DS06-423Issue Date: 3/1/2006 Expires: 02/17/2007
Owner's Name: DANIEL AND CARLOS DOWER
Permit Type: Driveways /Sidewalks /Slabs
Work Classification: New
Job Address: 113 101 Street NE
Miami Shores Village, FL 33138 - 2304
Contractor(s) Phone Primary Contractor
HOME OWNER
Yes
Comments:
DRIVEWAY REMOVAL AND REPAIR EXISTING DRIVEWAY WITH NEW
CONCRETE
Additional Information
Type of Work: DRIVEWAY Additional Info:
Bond Return :
Classification: Residential
In consideration of the issuance to me of this permit, I agree to perform the work
covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit I
assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due Amount
Bond Type - Owners Bond $300.00
CCF $1.20
Education Surcharge $0.40
Notary Fee $5.00
Permit Fee $125.00
Scanning Fee $6.00
Technology Fee $3.20
Total: $440.80
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: DS- 2- 06-423
Phone:
1132060131910
Lot:
PB:
Total Square Feet: 676
Total Valuation: $ 2,000.00
Required Inspections
Foundation
Sidewalk
Landscaping
Final
Invoice Number
DS - 3 - 06 - 23977
Total:
MAR 01 PAID
Amt Due
$440.80
Amt Paid
4A-eio.6D
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
I /4/
Cidi
Passed
Inspector Comments
Failed
OP_A
7
_..
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
e rmi
Inspection Num
Inspection Date: 11/07/2006
Inspector: Grande, Claudio
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Monday, November 6, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Owner: DOWER, DANIEL AND CARLOS
Job Address: 113 101 Street NE
Miami Shores Village, FL 33138 -2304
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Block:
Phone Number
Parcel Number 1132060131910
Lot:
C L
Page 1 of 2
Bill To
DANIEL AND CARLOS DOWER
113 NE 101 ST
MIAMI SHORES, FL 33138 -2320
Return to:
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
L Permit Type: Driveways /Sidewalks /Slabs / Work Classification: New
Date
10/31/2006
10/31/2006
Fee Name
Revision Fee
Scanning Fee
Tuesday, October 31, 2006
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Invoice Number: DS -10 -06 -26593
Invoice Date: October 31, 2006
Permit Number: DS- 2- 06-423
Fee Type
Calculated
Calculated
Fee Amount
$35.00
$3.00
Total Fees Due: $38.00
NOV o 6 2006
Oda Yt3
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle)
Owner's Name (Fee Simple Tit leholder) Oft/ (- ac '(7 Phone #
Owner's Address /1 ? /t r ZiI CV •
City 14 - S State
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
FOLIO /PARCEL#
Is Building Historically Designated YES NO
Contractor's Company Name O kti N Ea
Contractor's Address
City State
Qualifier Name
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: _A"
Submittal Fee $
Miami Shores Village
Building D epartment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
***,* ** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *Fee * * * * * * * * * * * *i°
Permit Fee $
Notary $ Training/Education Fee $
Scanning $ Radon $
Electrical Plumbing Mechanical Roofing
DPBR $
Permit No. :US -2- (, Z 3
Master Permit No.
Zip 9 / 3 3
Phone #
Zip
Phone #
Phone #
Square / Linear Footage Of Work:
� aZgIIVg
Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $
Total Fee Now Due $
See Reverse side --*
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement 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 foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this_
by (6)q t2— day of , 20 , by
me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
Sign: Sign:
Print: Print:
My Commission Expires:
NOTARY PUBLIC:
ho/ 610
Plans Examiner
Engineer
(04-1)( cr()
Zoning
• • • • • • •
• • • •
• • • • •
411
.C ' ''4°1-4:" St4:•CA0 - 4,14,1it.
ter.:40. Veit
• ••• •
'1.55 ALHAMBRA CIRCLE- SLETE<LY: • •
CORAL GABLES, FLA. 33164 THOMAS J KELL:1' -FP1t
• •
DADE t (306) 444
811WD: (308) 779- 3268
FAX : (308? 4r- 3494
LAND SURVEYOR •
SHEET
• • ••• • • ••
• • • • • •
• • •
•
• • • •
• • • • •
• • • • • •
• „ • • .__,
SKETCH OF SURVEY • OMEIFIC
'SCALE:
• • •OOOOOO
•• • • • •• ••• .!?•OCT 30 2006
• • • •
S oz ::: * • •
•
90's
• • • •
• • •
• •
:S&CRVEY NO.91
OF
• ..• • • • • •
• • • • 1 1 •
•
4;:r:75
- 3 '
cgs
• • • •
• • • • • _41 • • • •
'.55 ALHAMBRA CIRCLE.° TP 404
CORAL GABLES, FLA. t •
-5 • • • THONIAS J. KELLY, INC.
DADE t ( 306) 444-7892
66WDI (306) 779- 3286 LAND SURVEYOR
FAX : (TOM 44P-4494. • • • • • • •
• • • • • • • • • • •
• • • • • • • • • • •
• • • • • •
• ••• ••• • .S OF SURVEY
• • • • • • • • • • •
• • • •
.A )
• • • •
• • •
•
• • • • • • • • .
SCALE: I"
cGo
r
SURVEY NO 91 1770
SHEET Z OF
BUILDING
PERMIT APPLICATION
FBC 2001
City _J •
Tenant/Lessee Name
Is Building Historically Designated /YES NO
Contractor's Company Name
Contractor's Address
City State
Qualifier
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit v vv
Describe Work:
Total Fee Now Due $ '140 ,00
(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
Job Address (where the work is being done)
City Miami Shores Villa :e County Miami -Dade
Code Enforcement $ Structural Plan Review. $
42.3
Permit No. DSO`
Master Permit No.
State Zip
Phone #
Phone #
State Certificate or Registration No. Certificate of Competency No.
Phone #
Square Footage Of Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CEOVED
GCEo 7 BM
Permit Type (circle): Building /� Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) �!/ /V/0/901.!/L� Phone #
Owner's Address li3 ,(/� /0 / 0 7
Zip
Zip
Type of Work: ['Addition ['Alteration ['New Repair/Replace demolition
,�
l-t G tr
Submittal Fee $ Permit Fee $ / 24 � � CCF $ ) • 2 O coicc
Notary $�j -CO Training/Education Fee $ . 40 Technology Fee $ 3 2-C) Scanning $ / W Radon $ Zoning Bond $
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: 1 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 foregoing instrument was acknowledged before me this a✓ The foregoing instrument was acknowledged before me this
day of / , 20 4', byTh E k (Q j' , day of , 20 by
who is personally . o n to me or who has produced a who is personally known to me or who has produced
As identification and who did Vito p0 as identification and who did take an oath.
NOTARY P / 1"'. \isC■
w
CNO �� NOTARY
. PUBLIC:
•
llll Sign: ` � y a ' ° ` °�
. !fie , ,�' o� Sign:
Print: g
My Com ssion Expires:
* * * * * * * ** * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc 05/13/03
BLIC:
* * * * * * * * * * * * * **
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
My Commission Expires:
************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Print:
* * * * * * * * * * * * * * ** * * * * ** *fie * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
OWNER BUILDER DISCLOSURE STATEMENT
J 19 ing the legal property owner, for the property
Located at: /1 ids /01 el /3
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),4nd I have read and understand the following disclosure
Statement, which entitles me to .cork 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'btiilding at a cost of $25,000.00 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 licensing
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 1 day of LL 20 Q(P
By L G� Qwv
Produced as identification ho did take an oath.
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
DISCLOSURE STATEMENT
who is personally known to me or who has
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date p�- Ott Job Address / /J ,E /0 / csT,e (e-Tax Folio //' 3- D /3- /Y/ zs
/J; /k, /7 .2-K /t A
Legal Description /rt , 5/ 1 414.0 s / pis /a rc 7o H istorically Designated: Yes V No
(/ 3oD
// > Ve /0/ 5 7 . '/2/47' I s f / e"3 Phone (0- G67.) 7 ""/ -GS 7i
Owner/Lessee / Tenant ' =Z e,d v29 eiecy G XPAcieitIaster Permit # y�p
Owner's Address
Contracting Co. Ni t;C c !� / 3 v R4 (7a) 64 e-- Address // 3 0 C 70 / `S 2-4 r 1 19 /i'' 2 /
Qualifier 4" SS# c J 7 (C 1 4 CS
• State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION O4' /< tc.' 4J N X r >ra Pe G ."4-g e4 , ' -1 O T d
/4 / . v /�» v / 1./4- 2 a / r- OF_ X /9 ;ii f (*pr7;,c;c OF r "o
Square Ft. ° Estimated Cost (value) tt° r
S --._2 /Sfrry
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 separaermits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate
construction and zoning. Furthermore, I authorize the above -named contract
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT 5D / RADON
APPROVED:
Zoning
'nical Plumbing
Buildm,*(7);100
C.C.F. r 6 0 NOTARY
Y SEAL
� it , S MARGARITA MONTIEL
_ v a r COMMISSION NUMBER
i CC797277
P cog sSS{ON EXPIRES
7 ,4 4
FVO �� DEC. 17,2002
rJ
Electrical
with all applicable laws regulating
BOND*
TOTAL DUE
rren
Structural Engineer
e 3 1 11 <t 1 81 - J t.
4t)
Cw►Qe VAe544
Po
6o
h
t.X15T(L TA c25
/ 6
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CON .TRACTOR. OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 5121
Work to be performed under this Permit {
Bl.
Subdi-
vision
r
C� % w Value of
t Project
BY
DATE
/ 194
Contractor's ,
License No �' fir. G 1.4 1 rE;
Amt..ofrt)
,+ s Permit
..w
This permit is granted to the contractor or builder' named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be perfonned in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed wit lout authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the respo►siibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or dra ngs_or.i ., he- staterrients- or and that he assumes respon-
sibility for work done by his agents, servants or employees. 1, ,
Signed • 4.. " 7-r By
By ..
�INSg,OR i,
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY