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Driveway and walkway.Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 1202 101 Street NE Comments: STAMPED CONCRETE DRIVEWAY Additional Information Miami Shores Village, FL Fees Due Bond Type - Contractors Bond CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $300.00 $1.80 $0.60 $125.00 $3.00 $3.20 $433.60 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 Issue Date: 3/30/2006 Expires: 03/22/2007 Owner's Name: JOHN AND JENNIFER BOLTON Contractor(s) CHAMPION CONCRETE Phone Primary Contractor Yes Type of Work: DRIVEWAY Additional Info: ASPHALT 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. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -3 -06 -740 Phone: (305)754 -2136 1132050210030 Lot: PB: Total Square Feet: 600 Total Valuation: $ 3,000.00 Required Inspections Foundation Sidewalk Landscaping Final Invoice Number DS - 3 - 06 - 24310 Total: Amt Due $433.60 Amt Paid $433.60 $433.60 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 . Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Issue Date: 3/30/2006 Expires: 03/22/2007 Owner's Name: JOHN AND JENNIFER BOLTON Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 1202 101 Street NE Miami Shores Village, FL Contractor(s) Phone FLORIDA PROFESIONAL SERV LTC 305 - 759 -3460 Primary Contractor Yes Comments: ASPHALT DRIVEWAY Additional Information Type of Work: DRIVEWAY Additional Info: ASPHALT 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 Bond Type - Contractors Bond CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $300.00 $1.80 $0.60 $125.00 $3.00 $3.20 $433.60 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -3 -06 -740 Phone: (305)754 -2136 1132050210030 Lot: PB: Total Square Feet: 600 Total Valuation: $ 3,000.00 Required Inspections Foundation Sidewalk Landscaping Final Invoice Number DS - 3 - 06 - 24310 Total: AN 12 PAID C -C Amt Due $433.60 Amt Paid 4433.6 C) 0 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. Inspection Number:,, INS 12914. Inspection Date: 10/30/2006 Inspector: Grande, Claudio Owner: BOLTON, JOHN AND JENNIFER Job Address: 1202 101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CHAMPION CONCRETE Building Department Comments Friday, October 27, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number (305)754 -2136 Parcel Number 1132050210030 Lot: Phone: (305)252 -8055 Page 2 of 2 �l a Yv In Comments Passed I/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number:,, INS 12914. Inspection Date: 10/30/2006 Inspector: Grande, Claudio Owner: BOLTON, JOHN AND JENNIFER Job Address: 1202 101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CHAMPION CONCRETE Building Department Comments Friday, October 27, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number (305)754 -2136 Parcel Number 1132050210030 Lot: Phone: (305)252 -8055 Page 2 of 2 Inspection Date: 09/18/2006 Inspector: Desharnis, George Owner: BOLTON, JOHN AND JENNIFER Job Address: 1202 101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CHAMPION CONCRETE Building Department Comments Friday, September 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slats Inspection Type: Foundation Work Classification: New Block: Phone Number (305)754 -2136 Parcel Number 1132050210030 Lot: Page 1 of 2 Passed Inspector Comments 1 e,,. ( /� � k2 - / b ' 740 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 09/18/2006 Inspector: Desharnis, George Owner: BOLTON, JOHN AND JENNIFER Job Address: 1202 101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CHAMPION CONCRETE Building Department Comments Friday, September 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slats Inspection Type: Foundation Work Classification: New Block: Phone Number (305)754 -2136 Parcel Number 1132050210030 Lot: Page 1 of 2 BUILDING PERMIT APPLICATION FBC 2004 Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition ❑Alteration Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbin Owner's Name (Fee Simple Titleholder) -. ..M1- - 1 1 ��� Owner's Address 1 20 N 10 s (� City t\ I 1 Skritivate F I O\/ (C(Qc . County Miami -Dade Is Building Historically Designated YES NO X Contractor's Company Name 4p CoyV CN , P) Contractor's Address (S 3 30 SAO / 2 1 F City V I 1 4 W O State f1 — Qualifier Name J !¢— ) 1j 0-5 \ t� ❑New DPBR $ Double Fee $ Master Permit No. Ski 1 4 6 Permit No. Da r<D i40 Mechanical ' � Phone # Zip 33t3 Phone # Phone # 3 )$ Zip 33, yI. Phone # Square / Linear Footage Of Work: ❑ Repair/Replace CCF $ Phone # Total Fee Now Due $ Zip 25 f P 3o ; c l7d -43 3 State Certificate or Registration No. Certificate of Competency No. OSt LS See Reverse side -+ Roofing bb 1 ❑ Demolition Describe Work: \re \ a 5p va '1p r WU WNW ******** , * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** C O /CC Technology Fee $ Zoning $ 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 m - st be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absen r 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 day of ,20,by , day of ,20,by who is personally known to me or who has produced who is personally known to me or who has produced .m As identification and who did take an oath. 6 2yo421 65/ D/s identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning Qualifier Describe Wort:: Signat NOT Sign. Print My Co Miami Snores Village iiuiiaing LPeparcmenL M C � F�F��I� i� SEP 1 4 20116 Owner's Name (Fee Simple Titleholder) 0r/1 IA/' 10 17/5/1/ � , Phone # 3 • 75 2 /3 G Owner's Address j20 2 /V r (0( sr- 5Th E ,E T City Al I4M I S/kQFS State 1L Tenant/Lessee Name P/ /A Job Address (of where the work is being done) 12. 0 2 N E City M (,4 M I S HO 2 E S County ft A I Legal Description L,oT 6o o /0 k /84-A of r 'Arndt,/ Contractor's Company Name C NA tip Jam Co/Oat -f l y-, Contractor's Address t3330 z -eitx City “A-A144/1 State �— .J �41f1� 6,1514-41) (on5L)ron o f' s/gApcC 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 harmie from all legal involvement. Owner or Agent The fore s ng instrument was acknowledged before me this 1 + '(1` Ar this day of C 2006 , by john W • 1 1 who is personally known to me or who has produced iden anon d who did take an oath. Change of Contractor / Permit No. 'Ps - 3 - 0 - 74 Zip 33 138 Phone # Ai/A mission Expires: .0•2 NCO - 'fu NOT Sign. Print. My C 1 0 ( 57- STREET CIS P S 4 * * * * * * * * * * * * * * * * * * * * * * *s * *;;*aT* ook * * * *t* ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** S* S 0 58583 : cr. Rev. 09/19/03) • le;. � ° /, % I 8 1111111N � \\\`` zip 33)35 / - 7 -- l a / �1 1 Q Atom Y/Q71 ©( //aJ �97 A, Sechion Cl,i'1it' (pn /e K Pr v CW ct i l Phone # 2S 2 - d'DSY zip 3 3 I Signature Contractor The foregoing instrument was acknowledged before me I4 day of se . 20 06, by 76 time, A • RQSi 1 jO who is personally known to me or who has produced J L mission expires: entifica d who did take an oath. Sore laZIEEV9 1 sEP i 4 200 B Y: Date: June 21, 2006 Florida Professional Services 100 NE 89 Street El Portal, Florida 33138 Attn: Alfred Mcknight Summary: Reference: Florida Professional Services Contractor Nonperformance John W. Bolton, P.E. 1202 Northeast IOl" Street Miami Shores, Florida 33138 Phone: 305.754.2136 Dear Mr. Alfred McKnight, It is my desire for you to complete this project within the next 2 weeks and get paid. However, please be advised that this is your notification of our intent to default you for nonperformance of your contract. The basis of my intent to default is the following. Presently we have 2 contracts for construction services at the above referenced residence. 1. Pool Contract executed on 9/5/05 for $ 34,100. 2. Supplemental Contract for installation of pavers ($5,000), installation of 6" limerock base for driveway ($1,500), and allowance for tile and coping per pool contract (- $1,120). Total contract $5,380. We have made the following payments against the Pool Contract. 1. $3,410 on 9/5/05 Check No. 2397. 2. $6,820 on 1/29/06 Check No. 2435. 3. $6,820 on 2/15/06 Check No. 2439. 4. $6,820 on 3/19/06 Check No. 2444. 5. $3,410 on 5/31 /06 Check No. 0112. 6. $1,705 on 6/05/06 Check No. 0115 Total = $ 28,985 Amount Remaining $ 5,115 We have made the following payments against the Supplemental Contract. 1. $1,614 on 3/19/06 Check No. 2445. 2. $3,016 on 5/12/06 Check No. 0107. Total = $ 4,630 Amount Remaining $ 750 Via Fax: 305.759.3825 Original via Certified Mail No. 7005 1820 0003 0415 9111 Florida Professional Services Alfred McKnight June 20, 2006 Page 2 of 2 My concern is the following. There appears to be little or no commitment from Florida Professional Services to complete this project. I am concerned that I am simply being "strung along" and it would be irresponsible for me to stand by and do nothing. It has been a great nuisance for my family to have the yard a mess, trash everywhere, and stagnant water in the bottom of the pool shell for the past 5 months. When we signed the pool contract we were told that it would take 8 weeks to complete the construction once the permit was issued. The permit was issued on 1/23/06. It has been 5 months and the pool is still incomplete. After numerous phone calls and a personal visit to your home, I was told the pool would be complete by the end of May. When I ask for a completion schedule, I receive no commitment. I call and leave messages with the James, the Project Manager, and rarely receive a return call. I spoke with you on 6/7 to discuss this project. Some trash was removed and grading performed with no significant progress. Again, I cannot continue to stand by and do nothing. I have paid quickly in accordance with the payment schedule. I released 75% of the draw for the equipment when James asked, even though the equipment installation is still incomplete. Lastly, the limerock base for the driveway is not acceptable. The finish grade is not acceptable. The thickness is deficient and a large portion of the material is not limerock. I released 50% of the payment for the lime rock base on 5/12. I showed the work to James and I have repeatedly asked when he will correct the work so I can proceed with paving. I have received no response. In conclusion, I will require the following. 1. The pool construction must be completed within 2 weeks from the date of this letter. Work remaining includes complete equipment installation and startup, install diamond -brite finish, finish grading, remove sand in front yard, dispose trash and clean site. 44i/ 2. The driveway must be completed within 2 weeks. Work remaining includes removing all unsuitable material and cutting down 6 inches minimum. Replace with suitable limerock material and compact with mechanical tamp. Finish grade shall have a crown for drainage o j and be 1 inch below adjacent road and curb to allow for 1 inch asphalt. P I do realize that it may take longer and cost more to complete the project with another Contractor if Co you choose not to comply with my request. All costs to complete work will be deducted from the e 4w' retainage. Call me to discuss a schedule for completion of the pool and driveway. If we do not s agree on a completion schedule, then your contract will be terminated, the gate will be locked, and you will be considered trespassing if you or any of your staff enter the property. No equipment shall , be removed from the property. 1 e Qe� �� It is my desire that we complete this project expeditiously and amicably. My mobile phone is (° always on (305.216.2747) and I always return my phone calls. Please do not hesitate to call me. SENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3. Also complete Item 4 if Restricted Delivery . Is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailplece, or on the front if space permits. 1 . Article Addressed to: ' t Do N 6 2.1 n_ rot Q I- 3 3i 3 g PS Form 3811, February.2004 COMPLETE THIS SECTION ON DELIVERY A. Sign- _ re D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No r eiti 23 2 3. Service 'Type �ertifed Mail ❑ Express Mail ❑ Registered �E 43etum Receipt for Merchandise ❑ Insured Mail ❑ C.O.O. 4. Restricted Delivery? (Extra Fee) 2. Article Number 7005 18 2 0 0003 0 415 9111 (Transfer from service fabeq ❑ Agent ❑ Addressee - C. Date of Delivery ' ❑ Yes Domestic Return Receipt 10295-02-M.1540 2, em 3) 3J [C(C. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): $ Value of Work For this Permit Building Architect/Engineer's Name (if applicable) Nliami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 2 20S 11r, CO Electrical Plu Owner's Name (Fee Simple Titleholder) _0, . Phone # Owner's (2- Z Ate Address e fr t Lr• City MUI4 X ioc- C State (..G5c Zip 33 Tenant/Lessee Name Job Address (where the work is being done) ran— /,/ s � City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name l ariciti t r S/'a _ ✓. Phone # Contractor's Address /C mi City L &V i( State Qualifier ",(4'n 4 Type of Work: ❑Addition / ❑Alterationnn-�_ New Describe Work: A3td 1f £ ' / '' kw.o / Submittal Fee $ Permit Fee $ 1Z K— ✓ — Notary $ Training/Education Fee $ CD • C.:DC) • Scanning $'- Code Enforcement $ Structural Plan Review. $ Radon $ Total Fee Now Due $ - 0 (Continued on opposite side) aster Permit No. ing Mechanical Phone # Zip 33/3e Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Permit No. b. S 40 73''.3 VC. 0 CCF $ ( - 8 D CO /CC Technology Fee $ . 20 Roofing Zip ❑ Repair/Replace ❑ Demolition Bond $ c.30, CO 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 inspect' which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will ps oved and a reinspection fee will be charged. Chc 12/15/03 Owner or Agent //�/'���,, / The foregoing instrument was acknowledged before me thi5_�. The foregoin instrument was acknowledged before me this day of 7 , 200b , by 3044.3 4 4 4op.i , day of , 2000 , by t17W o is personally kn o me NOTARY PUB Sign: Print: My Commission E APPLICATION APPROVED BY: who has produced tion and 4ean oath. NOTARY P Sign Print: My Comm ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ********************************** * * * * * * * * * * * * * * * * * * *J * * * * * * * * * ** ****'**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Engineer 3 /3v /pc, Contractor me or who has produced entificatio d who did take an oath. Zoning Plans Examiner COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, _ J; tin V. 134 'hi , hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio #: Lot 6 Block 184--- Subdivision /U1►gr,n ,' ore Tax Folio #: requests permission to install: [4sphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of 1 7...0 Z /I E 10 1 5 r <TR I= IT (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: I. 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). i SIGNED, SEALED, EXECUTED AND ACKNOWLEDG • o thi- da of �/L SIGNED. SEALED AND DELIVERED in the presenc fl?iarni SIior 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207. Fax: (305)_756 -8972 P 0 tf • humour 6i�_ IMnin..w... Vol!" EXPIRES: January 23, 2010 'STATE OF FLORIDA) COUNTY OF DADE) ii The undersigned Affiant, ✓"n �✓- So 1 hJ\ (property owner) A . R. T vsse cf, -- 4ss oc .a attached survey, performed by performed on till 2. 1- is an accurate representation of the existing conditions and (dat of su - Etce : Pool ; locations of all structures on the property as of this date. i n ba . k. 1'ro n 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. and print D Qn h / rf� /-� SWORN TO AND SUBSCRIBED before me this / day of (/1 Witness(sign and print) Affiant is (personally known me, produced (name of surveyor's company) does hereby attest that the cinder Cons ) � P er . vrve/ vc i(o n 13 0 0 0) 0 P0L 4.15 WelEilVED 2 2005 Lr. P&E x-y-K 85.18 ) SET i Wpm IRON PIPES �Sg90 LOT 1 /AL- S8 (I)9' 15"E 15. BLK, 5 P. B. 43 P. 80 (90.00') • • ••. • • • ••• •• •• • • • •• •• • • • • • • •4 SKETCH OF SURVEY • SCALE : I " = .30'••: = 740 • • • • •••• • • ••• ••• 5 UTIL. EA St LOT 2 1 1 1 • • • • • • • ••• • • • •• • • • • • • • • • • • • • •• •.• .• • • • • • ••• •• • I`P.C. I FD. DRILL HOLE L0.40' U OCE • • . .•. • •• • • • • • • • • • • • I- D • • I FD. IRON PIPE rr r`5d • 50 • • • ••• • • • ••• •• •• • • • •• • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • •• • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• ••• • • • •• ••• •• F.. •. •F • • • • • • • • •" ♦ •• • • • • • " • • • • •• • • • • I s.• •• + 1 • •• • • • • F s - rim.arE D P 61v E wi y A 12FA : 5oo s f— p ;s41I G" L, ,4Et6c"c 1,, s ! gvcTu 'iF L ,45 p14.4 L i BUILDING ELECTRICAL PLUMBING ROOFING Owner of f Building Architect Contractor / ) t or Builder MIAMI SHORES VILLAGE, FLORIDA DATE s ` 3 19 ❑ PERMIT N9 7527 Co ntractors , .s' ., License No. 0 ❑ Work to be performed under this Permit Legal Lot Description B1 Subdi- vision Address of b t Value of � Amount of Building ' 1.....- r Project $ - � Permit $ 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed 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 without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knogdl of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements_.or specification and that he assumes respon- sibility for work done by his agents, servants or employees. i , Al �+' �, "{- r . INSPECTOR 1 Signed- 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 authoriti p ' M Miami Shores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER . BY AUTHORITY A•OOT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other stru. ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified cr not. A copy of approved plans and specifications must be kept at binding during progress of the work. Owners Name and Address I L V /C/t Registered Architect and /or Engineer p Nance and address of licensed contractor __ - W' RP_____.G /1 V / iY Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done / 2 Al ,E STATE OF FLORIDA, COUNTY OF DADE. j ss. Disapproved (Signed) Chairman Member Member Building Insp or Date_ .__./9 No.../ / o / 7T State work to be done and purpose of building (by floors) u R FN C e p/Pe s e ,, /7T ANNING BOARD DATE f2 /P I V e tue9 Street_ _. . _ / OI,_s� and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $__ ' Amount of Permit $ Zone cubage required -Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fact therein by him stated are true. r -• Permit No. 1 a 2 Date d — ,-(e, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member --- Member Member Disapproved Date or changes to this application after approval has been obtained from Council Approved _____- Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.