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366 NE 99 St (9)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil.ing Inspection Request Date f �v ,500 Type lnsp'n c,no I1 14) DQCL Permit No. 6PO "l-' J JO Name SLcc Pj6t �C 11 Address 3( K7 NE. 9q5J Company cirr Phone # Inspection Date Correction Re- Insp'n Fee ❑ i(S7 3/Z 0 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/7/2005 Applicant: GLADYS YAMIR ABREU Owner: ABREU GLADYS YAMIR JOB ADDRESS: 366 NE 99 ST Contractor Local Phone: Parcel # 1132060135560 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -1530 Contractor's Address: Page 1 of 2 1 4 �' 1 PAID Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3 & 4 BLK 41 LOT SIZE 100.000 Fees: Description Amount FEE2005 -1545 Building Double Fine Fee , $200.00 FEE2005 -1546 CCF $0.60 FEE2005 -1547 Training and Education Fee $0.20 FEE2005 -1554 Notary Fee $5.00 FEE2005 -1555 Technology Fee $5.00 FEE2005 -1556 Scanning Fee $9.00 FEE2005 -1557 Zoning Review $50.00 FEE2005 -1565 Code Enforcement Fine $100.00 FEE2005 -1566 Zoning Review . $40.00 FEE2005 -1570 Builders Bond $300.00 FEE2005 -1577 Submittal Fee ($50.00) Total Fees: $659.80 Total Fees: $659.80 Total Receipts: $0.00 SzL In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Permit Status: APPROVED Permit Expiration: 5/21/2005 Construction Value: $600.00 Work: TILE EXISTING POOL DECK, REDUCE EXISTING STEPS TO,THE KITCHEN ENTRANCE. 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: NOTICE OF COMMENCEMENT A RECORDED IMP COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION r- PERMIT NO. CO V"I P Y ' )3 T A X FOLIO NO .X U 3 O(� 00' �5 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 pro erty and s reet /address: lin tom l `�j 331, 2. Description of improvement: (J-) iN 00W3 i 0006,5 prikt 1 S kib 1 f L/ Qv QO 901 (ft Q.G "� T► I�; ar .. 3. Owner(s) name and address: e- Ck � 5 (b re ^ u- ) fuel get 4um-e6 Interest in property: 9 % 1l K? 1 - Name and address of fee simple titleholder: grlature o 4. Contractor's name and address 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: 9. Expiration date of this Notice of Commencemen : (the expiration date is 1 year from the date of recording unless a eren �, II •1 eren ate is specifies) d before me this 1 ff? u day of 1 Print Owner's Name Sworn to and sub Notary Public Print Notary's N. me My commission expires: 123.01 -52 PAGE 4 8/02 1111111 11111 11111 11111 11111 0111 11111 11111111 CFN 201015ROCIn235 OR 8I: ?2962 Ps 0330; (lps) RECORDED 01/03/2005 12:19:03 HARVEY RUVIN CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE S 36,G . Iv & . L{ pl 5 iCwu , 31 3 EN Prepared by G LQCJ S / 1911-0 200-1. ✓ Ad • ress: V e 1 . 11 tl „ • :4 K = Expire~* Jul I f, 2007 \ ll c 1 iun,lro 1 hn1 3 Vp bd� • • • • • • • • • • • • • 0 0 • • • • • • • • • • I • • et • • • • • • • • • • o;iszi • • • • • • • • • • &AMID RY SURVEY / _I d ti/e" / 111M , S.3 / ...) 5' .._..) • (iA 11 LE • • F I I ray. I 4 ii ne( • • • • • • • • • • • • • • • • • 0 L. 1 I . r P ctve relecit C.-01J C , pcx,L- D ECK WALL 7\ O \ SCALE: 1" = F0040 DP.10- 6, Noteg: s'skyk_S nd. ?' Pipe ON) • � =nd /2' Rebar • • • • • • •• •J"••t • • • •• •411 • • • 11 • •• •• • • N •••••• W r . 150' Coif typ) 1.35' x 1.3E 5 ' • 4 5' SIDEWALK Sb' •••• • • • •••1 • •• • • • • • • • •• • • • •• e 28.0' 9`.0' •••• x ••15' - v • ••• 'bnc 4' • ,•• • • • • • Im' Asphalt Parking::;:; Col. (typ) 4' x 4' 39.00' II' grassed parkway Planter a M r 1.20' Col. (typJ 1.35' x1.35 • • • 4' • • •• • . • •• I STY C.B.S. RESIDENCE • • • • No. 334 �• • co • • • • • • • 11.10' • • POOL PJ • cona. e a • • 10 MODIFT EXISTING 4'•0' 1 CB • ALL (SEE 13.5. wall on properly Ms 100.00 (11 4 R) W SITE FLA\ SCALE: I /16' 2050' 11.40' cons. DETAIL ATTACHED) Col 2')(2' 10.0' a ' Im Asp ha It ................ 203.15' Fnd. D.1-1OL E TO MODIFY EXISTING 4'- 01HGT. C.5.5. WALL (5EE DETAIL ATTACHED) End. V2' Rebar Blk car 0 •_i• t:.. • .L. ' ....: N�.�.t. . —v+ -•,+•: [4. PROPOSED C.B.S WALL FENCE MODIFICATION St��c R. a lEn9I P.E. :ET FOR Mr. Sala / � 9530 S.W. 29 ST. LOCATION AT: 334 N.E. 99 Street / MIAMI,FL. 33165 PHONE' ! � � Mlanl Shores, FI. PI-1: / / �DA 49352 11) FLORIDA I P.E. P.E. X8352 MT[ nd. ?' Pipe ON) • � =nd /2' Rebar • • • • • • •• •J"••t • • • •• •411 • • • 11 • •• •• • • N •••••• W r . 150' Coif typ) 1.35' x 1.3E 5 ' • 4 5' SIDEWALK Sb' •••• • • • •••1 • •• • • • • • • • •• • • • •• e 28.0' 9`.0' •••• x ••15' - v • ••• 'bnc 4' • ,•• • • • • • Im' Asphalt Parking::;:; Col. (typ) 4' x 4' 39.00' II' grassed parkway Planter a M r 1.20' Col. (typJ 1.35' x1.35 • • • 4' • • •• • . • •• I STY C.B.S. RESIDENCE • • • • No. 334 �• • co • • • • • • • 11.10' • • POOL PJ • cona. e a • • 10 MODIFT EXISTING 4'•0' 1 CB • ALL (SEE 13.5. wall on properly Ms 100.00 (11 4 R) W SITE FLA\ SCALE: I /16' 2050' 11.40' cons. DETAIL ATTACHED) Col 2')(2' 10.0' a ' Im Asp ha It ................ 203.15' Fnd. D.1-1OL E TO MODIFY EXISTING 4'- 01HGT. C.5.5. WALL (5EE DETAIL ATTACHED) End. V2' Rebar Blk car 0 •_i• t:.. • .L. ' ....: N�.�.t. . —v+ -•,+•: [4. 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 compliance with alt Federal. State, Coatty Vi lage rides and regulations. Village tssuntes no responsibility tor accuracy oUor mutts tram these plans 2. This copy of plans must be available ca buliding elte or no Inspection will be conducted. JOB ADDRESS 34‘ Ale 77 3 APPLICANT re_ u PHONE # APPLICATION SHEET • OF MISCELLANEOUS DATE BUM ',rnu 1 IkatUt SHEET de,th S[¢6 INITIALS de) ck- U t 4?Q �' -- e fer -tea (� P � Gv or k • 1 3 — ( S I h 5 9&-/ C / o 1) 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 compliance with elt Federal. Stat County. Village rules and regulations. Village =my no responsibility for accuracy oflor results fro these plans. 2. This copy of plans mutt be available r building site or no Inspection will be conducts CRITIQUE SHEET JOB ADDRESS / S / APPLICANT Ir' e e PHONE # r APPUCATION ( on crete 5 `a'-4 / P'cl vSctte SHEET OF MISCELLANEOUS COMMENTS DATE ZO.NI.NG /cv/a/o y' ( pf a3 c t r 5 ( e-4 l —Pool re-h /— tie i nc 6 f., 1 ( Cut- Oe r/ rwrca7) /' u /;/e 'CI N Po tteclL - rr real d s, e 5eCP6a -ek ker e vl ire taV S Dr-t(SSla∎1 04- a.Love. INITIALS Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Bp et)51— iC9 6 Job Name BUILDING CRITIQUE SHEET true S P e is z C4i A% ) .6 ",,,ipi Miami Shores Village Building Department BUILDING CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. mO� 1S (7 Job Name Vit) 5 - BUILDING PERMIT APP FBC 2001 Owner' Address Contractor's Company Name 4isf rib Wor s Ti %� po©t ('c1 Code Enforcement $ Structural Pia Total Fee Now Due $ • 4 61, (Continued on opposite side) Miami. ores Village Building Departure M t 1.0050 E t .. ,�, 1P972 Permit Type (circl Building lectrical Plumbing Mechanical Roofing 4 £r<b Q ( " Owner's Name (Fee S� � � = i�r�ehal � r � /� � Phone # � 9 )0c . —0 1 CO TV City V — I� `t!> 'fir Zip 3313 Tenant/Lessee Name i V f(/1 Phone it Job Address (where the work is being done) cp C - a City Miami Shores Village County Mi -l]ade Zip 3 is Building Historically Designated YES NO t-/;9((e--ea." Permit No. O d i6SO er Permit No Phone # Type of Work: ,[]Addition PAlteration DNe 0 ".ipaar/Re =lace 0Denoi • or Submittal Fee $ ' Permit Fee b Notary $ Training/Education Fee $ j t2 b Technology Scanning $ Radon $ Zoning 451D! Review. Bond $ 3 a9 ..-. L .036t 101 Contractor's Address City State Zip Qualifuir State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 4 `'c 00 ' Square Footage Of Work: • y . r • O /CC '� Bonding Company's Name (if applicable) Bonding Company's Address c 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 inspe.ion which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the Signature Chc 05/13/03 inspection will no ved and a reinspection e ' l be charged. ,r or nt The foregoing instrum . t was acknowledged before nis day of , 20C by 1 who is sonall nown to me or who has pro. uced NOTARY P I : I t i -P� Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: As identification and who did take an oath. Mabel Vargas a: Co IIDD7.31984 •S ' "n' is *************************** * * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** Signature Contractor The foregoing instrument was acknowledged before me this. F : day of ,20by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ai 6e/7 4 (-3(1a ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** FEB O 1 2116 Plans Examiner Engineer Zoning I Located at: ctsU5 DeVfQr(,&) t, VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE .STATEMENT Proof of ownership provided ( ) Owner Owner BUILDING DEPARTMENT being the legal property owner, for the property DISCLOSURE STATEMENT initial of reviewing clerk. Ttie foregoing instrument Was acknowledged before me this 04 day of Y , 201:a_ B 1 Ca ( who is personally known to me or who has Produced , as identification and who did take an oath. Legally described as , Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),,..qnd I have read and understand the following disclosure Statement, which entitles me td lrork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal Iicensing ordinances. Any person working on your building who is not Icensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. 'STATE OF FLORIDA) COUNTY OF DADE) Sh orQ� ViLcCl / The undersigned Affiant, C-(0 fikreAn) does hereby attest that the " ;I roperty owner) attached survey, performed by (name of surveyor's company) performed on , 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 l ermitted or which may violate zoning or building code regulations. The Affiant further understands that the lexistence 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 Affiant is personally known to me, produced dc a Affiant/Property owner day of as identification. M +be1Va ) ' '84 n. `�l: Expt Ud d 2007 dThr lFh, (S - Mb T a j 6-1 V Historically Designated: Yes Owner/Lessee / Tenant 3 66 /1) e ? 9 5 / Master Permit # Owner's Address f/4 S / !r.�' 9 ,S7hone Contracting Co. c e.> 4.1 6 :Zi4-‘ Address 1 'Z/.q if `�i 2 8.3 Qualifier V ( Si p i zA4z. SS# l� i Municipal # Competency # Ins. Co. Address 7$ 0 /Lill 4'9 Architect/Engineer D*Vl5 Bonding Company Address Mortgagor Address Permit Type (circle one) BUILDING WORK DESCRIPTION V Square Ft. cEO7 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and th er and/ d/ or ondc President 06 • d/o Near 9 r •I. � .,, D t fieI OF FLORI ARY PUBLIC SYATE CC714103 COMM 6 ON EXP MAR. I Da constru ion and zonin -. Furthermore, I authorize th above amed contractor to S Notary s to Owner My Commission Ex 1 0 op FEES: PERMIT APPROVED: Zo -- Mechanical f PERMIT APPLICATION OR MIAMI SHORES VILLAGE Job Address `��'n(" Iv .-' . I Tax Folio n 3 a o c 5S , V RADON eP uidin p� Y i EL TRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE b 7 C.C.F. - o/ Estimated Cost (value) / � 6)©d �r O • .+� ] V!L NOTARY PUBLIC STATE OF FLORIDA COMMISSION O. MAR MY CO MISS N %�/1., ''gna re ., ontr 4 1 I or or er -Buil No as to Contract My Conunission Expi NOTARY 1 work will be done in compliance with all applicable laws regulating ork stated. g_o/ b � - LAR Date y 93 -3 b iq,a BOND TOTAL DUE Electrical (/ U j_ S' l4r SIGN Structural Engineer '4 g` /d ( PERMIT NO. ADDRESS: • MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMEN1 DATE SECTION BY ZONING • ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL I. Subject to compliancy with et Federal, Sta County. Milne rules tad reguCatIons. Vg(age us:nr, no responsIb(ifty for accuracy otlor resutts tr( these plans. 2. This copy of plans must bs available twitding site of no Inspection will be conducts CRITIQUE SHEET 36& JOB ADDRESS IOV /vE ' ,( QQ 7$ s ireej APPLICANT PHONE APPUCAT1ON SHEET OF MISCELLANEOUS DATE LVMI V I NG COMMENTS • ) /Cdr _/ )T "/c 7"Ecriv( /) o._ c'` e s 162 w•v dti T' •<d,&1e-- / 7 - 4Ai 111 -I°-� . Pg r'`� Y �a7 5 �1,�' cL- v s az1' SEzn' 1-, 6 /tom 6 &? $ INITIALS /0/ 0 Poo 4- Sfact 6z4.c Ad ? I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at 3 ACI e. Miami shores,. Fl., and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statutes. (please initial the method(s) to be used) 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 ' - s up to $500 and /or up to 60 days in jail as establis -d in Chapter 775, F.S. �1� !Al � , • ) 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; CONTRACTOR'S NAME (PLEASE PRINT) NOTARY PUBLIC - /v,,ce4Tti4 BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138-2382 TELEPHONE (305) 795-2204 FAX (305) 756-8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT OWNER'S NAM NOTARY PUBLIC l AKY iifl ' c Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as � S � lore (.tom, located at,) '3 Q2 6, 4 In accordance with Section 33 -12(0, Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal 0 Note: This certification is to be submitted with a swimming pool permit application in duplicate. • STATE OF FLORIDA) COUNTY OF DADE) F NL The undersigned Affiant, G S (eU!does hereby attest that the ( operty owner) attached survey, performed by b N performed on C � I�'` ' g , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. property without first providing a survey less than s Further, Affiant sayeth naught. Affiant is personally known to me, uarci _ qoreo VQ AFFIDAVIT 5 Og (name of surveyor's company) The purpose of this Affidavit is to induce Miami S res Village to issue a building permit for the 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.. SWORN TO AND SUBSCRIBED before me this day of e Affiant, as property owner, further Witness(sign and print) Notary roduced as identification. YSFAL GLADYS VILLAR NOTARY PUBLIC STATE CF FLORTDA }� COM . EliON NO. CC:7'.41U3 I MY COMMISSION EXP. MAR. 1 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. fE? 2. Description of improvement: 4. Contractor's name and address: 5. Surety:(Payment bond required by owner from contractor, if Name and address: Amount of bond $ 6. Lender's name and address: by Section 713.13(1)(a)7., Florida Statutes, Name and address: Section 713.13(1)(b), Florida Statutes. Name and address: differen • • - - is s•ecif Ai. _it signatur6 0 ="'^ Print Owners ame Sworn to and subscribed before Notary Public Print Notary's Name My Commission Expires: 3 aq ea TAX FOLIO NO. \ 3.2 h(, O 13556_ STATE OF FLORIDA: COUNTY OF 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 C mmencement. I description of property and street address: �C�i-' ' l 3 * "� 1. Lega des p p p � ID l ` b 1 -- 3. Owner(s) name and address: C (C1 cc.1 4 e-b■- --5eG NF c) �, i��cLt_` �`=� 313 . Interest in property: Name and address of fee simple titleholder: ( `6C-; , 1 ft) 'N1€ v CGS e ' 0 1 /0, 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided /if y 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in / / 3 b� me his O day of tA0U-Ukliaeli. y p {� �: :• ?i f L' e �,� c � ��` '3( • 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a Ike to M Prepared by/s _ / f� 7_ ! (-) V' '( Address: / 12301.52 2/93 /CONTRACTOR New Construction / �2 Nameg61 & / °C/ i /J !/ P. a Lice P ns o,� /J 0 v v /._S--- Add / OO '"`" /)7/r9717i A/ t ett - 4.b c/ . J° F 6 7 . w (C.T C ;471144/ ' PROPERTY OWNER New Construction / Enclosure Name Name � r 0 , , ' (e 3 Repair Address i � q � �1 � / Demolish • Home Telephone Shell Only Business Telephone '" `, _ /r 0 C� `J`v Fax 305 5 9 /3 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Page 4 OFFICE USE ONLY CIIECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: sir PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com 48iP -0/ - /0 / Dp Master Permit No. - PERMIT APPLICATION Subsidiary Permit No. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the .property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 3 - E Folio Number Lot Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. / /3a0(o3 l,.5 , / Lie Block 1 PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax City escription of Work Tax Assessed/Appraised Value Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property /Value of Work �� 'C) 0 Bldg Value Tenant Information Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. 'TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton - Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower - Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of - Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfleld, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water = "e -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply rage STATE Sign IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Co to Print Na e Swo t and s Signat SEAL: Personally known tate of Fl v da ADE aria V. Butches MY COM i.SION # CC749756 EXPIRES September 12, 2002 BONDED TFRU TROY FAIN INSURANCE INC OR, Produced Identification Type of Identification Produced: PERMIT APPLICATION STATE OF FLORIDA, COUNTY *gnature .f Contractor / Qualifier 07 4 1 I 0 �3r9 -, c % " e—s *4/ Print Name S o cn to and su Signature of ota SEAL: Personally known rida Maria V. Butcher MMISSION # CC749756 EXPIRES September 12, 2002 tO yE INSURANCE, INC OR, Produced Identification Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: GUSTAVO A. 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