DS-06-2547c ..- A x -6 Zip 3 3 13 �:`
TenantfLessee Name :'= Phone it
:. T rnail
Job tidress (where the w done) 7 (p N [a.& s i""
City Mini Shores Village County Miami Dade Zip 3 3'13 6 • FOLI 1 fPARCEL# ' 1, 1 2 (3 Qt3 94‘•.:0
k
Is.B Deng w • YES r NO Ftood Zone
State. Certi #gate or Registra
Contact Phone ; "7
Value of Work for thi
Type 'of Work: ❑Attd}
Describe Work:
4
.. .rte:
le)' H° Phone #
eration
Stat.. '.. Zip 3 t 2
Phone # Z 6 '3 6
er'tificat€ of Competency No. a; 31, 5"d
Square l Linear Footage Of Work:
�Idesv 0 Repair 'Replace Demolition •.
- ***'@**dc3e** ** * **x *** *** ** 3rdF*3rak#.** AtdrdPSV3FeesSbie r***Yr **atr•V t*dhde3r9c3e9r3c**** **x**** **;Y:e;vdrdr:k*dr***
Subz'nittal Fee $ Permit Fee $ a4 4, CCF S C O /CC $
4
Notary $ Training/Edueatiou Pee $ Technology Fee $
Scamthttg $; ` „-&-„, r ' ° DPBIt-$ Bond 8
Double .Pee: Violatiofl dote
Structural' Rewiew.; $ Total Fee Now Due $
See ReverssiFia
BUILDING
PERMIT APPLICATION
FB C 20
Mian oits Village
B x P partmen
1 D050 N;E. nd ,Aver ue; Miaittiho Florida 33138
Tel . (0 5 )'795.2204 Fax (305) X56 8972
INSPECTI9WS PHONE NUM IBER (30
Owner ?s Name Fee S z F E1: . .
Permit No. FL
Master Permit No.
Phone # 766, 42' 3100
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 roust 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 ofa building permit with an estimated value exceeding $2,504, 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:
t O
Signatur # . A
Owner. or A
The: foregoing instrument was . acknowledged before me: this
• day of S , 20 , by �ia.LeH
U I Ika�..r:
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Contractor
The foregoing instrument was acknowledge efore me this 6 ...
day of Se ,20 L` , by 02-eAro
who is personally known to me or who has produced
as identification and who did take an oath.
s ,11.11.
CARLOS M. ACOSTA ..
c D0 854485::.
PIRES: May 28 2013
MN Notary public Underwriters
,
*** * * * * * * * * * * * ** * * * *. * * * * ** * * * s: **
0 2 / ,< v Plans Examiner
Engineer
*ds; * *:* * * * * ** ** ****** * ** ** * * ** **
Sign:',�il =�
Print.
My omrmssio
Expires:
* *fir * * * * * **
Zoning
Clerk checked
Sign:
Print:
My Commission Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009) .::
NOTARY P
IC:
* * ** * * * * * * * * * * ***
Inspection Number: INSP -29560
Scheduled Inspection Date: September 13, 2010
Inspector: Bruhn, Norman
Owner: SHEPARD, CAROLEE
Job Address: 276 NE 105 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ONE STOP PAVING INC
Building Department Comments
NEW STAMP CONCRETE DRIVEWAY
PERMIT RENEWED ON 9/10/10
Passe
Failed
Correction
Needed
Re- Inspection
Fee
September 10, 2010
l
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
For Inspections please call: (305)762 -4949
Permit Number: DS -10 -06 -2547
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1121360130460
Phone: 786- 299 -1354
Page 22 of 26
r
Value of Work For this Permit $ ? J000 . w
Type of Work: ❑Addition ❑Alteration
Describe Work: t.1( S- Let 0-e∎
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING 2/6
PERMIT APPLICATION ;XT 1 1 2006 aster Permit No.
Permit Type (circle): Bui�ldi_ng
Owner's Name (Fee Simple Titleholder) U Cr n p uj z
Owner's Address 216 dV a l o 0+
City O. S h o r e s State
New
e
FBC 2004 ''AA
B Electrical - Plumbing Mechanical Roofing
Phone # 3oi 3 43 510 Z
Zip 3 3 13 Qj
Tenant/Lessee Name Phone #
*o
CcE. s
Permit No. D .5,
Job Address (where the work is being done) 216 £) € 10 s+
City Miami Shores Village County Miami -Dade Zip 33 13
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name WE situ? eixo 11176 T-i re. Phone # 79C, "Zq 13 S et
Contractor's Address L 4 (o w9 E. V13 $-
City DJ . 1.-t .. se e.►e State 1 Zip 33 1 C 2
Qualifier Name C a r to s R . Q C s* Phone # 19 4 Z1 °t (3 5
State Certificate or Registration No. 'E ?Z.( Sb 0 Certificate of Competency No. V 2.3 1 'SD 0
Architect/Engineer's Name (if applicable) Phone #
Square / Linear Footage Of Work: - 7 00 s
❑ Repair/Replace
See Reverse side -+
❑ Demolition
******** * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** F ees **** **** * * * * * * * * * * * * *** : * * * * * * *** * * * *** * **
Submittal Fee $ Permit Fee $ / 2 J ' ' CCF $ I'„i!f CO /CC
Notary $ Training/Education Fee $ (ce` Technology Fee $ .) -1 aL
Scanning $ (6.)0 Radon $ DPBR $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ f V-1-
Zoning $
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 a reinspection fee will be charged.
Signature ° Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing tnunent was acknowledged be ore me this
day of , 20 , by , day of 9 / 20 Ao, by f rPC4 pT Cet
Y
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. ZPC,S as identification and who did take an oath.
NOTARY P t LIC:
NOTARY PUBLIC:
Sign:
Print:
BS
i
IA
i
..•Y U
LOS MANUEL ACOSTA
COMMISSION # DD 433970
Ma 26 2009
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
Sign:
Print:
/ cMo
(9/0
My Commission Expires:
Public State of Florida
• My Commission OD453395
l'of we Expires 07/2112009
Plans Examiner
Engineer
Zoning
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, V IGTD (1.■ ()KO V7.17 , does hereby attest that the
(property owner)
attached survey, performed by .) k) l -rec.
performed on 4941 I , 200 (o , 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.
ea,-is au3A
(name of surveyor's company)
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this / 1 day of c hJv
Affiant is personally lmo &z to me, produced as identification.
Tax Folio #:
requests permission to install:
VeA Miami V CC
nt �
9
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (3051.756 7 897
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, U t C (l 0 6L(L ( - , hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description/folio #:
Lot 3 and %..) 2. Block 'Zd Subdivision AA A" t () PLAT of sEctioAi 5
O ►- .l cn�t 1 st40aEs
1]. Asphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of 21 (v u E 10 S st
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 II t y of o4
SIGNED, SEALED AND DELIVERED in the presence of:
Pul;►i CARLOS MANUEL ACOSTA r
i• MY COMMI 1OTt#-DD 433970 �
� : g EXPIRES' May 26, 2009
Bonded Tim Notary Public Underwriters I<
Carr';;
D.C.
A RECORDED CO' 'Ate_ <- ' ' • u • JOB AT TLME OF
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA
COUNTY OF 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:
21(o iJe Los-
2. Description of improvement
vv. h Cp c
3. Owner (s) name and address:
Name and address of fee simple titleholder.
6. Lender's name and address:
Name and address:
NOTICE OF COMMENCEMENT
TE OF LORJnA, COLD
wi)7
HAP
Er Y Il l IFv that this •
21 fa x92 10T s
CTION
bt, Sldes. s
4. Contractor's name and address: . 0 a3 F CM)? fix \.) N 6
t4 , 1.)q 1._)3 -s-E . '33
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond: $
Signature o Owner
Print Owner's Name jQ4 l (i Cf efri
Sworn to and subscribed before this ' day of 00 20
Notary POI'
Print Notary's Name ae
My Commission Expires:
Prepared by:
111111111111111111111111111111111111111111111
CFN 2006R11.05170
OR Bk 25004 Fs 2611; (1ps)
RECORDED 10/16/2006 10 :53:13
HARVEY RUVItlr CLERK OF COURT
MIAMI -DACE COUNTY, FLORIDA
LAST PAGE
•
Interest in property:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13
81n addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713. 13 (1)
(b) 7., Florida Statutes:
Name and address:
9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified)
ca L C a l
14 (,
.!ut,4, - - (4
Form 10*
Permits Applied
For Between Thursday, January 1, 2004 and Thursday, September 9, 2010
Thursday, September 9, 2010
Permit Applications (by Contractor)
T
ONE STOP PAVING INC
786 - 299 -1354
DS -11 -07 -2271
29 NE 105 Street
11/07/2007
ONE STOP PAVING INC
786 - 299 -1354
DS- 4- 06-886
101 NW 101 Street
04/06/2006
Not Issued I Driveways /Sidewalks" CLOSED
Not Issued I Driveways /Sidewalksi CLOSED
ONE STOP PAVING INC
786 - 299 -1354
DS -12 -05 -1079 167 NW 100 Terrace 11/29/2005
Not Issued I Driveways /Sidewalks" CLOSED
ONE STOP PAVING INC
786- 299 -1354
DS -10-06 -2547 276 NE 105 Street 10/11/2006
7/8/2007 I Driveways /Sidewalks" EXPIRED
ONE STOP PAVING INC
ONE STOP PAVING INC
786 - 299 -1354
786- 299 -1354
DS- 1 -07 -78
DS -3 -08 -515
10417 NE 2 Avenue 1 01/17/2007
149 NE 93 Street 1 03/25/2008
Not Issued I Driveways /Sidewalks" CLOSED
Not Issued I Driveways /Sidewalks" CLOSED
ONE STOP PAVING INC
786 - 299 -1354
DS -12 -06 -3038 180 NW 111 Street 1 12/18/2006
8/7/2007 I Driveways /Sidewalks" EXPIRED
ONE STOP PAVING INC
786 - 299 -1354 I DS- 3- 07-443
185 NW 102 Street 03/07/2007
Not Issued I Driveways /Sidewalks" CLOSED
Page 1 of 1
NEW STAMP CONCRETE DRIVEWAY
JAN 1 1 200
Passed
In pector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 01/09/2007
Inspector: Grande, Claudio
Owner: SHEPARD, CAROLEE
Job Address: 276 105 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: ONE STOP PAVING
Building Department Comments
Monday, January 8, 2007
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: New
Block:
Phone Number
Parcel Number 1121360130460
Lot:
Phone: 786- 299 -1354
Page 1 of 1
Issue Date: 10/13/2006
Owner's Name: CAROLEE SHEPARD
Permit Type: Driveways /Sidewalks /Slabs
Work Classification: New
Job Address: 276 105 Street NE
Additional Information
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: 04/11/2007
Contractor(s)
ONE STOP PAVING
Phone
786 - 299 -1354
Primary Contractor
Yes
Type of Work:
Bond Retum :
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 -2547
Phone:
Total Square Feet:
Total Valuation:
Required Inspections
1121360130460
Lot:
PB:
700
$ 3,000.00
Foundation
Sidewalk
Landscaping
Final
Fees Due
CCF
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$0.60
$110.00
$6.00
$3.12
$121.52
Invoice Number
DS - 10 - 06 - 26380
Total:
Amt Due
$121.52
Amt Paid
OCT 19 2006
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
7
pi
ge
(C4Q)
PLAN OF SURV
1
SCALE 1" Ma zo
i122-Aig• e-
•
• • • • • • � T (37, 5 RIG, • • •
T44 ,S Pt,�
aR cOMMIGNING • CIB STRUCTURE O.U.L..OVERHEAD u1RiTY UNE CL-CLEAR CA—CENTER UNE
VENT* • REPALR lfi Y.. ...FOUND IRON PIPE O.H...OVER HEAD WA....WATER METER C.H.. »CHOIR
MST -` - PL. _ _ UNE CO C... TE• CRE • • F.M. F-_ HYDRANT UP...UTTU Y POLE R...RAMUS U.E...UTILPTY EASEMENT
s...CENTRAL ANGLE R...RAMUS PL. • i T.,TANcer 1.parcH RAM
••• • • • ••• •
.B :06-7488
DESCR ION :Lot 3 and the West } of Lot 2,Block 120,AN ED FLT OF SECTION NO. 5
F S)1l,according to the Plat thereof as recorded in Plat Book 10,Page 47 of the
blic Records of Dade County,Florida.-
GENERAL NOTES
LOCATION SKETCH
NOT VAUD lin
1) OWNERSHIP IS sualscr TO OPINION OF TTit.E.
2) EXAMINATION OF THE ABSTRACT OF 8171.E vinu. HAVE TO BE BADE TO DETERIENE RECORDED INSTRUMENTS, IF AIVY. AFFECT/WS
THIS PROPERTY. N/A DA
3) 12.21D ELEVATIONS TO
4) LOCATION AND IDENTIFICATION OF UTILITIES ON ANCOR ADJACENT TO THE PROPERTY INEME NOT SECURED AS SUCH
INFORMATION W S EDT FWIDUEITTED.
tit THE; PROPERTY IS WITHIN THE LST$ OF THE FLT zowe X
NO UNDERGROUND LOCATIONS WM DONE BY THIS COIWANY.
3
CERrU't ,LDT0 National Title Services,Inc.,Attorneys Insurance DATE:
Fund.,inc.,Victor M. Oharriz April 18,2006
SURVEYING, INC
L.B. NO. 3333
6157 NW 167 STREET. F15
MIAMI, FLORIDA 33015
3051512 -4940
APPLICABLE ZONING. UNDERGROUIM, ZONING AND BUILDING SET BACKS, MUST BE CHECKED BY
ARCHITECT OR BUILDER OR CONSTRUCTION MIMS 011 Tim
I HEREBY CERTIFY: That the attached Plan of Survey of a is trams
• • • • dcca recut® the tested ° and as recently surveyed
. atMed
• my 40 that there are net
• 4he technical set *nth by the Land of La Surveyors
• • • • •rs • minimum e1a'14. F1aiida Administrative Code , . SwBon472 Florida
• • ••• ••• •
• • • • • •
• • • • •
•• • •
• • •
•• •
••. •
•
• • •
• • • •
• • • •
• • • • • •
• • • • • •
••-
•
•
••
•
O. Alaimo
Professionid WV Surveyor
tNo. SOSO
State atinOtttle
ISA diousu ARY'; SURVEY
VWLTICAN EMBOSSED SURVEVOR'S•SEAL