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514 NE 101 St (8)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING -RMIT Application is hereby made for the approval of the detailed statement of ti c orif"ornety l thnshe Buildin u Or t ing or other structure herein described. This application is made in complianc all o rdinances of Mt i Shor g Shores Village, Florida, and all provisions of the Laws of the State of Florida, whether herein ecified Shores Village regulations of the Building Division of Miami Shores Village shall be complied ktitft r not. plans and specifications must be kept at building during prowess of the work. �\ Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot -El.'r_tt F Block Subdivision Street and Number where wok is to be done $ /4 /c._ • State work to be done and puipse of building floors)_____— ..Z/_Y _v f, STATE OF FLORIDA, COUNTY OF DADE. SS. Disapproved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. 21 L21v_AifJ fv/2--'PLANNING BOARD Chairman Member Member Council Approved Date /1/41/ r 11 G -No and for no other purpose. New .Building v ` Remodeling Addition _ To be constructed of J Kind of foun. ation_ "." B oof_Coverin Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required / - __ G flan Cubage Distance to next nearest building - Size of Building Lot /4 Maximum live load to be borne by each floor__ (Signed) Re Lrj 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 he work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subconir3ctors, on work tJ be under this permit, as are licensed by Miami Shores Village. Remarks_ airs Read, Sworn to and Subscribed before me. Notary Public, State of Florida DATE No. of Stories 7- ,., rules and copy of approved 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 ha carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.____ Date My Commission Expires .,.195f o JJs Member Member _ Member_______ -- _____________________ - - -- ------ - - - - -- --------------------------------- Disapproved -------------- ------- - - -- -- --Date ci 5/4 making corrections or changes to this application after approval has been obtained from/ when such re- inspection is made necessary by improper notice for inspet- r1 6 54 . roe ie)e 1..ri 4 J:4 ,z/-1 '4 \ n; 4 0410PN iir 12 14 - rxrigq, Date NVY Time ��,�,^ Type Insp'n ,N4-I ��d I2XC Permit No. f ) ` 0 1 Name Address 5J I t tii3 /0) 97 Company Phone # For Inspector: / \,61\Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT / e 305- 795 -2204 Building Inspection Request 5175 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date f \/ , i I� C/3 l�.� Type Insp'n C ` Permit No. BP (>3 - / t) Name 2 G� Address 5[ / /.L 9- 4 /01 / T Company Phone # Inspection Date Approved Correction Re- Insp'n Fee 0 Job Address (where the work is being done) E/ `1' /E AO/ $ Value of Work For this Permit Square Footage Of Work: 1 70 SJ Type of Work: ['Addition ['Alteration New ❑ Repair/Replace ❑ Demolition kou.s ,e.— Describe Work: 1De.0 o tl C am . * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ F .0C) Permit Fee $ /DV — CCF $ t' ' Notary $ �� Training/Education Fee $ d 0 Technology Fee $ Scanning $ .— Radon $ ^� Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department Structural Plan Review. $ Bond $ RECEIVED 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DE �f 1 1 2003 BUILDING Permit No.'60 k -A PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Building Electrical C P Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Plcck rp ii) t �, (ri.t1 J Ce- nt Uk Phone # 305 7..5 q - /4/4/6 Owner's Address 57 '�/ 0 6- / 6 City On /Amyl 1 S /fin R.cS State - 4-1 Zip 33138 Tenant/Lessee Name Phone # City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name O WWrA e_( Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # 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. )c Signature Owner or Agent Contractor The foregoing instrument was acknowledged before a this 11 The foregoing instrument was acknowledged before me this day of , 20 a by n ,S IC lc L., day of , 20 by who is personally known to me or who has produced 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. NOTARY PUBLIC: Sign: Print: cQ_ Expires. °R A NOT Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * State Certificate or Registration No. APPLICATION APPROVED BY: Chc 10/14/03 Ju ed Thru My Commission Expires: onding Co.. Inc *************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) Certificate of Competency No. ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** £ `***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** DEC 1 2003 Plans Examiner Engineer Zoning By Produced t, VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT I 0 S± e.n ; c k being the legal property owner, for the property Located at: �) n £ 101 t' ta 0,2e:S ?) 33/3 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 td ibrk as my own contractor, I further understand that I as the owner must 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 S25,000.00 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 ( ) initial of reviewing clerk. The foregoing instrument Was acknowledged before me this ' ( day of 20 er Owner Ce, �t 'who is personally known to me or who has as identificat and who did take an oath. abel Var_. s Com ission #DD23 984 ,:Q_ Expir • Jul 13, 107 0G R Atlantic Bonding Co., Inc. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -1930 Printed: 12 /16/2003 Applicant: ANDREW STEFANICK Owner: STEFANICK ANDREW JOB ADDRESS: 514 NE 101 ST Contractor Local Phone: Parcel # 1132060171170 Signed: (INSPECTOR) Building Permit Contractor's Address: Permit Status: APPROVED Permit Expiration: 6/8/2004 Construction Value: $500.00 Work: DECK ON BACK Page 1 of 1 DEC 16 PAID Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 4 & E35FT LOT 5 BLK 95 LOT SIZE Fees: Description Amount FEE2003 -8310 Building Fee $100.00 FEE2003 -8311 CCF $0.60 FEE2003 -8312 Notary Fee $5.00 FEE2003 -8313 Training and Education Fee $0.20 FEE2003 - 8314 Technology Fee $2.50 FEE2003 - 8315 Scanning Fee $3.00 Total Fees: $111.30 Total Fees $111.3 Total Receipts: . 3 CL k-cp 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: 11 / / / / / / / / / L / / / Existing CBS Exterior Wall / / / 7 / / / /� / / / / _Z / / / / / / / - /1 / / / / / / / / i / / / / / / / / / / / / / / / / 2" x 8" PT Sill Plate Fastened @12" O.C. 17'0" / / / / L Ow r--+ 1 / / / / / / / / / / / / / / / / / / / / / / / / / / / , / 2" x 6" PT 14" O.C. 4/5" x 6" BN Fiberon Composite Decking 14'0" / ,r / / / / / / /17 4 "x6 "PT -7 Posts 2" x.8 "x2PT / / / / / / / / / / / / / 5 '6" / / / / / / / 10 "x 2 "x8 "x2PT 5'6" L 24" concre Post footings Avg 16 Elevati, N . O i FIR i IC Piw PO 5 I;I.f.t Q 1-7.1 4 714 1 . ONE .T +Y ti) Ne- 5/4 III 11 1 II • I ' V 1 z 85 20.40 / 1- FIP, / r/Z 1 4 / ° / S T— 1f NOTES: 20 f / ��.+vE. � r ". r l (75I.�TAc. - BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE d - ELEVATIONS WHEN SHOWN ARE REFERRED TO ►_1 v .v. 0. t q Cl =n LO �O FIp Zoning Approved 2 Amor . ESS LEGAL DESCRIPTION . • 4N/> of 77/ 5T OF LDl" 6 BLOCK 9� DIVISION /`1' /At-i'J �/'O.-zz; ECTiO ¢- .000RDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK /5 AT PAGE /¢ OF THE PUBLIC RECORDS OF ,CA a E COUNTY, FLORIDA. FIR • 46la 0/c. /CV s' sT / /A/' // - "4- ' : N� IC)� L ' s •2..) z z oc 0 0 G C C 0 0 0 i w w s ; s s v 7 ; tZ5 W i o !S : 'S W u > WW• .7l ; ;W 0 >., . .i suit o ci� . � 3iQ ytDr Wi �fi iCOOi � W• ri ►i7 isz00∎.:��► ►1�arc www »s ;� ► - < g N . o ,•, W 7 ` i <iiuucii�ai5 N ^ =— =1 SJJ�ii • f U s n C = fV Iz _�� Z < - n r. z b C X • .7 < ix y L • . N V N P: L' y W > w Q . z E z Q APPROVED BY DATE ZONING / / 7 ' c STRUCTURAL ' ELECTRICAL PLUMBING MECHANICAL if BLDG. ` 1 ® r 1 2003 _s SUBJECT TO COMPLIANCE WITH 141 ULTRA. STAtrE AND COMY kttES AND REGUJIAE4Q:4S SHCRES VBLLAGE PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /1 - )-/ -0v Job AddressX. V6 /0/ Tax Folio La. Legal Descnption 42 K t,f P5 /i # / S! Historically Designated: Yes No Owner/Lessee / Tenan vC n/ —( Owner's Address S7 c /vC /D/ . S�T2££G'" ' Phone Contracting Co A t 7 a.2017 - sek' Address 1pf yfl SGcj QualifierPeas2a 'et 7 1 State # Municipal # Competency # El 7 90 / Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ( ?/4,i1 e-z. E Ary ' 1 41,444/ 441 Square Ft. - 2 $ 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. Notary as t er and/or Condo President My Commission Expires: FEES: PERMIT �►� APPROVED: Zoning Date ? J=r. RODOLFO JUNCO +; di% i► Ml' COMMISSION 9 CC 852366 ��� EXPIRES: July 6, 2003 �4,,,A Bonded Thru Notary Public Underwriters RADON h a Building Mechanical Plumbing * SS# () 749— J�`� -/ Estimated Cost (value) k Z Za O 4..sid ignature of Contracto ".r • er- Builder No My Co Master Permit # a ms s") 7crf / ( ��6 � / /%Er ' l Contractor or ssion Expires: C.C.F. /' p NOTARY d Electrical lder BOND. "' O TOTAL DUE; • u • -: 1 10- ,FO JUNCO �' ' ; "" ; C��t it CC 852366 : XP Hl.o Jul;. 6.2003 =cQ ^c Thu Notary P_om, Underwriters 2%)-1 - Date / Date Structural Engineer Tax Folio #: requests permission to install: m ami SIaorei ?//ae (owner) 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305)_756 -8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, Jean S+ e-Fc r1 1 c_ k , hereinafter referred to as the Owner of the following described property: Legal description /folio #: Lot 'y Block 95 Subdivision PI /fl m I SJv res Scch O r1 # Y P13 15 +�6 I 4 f 'f4 Asphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of .6 M- /0/ (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 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). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this / 1— day of SIGNED, SEALED AND DELIVERED in the presence of: -- (owner) pRtul<cvffY � P FFOOOLFO JUNCO •: • = R'�` C. / >1!SSION It CC 852366 :g EXPIRES: Jury 6, 2003 qc F .. • Bonded Thru Noiary public Underwriters F1h Z -3 J' Q f O r- STY C. . N _ 5/4 • 00 ■ N, /0 /s' 5 T' ES: 20 wr T 7 :ARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE �7S '�T'0� - _VA TIONS WHEN SHOWN ARE REFERRED TO "J . 'v . D. lc c\ LEGAL DESCRIPTION 4p r-,9 �5' =T OF L$ BLOCK ;sNG TO THE -PLAT THEREOF AS RECORDED IN PLAT BOOK /.5 AT PAGE J PUBLIC RECORDS OF ! L:)A o E COUNTY, FLORIDA. YGQ-iw 1)c ,g, i7S G: S ` /�l� lVi2 4,e-f s/ 3 ©00 ,or Lr2/ -e /77c S. f N>= Iol er "1— 1 1 n , AA � , I cG T1 = :Ka• MINIM 1 111 sT ; 4 "/'/AA, // I(� Z /¢ 1 Z w a Z 2 0 2 _ Z. = _ _ e V -,. s e _ ¢ _ =¢ O¢ Y O Z ; o W ; v Z !ga;BEI:1;;;:-.%:;:!:;;; �� c mci��.ic. • � ` o ` ciri2 S U r �f � :>a 3:zOo .i&i► iadC a s � "D o at 7 4W �W� 3� �� y � �/ S yyy/y� W y 2 W W' •� O („) W 1y ciWoc {�a E � W 77 `` t euuuguLlgY•Z:!.ve.nJ33i *- u� IN II e N N > C ¢ COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, ...1e.cu1 s + e -FQ.r1 % c_ k , hereinafter referred to as the Owner of the following described property: Legal description/folio#: Lot / Block 9,3 Subdivision Pl) F m i Shn rG S SC `I O n P3 IS PG 1 L( Tax Folio R: requests permission to install: (owner) i4 Asphalt, concrete, brick pavers [) Landscaping [ J Other ", // within the public road right of way of -6 . NL /0 / (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 1. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this / 1— day of SIGNED. SEALED AND DELIVERED in the presence of: ,` SCORES G� 5 �t Yl// iami Sh,oreJ W 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (3051756 -8972 pRluEcuf1-y P PR o/i-cf-f RODOLFO JUNCO '•' i i : = n'f ` 'CO 1 IA!SSION M CC 852366 EXPIRES .iwy 6, 2003 P� n 8., ded Thru Noiary Pu blk Underwriters