290 NE 100 St (9)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 2
Type Insp'n
Permit No. 0)1 I 4 91
Name
Address L2C-10 NE (W 5*
Company ()Wit r
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/19/2004
Applicant: THEODORE
Owner: CWIKOWSKI
JOB ADDRESS: 290 NE 100
Building Permit
Permit Number: BP2004 -1119
CWIKOWSKI
THEODORE
ST
Contractor MR. H PAVING AND DRAINAGE, INC. Contractor's Address: 13780 S. W. 74 ST.
Local Phone: 305 - 222 -1353
Parcel # 1132060134440
Signed: (INSPECTOR)
Page 1 of 1
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 & 2
Fees:
FEE2004 -8459
FEE2004 -8460
FEE2004 -8461
FEE2004 -8462
FEE2004 -8463
FEE2004 -8464
FEE2004 -8465
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Builders Bond
Total Fees:
Amount
$100.00
$1.20
$5.00
$0.40
$2.50
$3.00
$300.00
$412.10
Total Fees $412.1
Total Receipts: Al20
Permit Status: APPROVED Permit Expiration: 2/12/2005 Construction Value: $2,000.00
Work: ASPHALT DRIVEWAY AND APPROACH
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:
BLK 33 LOT
Total Fee Now Due $
Architect/Engineer's Name (if applicable)
Code Enforcement $
(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
BUILDING Permit No. 6 P(.LI ° KI
PERMIT APPLICATION
FBC 2001
Structural Plan Review. $
Master Permit No.'
Permit Type (circle) Building ,, Electrical Plumbing I Mechanical Roofing
Owner's Name (Fee Simple Titleholder) l heO dbrr C 0�t p ec 1.,S 34 !i +
Owner's Address 2 ) 0 &J E 100 f1
City (I ttm SNoees State TL. Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 7. kJ 0 1 0 O $ 4—
City Miami Shores Village County Miami -Dade Zip '3 3 t 3 g
is Building Historically Designated YES NO V
Contractor's Company Name Ptte Phone # COs ZZ 2 t 3 6 3
Contractor's Address 1 31 $0 5 W 141
S1
City -4 tavYN State (_ Zip 3 S" 3
Qualifier J Oa Vl +1 t rc r C + ov
State Certificate or Registration No. E 1 30 1 Certificate of Competency No. ME L °ts 3v
)/fr Phone #
$ Value of Work For this Permit 4 Z1000 Square Footage Of Work: ',::5 00 5 G. r
Type of Work: ['Addition ❑Alteratioon ['New IX Repair/Replace ❑ Demolition
Describe Work: 4. r cI
.\ y
et- I3( Co. ffii ,q
Submittal Fee $ Permit Fee $ [OV CCF $ l ( a 0 CO /CC
Notary $ Training/Education Fee $ 6 I f° Technology Fee $ � 5 0
Scanning $ 3 Radon $ ■ Zoning
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
,i,D refi- V
Bond $ OO
576
CLAY
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. 1 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
constriction 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,
CONSIJLT 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
Sign: Z
Print:
Chu 05 /13/03
My Commission Expires:
Owner or Agent t
The fore oing instrument was acknowledged befor ie thi ( � The foregoing in
day of 1U ' , O( , by 1 iaL -, l —,,� 1day of
who is person y kno n to me or who has produced 1 (, who is personally know
APPLICATION APPROVED BY:
As identification and who did take an oath. , s mien ication and who did take an oath.
I al
nf1.G(t,
NI)U23198
CL,
Signatu /O
NOTARY PUBLIC:
Sign:
Print:
My Com issiotExpi
***** * * * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * «w* **
tms
edged before me thisl7
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r who has produced `C
* * * * * * **
NJ c
v 1 9 SR Plans Examiner
Engineer
C -�' ' ; ` Zoning
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WHEREAS,�Y2 �t�5 , hereinafter referred to as the Owner of the
requests permission to install:
fl//iamj Shorej
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
(owner
A sphalt, concrete, brick pavers
J Landscaping
(J Other
within the public road right of way of R-630 E IC s'Yee7 L
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
1. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may rise by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the
item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all
costs incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and
shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLE on this 10 day of A1, c } -01
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (3051756 -8972
following described property:
Legal description/foliog: (Vhavvn k SI1O' Sc 1 A PS 10- 70 !a Z eI ock 3 5
Lot 2_ Block 3.3 Subdivision `1
Tax Folio R: 11 3 2- O - o i 3 - q4 0
SIGNED. SEALED AND DELIVERED in the presence of:
nPPRoi4c -f
wner
laloe1 ` Vargas
mission #130231984
tom: hi 13, 2007 .
:= Bonded Thru
c Bonding Co., Inc.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 4 4o Job Address 2 4/ c.... /o 0 ' Sfr Tax Folio
Legal Description G o t / 2 /3 /o Gk 3 Historically Designated: Yes No
Owner/Lessee / Tenant ? 4.1) / t f. LA-c V Master Permit # yTS U9
Owner's Address 2 ! D N f. /0 0 Phone Y0 ) (Y ? d 5dV
Contracting Co. Az- 3 77 G C0 2 / crte.r
Qualifier pa L 12 0'0 YL j II G Z, SS# /// Phone
State # Municipal # " 9- t.e, Competency # Ins. Co.
Square Ft.
Architect/Engineer Address
Bonding Company
Mortgagor Address
Permit Type (circle one) BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION � `�� ^^?�� [ �o1/c .P,./ Pi til lli `/ 71 .'O0 P5r 11)/7"4, C'OPK, ,051:.,
‘/S
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 that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the w y? ted.
Notary as to t an or on ' o
My Commission Expires:
FEES: PERMIT 5 ® � RADON C.C.F. i• 0 NOTARY BONN"
TOTAL DUE 3 5
Electrical ,'e' v`eG ce71 zi L /1,V°4-
APPROVED:
Zoning
Mechanical
Date
Address
Address , t C/ f vw 5t /lil . R/ ' Pl 31f4f
Estimated Cost (value) Z a
FENCE SIGN
Signs
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Notary as to •ntractor or • 'fir -B der Date
My Commission Expires:
Plumbing Structural Engineer
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BOUNDARY SURVEY
Legal Description:
Lots 1 and 2, Block 33, Plat of AN
AMENDED PLAT OF MIAMI
SHORES SECTION NO. 1, according
to the Plat thereof; as recorded in Plat
Book 10, Page 70, of the Public Records
of Miami Dade County, Florida.
Certified to:
Gary Hicks; Richard Gonzalez, P.A.;
Attorney's Title Insurance Fund, Inc.;
Chase Manhattan Mortgage Corporation,
its successors and/or assigns as their
interest may appear.
Panel: 0093
Flood zone: X
Date of fieldwork: 09/17/99
Completion date: 09/17/99
Survey number: G -21384
Property Address:
290 N.E. 100 Street
Miami Shores, Florida 33138
' LEGEND
II000 FENCE
-1 -a -' MIRE FENCE
t" M
PAL
•
• PRaoEA CORNER
R RECORD
M FIELD AQASURED
a C CALCULATED
till a a GEAR
CRET
( ENCROACHMENT
E
e
▪ CM. CONCRETE MONUMENT
PROPERTY LNHE
2 F.ta FOUND PON ROD
FLP. FOUND IRON PIPE
R/1Y RIGHT OF WAY
MW NAL ! O S'C
O.E. DRAINAGE EASEMENT
U.E. UTILITY EASEMENT
Fa FOUND
P PLAT
- wax= ASPHALT
aRLt o)[RNEAO UTILITIES
P.P. POMER POLE
TX TRANSFORMER
CATV CABLE RISER
MLA.. WATER METER
TEL. TELEPHONE FACIJTIES
1:1S1= COVERED AREA
9R. BEARING REFERENCE
CH CHORD
RAD RADIAL
MR. NON RADIAL
A/r AIR CONDITIONER
bit BENT. MARK
Ca CATCH SASH
CALCULATED
GENERAL NOTES:
1) LEGAL MC/WREN PROVIDED BY OTHERS
2) 7NE LANDS 94014N HEREON MERE NOT ABSTRACTED FOR EASEMENTS
OR OTHER RECORDED ENCUMBERANCES NOT SIOMN ON THE PLAT
3) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER
IMPROVEMENTS MERE NOT LOCATED.
4) WALL TIES ARE ro THE FACE OF THE MALL.
5) N07 VALID UNLESS SEALED METH THE EMBOSSED SURVEYORS SEAL.
6) OM Y VISIBLE ENCROACHMENTS LOCATED.
7) NO IDENTIFICATION FOUAD ON PROPERTY COMERS UNLESS NOTED.
'B) 'DIAIENSI IVS SNOIW ARE PLAT AND MEASURED UNLESS OTHERM'S(
SHOWN. -
9) F[NCE OWNERSHIP NOT DETERMAVED.
10) I., (LEVAT V5 AF SHOWN ARE BASED UPON NA VA UNLESS OTHERWSE NOTED.
1:) BEARINGS REFERENCED 7O UPC NOTED AS R.
I HEREBY comfy THAT 765 BOUNDARY SURVEY S A TRUE AND CORRECT
REPRESENTAACW OF A SURVEY PREPARED UNDER MY DIRECTION.
SIGNED
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10.50
CENTRAL ANGLE/DEL TA
DEED BOOK
DESORPTION OR ofEO
DRILL MOLE
ORNC10
EASEMENT
ELEVATION
FINISHED FLOOR
r0uNA CONCRETE MONUMENT
FOUND PARKER -KALON NAIL
LENGTH
LWITED ACCESS EASEMENT
MANHOLE
NOT 70 SCALE
OFFICIAL RECORDS
OITICUL RECORDS BOOK
PERMANENT CONTROL PAN
PERMANENT REFERENCE MONUMENT
PACE
PAVEMENT
PLAT BOCK
PONT OF BEGMNMVG
PONT or COMMENCEMENT
PONT ON LINE
POINT OF CURVATURE
POINT OF REVERSE CURVE
PONT Or TANGENCY
RADA'S (RADIAL)
ROOT OKRHANG EASEMENT
SET IRON ROD t CAP
SIDEWALK
7EIO BENCH MARK
TOP OF BANK
,TYPICAL
NTTNESS CORNER
EXISTING ELEVATION
RALPH SNERDLOFF • • REGISTERED LAND SURVEYOR NQ 3411
CARL MUCHAa SI01N REGISTERED LAND LSURIIE YOR NQ 3762
GISTERED LAND SURVEYOR NQ 5571
REGISTERED LAND SURKYt7R NQ 2883
STATE OF FLORIDA
STATE OF FLORIDA
STATE OF FLORIDA
STATE OF FL,
STATE Or TENNESSEE
JAMES E. MCALEER REGISTERED LAND SURVEYOR NQ 7133
TMS SURVEY IS INTENDED FOR MORTGAGE 0R REFINANCE PURPOSES ONLY. EXCWW#U
' FOR THIS USE BY THOSE 70 11MOM 17 IS CERTIFIED. DRS SURVEY 15 NOT 70 BE USED FOR
CONSTRUCRON Pt7RMTTWG Draw OR ANY OTHER USE' 1117HOIUT THE NR/T1EN CONSENT
Or F1RS7 FINANCIAL SuRKYORS, IVC
First
Financial
Surveyors,
Inc.
7700 Nort6'Kendaf Drive, Salle 409
Miami, Florida 31156
(305)'271 -3655 Fax (305) 271 -8499
2000 North Mango Road, Suite 202
West Palm Beach, Florida 33409
(561) 640.4800 Fax (561) 640 -0576
36S Aulin Avenue, Suite 3
Oviedo, Florida 32765
(407) 977 -7010 Fax (407) 977.7020
1187 Vultee Boulevard
Nashville, Tennessee 37217
(615) 366 -8432 Fax (615) 366 -8477
AND AFFILIATED COMPANIES
L.B. 6387 (FLORIDA)
Nationwide: 1400-787-8266 Fax: 1-800- 787 -8260