passed Inspector Comments C � utA) L.-- . - 1) \ °.) 7 ' 2) 1 . l 71 (-) l Failed Q Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. [•1 - until Inspection Date: 01/25/2006 Inspector: Perez, JanPierre Owner: BURROWS, KRISTINA Job Address: 308 99 Street NE Miami Shores Village, FL Project: <NONE> Contractor: BLUE WATER POOLS OF SOUTH FLORIDA Building Deaartment Comments Wednesday, January 25, 2006 Inspection Worksheet Mia i Shores Village 10050 N -. 2nd Avenue Miami Shores, FL Pho . (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Mechanical Phone Number 305/758 -9868 Parcel Number 1132060135590 Lot: Phone: 305/573 -6269 • Page 2 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10/19/2004 Applicant: KRISTINA Owner: BURROWS JOB ADDRESS: 308 NE 99 ST Contractor Local Phone: 305/573 -6269 Parcel # 1132060135590 Signed: Mechanical Permit Permit Number: MC2004 -179 BURROWS KRISTINA BLUE WATER POOLS OF SOUTH FLORIDA Contractor's Address: 3400 N. MIAMI AVE Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 9 & 10 BLK 41 LOT SIZE 100.000 Fees: FEE2004 -10313 FEE2004 -10314 FEE2004 -10315 FEE2004 -10316 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $150.00 $1.20 $0.40 $3.75 $155.35 Total Fees: $155.35 Total Receipts: $0.00 vs; Permit Status: APPROVED Permit Expiration: 3/23/2005 Construction Value: $1,200.00 Work: POOL HEATER- MASTER PERMIT # BPO4 -1282 (INSPECTOR) Page 1 of 1 a31 OCT 2 0 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: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Name (Fee Simple Titleholder) J 4/1/E_ i 'L"i o/ ' Phone �d Owner's Address � N 'I T City)../ /AH/ � JII1 7 II State H. Zip 3313)7 Tenant/Lessee Name Phone # Job Address (where the work is being done) if/E- 11'6 City Miami Shores Village County Miami -Dade is Building Historically Designated YES NO Contractor's Company Name gWL 1t2Q7rE /- Cr 3.R... Phone # ( /J 1€ I Contractor's Address 3 Ott /PAH/ 4t/L City /1/4/1/ State FFG.. Zip 3312.7 Qualifier RAPNAU P State Certificate or Registration No. CP 'J 5 ( I 1- Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work:_, ❑Addition ❑Alteration Describe Work: / /-fi41 1e Electrical Plumbing Permit No. * G o4, /" 1 Master Permit No. .1r — /'c` Zip ,513 Square Footage Of Work: 0 Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * ** * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ D. Permit Fee $ ISO CCF $09. CO /CC Notary $ ------- Training/Education Fee $ a 4 Technology Fee $ /,1 i Scanning '$ Radon $ — Zoning Bond $ Code En ?orcement $ Structural Plan Review. $ r Total ee Now Due $ J 1�s (Con mued on opposite side) Roofing 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. Signature Signature Owner or Agent Contractor The fore; oin _ i strument s a knowl ged b e me tlu� The foregoing instrument was acknowledged before me this day of � / _ 1 r , 2O by ►�� a / day of SO pXc ie t_13(120 rq> by Oa, e Pt r re i; Y who is personally known to me or who has produced who is personly known to me or who has produced NOT Sign: Print: L My Conunission Expir * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Cho 05/13/03 As identification and who did take an oath. as identification and who did take an oath. or s Miriam A rclareno a e �; My Commission DD929952 NOTARY PUB Sigi Print: ge, 2e/ :6t? el .I 0-4 I / My Commis . c�,',,; •_ N oD� EhIREs * * * * * * * * * * *� * * * * * ** ******** * * * * * * * * * * * * * * * * * * * * * * * * * * *rli e * * * ** * *intilN" * * * * * * ** BCrN DED THRU TROY FAIN INSURANCE, INC L C Plans Examiner Engineer Zoning Inspection Date: 02/02/2006 Inspector: Perez, JanPierre Owner: BURROWS, KRISTINA Job Address: 308 99 Street NE Project: <NONE> Miami Shores Village, FL Contractor: BLUE WATER POOLS OF SOUTH FLORIDA Building Department Comments Wednesday, February 1, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL P • ne: (305)795 -2204 Fax: (305)756 -8972 Block: 9.004-102 Permit Type: Imported Permit Inspection Type: Final Work Classification: Mechanical Phone Number 305/758 -9868 Parcel Number 1132060135590 Lot: Phone: 305/573 -6269 Page 2 of 2 Passed i(4� %' Inspector Comments 1 i / t (..( . e. Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 02/02/2006 Inspector: Perez, JanPierre Owner: BURROWS, KRISTINA Job Address: 308 99 Street NE Project: <NONE> Miami Shores Village, FL Contractor: BLUE WATER POOLS OF SOUTH FLORIDA Building Department Comments Wednesday, February 1, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL P • ne: (305)795 -2204 Fax: (305)756 -8972 Block: 9.004-102 Permit Type: Imported Permit Inspection Type: Final Work Classification: Mechanical Phone Number 305/758 -9868 Parcel Number 1132060135590 Lot: Phone: 305/573 -6269 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Siyolple Titleholder) Owner's Address City lGt1�1,, State e Tenant/Lessee Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIVED OCT 1 8 1604 Permit No • 1 C I c aster Permit No' J mil ng Mechanical Roofing 4 ( MS Phone # 335 -7q 3 g olct-rie) 81- Zip 3,3 t Phone # Job Address (where the work is being done) a "1 r '' City Miami Shores Village County Miami -Dade Zip 3 3132" Is Building Historically Designated YES NO_ Contractor's Company Name C. - J Contractor's Address ?- 0 00 X 1 a 13 City FT • Lau dt4 C/ State Qualifier SCA rjG State Certificate or Registration No, Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone $ Value of Work For this Permit Type of Work: DAddition Submittal Fee $ Notary $ Total Fee Now Due $ 4-S e (Continued on opposite side) • F( iorDD.cue) []Alteration Permit Fee $ t $New Describe Work: ** vo * ** * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Training/Education Fee $ Code Bfrorcement $ Structural Plan Review. $ C 1 I YL Phone # Square Footage Of Work: IL/ ©d CCF $ Technology Fee $ Scanning $ Radon $ "-- Zoning �` Bond $ 33 33 8 0 Repair/Replace ❑ Demolition co /cc 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. The foregoin instrument was acknowledged before me this 7 day of (T , 20 0l, by trii5 I f? x o u who is personal known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as h A9tion and w�jBEd1 ®I�n oath. IC: i b NOTARY PUBLIC: 1 ='\ r Notary Public - State of Flon a NOTAR`P�. r `e ,� t `9 g4 _ t, ._ My Commisslon Explres Nov20,2006 Q ® 5 r <: Commission # DD166918 r / .....k „ „' t : ®� Sim ....0/.. S�� :� . PC .. '.1al Notary Assn. . 3� *� =�: .� , �� 1 � Print: • , . A _ 1.,. =� Sign: Print: My Co ission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** Chc 05/13/03 'tic Signature Contractor The foregoing instrument was acknowledged before me this 1 $” day of facTO3e"-. , 20 f)`t , b bf►cuC'r WcuCµ,S '- *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** My Commission Expires: APPLICATION APPROVED BY: d' 1 Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -1296 Printed: 10/19/2004 Applicant: KRISTINA BURROWS Owner: BURROWS KRISTINA JOB ADDRESS: 308 NE 99 ST Contractor CBJ CONSTRUCTION, INC. Local Phone: 561 - 756 -4884 Parcel # 1132060135590 Signed: (INSPECTOR) Building Permit Contractor's Address: P.O. BOX 7213 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 9 & 10 BLK 41 LOT SIZE 100.000 Fees: Description Amount FEE2004 -10299 Building Fee $125.00 FEE2004 -10300 CCF $4.20 FEE2004 -10301 Notary Fee $5.00 FEE2004 -10302 Training and Education Fee $1.40 FEE2004 -10303 Technology Fee $3.13 FEE2004 -10305 Builders Bond $300.00 Total Fees: $438.73 Total Fees: $438.73 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 3/28/2005 Construction Value: $7,000.00 Work: TAKE OUT CONCRETE AND INSTALL BRICK PAVERS FOR POOL DECK 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: Miami Shores Village 10050 NE 2nd Avenue Printed: 10 /19/2004 Applicant: KRISTINA Owner: BURROWS JOB ADDRESS: 308 NE 99 Contractor CBJ CONSTRUCTION, INC. Local Phone: 561- 756 -4884 Parcel # 1132060135590 Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Phone: 305 - 795 -2204 Permit Number: BP2004 -1296 BURROWS KRISTINA ST Contractor's Address: P.O. BOX 7213 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 9 & 10 BLK 41 LOT SIZE 100.000 Fees: FEE2004 -10299 FEE2004 -10300 FEE2004 -10301 FEE2004 -10302 FEE2004 -10303 FEE2004 -10305 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Builders Bond Total Fees: Amount $125.00 $4.20 $5.00 $1.40 $3.13 $300.00 $438.73 Total Fees: $438.73 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 3/28/2005 Construction Value: $7,000.00 Work: TAKE OUT CONCRETE AND INSTALL BRICK PAVERS FOR POOL DECK 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. BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10/19/2004 Applicant: KRISTINA Owner: BURROWS JOB ADDRESS: 308 NE 99 Contractor CBJ CONSTRUCTION, INC. Local Phone: 561- 756 -4884 Parcel # 1132060135590 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -1296 BURROWS KRISTINA ST Contractor's Address: P.O. BOX 7213 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 9 & 10 BLK 41 LOT SIZE 100.000 Fees: Description Amount FEE2004 -10299 Building Fee $125.00 FEE2004 -10300 CCF $4.20 FEE2004 -10301 Notary Fee $5.00 FEE2004 -10302 Training and Education Fee $1.40 FEE2004 -10303 Technology Fee $3.13 FEE2004 -10305 Builders Bond $300.00 Total Fees: $438.73 Total Fees: $438.73 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 3/28/2005 Construction Value: $7,000.00 Work: TAKE OUT CONCRETE AND INSTALL BRICK PAVERS FOR POOL DECK 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: Miami Shores Village 10050 NE 2nd Avenue Printed: 10 /19/2004 Applicant: KRISTINA BURROWS Owner: BURROWS KRISTINA JOB ADDRESS: 308 NE 99 ST Contractor CBJ CONSTRUCTION, INC. Local Phone: 561 - 756 -4884 Parcel # 1132060135590 Signed: (INSPECTOR) Building Permit Phone: 305 - 795 -2204 Permit Number: BP2004 -1296 Contractor's Address: P.O. BOX 7213 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 9 & 10 BLK 41 LOT SIZE 100.000 Fees: Description Amount FEE2004 -10299 Building Fee $125.00 FEE2004 -10300 CCF $4.20 FEE2004 -10301 Notary Fee $5.00 FEE2004 -10302 Training and Education Fee $1.40 FEE2004 -10303 Technology Fee $3.13 FEE2004 -10305 Builders Bond $300.00 Total Fees: $438.73 Total Fees: $438.73 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 3/28/2005 Construction Value: $7,000.00 Work: TAKE OUT CONCRETE AND INSTALL BRICK PAVERS FOR POOL DECK In consideration of the issuance to me of this permit, 1 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: WHEN CLEARED AND REPAIRED BY THE VILLAGE: Amount of Bond: $ Cost of clearing and repairs done by Village: $ Balance due Builder: $ Final: Miami Shores Village, Florida BUILDER'S BOND KNOW ALL MEN BY THESE PRESENTS, that I, CBJ CONSTRUCTION, INC. P.O. BOX 7213 of CBJ CONSTRUCTION, INC. FORT FL in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or buildings at the following address: 308 NE 99 ST do hereby deposit with Miami Shores Village, Florida, the sum of: $300.00 and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such construction withing the meaning of such ordinances, the Village may clear and repair the same and pay the cost of such clearance and repairs out of the aforesaid Builder's Bond, and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then said Builders Bond shall be retumed to me. WITNESS MY HAND and Seal at Miami Shores Village, Florida this date: 10/19/2004 Signature INSTRUCTIONS TO BUILDER: When above mentioned construction is completed and the premises are cleared and repaired, take this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction Cancelled: By: Bond refund payable to applicant only. ($10.00 CHARGE IF BOND IS LOST OR DAMAGED) Issued: 10/19/2004 Amount: $300.00 Bond #: FEE2004 -10305 Permit #: BP2004 -1296 Village Building Inspector, Miami Shores (Date) BUILDING PERMIT APPLICATION FBC 2001 Owner's Address Job Address (where the work is being done) .3z ' City Miami Shores Village Total Fee Now Due $ /05 (Continued on opposite side) 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. 6 0 S L-- /(5 ? Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) 1 ii �iZg l /l,(l Phone # (1) 7e pG lr Mechanical Roofing 3t2 ' N E 7 1 City ' y 0'. l J State zip 3313 r Tenant/Lessee Name Phone # Is Building Historically Designated YES NO County Miami -Dade Zip 3313r Contractor's Company Naine bag GVATL1 P0045 CF 6. F.. Phone # (;)57 /4 t4 Contractor's Address , 00 /t/. /q/,H/ AL I . City MAN/ state R.. Zip 3 3.1. .27 Qualifier R/A1 X. PL AIV A//7 State Certificate or Registration No. 2R - itic&'17,L Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone it $ Value of Work For this Permit ,2 Type of Work: DAddition ❑Alteration ‘w Describe Work: J'cZ P11 fib. Square Footage Of Work: 0 Repaid ep gee ❑ Demo bt en Submittal Fee $ 70 1 00 Permit Fee $ I Sb CCF $ / , " CO /CC Notary 5 Training/Education Fee $ 0. Technology Fee $ 3. 75- Scanning $ Radon $ - Zoning Bond $ '! Code Enforcement $ Structural Plan Review. $ -- The fore : oing day of ! AI' NOTAR Sign: Print: * * * * * * * * * * * * * * * * * ** Chc 05/13/03 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. Owner or Agent strument as ac , 20 _, by who ispersonally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. mraNnailirmop-110 My Commission Expires'- ************ * * * * * * * * * * * * * * * * * * * * *c * * * ** * ** APPLICATION APPROVED BY: ?p ► � % Miriam A 3allarreno My Commission DD120052 NOTARY PUB Expires June 30, 2006 Si b me t isa4 Contractor The foregoing instrument was acknowledged before me this .3 3 day of ��;1e ((f by r' c � k i�� �� fC �;, I who is personally known to me or who has produced Print: tNEA otr` -' 5 a -, Y \ '+ My Commission Expire L 2. I gicires' a ge e2, " "v C l Jnr.f:ISSiON f pa LORE* e, . u. 200 I) ' 1 , 1 Y FAIN/ I NSURANCE, INC Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2004 -278 Printed: 10/19/2004 Applicant: KRISTINA BURROWS Owner: BURROWS KRISTINA JOB ADDRESS: 308 NE 99 ST Contractor BLUE WATER POOLS OF SOUTH FLORIDA Contractor's Address: 3400 N. MIAMI AVE Local Phone: 305/573 -6269 Parcel # 1132060135590 Signed: (INSPECTOR) Plumbing Permit Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 9 & 10 BLK 41 LOT SIZE 100.000 Fees: Description Amount FEE2004 -10317 Building Fee $150.00 FEE2004 -10318 CCF $1.20 FEE2004 -10319 Training and Education Fee $0.40 FEE2004 -10320 Technology Fee $3.75 Total Fees: $155.35 Total Fees: $155.35 Total Receipts: $0.00 51 l os 3 Permit Status: APPROVED Permit Expiration: 3/23/2005 Construction Value: $1,200.00 Work: pool piping OCT 2 0 PAID l 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: