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308 NE 99 St (8)412 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / 6 Type Insp' n R Permit No. B t aoo,t — ic=v-3 Name Correction Re- Insp'n Fee Address Company �7 Phone # 57e V Y 6 Inspection Date /0/9 • Type Insp'n Permit No. 0419 MIAMI SHORES •VILLAGE BUILDING; DEPARTMENT 305-795-2204 Building Inspection Request Date 7 Name /4C4.4, Address C- (7( 7 t. Company Phone # ;3 Inspection Date /c;.7/3/(i Approved Correction nspection Number: IN Inspection Date: 02/02/2006 Inspector: Desharnis, George Owner: BURROWS, KRISTINA Job Address: 308 99 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: CBJ CONSTRUCTION, INC. Building Department Comments Wednesday, February 1, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Building Phone Number 305/758 -9868 Parcel Number 1132060135590 Lot: Phone: 561 - 756 -4884 Page 2 of 2 Passed Inspector Comments .,d Oe r., _t2 e _S 2._ ..._._ 0 C Failed 2_ ......_ Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: IN Inspection Date: 02/02/2006 Inspector: Desharnis, George Owner: BURROWS, KRISTINA Job Address: 308 99 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: CBJ CONSTRUCTION, INC. Building Department Comments Wednesday, February 1, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Building Phone Number 305/758 -9868 Parcel Number 1132060135590 Lot: Phone: 561 - 756 -4884 Page 2 of 2 A A/C ADD ADJ AE ALUM. ASPH B/C BCR BLDG BLK. BM BNDY B/W C CB CBS CD CJB CLF CM CMP CONC. COR. COV. 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 LD LFF LP LS 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 NO. N.T.S. 0/H O.P. O.R.B. 0/5 0/W P PAR PB PC PCC PCP PG PI PK POB POC PP PRM PRC PT PVMT REC RCP RES RET RNG R/W SAN 5BT SCN SE SEC SEW 5N &D SP SP &C SR SRC 5TA 5TM STY SUED T TB TBM 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 SET 1/2" 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 Phone: (305) 740 -3319 740 -3320 MIGUEL ESPINOSA LAND SURVEYING, INC. LAND PLANNERS — SURVEYORS 6494 CORAL WAY MIAMI, FLORIDA 33155 Fax: (305) 669 -3190 5.00' CONC SWK NE 99 - STREET 100.00' Pdd,l 100.00' PaM me e WINN F1 w/k0/10 25.35' 25.30' 20.00' ASPHALT PAVEMENT TI 11LE ONE STORY RESIDENCE # 308 34.25' TILE CONC 26.45' CRASS 54.6 3.40 10.00' ASPHALT PAVE1AENT ' ALLEY 20,45' 21.20' \O F1/2.P vo0/10 0 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- Dadeunty, Florida. 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 Survey: M22001 Accepted By: a N. E. 7 . . , . .l. .s .. • ..Ir N. E. ^gr„ .2 .4L—j .. ,. `y i GENERAL NOTES: SIGNED .�...^ STR'..I..j.._ 1) 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,J 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 10ARYSURVE L' SS OTHERWISE NOTED. 1 HEREBY CERT FY HAT THIS BI D • Y SURVEY IS A TRUE AND CORRECT REPRESENT;. TI N F F A SURVEY' • P ' ED UNDER MY DIRECTION. i ' ' GUEL ES f OSA P.S.M. NO. 5 1 STATE OF F ORIDA 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. MIGUEL ESPINOSA LAND SURVEYING, INC. 6494 S.W. 24 STREET ML4MI, FLORIDA 33155 PHONE: (305) 740 -3319 LB # 6463 • 'i' 43 6 , ' r 'rim 3 FOR THE FiRM d JOB ADDRESS APPLICANT PHONE t Ai v - y APPUCATION SHEET OF • MISCELLANEOUS DATE c7� ,1/ 5 dotk,ei 5 ZONING CRITIQUE SHEET ct (2 `vim a s ie6S 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 comptiancs with eft Federal, Stat County.Viilage rvtes and regulations. Wage assure< no responsibility for accuracy otlor resutts fro these plans. 2. This copy of plans moat b• available building site at no Inspection will be conclude COMMENTS INITIALS 4/ is> G✓ /M AJ liier it 7D ilia-en s 7 I'Ve)ef tcre_(' 6( t Ca 1 - (4 ( )et (s• were ravitva Contractor CBJ CONSTRUCTION, INC. Local Phone: 561 - 756 -4884 Parcel # 1132060135590 Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -1213 Printed: 10 /7/2004 Applicant: LUIS KARAM Owner: BURROWS KRISTINA JOB ADDRESS: 308 NE 99 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 -9436 Building Fee $120.00 FEE2004 -9437 CCF $6.00 FEE2004 -9438 Notary Fee $5.00 FEE2004 -9441 Scanning Fee $3.00 FEE2004 -9738 Building Fee $120.00 FEE2004 -9739 Builders Bond $300.00 FEE2004 -9740 Training and Education Fee $2.00 FEE2004 -9741 Technology Fee $6.00 Total Fees: $562.00 Total Fees: $562.00 Total Receipts: $0.00 Y 6 " _OCT 0 7 PAID Permit Status: APPROVED Permit Expiration: 2/28/2005 Construction Value: $9,520.00 Work: TAKEN OUT CONCRETE AND ASPHALT AND INSTALL BRICK PAVERS Signed: (INSPECTOR) 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 Type of Work: Nihon Describe Work: J a01` 1_ Total Fee Now Due $ (Continued on opposite side) Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) t(Av 1 ► het S.u►r,ow A., Phone # Owner's Address 3°8 0 E q ck. 5T City Yniarrl 5A101•State Fl Zip 3313 B Tenant/Lessee Name Phone # Job Address (where the work is being done) 50. rP City Miami Shores Village County Mami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name e . ( . , , ti ra r"4".1 r r. Contractor's Address 9. 86)‹ 7 2,13 City .. t..40., - Qualif"ier rjpM,r -►1,1{ l.a �.rcS�Sir ) State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit q- 500, 00 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F s * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ CCF $ CO /CC Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Structural Plan Review. $ Training/Education Fee $ Technology Fee $ Bond $ Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State Alteration New 0 Repair/Replace 0 Demolition " - TP - G4 r , 1 iwTati atr chubth Zoning Permit No. e4%l— 12 IS Master Perna No. Phone �pL l - 7SV -`4Ygy Zip "3 .3i' Square Footage Of Work: 1. 100 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 pennit 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 The for goi g instrument was ac�k/noVw1 ll dged bef this id The foregoing instrument was acknowledged before me this day of V�, , 20 ` by day of , 0 0 , by c) A -vt.NL \ * * * * * * ** who is person own to me or who has produced As identification • NOTARY ' • A mmission #DD231984 ;. °_, Ili 200 Sign: �`� : a, ` :' 11 ♦� Print: A o T My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 whip,did take an oath. ab el Vargas Signature Contractor personally known to ne .111 I ••• a s iir catio Co1Mtiuiot) #DD 1 who NOTARY PIBL Sign Print: Commission has produced d , o did take an oath. Thru idadiaBondiniOa * 9583 Plans Examiner Engineer Zoning Owner's Name (Fee Simple Titleholder) K n J 1.11101 a U1/4 r1 ^ 0 UJ Phone # (3 758 - q 86 8 Owner's Address 306 E g 9 sT City m I G Y►Nr I S)4'10 State T L Zip 3 3 1 38 Tenant/Lessee Name Phone # Job Address (of where the work is being done) .3O rn'� City County Legal Description Contractor's Company Name C . .'` N5 ' vv 0 J Contractor's Address P -O- 40 � l dx Cit ("1 - `'O °t4) ' Qualifier (5Pf'n't•.r 0-1 Describe Work: I hereby certify that the work has been abandoned and /or the contractor is unable or unwilling to complete the contract. I hold the Building Official and the Village of Miami Shores harmless from a legal involvement. 41 ALL ;fib ,_• Signature Owner or Agen The foregoing instrument was acknowledged before me this this day of who is perso own to me or who has produced As identification and who did take an oath. NOT Sign: Print: My Cominissi n Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * ** Rev. 09/19/03) Miami Shores Village Building Department la&(Jvv OUT b , Y State Zip 33'4'7)1' Con W pincA,( l� ) YlA To _6Jucc,z ?a (AAA Change of Contractor Permit No. Thru dint co Jilt Signature ( Phone # 57 l '1:50 -Lt S 9 • day of 0C4 0b NOTARY P Sign: Print: My C . ssion expire * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 2 Zip Contractor The foregoing instrument was acknowledged before me , 20, by�t' who has produced ho did take an oath. 9583 S : �nvnjssion ADD 1 ' e* jres: ' • NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 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: FL 33 13 8 '. O E. oX 1213 3o8 NE 99 57 1111111111111111111111111111111111111111111 CFN 2 80867538 OR Bk 22704 Ps 1130; (fps) RECORDED 10/05/2004 10:15:58 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE wkG rw 5A'0^l/S To,V, NA ow"r 6In 0. Ti cS Gii1 ,c.JT t M 2. Description of improvement: et AAc Pov 3. Owner(s) name and address: V% 4 M M O ul /s 3 u E C S 3.4.ec f F-1- 3 3 /38 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: C -13 • .5 C.0'hn V MA C T t'■ 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 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: STATE OF FLORIDA, COUNTY OF DADE I Al . 1 s . r 1 e before me this F:� Z• ptla 'F os 10` 1 HEREB day of L_ ✓I 1 unty Courts COL1 { r' °kil ',44 less origma 9. Expiration date of this Notice of Commencement: (the ex differ nt date is spec ' i•j ature of Owner Print Owner's Name Sworn to and subs Notary Publi•��r Print Notary's N My commission xpires: 123.01 -52 PAGE 4 8/02 f cm dat WITNESS m AEA iNd D.C. ,20i. Prepared by / Adclress: '1 4 9 S• t-() 13 S7 / ur 6.tac 1 FC BUILDING PERMIT A PPLICA.TION FBC 2001 Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name jet .at Contractor's Add ' dr �� 7O J vefreeetZfrt!, die( Ci w�Zv G�!n.�'�4 ty 440 $ Value of Work For this Permit o Type of Work: ❑Addition Total Fee Now Due $ 5 (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (303) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) R ((Aria.... '( r 5'hone # , IK 1 f cii'— q gIR Owner's Address 3(....T‘ VI - E",' Cl 5 City tkkG\tk( )(Q -, State et- Zip j j j Tenant/Lessee Name State VIA County Miami -Dade Zip NO Phone # Phone i.i� °' �tf , , Square Footage Of Work :� Repair/Replace Qualifier State Certificate or Registration. No. Ce Architect/Engineer's Name (if applicable) ❑AI Permit No. 4 �Oo 7 Master Permit No. f iv a 1111111 6 14 ' N M ' t 1 l *1/� Mk t s�a�t�t *fit i� *k�k *vrt �r s �eete taY � .1 Submittal Fee$ .b17• o D P _ it Fe — .. CCF $ CO /CC Notary $ d Train' g/Education Fee $ o?, Technology Fee $ o, . L Scanning $ O 0 Radon $ "�— Zoning -.—. —_ Bond $ ,� 00 Code Enforcement $ Structural PIan Review. $ 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 day of who is pers Chc 05/13/03 \ A,\;)?'C The foregoing instrument was a b y ` 1 It Il■ NOTARY Sign: Print: My Com ission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Owner or Agent a) owl dged befor m e e this wn to me or who has produced As identification and who did take an oa i. Signature >IS NOTARY PUBLIC: I D 1 3 2007 Sign: Print: as id Con : ctor The foregoing instrument was acknowledged before me this e day of SePTesdci3en. , 20 O , by .EV.6►2 cenn n.N who is personally My Commission Expires: known , sit � I {RKCRT r P i1Z ti ', My t G 14 xpreS f da 11 Commission # DD166918 Bonded By National Notary Assn. � �'..f7O 62t€eri Plans Examiner Engineer Zoning I . **************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Miami Shores Village Building Department Change of Contractor Permit No. Owner's Name (Fee Simple Titleholder) 4.) 1 (h 'u Annuli's Phone # Owner's Address 308 i SS S T City `WO. S Lail State TL. zip 3 3 3 8 Tenant/Lessee Name Phone # Job Address (of where the work is being done) . - City County Zip Legal Description Contractor's Company Name • 'NM 0'U 1 LlO ?O vt) , Co \ Phone # Ork) G 0 3 - 6285 Contractor's Address 5 9 0 b 7o cA.ALA -- IA) 1 City FT ' CO-LA aln dap State �' - Zip 3;30 9 Qualifier ..D.9 CCA +,t/ ( 01 Describe Work: -1 a tC2 v` d ICI COAA CA ro Cho' t wt 761 3Lt CtC ?oovis I hereby certify that the work has been abandoned and /or the contractor is unable or unwilling to complete the contract. I hold the Building Official and the Village of Miami Shores harmless from all legal involvement. kno 0 ed before me this( 1/(! • r who has pro duced cation and who did take an oath. 1, a��1Var_• n , • e 13, 2007 i • Signature Owner or Agent Thejoregomg instrument was acknowled this day of who is person NOTARY PUBLIC: Sign: Print: My Commission E Rev. 09/19/03) Atlantic Bondin Signature LOs (K NOTARY PUBLIC: Sign: 67 f Print: 7A1a My Comm exp ntractor The for going instrument was acknowledged before me y of 5eP . , 20 Y , by I -t" /& CDC who is3ersonally known to me or as identification and who did take an oath. — — — — — — — — — — ROBERTO ERKERT c?- Notary Public - State of Florida • Mv Commission Expires Nov 20,2006 Commission # DD166918 Bonded By National Notary Assn. BUILDING PERMIT APPLIC FBC 2001 Permit Type (circle): Buildin Electrical Owner's Name (Fee Simple Titleholder) AVt h \ j YyC" 1 AnovA Ph Owner's Address City ‘01w4 hM \SIA State V L Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Villa e Is Building Historically Designated YES Contractor's Company Name Contractor's Address City C' Qualifier State Certificate or Registration No. C s. • Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 43. q • 5Z.0 00 Type of Work: DAddition Describe Work: Submittal Fee $ Notary $ Scanning $ 50 Total Fee Now Due $ (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 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** t"rrnit Fee $ 1 O CCF $ �♦ Training/Education Fee $ Radon $ Zoning Code Enforcement $ Structural Piaui Review. $ :New Plumbing Permit No. JQ+� L3 Master Permit No. Square Footage Of Work: 3D5-333- 1 Technology Fee $ Mechanical Roofing i coIcc 3 Bond $ 300 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 82500, 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 The foregoing instrument was acknowledged before me thus ✓'- g g JJ / The foregoing instrument was acknowledged before me tils� - day of ' Pr , 20 v , by tai ri SA - ( F P )O day of 200 , by ,.7 , 'ru /e4: • , who is personally known to me or who has produced 13(_(-009).S vi ho is personally own. to nie or who has produced (� As identification and who did take an oath. as identification and who did take an oath. Cai Ca) 6_ NO Si P My Commission ********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * *;* * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 igjiWsr.ft kl^H fi1hT -I10E. Signature NOTARY PUBLIC: 0-rde 7/) Sign: Print: '�) My Commission Expires: Contractor f6A se 2 1 2Ohns Examiner Engineer Zoning 4 M iami Sliore� 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (3051756 78972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, , hereinafter referred to as the Owner of the following described property: Legal description/folio #: Lot q k \O Block ( --k 1 Subdivision Tax Folio R: requests permission to install: (owner) Asphalt, concrete, brick pavers [ I Landscaping ( ] Other within the public road right of way of 8 N E q c ' ST (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 1. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this day of 'S SIGNED. SEALED AND DELIVERED in the presence • f�