BP-05-639BUILDING
PERMIT AP
PERMIT AP LICATIO F
FBC 2001
Permit Type (circle):
Owner's Name (Fee Simple Titleholder) 1 bbl R . J i�!'L't" Phone # 305 ' 8q v - saga
le
Owner's Address 11b1 E 1� • sfl (4 • 14 6 N e 10 q et•
City M • Shores State Zip 39153
Tenant/Lessee Name "' Phone #
Job Address (where the Work is being done)
City Miami Shores Village County Miami -Dade Zip 33153
Is Building Historically Designated YES NO
Contractor's Company Dame " $4 Mp CoNcrele ', 'JC, Phone # 505 ►220.. 1 l (03
Contractor's Address 5504 610 134 or
_�
City Miami State (�1•= ��; _ re ,� �- 319 5
Qualifier . Lt) i 1 i3M J. 3ANS. F _ y ft
State 'Certificate or Regist~ation No. g.gB 1 q
Architect/Engineer's Nate (if applicable) - •
$ Value of Work For thi Permit 4 1 0 .0 0
Submittal Fee $
Notary $
Scanning $
Code Enforcement $
(Continued on opposite Side)
Total Fee Now Due $ C 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miatn' res, Florida 33138
Tel Otri 30. >) 756.8972
1 r.!
0 2 Zt "
,Alt ter
Electrical Plumbing Mechanical Roofing
l�ftog Nt loaf 6+.
Structural Plan Review. $
Permit No. oPoS -CQa
Master Permit No.
Coate of Competency No. E98 19 02..
Phone # --
Square Footage Of Work:
Qfa
SQ. P1-
Type of Work: ['Addition ['Alteration ENew ['J itemitykeplacr ;, , •t - •, 1.1r, tgl
Describe Work: i22PMCE 04� ASphcLt- driVa)A� t S �e)i44 Slarnp poNCrv11e., drivPP,JAy and
Permit Fee $ � . ;_� CCF $ CO /CC
Radon $
Zoning Bond $ 3riy-
Training/Education Fee $ Technology Fee $
wiJyG SIZdb
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 t.iiisjnrisdigipp. I itndetstand that a separate permit m ist.be secured fpr.ELE WORK, PLUMBING, SIGNS,
WELLS, PO6'L , %FtPR1 A §, BdttRs, HEATERS, TANKS an Il 'CONAITI IRETC
• "Csy ..x,, v s i �: ' • . a a:6(11
OWNER'S AFFIDAVIT: I certify that alhtliRhseioing information is accurate and that work will be done i o n with 'th all
applicable laws regulating construction and oMi `. .4'• ' d4 t' • ►`
"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 A+1,,, A Bl+f o )HIc RECORDING YOUR NOTICE OF
COMMENCEMENT. "
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of must be posted at the job site
for the first ins ecjogt iwhicts oa�cwevgn (7) days afte tl a$ �tg emit 1* t` Inr e,pt,sence of such posted notice, the
inspection will not be approved and a reinspection fee Jibe be charged. I NOTOP UBLIGSTATE OF FLORIDA
Signature ! X y i % tiftl Ftt�► •� YCIISSB, Sans ' ? °i�,Il �Qm +h 1 0401796
gn ....1: � . � ' sign re � o : , drag ' 009
, Bon'ded ,
Owner or Agent E � ` ' �•.•
g : ��;` Expires C , or
s : Bo t 4
The foregoing ingtittlief li owledge s= be z e t ' A egoii g flpStrgr&eti'vas acknowledged before me this 3
day of PDriLi , 20Off'by A bbto t2• 6mo' , day of nprit :4 20 by toilitAM S• Sams,
who is personally known to me or who has produced 7) L AP who is ysrsonal ly knc wtl to m' ^* who has produced
as identification and who did take an oath.
NOTAR NOTARY �'L
Si t / 2. 4 , % 4O ( ' ZZ 3 • Sign:
Print: 1 k'iran Sant, SSA' Print: � . l� / 1 cSQr7S
M nia'saci+t,4t$f6: ..fir; ":41 `) Lla . ¶fil ra!A o - as'; r..% .' t� ; fs 4omit pire3iy' `1t 4fic ,
********************** t * * *** ** ** * * * ** **�t * * * * * * * **** *sir* * * * * * * * * ** * ** * *,t * ** *fir* * * *,r* *art * * ** * * * ** *s * *** x�i( �Y'•
As identification and who did take an oath.
*********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
-5`,/710T
*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
-92 5
Plans Examiner
Engineer
Zoning
• NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO> '639 _ TAX FOLIO NO. 1 1 •'230..0 %2. 0 3R0
STATE OF FLORIDA
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: 1 it ma soli .S.0 • (.0'1' iI 6lk if ,
iY er 6Ay P K iA ddn►. e6 No , P6• as .
2. Description of improvement: AIJt P Co NC re4e dr iYBW ey .
3. Owner(s) name and address: I)bb e, R. SA %+
aro NE 1oµ . 1N1• Slncres , 1 3315
Interest in property:
Name and address of fee simple titleholder. \
4. Contractor's name and address: JPER Same CoNcreie. 1
Fl 3 l
SW 134
.41 : L
5. Surety: (Payment bond required by owner from contrar.) COUNTY OF DARE
1 HEREBY CERTIFY that this Is a !B copy oflhe
original filed in „r on day of
AD20-
alSeat
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Own
provided by Sectio 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of
different
ifie
Sign - re of Owner
Print Owner's Name ) _ f bki c �e
Sworn to and subscribed before me this 4 day of
Notary Public 9292(.49Z p01/1240/
Print Notary's Name I'.- aro la '.,F'. Sans
My commission expires: ' J (o 108
WITNESS' .ad •
HARV
� . Ow. • - _x .r, • . p '
?ma Inc s
111111111111111111111111111111111111111111111
C FN 2005Ri 1454 -643
OR Bk 23340 Ps 0515; (1ps)
RECORDED 05/05/2005 10:02:27
HARVEY RUVIHr CLERK OF COURT
MIAMI -DACE COUNTYR FLORIDA
LAST PAGE
CUddt'and County Courts
uments may be served as
date is 1 year from the date of recording unless a
Prepared by t Iaro!4 F 5CpAS
M , 20 057
Address: 6voq . 1314 og-
M 1'A Mr i 'Ft 33 has-.
Lumc s o
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: !3051756 78972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, 4 bbre R • SA t.4. , hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description/folio #: 11. 2A32.. 037- 030
Lot 1 1 Block 1 1 Subdivision giver Bay Piri. addn.
Tax Folio g: 11 • 1,9.32,- 031• D3'?0
requests permission to install:
1>i Asphalt, concrete, brick pavers
( ] Landscaping
[ ] Other
within the public road right of way of 108 NO 1 Oil s.
(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 !tie 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 t day of A
aCe
SIGNED, SEALED AND DELIVERED in the presence of:
ril
Pf or4cff
MAROLA FRANCO /SANS s
em, comm# D00282247
�o�p,y� •_
64:4168 4/82008
= 5"t Bolded tau !800032.4284:
a ads Flo dde == be
Conn# 000282241
Expires 482008
&IIded dMu (800 3242
F7oIda Assn., IR
i
STATE OF FLORIDA)
COUNTY OF DADE) ,`
The undersigned Affiant, Abbte R. 5A 1+ , does hereby attest that the
(property owner)
attached survey, performed by
(name of surveyor's company)
performed on , 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..
Further, Affiant sayeth naught.
Witness(sign and print) Witness(sign and print)
Affiant is personally known to me, produced 1) Lo 144r
SWORN TO AND SUBSCRIBED before me this 30 day of 14 pry ?AV •
IN'MI
IMOLA FRANCO/SANS
Comm' 000282247
bola 416 /2008,
p iMe.d 8w (e00)4.12-4254
/ /. / / , Pb. de Assn. Inc
'operty ownerAb0 / ` e , $ it
as identification.
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MIAMI S O /IA
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
DateC / O /C
Type Insp'n F r 1 �r IVcI
Permit No. erPCD5 b 3q
Name A t o l i
146 8 ME l 04 Srt'
Address / ^,, ,,.
Company r � m � �`
(305)sue— 12- SC.
Phone #
Inspection Date C9
Approved
Correction ❑
Re- Insp'n Fee
OV Co 'f-)oNc
1