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101 NE 102 St (2)MIAMI SHORES .VILLAGE BUILDING DEPARTMENT V 305- 795 -2204 A Building Inspection Request .k., ;1/ Date l2-2 -3 '°3 Type Insp'n �t voLl DY1 v .e(-4-2Q/ Z Permit No. ✓ pc 3 , t $ 8 Name U ( RI Address tbI Ke t02 sr Company Phone # Inspection Date Approved Correction Re- Insp'n Fee r7 c(... ►324.-4-o -( 2 > - o3 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 4 305- 795 -2204 (1.) Bu lding Inspection Request '7 Datt;- 10-- Type Insp'n F®CirriC c C.( T 1, Permit No. 3P AO. 3 — 1 g � Name Paw, Address I 'E 10d-5T Company - CC) A- Phone # Inspection Date Correction Re- Insp'n Fee D r L. DET ?003 L_ - BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) 11 ,5� it/ 0 ) JI e t/a, Phone # Owner's Address /0 / At / 0 9 h j . S' 1 City M i yii 0 h 5/ State 0. Zip g7/?S)- Tenant/Lessee Name Phone # Job Address (where the work is being done) 1 01 . F . 1 02 S?e-`& City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address cc 6 ( City cka_ D. Qualifier C7e $ Value of Work For this Permit 12-- \ .:v c 1 C i rte. Cots State County Miami -Dade Zip Permit No. " t?Z cis !KZ' Master Permit No. Zip Architect/Engineer's Name (if applicable) Phone # Architect/Engineer's Address City State Zip Square Footage Of Work: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Roofing 3 €5 7°C 5/ 0 X3 26 - 4G4 200 s' - J Number of: Bays Stories Families Bedrooms Baths Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: County Escrow Fee $ Education/Training Fee $ Code Enforcement $ Ct. � � t9 * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees s . * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ ! Notary $ Tech $ A, 7 c Scanning $ 3 Radon $ Bond $ 3O® Struct. $ Minus Plans Check Fee $ CO Total Fee Now Due $ (Continued on opposite side) cosh 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 suck posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or gent The foregoing instrument was acknowledged before me this 3 day of , 20 . / by who is personally kn, to me or who has produced NOTARY S' P ** ** *** * * * ** * * * * * ** "..-* ** APPLICATION APPROVED BY: chelnros As identificatio . • I d wh L e an oath. (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. Signature Contractor The foregoi g instrument was acknowledged before me this 3 day of , 20a r t: take.io�;? e or who has produced , and who NOTARY PUBLIC: - '_ 411% Sign: 4 ∎1P �J_-•'____l_i_r RY SEAL INA SEAL C2 TAN' FL co ' '526 M y Commission 14 fated 54 *****4 Sir • ••'• r * * ** * * * *,► * * * * * *,r ** / ,2 /Y/t'f who is personally known t DEC - 5 2003 •,ITE OF FLORfDA i_,,,, r ,: , r,B t9, 2005 l * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning • rniurni _ Chore6 Vi�Ccr.�e AFFIDAVIT =STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, attached survey, performed by performed on Further, Affiant sayeth naught. Witness(sign Affiant is D °L personally known to me, produced (property owner) (name of suiveyor's co SWORN TO AND SUBSCRIBED before me this 3 day of , does hereby attest that the PanY) Witness(sign and print) LIT Ns c- , , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning 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.. / as identification. • FF IA TAR = 'L F u IAS • ' OPEZ NOTARY PUBLIC STATE OF FLORIDA COMMISSION No. Dd2628 ANY COMMISSION EXP. FEB. 19, 2005 WHEREAS, requests permission to install: Miami Sior COVENANT OS CONSTRUCTION WITHIN RIGHT OF WAY , SQ. 1� , hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio #: Lot Block Subdivision Tax Folio R: 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 - 2382 Telephone: (305) 795 -2207 Fax: (305)_756 -8972 [`Asphalt, oncrete, :• rick pavers [ ] Landscap (] Other A I '- within the public road right of way of 1 a f "' ' 102.11 (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 3 r'o 2 2003 fi SIGNED. SEALED AND D ' ED in the presence of: OFFICi;-;L FID!AS JOSE LOP NOTARY PUBLIC STATE . FLORID/... COMMISSION N.. Dd2626 MY COMMISSION FEB. 19, 2005 _ t 7 n • 1 w- 2 ALHAMBRA CIRCLE- SUITE404 CORAL GABLES, FLA. 33134 THOMAS , J. KELLY, INC. DADE : (3O5) 444 -7692 BRWD: (305) 779 -3266 LAND aUliVEYOR FAX : (305) 441- 6494 hl SKETCH OF SURVEY SCALE: I ° = 4) SURVEY NO.,L 9 SHEET OF Z IrarnV Shoo 00 10050 NE 2nd Avenue Phone: 305 -795 -2204 Printed:12 /9/2003 Parcel # 1132060131790 Signed: 648 Applicant: PETER J DI Owner: LELLA JOB ADDRESS: 101 NE 102 Contractor ICOA CONSTRUCTION Local Phone: 786- 326 -4041 (INSPECTOR) LCD Permit Number: o 0000 3-18 a 0 LELLA PETER J DI ST Contractor's Address: 1101 S.W 18 COURT Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 13 LOT SIZE Fees: Description Amount FEE2003 -7952 Budding Fee $110.00 FEE2003 -7954 CCF $1.80 FEE2003 -7956 Scanning Fee $3.00 FEE2003 -7957 Technology Fee $2.75 FEE2003 - 7959 Training and Education Fee $0.60 FEE2003 - 8043 Builders Bond $300.00 Total Fees: $418.15 Total Fees: $41 .15 Total Receipts: $ t . ! 6 3'g - O Permit Status: APPROVED Permit Expiration: 5/31/2004 Construction Value: $2,400.00 Work: STAMPED CONCRETE Page 1 of 1 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: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT New Building Remodeling Remarks (Signed) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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. / pp�y Date .r72- V � e 19 v Owner's Name and Address_, S /941f2A/77 S No. /'/ Street /Ooz S- Registered Architect andior Engineer Name and address of licensed contractor c c / m .S e ( / / 0 6 6 - 0 o s vv $ s r Location and legal description of lot to be built on: fl Yo / /71� Lot 6 /415 / / , Block / a Subdivision / / f . GS //)J e s Jy c , 7- / L ./Street and Number where work is to be done / / /VG: / S T L /Atate work to be done and purpose of building (by floors). state exterior colors (submit samples) © AIL /? L /5 3 X / 4 r 4 `/5 / and for no other purpose. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering £'Estimated Total cost of improvements S 7f 6 ° Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to Amount of Permit S The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 em.loy only such subcontractotyyon work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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. Permit No. 5(//., & ( Date - 1j /f Read. Sworn to and Subscribed before me. Disapproved � , Date Notary Public. State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 3APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure he ein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. aid 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 — __ .� ._._ — ..._sass ,19.. /_ C / No street._.../ 0 0 S' 7 � Owner's Name and Address 3 f� c/< L,�..�:.- G�•�..5 -- .� Registered Architect and /or Engineer .,. , ,•f ° ;t S„•• OTO•t'•••••••T-' 77'.2 Name and address of licensed contractor % 3 L j _- r •<' 2 Jam-. (2. Y3 Location and legal fiescription of lot to be built on: j1-2.4.-6/ Lot f a ( o Block .... Subdivision .. .... _ -. —sass- - . -- Street and Number where work is to be done / 0 / /7-<2 ' ./4 S — - - - e. State work to be done and purpose of building (by floors )..._._.��..�?..U.s..� _ G- LA). sf tii.. %..d. iA-.._..- .... ._., .�.1/_c_ ' 'd' r and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering .._. Estimated Total cost of improvements $ 00c Amount of Permit S. Zone cubage required _Plan Cubage Distance to next nearest building. Size of Building Lot MSaxirnum 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 hint 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 subcon ctors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks... ( Signed) STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Permit No.. therein by him r stated � are tru . ` ` ? Date /0-- f 0 7 1V 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 Read, Sworn to and Subscribed before me. Disapprove y' _ � j /- - -•• Date (Signed) - ut ding Inspect° My_ Commission Expires ANNINC BOARD DATE Chairman Member Member Member Member sass.. _-- ._._..._._...._....._ Member sass_ 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 hoard. A re- inspection ice of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspectitm at faulty materials and /or workmanship. Notary Public, State of Florida