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DRIVEWAY' MIAMI SHORES VILLAGE BtILDING DEPARTMENT 305- 795 -2204 , �j� Buil.ing Inspection Request (�� DateN i Type Insp'n ca.4 IJdthl00 Permit No. ? P® Name G A( Address L 0 / v \ at Company °U SW Phone # Inspection Date Approved Correction Re- Insp'n Fee Phone # Correction • M p:MI SHORES VILLAGE BUILDING ILDING DEPARTMENT Inspection Date 305- 795 -2204 Re- Insp'n Fee ❑ Bu 'ding Inspection Request Date f y� e ,, Type Insp'n I f Q I ( iusi Permit No. • •►y %: *. • 7.,t �.�!.y1►,y Name C- &R JG3 Address 6 66 /� Company l O N e L ��� Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/1/2005 Applicant: Owner: JOB ADDRESS: 90 Contractor Local Phone: Parcel # 1132060130890 NE 98 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -363 ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 9/11/2005 Construction Value: $2,000.00 Work: INSTALL OLD CHICAGO BRICKS ON EXISTING PARKING Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 & 2 BLK 7 LOT SIZE Fees: Description Amount FEE2005 -4126 Building Fee $100.00 FEE2005 -4127 CCF $1.20 FEE2005 -4129 Training and Education Fee $0.40 FEE2005 -4130 Technology Fee $2.50 FEE2005 -4131 Scanning Fee $3.00 FEE2005 -4132 Builders Bond $300.00 Total Fees: $407.10 Total Fees: $407.10 Total Receipts: $0.00 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: API? 0 1 PAID \4t,,, • (50.00) (BASIS OF BEARING) "co z J a TILE PORCH v N & STEPS C) 10 1' CLF GATE in 1.70'x5.25' PLANTER 32.91' 3.0^4.63' ' p 4 o I1 U . za •z 0� Q 4.65' c .; W r ; Q o II - Q ce o M N L7 0 10.50' 17.40' C ❑NC ,• i - • /W :a co ',, ..27 • 3.60' -J U v 0o ( N SWAL 5.0 32.5' (56.00') M I (55.97') R oQ .7. o 0 20.37' M 4.80' ONE STORY C.B.S. RES.# 90 MAIN FL❑ ❑R =14.02 17.38' Mil ' co MARBLE-' 5' PATIO n 17.3' Rl p 0 .. CU N • LOT - 2 4, ,0.00) oo I 4.0'x 3.0' 4 � A/C PAD I_z J I I - 19.70' rn v CONC PORCH & STEPS PLANTER SIP LB #6454 L�39.27 R =25.00 690'00'00" T= 25.00 `u 37.42' SIP PLANTER LB #6454 LOT - 1 37.42' 29.8' - 4' CLF in FENCE ( si 0.15'N (56.00') M 0 'W WOOD '?�i LP 0 0. -J J" 3 W z 0 • 0 A,,WP i- a1:a 9 ,y %� l e 0 0 M 125.07' FIP 1/2' <N❑ ID.) FIP (NO ID.) LOT - 3 v N 0. _0.15' 35' g ui � , J U N.E. P 10. ° r FENCE 0.30'W 0.10'N Ssa N 90'00'00' E • ' SIP L B #64.54 LOT - 22 L0 25 20' ASPHALT PAVEMENT (75' R /W) of N 90'00'00" E 98TH � / '7 STREET • 15' ALLEY 11' ASPHALT PAVEMENT LOT - 23 (NO ID.) 00' SKETCH CRITIQUE SHEET JOB ADDRESS ID / v - q 7 R APPLICANT DO y- t Y PHONE t# APPUCATION Owe P k ) SHEET OF MISCELLANEOUS DATE bU.NIelty PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WOR STRUC L BUI % NG OFFICIAL tvd . Subject to compliance with atf Federal. State. County, Village rules and regulations. Village assumes no responsibility tor accuracy oflor results tram these plans, 2. This copy of plans must be available on building site or no inspection will be conducted. MMENTS INITIALS d SIGNED, SEALED AND DELIVERED in the presence of: ffi iarni S/iore� (/iCCccc�e 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 - 2207 Fax: (3051756 -8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, 4 A r t„:t,,(,6 hereinafter referred to as the Owner of the (owne ) following described property: SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this 3 n PPR o4cf-f Legal description /folio #: Lot \ cA a Block 1 Subdivision f) , •ct,h f1kr rn4,,,,,; slmv9 10 Tax Folio #: lri"S Zt*) G O. 1'3 C� O �`se 1 0 r\•A� T gsti.AT' R i'L fe-Co4 requests permission to install: Asphalt, concrete, brick pavers [] landscaping []Other within the public road right of way of a n WE. _ c f1 Nam , 3 ' S 1 3 (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 tiie 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). BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle) Tenant/Lessee Name Total Fee Now Due $ (Continued on opposite side! Contractor's Company Name 01044 j Contractor's Address $ Value of Work For this Permit 1 Q0 n , O (� Radon $ X Miami Shores Village Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 i nr91rngiRrrr taR 1 5 2 Electrical Plumbing Owner's Name (Fee Simple Titleholder) em t- /41 %eir1L by Owner's Address o q o tfE., `l$ City (I) i c 1ovvc. -5 State fl Na� Permit No. aster Permit No. — / (7 t f Phone # Zip 35 1 e. Phone # Mechanical Roofing 6 �o3 � 0 p PoS - t. 411- 155a Job Address (where the work is being done) C I q Nw"c ON of 1C+1 Vv City Miami Shores Villa•e County Miami -Dade Zip Is Building Historically Designated YES NO 01 /2k-- Phone # City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: 4 5 o ttl A QPro Type of Work: EAddition ❑Alteration ❑New tepair /Replace ❑ Demolition Describe Work: 1 q A h %C411 618 C Y1 ctk a 0 '&; c 9„ €1,, , 0A., "k vos * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Pee $ / CCF $ b Ot 0 CO /CC Notary $ Training/Education Fee $ O; Technology Fee $ t Q SD Scanning $ " — Zoning Code Enforcement $ Structural Plan Review. $ Bond $ 360 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. NOTARY PUBLI Sign: Print: Chc 05/13/03 Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing ins ment was acknowledged before me this day of % 5 , 200 !(' , by cJq ti►-.L , da • , 20 _, by who is personally known to me or who has My Commi •n Expir * de e p . APPLICATION APPROVED BY: MAR 01, 2008 onded t a ugh 1st Stat ranee who is personally known to me or who has produced t. n oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 3/,) MAR 2 8 2C5 Plans Examiner Engineer Zoning Located at: c1 O tit OWNER BUILDER DISCLOSURE STATEMENT h 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),,,And I have read and understand the following disclosure Statement, which entitles me to work as my own contactor, 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 licensed 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. Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument Was acknowledged before me this ..?- day of ' , 20 0 5 BY C'rx v►,e Produced .L er VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT being the legal property owner, for the property DISCLOSURE STATEMENT WNW s: • ' 295498 EXPIRES: I ;' 01, 2008 Bonded t.. gh s tate Ins e who is personally known to me or who has as identific.