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334 NE 101 St (15)Project: <NONE> Inspection Date: 06/14/2006 Inspector: Grande, Claudio Owner: BROWN, DALLAS Job Address: 334101 Street NE Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Tuesday, June 13, 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: Addition /Alteration Block: Phone Number (305)762 -6265 Parcel Number 1132060135300 Lot: Page 2 of 2 1 knsPector Passed Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Project: <NONE> Inspection Date: 06/14/2006 Inspector: Grande, Claudio Owner: BROWN, DALLAS Job Address: 334101 Street NE Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Tuesday, June 13, 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: Addition /Alteration Block: Phone Number (305)762 -6265 Parcel Number 1132060135300 Lot: Page 2 of 2 1 Inspection Number: INSP -17629 JUN 0 Permit Number: DS -5 -06 -1288 Inspection Date: 0610712006 Inspector: Desharnis, George Owner: BROWN, DALLAS Job Address: 334 101 Street NE Project: <NONE> Tuesday, June 6, 2006 Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Deaartment Comments 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: Foundation Work Classification: Addition /Alteration Block: Phone Number (305)762 -6265 Parcel Number 1132060135300 Lot: Page 2 of 2 Passed Inspector Comments g_, /� R ti,c.. v- c /G H a c 7--, A S' 4- 1 7 0 3 (e /' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. ------ ____CAJ-- ct, until Inspection Number: INSP -17629 JUN 0 Permit Number: DS -5 -06 -1288 Inspection Date: 0610712006 Inspector: Desharnis, George Owner: BROWN, DALLAS Job Address: 334 101 Street NE Project: <NONE> Tuesday, June 6, 2006 Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Deaartment Comments 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: Foundation Work Classification: Addition /Alteration Block: Phone Number (305)762 -6265 Parcel Number 1132060135300 Lot: Page 2 of 2 FBC 2004 Permit Type (circle Owner's Name (Fee Simple Ti Owner's Address City M ,1").✓, Tenant/Lessee Name '34 Vic State Miami Shores Village . 4 3 P'''' Building Department I z3 p 1 � � 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 if-C71-5 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING .1_E0k 1 a2' d:1tt Permit No PERMIT APPLICATION' I Master Permit No. Zip �' ! 3 Phone # Job Address (where the work is being done) 4) e / c / S'T City Miami Shores Village r^Y County Miami -Dade FOLIO / PARCEL # 1 1 • 3ZCto - -cY0 Is Building Historically Designated YES NO Contractor's Company Name �ite I A I_ JA 0 tit 41 Contractor's Address ite c(C jt' City E.1 12v4't 1 State Qualifier Name State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $1C-% 0 Submittal Fee $ 0 ` Permit Fee $ l� Notary $ "Od Training/Education Fee $ C) .80 • Plumbing Mechanical Roofing Phone # � r — 3 / L �7 Zip •- 1 Phone # Certificate of Competency No. Phone # Square / Linear Footage Of Work: 305 7 2 C.: 2-4; S Zip 3 ('3�S Type of Work: ['Addition terationTew ❑ Repair/Replace ❑ Demolition Describe Wof.k; ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees ** ******* *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ 2 • 4 ' CO /CC 50 7‘ Technology Fee $ 2_90 • Scanning $$ 3�• -, CO Radon $ DPBR $ Zoning $ and $ � ilD • 00 . Code Enforcement $ Double Fee $ S tructural Review. $ Total Fee Now Due $ See Reverse side —> Bonding Company's Name (if applicable) Bonding Company's Address City State 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 appr6iWI and a reinspection fee will be charged. ' r �---- g Signature ;�� .�% � Signature Owner or Agent The foregoing instrument was acknowledged before me this 16 The foregoing instrument was acknowledged before me this day of 1\--1 k - -- 1, 20Cirby t C t 5 t L - /1day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced (-0-1 As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: :'U'IARY PUBLIC ) , .,TT 21111111k. . APPLICATION APPROVED BY: (Revised 02/08/06) OF FLORIDA Hernandez 76455 Zip NOTARY PUBLIC: Contractor Sign: Print: My Commission Expires: My '. a • issi.n Expires: *** ************************* w*****,******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning NAME: ADDRESS: VILLAGE OF MIAMI SHORES OWNS UILDER DISCLOSURE STATEMENT CO , eu. - ' me to g f - 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 Ihave 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 dr 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.thatyou 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 Initial Initial Initial 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 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. 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 structur eets the minimum code. 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'any 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 companyor person. Initial 7. I understand that if any person gets injured on my construction project -they are entitled to Workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. 8: I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Was acknowledged before me this !3. day of M C_-( , 20 O Produced there License or who was personally known to me or who has LJ Initial Initial as identification. F FL eny Herrxanu . Commission # DD476' Expirt.s: SEP 27, 2(1 Bonded Thru Atlantic Bonding Co., ORES Li m ami Shoreo requests permission to install: (owner) SIGNED, SEALED, EXECUTED AND ACKNOWLEbQE SIGNED. SEALED AND DELIVERED in the presence of: 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207. Fax: (305) -756 78972 / i COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS,' , 1 : 9 sJ1 wi r y P o t , hereinafter referred to as the Owner of the following described property: Legal description/folio #: 1 - OG -• CD 1 S Lot cS g wcis7 Block 35 Subdivisions - I l AP cF -7 d�-r Ova_ Tax Folio #: sphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of 8 0 ■1 O 1 <S7 Hi (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees 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). nth' „1 O d , as follows: 3E ? 2.1110 �i i UBLIC -STATE OF FLORIDA t , Yorleny Hernandez + Commission # DD476455 Expires: SEE 27, 2009 Bonded Thnt Atlantic )bonding Co., Inc. 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, attached survey, performed by 4 cn locations of all structures on the property as of this date. Affiant is personally known to me, produced does hereby attest that the (name of surveyor's company) performed on 4)3010 • , is an accurate representation of the existing conditions and (date of survey) 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. Witness(sign and print) Witness(sign and print) V SWORN TO AND SUBSCRIBED before me this 1 8 day of I "l . 1 0(1 as identification. i TAI ritIC-STA`l'E t51 FLO ►A Yorleny Hernandez Commission # DD476455 Expires: SEP. 27, 2009 Bonded Thru Atlantic Bonding Co., Inc. Phone: (305) 552 Fax: (305) 229 -8068 ,1 REC TVED I'iIAY G 1 006 Miami Sh APPROVED ZOMOf G DEPT BLDG DEPT VISUAL ENCROACHMENTS NOTED: ZONE X PANEL NUMBER D a AIME SUBDIVISION ' 4 .9:" ACCORDING TO THE PLAT AT PAGE 70 COUNTY, FLORIDA. ?Oslo' /3, 22.d rr C -39 12-or8 SUBJECT TO COM :+ ' ' "' AVEDERAL STATE AND COUN'til n tjt i, niq 6 Lo7 /g BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY AGENCY REVISED ON 7 -1 7-95 THE HEREIN DESCRIBED PROPERTY IS SITUADED WITHIN: BASE FLOOD ELEV. 'V /A COMMUNITY NUMBER SUFFIX •.T o N E /0/ " sr2cE 20 :45oue. r :JG v a IrJC� C.a. SP N .ALT a Ls- E'Y LOT S a) htk T T,% •'M' S,e/okags 56c ,' oN cvti6 Q 5 P N 4 <3 ac 6 2.07 7 A q' • • • Professional Land Surveyor & Mapper. • • •. • • 1 • • . Property Address: 33 L i N6 !D/ S / 1 3/2 CC 5 } �v 7t •:• Legal Description: BLOCK: 235 .. . . • .. ..• .. • ... .... .. .. . .. -•. • • • • • •• • . THEREOF AS RECORDED IN PLAT BOOS( q' �__�__�_.- ••• -rt• OF THE PUBLIC RECORDS OF 4,// ,_ s IGcs . 70' DATE OF FIELD WORK 0 '30-02 REVISED ON REVISED ON THIS CERTIFIES THAT THIS SURVEY OF •ur nnnnrn,w nr n•nn,rn I rnr •• . c•c.r , o , €ov02.FY /MS 4 ccEs5 rp P094ic R/ r. 39 7 • • • .•. • • . • . • • •.•... ..• • • . • . . . . • • • .•.• 14317 S.W. 45 Terr. • Miami, FIorida,.33175 .. • . • • • • • • • • • • • • • • • • • • • • _, SKETCH OF SURVEY (Boundary Survey) SCALE 1" - .7-2O ! ram a&" \2 K S or/9 - 1 4Fr o4 k/4 Y CERTIFIED TO: 7:44L 1, 27 . ,B eau 4/ 4-7ra * y :5 T /TG £ Z,V 5 u R: �T . , E3Ay .48-N2)/06-0-04-: .T7�� sucee SSJeS ,4- 7v3> /e/Z Issue Date: 5/23/2006 Owner's Name: DALLAS BROWN Permit Type: Driveways /Sidewalks /Slabs Work Classification: Addition /Alteration Job Address: 334 101 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: 11/14/2006 Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: REPLACE EXISTING ASPAHLT DRIVEWAY AND CONCRETE WALKWAY WITH PAVERS Additional Information Type of Work: DRIVEWAY Additional Info: PAVERS 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 - Owners Bond CCF Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $300.00 $2.40 $0.80 $5.00 $125.00 $3.00 $3.20 $439.40 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -5 -06 -1288 Phone: (305)762 -6265 1132060135300 Lot: PB: Total Square Feet: 0 Total Valuation: $ 3,900.00 Required Inspections Foundation Sidewalk Landscaping Final Invoice Number DS - 5 - 06 - 24899 Total: Amt Due $439.40 ! IR 0 2 Faco Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. 4 Date I I 3 1 1 7 Job Address 3 3 `/ C 1 O 1 S 4 Tax Folio LCT S cw& 4ke Was4' /z qii 1. 7 3/0cL• 35% ''AN A m AEA 1P14 a/ Legal Description m 1 Avni 5/lo/G S.S£07/C 1 1 , gyp H s l�y/De$ �nated�stees No 06 r c4VG Ctxrl 7y /fle'k FYtal�ct �s n �Icr,$ � 2>, P � Owner/Lessee / Tenant G W e 0 d C/ / y el S -r`� n . (,U If 1 (a v c ✓r Mar Permit ; 11(t2/19676Q Owner's Address 3 3 N e101 S l' z Contracting C Qualifier Bonding Company ` \(\ MortgagoiC, V\Ct.S P r CV1 NG dM PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Signature of owner and/or Condo President Date e6 . Phone -7 5 — 3 3 SS# Phone IN- o / State # Municipal # Competency # Ins. Co. Architect/Engineer � g V�QX� � 1 ( f) 5 l illuate, C ddress I 0 3 , ) ) CJ)i ) Address Address Permit Type (circle one): UILDING PLUMBING MECHANICAL ROOFING PAVING FENCE WORK DESCRIPTION C)( .j *�C O& CLck Square Ft. Estimated Cost (value) J, 200.00 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 work stated. V 'gnature of Contrac or or Owner -Bui der )5)-2 Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder My Commission Expires: My Commission Expires: SIGN �)a Date e5/ De 3 FEES: PERMIT 10, RADON C.C.F. /. NOTARY c....5,, BOND ap 422 TOTAL DUE 4 /l© o APPROVED: rL ✓�,� Sfw/u�'• 2 / Q7 Zoning Building ' "(�7 Electrical Mechanical Plumbing Engineering _ . 1 4 4' ,• \ ' , NE 10.th. ST ( Z4 / 504 p. /4 ' 1 • • ..„. ,_,_ — • --, , - , .41 • , .. . -- .....e.r..,n,....."..., ‘ • • .. • . ... — '''' ' tli '-'• .:. • ., " • '''. '' n. 1 ' Psan'c War' 75 00 • (g)(,4) , /9 14 kr , - 12/5 3'39' s ■ 4 /9 -90 i N • ' 67' 1' 1, -/,'). tt /7,i5' A 'd o*, . mvernrewr. 3/PE NIAL la/ 9 l'aed411 z / '3 p NR a. = I I.P. D/H= N/D= W.P. F/11= PIM= PM.= C.P. C.B. I COMMUNITY N' j PANEL N' I SUM% ME J FIRN MEE I FIRM ZONE! BASE Arco ELEVATICO F /20035 00/5 . /‘- 19414 1 .A.