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46 NE 101 St (3)DATE: ADDRESS OF FILE REQUESTED: INFORMATION REQUESTED: Acknowledged by: FILE RETURNED TO: INITIAL Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 PLEASE PRINT NAME OF PERSON REQUESTING FILE: TIME: PHONE #a -C-/C-4- CLC iOYOUR ADDRESS:4 (,O E (0 "( S ( , ALE. (01 ST t,(3/0 Oit,c(Le.tt-t I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. /1-ev 10',OS A-, 164-60G ZL (J h Inspection Date: 12/11/2006 Inspector: Grande, Claudio Owner: PUMA, LAWRENCE Job Address: 46 101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CHAMPION CONCRETE Building De artment Comments Thursday, December 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 DEC 1 2 on CeLs-- Permit Type: Driveways/Sidewalks/Slabs Inspection Type: Final Work Classification: Addition/Alteration Block: Phone Number Parcel Number 1132060131360 Lot: Phone: (305)252-8055 Page 2 of 3 Passed q 1 OL d r ' Inspector Comments Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled re-inspection fee is paid . until Inspection Date: 12/11/2006 Inspector: Grande, Claudio Owner: PUMA, LAWRENCE Job Address: 46 101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CHAMPION CONCRETE Building De artment Comments Thursday, December 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 DEC 1 2 on CeLs-- Permit Type: Driveways/Sidewalks/Slabs Inspection Type: Final Work Classification: Addition/Alteration Block: Phone Number Parcel Number 1132060131360 Lot: Phone: (305)252-8055 Page 2 of 3 Inspec Ut11 Inspection Date: 10/26/2006 Inspector: Grande, Claudio Owner: PUMA, LAWRENCE Job Address: 46 101 Street NE Project: <NONE> Miami Shores Village, FL Contractor: CHAMPION CONCRETE Building Department Comments Wednesday, October 25, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 OCT262 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Foundation Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060131360 Lot: Phone: (305)252 -8055 Page 1 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspec Ut11 Inspection Date: 10/26/2006 Inspector: Grande, Claudio Owner: PUMA, LAWRENCE Job Address: 46 101 Street NE Project: <NONE> Miami Shores Village, FL Contractor: CHAMPION CONCRETE Building Department Comments Wednesday, October 25, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 OCT262 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Foundation Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060131360 Lot: Phone: (305)252 -8055 Page 1 of 2 Issue Date: 10/23/2006 Owner's Name: LAWRENCE PUMA Permit Type: Driveways /Sidewalks /Slabs Work Classification: Addition /Alteration Job Address: 46 101 Street NE Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 04/21/2007 Contractor(s) CHAMPION CONCRETE Phone (305)252 -8055 Primary Contractor Yes Type of Work: DRIVEWAY Bond Return : Additional Info: 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. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -10 -06 -2600 Phone: 1132060131360 Lot: PB: Total Square Feet: 600 Total Valuation: $ 1,100.00 Required Inspections Foundation Sidewalk Landscaping Final Fees Due Amount Bond Type - Owners Bond $300.00 CCF $1.20 Education Surcharge $0.40 Permit Fee $125.00 Scanning Fee $3.00 Technology Fee $3.13 Total: $432.73 Invoice Number DS -10 -06 -26458 DS -10 -06 -26458 Total: Amt Due $432.73 $432.73 Amt Paid $132.73 $300.00 $432.73 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 . BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circ City 1/\ TenantlLessee Name Miami Shores Village Building Department Job Address (where the work is being done) �.� ✓� Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ['Addition ['Alteration Describe Work: 1 ' /I'V CC'?NCVi,'h 40 0 Notary $ Training/Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Review. $ ipo. ew DPBR $ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 i O 2G� �� `�.=� � �� I� Permit No. S � u .i_ 8 ?.0�� ` our ` �� _ .. aster Permit No. Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) .Ul l VV,Q,.t3 3 * Phone # 005 ` 754 41.0 4 Owner's Address 4b Ng f 01 State Zip X3 /3 6 Phone # City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name t't/'. p iJc (0 ' Phone # � 252 'O 5s Contractor's Address (53 -330 �( 0 41 . 4_1:44c, City 11�.�Q,,� State Zip 33 11 0 Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Double Fee $ Phone # Square / Linear Footage Of Work: —74 ❑ Repair/Replace Submittal Fee $ Permit Fee $ � CCF $ CO /CC Technology Fee $ Zoning $ Total Fee Now Due $ See Reverse side -* ❑ Demolition /•A 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 .e delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement 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.• of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 1 G day of C �2 t , 2000 by.„. J► ) 14 ki 6 NOTARY PUBLIC: Sign: Print: My Commission Expires: (Revised 02/08/06) APPLICATION APPROVED BY: who is personally known too�me or who has produced K 52-0 It 2I5� V 0 /A's entification and who did take an oath. Signature Sign: Y l8ti';i ;- ' iA! iE OF FLORIDA Gisela Basilio Print: Contractor The foregoing instrument was acknowledged before me this I day of (70_, 20 C')L by4/f 1/'LC— 6491 u who is personally known to me or who has produced D 6 Z to) % ! @s i4ntification and who did take an oath. NOTARY PUBLIC: Commission # DD491643 My Commission Expires: Exnires: NOV. 17, 2009 r 0 CJI — 4 a C") — 4 co rn 'T1 r O 0 m r — r— 0 z O `1 O rn 'ABBREVIATIONS: M.H. =Man Hole WF= Wood Fence R= Radius F.R. =Found Reba A/C =Air Conditioner C.B. =Catch Basin U.E.= Unity Easement CONC.= Concrete CL= Clear ENCR= Encroaching A = Center Line = Arc Length Ch =Chord E = Property Line B.C. =Block Corner R /W= Right —of —Way O.1U.L= Overhead Utility Line F.N. &D. =Found NAD & Disc CBS = Concrete Block Stucco 0/H =Roof Overhang 7.50' BM =Bench Mark Chatta.= Chattahoochee F.D.H. =Found Drill Hole W/M =Water Meter F.I.P = Found Iron Pipe F.N. =Found Nail BLOCK CORNER NE I st AVENUE 0 oQ Q Comm. = Community P.C. =Point of Curvature P.T.= Popint of Tangency P.C.P =Permanent Control Point P.LS.= Professional Land Surveyor Res.= Residence CLF =Chain Link Fence 0 Q 1 15.00 71 . • FUM3,I11DV • • 41 o • • • • `` ' 1 15.00'(F) PL= Planter Pkwy N.T.S.=Not to Scale Lrcen edd Business S. =Loru1 Suveyor T Tangent RNG=Kon9e 6' W/F 4' Wire Fence V rung ,. ucyunu,y — Monument'une N/A=Non applicable �� BB Baf Set rbecue P.P. =Pow r Pole R/R= RaiiFfoad SWK= Sufewalk • • • • ••• ••• • ••• • • • • • • • • • • • •• • • • • • • • • • • • • - • . • • ■ a)The flood information sh heron does ' = amply that the referenced property' (MD) unless otherwise noted.Underground features, if any, not identified nor located will or will not be free from flooding or damage and does not create liability on a ;cepf as may be indicated hereon. d All clearences and /or encroachments shown hereon are of the apparent nature, the part of the firm, any officer or employee thereof,for any daryftge, thst results • fence legal ownership not determined. from reliance on said information. • . • • 2)T1ICllsut of this survey is only for the exclusive and specific use of those persons, b)The survey shows platted easements and right—of—ways. There may east Qdo iortf: parties or•nstitutrons in the Certification. restrictions and/or encumbrances which offect this property. . .f Cone reCrjpLq�t and title search not reflected in this survey. c)Elevations shown hereon are with references to the National Geodetic V ertical•Datuth g)tfislergro ut ties and encroachments, if any not located. �ea red h� =Asphalt (S=Diometer S.i.P. =Set Iron Pipe & cap No =Number P.C.0 = P. O.M.E. =Dr P.R.M.= ; PRC= Poi: F.P.L =FIB D.E =Drali zzz� 0001 -o < co .. 4 rn v F" rn 0 �rn �N rn rn 0 7 6 h Lands depicted hereon were surveyed per legal descrip aims as to ownership or matters of title are made or i All roods shown hereon are public unless otherwise not No identification cap found on property corners unless )Distance along boundary are recorded and measured u I)The graphic portions of this document are intended to graphic name scales as depicted.Said scale may be cite such, should be considered when obtainin scaled data. 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, attached survey, performed by Witness(sign an Affiant is Further, Affiant eth naught. Km) , does hereby attest (property owner) 14-Arz lao,sifues 1 (name of surveyor company) performed on _ j -2S , 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 Vitt _011g(qMIMMTI NI OCT 1 8 200 BY: _.� VS C6 6 — LUJW 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.gjoo • • • permitted -or which may violate zoning or building code regulations. The Affiant further understaadsthat the • • existence of any such structures may affect final inspections as applicable to this or other permits. • • • •. .• Witness(sign and print) SWORN TO AND SUBSCRIBED before me this I - 7 day of ncAo1o• . Miami or Vi' I •••• • personally known to me, produced 90) Miricri -6 as identification. NOTARY PUBLIC -STATE OF FLORIDA Gisela Basii' Commission # DD41 • ^k� Expires: NOV. 17, ,$ Bonded Thr1 Atlitttue poxding : ONING DEPT • • • • • • • • • • • • • • • • • MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑, DATE i 195 ELECTRICAL ❑ `` k PLUMBING ❑ PERMIT N9 9175 Contractor's License No ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot /01 Subdi- vision Sq. Ft Value of Project $ $ ' Amt. of 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 application 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 inthe statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Signed • , r ii.: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinance's '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, servant or employee. i r r' I re BY AUTHORITY I7 Owner's Name and Address ._..._.. /_Yf.l S 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. ED“. Date / , 19 No f D Street._ _/Y.: - /G / 57% Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done i.- State work to be done and purpose of building (by floors) Remarks Date (Signed) and for no other purpose. New Building Remodeling Addition Repairs To be constructed of Kind of f' ��undation.._ �. � Roof Covering Estimated Total cost of improvements $ /4") r Amount of Permit $ • ° J Zone cubage required _ Plan Cubage Distance to next nearest building-_._. ....... Q ,C' 1 ' 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 p formed under this permit, as are licensed by Miami Shores Village. • No. of Stories STATE OF FLORIDA, COUNTY OF DADE. 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 t foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.._P — f) Date Read, Sworn to and Subscribed before me. Disapproved , � I Date Notary Public, State of Florida (Signed) ing Inspect, My Com ion Expires .LANNINC BOARD DATE Chairman / Member Member Member Member Member Council Approved Date Disapproved 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. • 1 -/6 39 E I rd•