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350 NE 100 St (9)inspection Number: INSP -13203 Inspection Date: 04/14/2006 Inspector: Grande, Claudio Owner: ALVAREZ, MABELINNES Job Address: 350 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, April 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: ( 5)795 -2204 Fax: (305)756 -8972 Permit Number: DS -3 -06 -772 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number 954 - 558 -7143 Parcel Number 1132060135440 Lot: Page 2 of 2 1 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection Number: INSP -13203 Inspection Date: 04/14/2006 Inspector: Grande, Claudio Owner: ALVAREZ, MABELINNES Job Address: 350 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, April 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: ( 5)795 -2204 Fax: (305)756 -8972 Permit Number: DS -3 -06 -772 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number 954 - 558 -7143 Parcel Number 1132060135440 Lot: Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Owner's Name (Fee Simpl Titleho Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Architect/Engineer's Name (if applicable) Owner's Address ` J r N ( S\ City \ L& c .A,Cc t tate Tenant/Lessee Name Value of Work For this Permit $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing Mechanical Roofing LA��1 n l'1Q S I ole # 9-1 ( 3 NO Zip ': ; Phone # Permit No. 1 DG Master Permit No. S_JabE y P. County Miami -Dade Zip V1 ,V Phone # Contractor's Company Name Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Phone # Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ['New g Repair/Replace ❑ Demolition Describe Work: PTh0+1( - ,(( Q_ (j 1 c) U t * v- VC1v ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 2S W CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ 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 APPLICATION APPROVED BY: (Revised 02/08/06) Owner or Agent The foreg ' g instrument was acknowledged before m this ZT v The foregoing instrument was acknowledged before me this day of re , 20 &, by gaileike tOitn day of ,20 who is personally known to me or who has produced who is personally known to me or who has produced As identificaily and who did take an oath. as identification and who did take an oath. NOTARY PU IC: r r� i , 4 i � NOTARY PUBLIC: 1 /f I,1; Sign: Print: My Commi: sion Expires: y i/0 Plans Examiner Engineer Zoning 7.48 /c';c: .r Signature Contractor Sign: Print: My Commission Expires: MAP OF BOUNDARY SURVEY SCALE: 1" = 20' LOT 8 T CBS WALL ON LINE CBS WALL ON LINE FIR 1/ NO ID LOT (5 0.0 0' ) 70 1n N (50.00') OT LINE 0 0 M E 1/2 OF LOT 7 O FIR 1/9". .GONG, NO ID BS WA L:.: 1616.. ON ON LINE "' 1616. LINE::; :...................":: ONE STORY CBS UTILITY • 000.0 .. • • 00* • • • • 0016 • 0.. • 00. ....,... ............. • • •:;::;;.:;: •:::: NE 100th STF7EE . ::: +::;:: •::::: �:�:;::. ....................... ASPHALT PAVEMENT * Bp SjS:OC ; _....��.... ASPHALT . .... I 12.5' CONC • 0 Z O 0 )' ASPHALT 0 N '00'00 "E 75.0 13.1' COVERED TILES ONE STORY CBS W RES. # 350 Z J 1- 0 J 20.3' I^ 13.0' 00 LOT 6 4.0 3 N • • • N 90'00 "W : • .• - • .0 . . . 2g O 0 ri x 50.0�� LOT LINE x FIR 1/2" 252.94' NO ID W.F. ON LINE LOT 5 FIR 1 ID /2" W.F. ON -- LINE CBS WALL ON LINE FIR 1/ NO ID BLK. C 5 • N 04 II q % r N 11 ir 5O E4 It 1t b0 9 /. 5 4 2 1 ui 1 14 * 16 q JS 11 =G 1:l. Et L L1 E4 50 . .. .. ,• .. ,• 5 LOCATION MAP PLAT IMAGE NOT TO SCALE i� UM 4111111191111111 • • • • • • • • • • • •• • • • • • • LEGEND & SYMBOLS A = ARC DISTANCE A/C = AIR CONDITIONER PAD BLDG= BUILDING BM = BENCH MARK CBS = CONCRETE BLOCK & STUCCO (C) = CALCULATED C8 = CATCH BASIN C&G = CURB & GUTTER ELF = CHAIN LINK FENCE COL = COLUMN CONC. CONCRETE DME = DRAINAGE & MAINTENANCE EASEMENT SURVEYOR'S NOTES: AUTHENTIC COPIES OF THIS SURVEY SHALL BEAR THE RAISED SEAL OF THE ATTESTING REGISTERED SURVEYOR AND MAPPER FIP FIR FND 0/u LP MH D/W = DRIVE —WAY EP = EDGE OF PAVEMENT FOH - FOUND DRILL HOLE FH = FIRE HYDRANT PCP = PERMANENT CONTROL POINT FOUND IRON PIPE = FOUND IRON ROD = FOUND NAIL (NO ID) FOUND NAIL & DISK = OVERHEAD UTILITY WIRE UGHT POLE = MEASURED = MAN HOLE PROPERTY ADDRESS: • 350 NE 100th ST. MIAMI. FL 33138 • ... (P) = PLAT PC = POINT OF CURVATURE PI = POINT OF INTERSECTION PL = PLANTER POB = POINT OF BEGINNING POC = POINT OF COMMENCEMENT PRM = PERMANENT REFERENCE MONUMENT SIP = SET IRON TRIN(%NCY R = RADIUS DISTANCE (R) = RECORD R = RIGHT OF WAY R S. = RESIDENCE • • • •• • • • • •• • • • • • • •• • • • • • • • • • • • • • ••• • • • • • • • . • • JUA A. SUAREZ PROFESSIONAL SURVEYOR AND STATE OF FLORIDA LIC. # • • •• • • • • • • • •• • • • • •• •• • • • • • • • ECENTLY E FLORIDA SECTION • • 1. ELEVATIONS WHEN SHOWN REFER TO NATIONAL GEODETIC VERTICAL DATUM (NGVD). 2. NO ATTEMPT WAS MADE TO LOCATE FOOTINGS /FOUNDATIONS UNLESS OTHERWISE NOTED. 3. THE LANDS SHOWN HEREON HAVE NOT BEEN ABSTRACTED IN REGARDS TO MATTERS OF INTEREST BY OTHER PARTIES. SUCtI AS EASEMENTS. RIGHTS OF WAYS. RESERVATIONS. ETC. ONLY PLATTED EASEMENTS ARE SHOWN. 4. THIS SURVEY WAS PREPARED FOR AND CERTIFIED TO THE PARTY(IES) INDICATED HEREON AND IS NOT TRANSFERABLE OR ASSIGNABLE 5. THE INTENT OF THIS SURVEY AS COMMUNICATED BY THE CERTIFIED PARTIES IS FOR REAL — ESTATE TRANSACTION OR MORTGAGE REFINANCING. THIS SURVEY IS NOT TO BE USED FOR ANY OTHER PURPOSE OR PARTY(IES) WITHOUT THE AUTHORIZATION OF THIS FIRM. 6. THIS SURVEY IS NOT INTENDED FOR NEITHER DESIGN NOR CONSTRUCTION PURPOSES. FOR THOSE PURPOSES A TOPOGRAPHIC SURVEY IS REQUIRED. 7. ALL BOUNDARY LIMIT INDICATORS SET ARE STAMPED L8# 7104. 8. THE BOUNDARY LIMITS STABUSHED ON THIS SURVEY ARE BASED ON THE LEGAL DESCRIPTION PROVIDED BY CLIENT OR ITS REPRESENTATIVE. 9. BEARINGS WHEN SHOWN ARE TO AN ASSUMED MERIDIAN AND. THE CENTER LINE OF NE 100TH STREET HAS BEEN ASSIGNED A BEARING OF N90'00'00 "W. SURVEYOR'S CERTIFICATES CONCRETE SLAB ENCROACHING 3 FEET ONTO ALLEY. PROPERTY HAS ACCESS TO PUBLIC RIGHT OF WAY. I HEREBY CERTIFY THAT THIS SURVEY IS TRUE AND CORRECT TO THE BEST OF MY K WLEDGE AND BELI SURVEYED AND DRAWN UNDER MY DIRECTION AND MEETS THE MINIMUM TECHNICAL NDARDS SET FORT STATE BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 61G17 -6 FLORIDA ADMINI ATIVE CODE PURSUA 472.027 FLORIDA STATUE. SEAL •• • • Z 0 • � • • •• • • • +— 1 U () w I- 0 LEGAL DESCRIPTION: LOT 6 AND THE EAST 1/2 OF LOT 7. BLOCK 40. OF 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. FLOOD ZONE INFORMATION: BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY REVISED ON 3/2/94 AND INDEX MAP REVISED ON 7/17/95 THE HEREIN DESCRIBED PROPERTY IS WITHIN ZONE X BASE FLOOD ELEVATION N/A COMMUNITY NAME & NUMBER MIAMI SHORES 120652 MAP & PANEL NUMBER 12025C0093 SUFFIX J SND = SET NAIL & DISK SWK = SIDEWALK (TYP)= TYPICAL UB = UTILITY BOX UE = UTILITY EASEMENT U/P = UTILITY POLE WM = WATER METER N = CENTRAL ANGLE = MONUMENT LINE t = CENTER UNE X — CHAIN LINK N FENCE (00 ORI p CINAI IRO pI FE NCE — WOOD FENCE •• • • • -• •• • •• • • • • mot' O cD 0 0 w F- Q - M r 1A 0 O Q L" co 0 . r ' ) 0, ® 0o LO 3 - 2 M•. mM — W Y - L N z ' ° —'� L 0 o 0 — CO 2 ci 1- OZ _ Z Z W N U Z 0 -- J to o u t LJ ? U <OW 3 p g w t=< z 0 } O z w < XZ _ 2 N w oc -J 0 U w 1— w w (n Issue Date: 3/29/2006 Owner's Name: MABELINNES ALVAREZ Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 350 100 Street NE Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/27/2007 Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: CHICAGO BRICK PAVERS IN THE REPLACE OLD DECK WITH CHICAGO BRCK PAVERS Additional Information Type of Work: PATIO 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 CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $125.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $137.00 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -3 -06 -772 Phone: 1132060135440 Lot: PB: 954 -558 -7143 Total Square Feet: 600 Total Valuation: $ 1,000.00 Required Inspections Foundation Sidewalk Landscaping Final Invoice Number DS -3 -06 -24286 Total: C.c Amt Due $137.00 Amt Paid $137.00 $137.00 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. VILLAGE OF MIAMI SHORES � O n WNER BUILDER DISCLOSURE STATEMENT .. NAME: �t itiL S PYI UG KR 2 DATE: 3 06, ADDRESS: 3J0 /" 100 5P 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 understood the following disclosure statement, which entitles me to work 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 a licensed contractor. You have applied for a permit under an exception to the 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. You may also build or improve a commercial building 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 complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the 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- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Initial P( 2. I understand that as an owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial (Y\ A 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial P 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code —. only if the structure meets the minimum code. Initial MA— 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate contract disputes. 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. n gets injured on my construction project —they are mnsation. And if they do not posses a workmen's for all doctor and related cost which could include from injury. Initial Initial Initial M A. ate and local laws I can not do any Electrical, _oof work on my property with out first obtaining d contractors. Initial 7 day of � rC r , 2 06&. .Q2- who was personally known to me or who has as identification. Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2005 -45 Printed: 1/24/2005 Page 1 of 1 Applicant: MABELINNES ALVAREZ Owner: ALVAREZ MABELINNES JOB ADDRESS: 350 NE 100 ST Contractor Local Phone: Contractor's Address: Parcel # 1132060135440 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 6 & E1/2 OF LOT 7 BLK 40 LOT SIZE Fees: Description FEE2005 -947 Building Fee FEE2005 -948 CCF FEE2005 -949 Notary Fee FP •Itlna clan . . _ r Pc) Q -o v, co s 0 d ro b 0 co co z 3 z co 0 Amount $125.00 $1.20 $5.00 0 co • Total Fees: $390.72 Total Receipts: $390.72 ' JAN 2 4 PAID ces and regulations pertaining thereto and in strict epting this permit I assume responisibility for all work BUILDING PERMIT APPLIC FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) �ttbe ,In e_ 7- �-eihone # gS`�IS ic � LI 3 Owner's Address ? J v [ Ucj at City tate Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name (-Lune( Contractor's Address Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: Describe Work: c -C ❑Addition Submittal Fee $ ` . no o Permit Fee $ Notary $ Training/Education Fee $ Scanning $ y Radon $ Code Enforcement $ Total Fee Now Due $ (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 County Miami-Dade Zip NO )( City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. 0U DAlteration ❑New D Lt-0 Structural Plan Review. $ •■•■..... 1 [� Permit No. b 45 Master Permit No. Z ip 1? Phone # Phone # Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Technology Fee $ �i l 3 b 5 eplace ❑ Demolition p �a CCF $ / t £ V colcc 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: 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 Hurst 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 fin- 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. Signat NOTARY Sign: Print: ure The regoing ins day of who is personal My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 Owner or ent ment was owled Jed before me this The foregoing instrument was acknowledged before me this 20 rP, by � QV ( 3 PI L day of , 20 _, by own to me or who has produced 1.-e-0 - 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. lvti `mill IP 4 " antic >junr1 ************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner a Engineer Zoning / Signature Contractor NOTARY PUBLIC: Sign: Print: My Commission Expires: ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Ati 1 3 Ma5 Owner Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE .STATEMENT I $'\,( Alu" being the legal property owner, for the property Located 360 dug. X00 50 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),,,gnd I have read and understand the following disclosure Statement, which entitles me td A ork as my own contractor, I further understand that I as the owner rnust appear in person to complete all applications. DISCLOSURE STATEMENT 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 licensing ordinances. Any person working on your building who is not Icensed 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 S By Produced ho is personally known to me or who has as identificat d who did take an oath. PV •� Mabel V a : Commission #, , 23I984 Ronded s 13 2007 . OP Thru 9 Atlantic Bonding Co Inc gas Tax Folio R: 4 1.10 R Es requests permission to install: fl S eJ age 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, V4 cabra A1 vac e.� , hereinafter referred to as the Owner of the (owner) following described property: Legal description /folio #: to" 4 and - P ec64 1 /2 0 �- L. o4 'd 61L `' Lot Co A N! QS6 1 4 1 Block 4 0 Subdivision [)Q Asphalt, concrete, brick pavers [ 1 Landscaping [ 1 Other within the public road right of way of S So N.< too o Scj• SIGNED, SEALED AND DELIVERED in the presence of: `.Y abel Vargas • `: Co ission #DD231984 Expires: Jul 13 2007 � F"ss' Bonded Thru s' Atlantic Bonding Co., Inc. ft Mct (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 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 day of IOUNDARY SURVEY. LANDS DESCRIBED IN PLAT BOOK 10 AT )E COUNTY. FLORIDA. THIS SURVEY MAP IS NOT VALID WITHOUT ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED SURVEYOR ;;1GNATURE AND SEAL CAN BE FOUND AT THE END OF REPORT. T ARE NOT COMPLETE WITHOUT THE OTHER. FND 0.33 CLR SET 1/2" I.P. f M1 I /2" I.P. 4.5 q' 5.10 13.13 ONE STORY CBS RES. 4 350 z 3 J CONC SLAB 0.10 CLR 75' R/W - 1R' ASPHALT PAVING 8.0 0 12.48 o .n 7 en o c N.E. 100TH STREET 20.34 STEPS li SIDEW.4Lk yir 12.95 n C 1'3.41 cv 75.00 75.00 SURVEY NUMBER:04 -02 -011 e r • r �a. 3.83 a 4' CLF W/ CONC. I3ASE WOOD DE K WATERMAIN 0.1 O/H POWER & TELEPHONE LINES CLR 15' ALLEY 14.84 14.80 SHEET 2 OF 2 On g : V e d 0.10 CLR 0.10 CLR 2 • • CI *L =DS W. CARR PRCOPEISSIONA& bAND IST$RVE' ORli & MAPPERS MAIL TO: PHONE (305) 221 -3416 9245 S.W. 44 St. FAX (305) 553 -9903 MIAMI, FLORIDA 33165 i h A -• ARC LENGTH R - RADIUS T •• TANGENT C -• CHORD DELTA(CENTRAL ANGLE) MEAS - MEASURED CALC - CALCULATED PCP -- PERMANENT CONTROL POINT PRM -• PERMANENT REFERENCE MONUMENT PC -- POINT OF CURVE RAY -- RIGHT OF WAY BM - BENCH MARK END IP -- FOUND IRON PIPE CLR -- CLEAR C L F - CHAIN LINK FENCE TYP - TYPICAL (FOR SEVERAL) N/A - NOT APPLICABLE P.U.B. - POINT OF BEGINNING P.O.C. -POINT OF COMMENCEMENT CM - CONCRETE MONUMENT SAN SWR - SANITARY SEWER N' /M -- WATER MAIN WF -• WOOD FENCE /U E. bECEND fi SYMBOLS 99TH BM - BENCH MARK PWR IRAN - POWER TRANSFORMER WV - WATER VALVE WM -- WATER METER P &T -- POWER &TELEPHONE LINES MY. - MANHOLE LID CB - CATCH BASIN CO -- CLEAN -OUT COVER CL - CENTERLINE CBS - CONCRETE BLOCK STRUCTURE CLP - CONCRETE LITE POLE CONC. - CONCRETE FPL - FLORIDA POWER & LIGHT EL - ELEVATION BASED ON I92P NGVD END IR - FOUND IRON ROD ENCRO - ENCROACHMENT WMF - WIRE MESH FENCE DH - DRILL HOLE N/D •- NAIL &DISC CTY MON - COUNTY MONUMENT PKG SP - PARKING SPACE HYD - FIRE HYDRANT H C PKG - HANDICAP PARKING U E -- UTILITY EASEMENT LOCATED IN: VILLAGE OF MIAMI SHORES MIAMI -DADE COUNTY, FLORIDA . /002E 5T 35 LOCATION SKETCH LOT DETAILS SCALE. 1 INCH = 150 FEET SCALE: 1 INCH = 20 FEET SEE THE REPC PAGE 70 . ML THE SIGNATU AND MAPPER THE MAP ANE r /� k N 5745 h /2 // /0 /( B �� /V - ¢ 3 73 Z4 ` .5O n n Q / i� ,f ,, ,, . 2 • • CI *L =DS W. CARR PRCOPEISSIONA& bAND IST$RVE' ORli & MAPPERS MAIL TO: PHONE (305) 221 -3416 9245 S.W. 44 St. FAX (305) 553 -9903 MIAMI, FLORIDA 33165 i h A -• ARC LENGTH R - RADIUS T •• TANGENT C -• CHORD DELTA(CENTRAL ANGLE) MEAS - MEASURED CALC - CALCULATED PCP -- PERMANENT CONTROL POINT PRM -• PERMANENT REFERENCE MONUMENT PC -- POINT OF CURVE RAY -- RIGHT OF WAY BM - BENCH MARK END IP -- FOUND IRON PIPE CLR -- CLEAR C L F - CHAIN LINK FENCE TYP - TYPICAL (FOR SEVERAL) N/A - NOT APPLICABLE P.U.B. - POINT OF BEGINNING P.O.C. -POINT OF COMMENCEMENT CM - CONCRETE MONUMENT SAN SWR - SANITARY SEWER N' /M -- WATER MAIN WF -• WOOD FENCE /U E. bECEND fi SYMBOLS 99TH BM - BENCH MARK PWR IRAN - POWER TRANSFORMER WV - WATER VALVE WM -- WATER METER P &T -- POWER &TELEPHONE LINES MY. - MANHOLE LID CB - CATCH BASIN CO -- CLEAN -OUT COVER CL - CENTERLINE CBS - CONCRETE BLOCK STRUCTURE CLP - CONCRETE LITE POLE CONC. - CONCRETE FPL - FLORIDA POWER & LIGHT EL - ELEVATION BASED ON I92P NGVD END IR - FOUND IRON ROD ENCRO - ENCROACHMENT WMF - WIRE MESH FENCE DH - DRILL HOLE N/D •- NAIL &DISC CTY MON - COUNTY MONUMENT PKG SP - PARKING SPACE HYD - FIRE HYDRANT H C PKG - HANDICAP PARKING U E -- UTILITY EASEMENT LOCATED IN: VILLAGE OF MIAMI SHORES MIAMI -DADE COUNTY, FLORIDA . /002E 5T 35 LOCATION SKETCH LOT DETAILS SCALE. 1 INCH = 150 FEET SCALE: 1 INCH = 20 FEET SEE THE REPC PAGE 70 . ML THE SIGNATU AND MAPPER THE MAP ANE r V / /3 /4 /5 /( /7 /B /V 2' Z/ Z 73 Z4 ` .5O n n :. a i� ,f ,, ,, .. • c� 2 • • CI *L =DS W. CARR PRCOPEISSIONA& bAND IST$RVE' ORli & MAPPERS MAIL TO: PHONE (305) 221 -3416 9245 S.W. 44 St. FAX (305) 553 -9903 MIAMI, FLORIDA 33165 i h A -• ARC LENGTH R - RADIUS T •• TANGENT C -• CHORD DELTA(CENTRAL ANGLE) MEAS - MEASURED CALC - CALCULATED PCP -- PERMANENT CONTROL POINT PRM -• PERMANENT REFERENCE MONUMENT PC -- POINT OF CURVE RAY -- RIGHT OF WAY BM - BENCH MARK END IP -- FOUND IRON PIPE CLR -- CLEAR C L F - CHAIN LINK FENCE TYP - TYPICAL (FOR SEVERAL) N/A - NOT APPLICABLE P.U.B. - POINT OF BEGINNING P.O.C. -POINT OF COMMENCEMENT CM - CONCRETE MONUMENT SAN SWR - SANITARY SEWER N' /M -- WATER MAIN WF -• WOOD FENCE /U E. bECEND fi SYMBOLS 99TH BM - BENCH MARK PWR IRAN - POWER TRANSFORMER WV - WATER VALVE WM -- WATER METER P &T -- POWER &TELEPHONE LINES MY. - MANHOLE LID CB - CATCH BASIN CO -- CLEAN -OUT COVER CL - CENTERLINE CBS - CONCRETE BLOCK STRUCTURE CLP - CONCRETE LITE POLE CONC. - CONCRETE FPL - FLORIDA POWER & LIGHT EL - ELEVATION BASED ON I92P NGVD END IR - FOUND IRON ROD ENCRO - ENCROACHMENT WMF - WIRE MESH FENCE DH - DRILL HOLE N/D •- NAIL &DISC CTY MON - COUNTY MONUMENT PKG SP - PARKING SPACE HYD - FIRE HYDRANT H C PKG - HANDICAP PARKING U E -- UTILITY EASEMENT LOCATED IN: VILLAGE OF MIAMI SHORES MIAMI -DADE COUNTY, FLORIDA . /002E 5T 35 LOCATION SKETCH LOT DETAILS SCALE. 1 INCH = 150 FEET SCALE: 1 INCH = 20 FEET SEE THE REPC PAGE 70 . ML THE SIGNATU AND MAPPER THE MAP ANE Miami Shores Village E CEn Iii ! ID Building Department N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. . /S3 PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): : uilding Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) nu 0,1 wo I R. Phone # 30 5 4 c(o -- ^ 1 7 z C Owner's Address 3 SO k) E [ 0 0 S't City (Y V, -P l Ska(i State Zip 3 1 3 8 Tenant/Lessee Name Phone # Job Address (where the work is being done) 3 Sa b E ` o0 City Miami Shores Village County 'ami -Dade Zip 3 Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # C , °° $ Value of Work For this Permit Type of Work: ❑Addition ❑Alteration New Square Footage Of Work: Repair/Replace.. ❑ Demolition Describe Work: RC Alt) V E (s P n I �• P P Frc.A.A4 S -t o f S PA r rc s Met/ ►� d o Pfa ( Sort) E A } AckEd Total Fee Now Due $ (Continued on opposite side) Phone # * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 00 100 CCF Submittal Fee $S()'(',U1 V5 I Permit Fee $ //��' nn Notary $ • Training Of Fee $ f Oc (7 Technology Fee $ al 5 so Scanning $ 3 ~ ' Radon $ Zoning Code Enforcement $ � Structural Plan Review. $ 0 C /C Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) i S / I ZI A Lr 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 no ove! • • - • einspectioj e will be charged. Signature Contractor The foregoin nstrument was acknowledged before me this day of , 20(A, by NCI 654' (1)0 1 day of , 20 _, by who is personally known to me or whd has produced DIU t,Q,9 who is personally kn .. n to me or who has produced wner or gent The foregoing instrument was acknowledged before me this 2 As identification and who did take an oath. as i NOTARY Sign: 0t,ii" , Mabel Var' a`.- Sign: 1■ .L ! ��[�� / °x� : = Commission!, ', ?1 �;: Print: +- Print: My Commission Expires: ei " My Commission Expires: * * * * * * * * * * * * * * * * * * * ** -*******.******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 ature NOTARY PUBLIC: JUN -2 2004 tification and who did take an oath. ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning OWNER BUILDER DISCLOSURE .STATEMENT A L/3 v S l c)._ (FE being the legal property owner, for the property Located at: 3 SO N G l 0 0 ` � St 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. 'o 3, ork 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 building 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 ( ) Was acknowledged before me this a day of By Produced Dr T r9 VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT DISCLOSURE STATEMENT initial of reviewing clerk The foregoing instrument 20 0- I ' who is personally known to me or who has as identification and who did take an oath.. =4• 9 �OR e l fi ss b io n p p g es:Ju 2 31984 A tiantic o Bon, Th 200 ding Co. I nc. 1OUNDARY SURVEY. LANDS DESCRIBED IN PLAT BOOK 10 AT )E COUNTY, FLORIDA. THIS SURVEY MAP IS NOT VALID WITHOUT ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED SURVEYOR ;IGNATURE AND SEAL CAN BE FOUND AT THE END OF REPORT. T ARE NOT COMPLETE WITHOUT THE OTHER. FND 1/2" I.P. 0.33 CLR SET 1/2" I.P. ti w e e • N.E. 100TH STREET 75' R/V,T — 18' ASPHALT PAVING 0.10 CLR ti 5' SIDEWALK WATERMAIN o.Io CLR O/H POWER & TELEPHONE LINES 15' ALLEY SHEET 2 OF 2 SURVEY NUMBER:04 -02 -011 (4 / fV/ f0E-j 23' PARKWAY 1 . 0401) t. •t4PA. M I So d• CONC. SLAB 12.48 5.10 13.13 20.34 75.00 4' CLF 75.0(1 W/ CONC. BASE FND I.P. Zonif g pproved 0.10 CLR SET 1/2" I.P. i (30 \/Z ' It /7 ,/ /0 if 9 ,I B I1\ /4 OR , . „ .5 „ ¢ .. 3 73 5745 1 41 L /4 /5 /G TV /7 /B /' ZO Z/ 2Z 73 N 4\ 2 • CHARLES W CARR • PRO OISSIONAL LIANFP ST$RV IT®RN & MAPPERS MAIL TO: • PHONE (305) 221 -3416 9245 S.W. 44 St. FAX (305) 553 -9903 MIAMI. FLORIDA 33165 4 LOCATION SKETCH /11 E. LOCATED IN: VILLAGE OF MIAMI SHORES, MIAMI -DADE COUNTY. FLORIDA . / R' 99 TN A -- ARC LENGTH R -- RADIUS T -- TANGENT C -- CHORD DELTA(CENTRAL ANGLE) MEAS - MEASURED CALC - CALCULATED PCP - PERMANENT CONTROL POINT PRA1 -• PERMANENT REFERENCE MONUMENT PC - POINT OF CURVE R/W -- RIGHT OF WAY BM - BENCH MARK FND IP -- FOUND IRON PIPE CLR -- CLEAR C L F - CHAIN LINK FENCE TYP - TYPICAL (FOR SEVERAL) N/A -- NOT APPLICABLE P.O.B. - POINT OF BEGINNING P.O.C. -POINT OF COMMENCEMENT C M - CONCRETE MONUMENT SAN SWR - SANITARY SEWER W/M -- WATER MAIN WF -- WOOD FENCE LEGEND & SYMBOLS BM - BENCH MARK PWRTRAN - POWER TRANSFORMER \4' \% -- WATER VALVE WM -- WATER METER PCT -• POWER& TELEPHONE LINES AIH -- MANHOLE LID CB - CATCH BASIN CO -• CLEAN -OUT COVER CL - CENTERLINE CBS - CONCRETE BLOCK STRUCTURE CLP - CONCRETE LITE POLE CONC. •- CONCRETE FPL - FLORIDA POWER & LIGHT EL - ELEVATION BASED ON 1929 NGVD FND IR -- FOUND IRON ROD ENCRO - ENCROACHMENT WMF - WIRE MESH FENCE DH -• DRILL HOLE N/D -• NAIL &DISC CTY MON - COUNTY MONUMENT PKG SP - PARKING SPACE HYD - FIRE HYDRANT H C PKG - HANDICAP PARKING U E - UTILITY EASEMENT 5% L L E 3 5 LOT DETAILS SCALE: 1 INCH = 150 FEET SCALE: 1 INCH = 20 FEET w Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2004 -753 Printed: 6/3/2004 Applicant: AUGUST Owner: WOLFE JOB ADDRESS: 350 NE 100 ST Contractor Local Phone: Parcel # 1132060135440 Signed: (INSPECTOR) WOLFE AUGUST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 6 & E1/2 OF LOT 7 BLK 40 LOT SIZE Fees: Description Amount FEE2004 -5618 Building Fee $100.00 FEE2004 -5619 CCF $0.60 FEE2004 -5620 Notary Fee $5.00 FEE2004 -5621 Training and Education Fee $0.20 FEE2004 -5622 Scanning Fee $3.00 FEE2004 -5623 Technology Fee $2.50 Total Fees: $111.30 Total Fees: $1p i2( Total Receipts: 00 Permit Status: APPLIED Permit Expiration: 11/29/2004 Construction Value: $550.00 Work: REMOVE ASPHALT PARKING PAD FROM STREET SIDE PARKWAY. AS MARKED ON PROPERTY SURVEY ATTACHED 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: JUN 0 4 PAID Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block New Building Remodeling To be constructed of Kind of foundation o Estimated Total cost of improvements $ - Zone cubage required Permit No Disapproved (Signed) 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 structure 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 or not. A copy of approved plans and specifications must be kept at building during progress of the work. �+ Date ,, _ _�i_J_- __(__ 7 . , Owner's Name and Address hip/ Q__t _R etV No.3. Street_. /Y..4 Q _�__ 72 w loo seir WARD PAviAC7 Street and Number where work is to be done State work to be done and purpose of building (by floors)_ Y1_1 Date Subdivision -Plan Cubage Addition Repairs No. of Stories RoofCovering Amount of Permit $ 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 pgrformed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) V v Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida CL/t1 and for no other purpose. STATE OF FLORIDA, COUNTY OF DADE. j ss 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 facts therein by him stated are true. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member _____________ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from 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. M ilad J4-l' Nk; 1®® sr° / bN!n bid, kt oastwoa 3 BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA 0 °❑ PERMIT N9 6810 ❑ f �- /❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description II Bl Address of Building 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 knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed• z. j ' : j ( a INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with' all ordinanc'aa 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Subdi- vision Value of Project $ f DATE 19 Contractor's License No. BY AUTHORITY Amount of Permit $ f