339 NE 100 St (14)Date 7, n
Type Insp'n T 1 i'i,w / 1r u
Permit No. &P,O5- 126,6 U
eadcuadItt-/
Name
NI(
MIAMI SHORES VILLAG, j
BUILDING DEPARTMENT 6'?
305- 795 -2204
° °s
ing Inspection Request
Address �q ' v e i 1
Company Ev.pliabw, (e*s4-
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
38+ 61.
MIAMI SHORES VILLl
BUILDING DEPARTMEN
305- 795 -2204
Building Inspection Request
Date QC1Z
Type Insp'n Finn 1 Dr.
Permit No. ' 2)1 9 05 — I � [� 4
.
Name C are i" /
Address 5 1 VG 1003
W 3
Company es2liodo,
Inspection Date
Approved
Correction
Re- Insp'n Fee
Phone #
Date Malt
Type Insp' n FOtAGZTIO K 6 \it1 11
Permit No. '12. S 126b
Name Ctx I'y Crux (kd2r
Address .3c lQ) ST
Company /ellob ( (jj CoxTYCc
Phone # 1161326- 40 4(
Inspection Date i0 (( 0
Approved
Correction
Re- Insp'n Fee
3 %0 414
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT <Di,
305- 795 -2204
Building Inspection Request
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Miami Shores Village
BUILDING
PERMIT APPLICATION; ' H03 j Master Permit No.
FBC 2001 L.: ..
$ Value of Work For this Permit
Type of Work: ❑Addition
(Continued on opposite side)
Permit Type (circle):
Owner's Name (Fee Simple Ti t1L1 to er) �, ��� s�
Owner's Address \\ � 9 I 3 "
to
City A�ct1,t S hOYs+2 -.A State
Tenant/Lessee Name
13,40‘
❑Alteration
Scanning $ 3.00 Radon $
Code Enforcement $
Total Fee Now Due $ V
Plumping ' V‘lechanical Roofing
C� — . S� - a pS
Phone 11 C /
Zip ` 3g
Phone #
Jai ieo
Permit No. l I Z6.6
Job Address (where the work is being done)
City Miami Shores Village Count ami -Dade
Is Building Historically Designated YES
Contractor's Company Name Q � F)1)1Q �fl WJetk �Q • g6) 32�b - 4V`+'^ I
p y I Phone # (
Contractor's Addres l(. 0 I SvA t8 cJ
City 4"- /'. • e,s L �9 State = n
Qualifier
_� Co .
fier �G�� .�
L
State Certificate or Registration No. CG C ' g 2q Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
ONew
* * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zoning
Structural Plan Review. $
Square Footage Of Work:
�oric� e " � ' " � ' nu yea rya Yo-e
Zip 33 3
Zip 333 IS
Goo S
❑ Repair/Replace ❑ Demolition
Describe Work:
K tasci
Submittal Fee $ Q ��
Permit Fee $ 1' }) �> CCF $ 2 . • 4 CO /CC --
Notary $ . • 00 Training/Education Fee $ 0 •
Technology Fee $ 3 .2_O
Bond $ ;2413 • CO
133
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 commence ent must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the sence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
NOTARY
Sign:
Print:
Clic 05.13/03
wner or Agent
The foregoing instrument was owledged before nie u&L �Y tlu 24 The foregoing instrument was ackn wledged before me this z4
day of _A,. , 20 C b� n 0/ Khe of , 20 b t 0 , t 1
who is personall n awn to me or who has p duce _ -4 who is personally k dwn ti me or who has produced
as ide tification and who did take an oath.
My Comn lion Expire
As identification and who did take an oath.
Sign
* * * * * * * * * * * * * * **
NOTARY PUBLI
Sign:
Print:
My Con mission Expires
* * * * * * * * * * * * * * * * * ** ************* *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * **
Contractor
* * * * * * **
****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * ** ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: 6 S Plans Examiner
t
Engineer
/) .1 4- --) Zoning
OVENAN,OF
WHEREAS, °IQ-fp ° *" S L
(owner)
following described property:
Legal description /folio #:
Lot Block Subdivision
Tax Folio R:
requests permission to install:
within the public road right of way of
[4' Asphalt,
(] Landscapin
(] Other
brick pavers
(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. I f 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.
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 die 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 ACKNOWLEDGE on this - 4 day of A U C
SIGNED, SEALED AND DELI VERED in the presence of
7/'2iami _ qoNe6 age
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (305)-756 -8972
ONS . • UCTION WITHIN RIGHT OF WAY
`, a einafter referred to as the Owner of the
�q a� ioo sl-ozO
,A PPR °, -ct-f
C 10 >,S 9P4
Expires: Ju 3, 2 "7
onded Thru
AtInntic• Bonding Co Ii'.
•
' Miumi SIiorQ3 ' L'itar
Affiant is personally known to me, produced
'STATE OF FLORIDA)
COUNTY OF DADS)
C (1-06, ' i �
The undersigned Affiant, , does hereby attest that the
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
permitted or which may violate zoning 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.
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this 2 flay of 23c
as identification.
?. .. <°z Co; ,ior 9!?
Expires. , 3,2
'9OF FIO onded n Atlantis- Rnnrlin !
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/30/2005
Applicant: CAROLYNE
Owner: CADWALLADER
JOB ADDRESS: 339 NE 100
Contractor RELIABLE CONCRETE CORP.
Local Phone: 305/229 - 4945
Parcel # 1132060135360
Work: PLAIN CONCRETE DRIVEWAY
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2005 -1266
CADWALLADER
CAROLYNE
ST
Contractor's Address: 1101 SW 18 CT
Page 1 of 1
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 17 W1/2 OF LOT 18 BLK
Fees:
FEE2005 -11851
FEE2005 -11852
FEE2005 -11853
FEE2005 -11854
FEE2005 -11855
FEE2005 -11856
FEE2005 -11857
FEE2005 -11858
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Submittal Fee
Builders Bond
Total Fees:
Amount
$125.00
$2.40
$5.00
$0.80
$3.20
$3.00
($50.00)
$300.00
$389.40
Total Fees: $389.40
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 2/25/2006 Construction Value: $3,400.00
—a GAL__ - ass I ( �� 1 PAID
f - �� 1(36 Z (�r - rac
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.
BY:
FD.R -REAR,
3' HIGH
C.B.S. 9.91'
WALL &
PLANTER
0.11'
p( CLR.
ajA
l
• � SET I.
0
In
n
M
in
SKETCH OF
BOUNDARY SURVEY
9.95'
•
-STEPS
75.00' I `
5' CONC. SWK C
REST #339
6- crIn
!�C
cg
lOOst STREET
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A. R. TOUSSAII
LAN
FLORIDA CERTIFICATE
620 N.E. 126 ST.
FB: 490 PG. 74
ORDER No. 13414
SKETCH
0 10
SCA
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■
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED nereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the foliowina information
is provided in this Notice of Commencement.
1 . Leqal des ription of pr perty a r i d tre address �T I f� L •�T g
� 1 K W9-z � 1 Sing14f1 S 44
11 33% t, ‘z 1d5 'k° ; 5Lten t-J_ 331 Sg
2. Description of i roveme
T o...; t A c� cZ °ak_v4c.
3. Owner(s) name and address: • L.
331 4E I130 -'V• - °..I„ .s . La/1 PL 3313
Interest in property:
Name and address of fee simple titleholder:
r �
4. Contractor's name and address: \L'd
t,tO ( s4S - +►c.
5. Surety: (Payment bond required by owner from contractor, if any)
STATE OF FLORIDA, COUNTY OF DADE
Name and address: r ,
Amount of bond $
6. Lender's name and address:
Notary 'uoii:
Print INotar.'s Iv
Ivt� commission
LI 20
QQd��Officlrl Sae!.
Don whom notices or otter. docu� a nts may served as
rTt�
mgrnal filed "Irce on
WITNES
HARVEY I
Sworn to and suoscr'aed .efore me tnis 2-4 cay of . 2CO5
111111111111111111111111111111111111111111111
ST -1""
'
1Q R,
� ,
9 T-^� '333 � S
d:, y of
Prepared DV
CFN 2005R0922052 OR Bk 23737 Ps 4596; (1as)
RECORDED 09/01 /20135 11:46:57
HARVEY RUVIN, CLERK OF COURT
MIAMI -DADE COUNTY. FLORIDA
LAST PAGE
1 ��1
7. Persons within the state of Florida designated by
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 Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified) 4
( ,
Sicnature tlh er
Print Owners Name �G a A �9 ��` W G• Q Lkg,
l
101 SAN la (LL.1
A ^cress: 53
n
u -+ Jhrtba 1