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DS-05-1042Issue Date: 12/1/2005 Owner's Name: DENISE GHARIANI Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 440 105 Street NE Miami Shores Village, FL 33138- Contractor(s) HOME OWNER Phone Primary Contractor Yes Additional Information Type of Work: Additional Info: 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. Fees Due CCF CCF Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $0.84 $0.00 $0.28 $5.00 ?cam c04 $6.00 $5.00 42_1 12. Building Department File Copy Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/01/2006 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -12 -05 -1042 Phone: 1- 305 - 360 -6194 1122310150040 Lot: PB: Total Square Feet: 2200 Total Valuation: $ 1,400.00 Required Inspections Foundation Sidewalk Landscaping Final :DEC 01 PAID -t GA e.D Invoice Number DS -12 -05 -1112 Total: Amt Due $117.12 Amt Paid 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. RECTIVF P , 20$44 L.= : BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) ?9 C 3 4 ( Phone # � Owner's Address . City_16ati, State Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Tenant/Lessee Name Phone # Job Address (where the work is being done) ' AM City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name (f)lt9i�.?.Gf2— Phone # Contractor's Address City State Electrical Plumbing Mechanical Zip 3I *6 County Miami -Dade Zip NO J 1 Z -O5 °1014? . DDSO6 09-2 Permit No. Master Permit No. W) 2004-128 Roofmg Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) 0/V3 . , O? V p Phone # $ Value of Work For this Permit ` ' 11400 Type of Work: Describe Work: * * *** * * * ** *** * * * * ** * * * * * * * ** F ees * * * * * *** ** * * *** * * *** * * * * * * * * ** Submittal Fee $ 7 y Permit Fee $ ..o Z r CCF $ 0 • 4' coicc Notary $ - Training/Education Fee $ 2.a, Technology Fee $ - - Scanning $ (o . Radon $ Zoning Bond $ 4 Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition l �v �' (r r A 0E- A-0). Structural Plan Review. $ (2 (7e6) 40-6750 Square Footage Of Work: 16 0 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 ET FCTRICAL 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. Owner or ent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of wh. - . ersonally known to me or who has produced V �C— As identification and who did take an oath. mair 1�►� 1_ _ NOTARY Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 ` .ptppir�� 1U )1 day of ei ffcc..._ r Signature ,20 ,by who is personally known to me or who has produced as identification and who did take an oath. PUBLIC: e.� nmml a ��:Tg 984 NOTARY Sign: es: Jul 13, 2007 Print: donne Bondin g Co., Inc. My Commission Expires: ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ** * * * * * * * * * * ** //t Plans Examiner Engineer J Airlbe0 �/QQ,ut S ?C`jAAJ X— 0.#0 . ! 1 0 $71 Zoning See 74--#40a.0 Ph64/5 - — 5 2f 4/E. _ 4/0, Z 7 477O,V Z-17 0 �8r ®car - -- 4/00 i3't)0 "Gl/ ��® 6v 'gv6 4G 6Or"F - ) L /eats / /.c..s J /7G�w,' rL° / er - % J / � 6 " II ale �o J6 j 1.5,5 // -397 ::'/e/_. ?8o = • E I, It�ii' s (/),/ 1 + .4 443' * i Nod, 411 This property described as: Lot 4, MIRROR LAKE SUBDIVISION, according to the Plat thereof, as recorded in Plat Book 56, Page. 15 of the Public Records of Dade County, Florida'. PROPERTY OF: Ghariani Denise and Ellixson MummimmommirmwmommL MYI VALID WrfRQti r SIGNATURE: AND THE ORIGINA1. RAISED SEAL OF FLORIDA LICENSED SURVEYOR AND MAPPR A BOUNDARY SURVEY f hereby certify that the survey repre- sented hereon meets the minimum technical standards set forth by the Board of Land Surveyors in chapter 61G17 -6 Florida inistrative Code pursuant to Fla. Statutes. - e are no easements other than as L MvO.tA /MJtNO. �- .FIELD DATE _ra5 4�a✓ES r • . /8x30 _ • SCALE , • •••• • .. • • .. • • • • • • • • • • • • .. • • • • • • • • .•.•• • • • •• • Miami Shores, Florida. LANNES AND (:ARCIA. INC. L.II. # 2098 SLIRVFYO12S- MAPPE:1(ti -LANI1 PLANNE:Itti IiENE AIGIIESVIVES Y.S.M. # 4327 Office address: 359 Alcazar Avenue, ('oral Cables, Florida 33134 (305) 666-7909 (951) 523 -8663 e�� of 2 . •• •. • • • • • • •. • •••• �. Tl' L.0(1:4 • • 7 ,2 • .. Steven, 440 N.E. 105th Street, • • • • • DRAWNBY DRWC. NO 49357 z 22 2/ 23 n t h I�i�_ /8 WA /7 /D I/ 6 i /5 8 13 4/E. _ 4/0, Z 7 477O,V Z-17 0 �8r ®car - -- 4/00 i3't)0 "Gl/ ��® 6v 'gv6 4G 6Or"F - ) L /eats / /.c..s J /7G�w,' rL° / er - % J / � 6 " II ale �o J6 j 1.5,5 // -397 ::'/e/_. ?8o = • E I, It�ii' s (/),/ 1 + .4 443' * i Nod, 411 This property described as: Lot 4, MIRROR LAKE SUBDIVISION, according to the Plat thereof, as recorded in Plat Book 56, Page. 15 of the Public Records of Dade County, Florida'. PROPERTY OF: Ghariani Denise and Ellixson MummimmommirmwmommL MYI VALID WrfRQti r SIGNATURE: AND THE ORIGINA1. RAISED SEAL OF FLORIDA LICENSED SURVEYOR AND MAPPR A BOUNDARY SURVEY f hereby certify that the survey repre- sented hereon meets the minimum technical standards set forth by the Board of Land Surveyors in chapter 61G17 -6 Florida inistrative Code pursuant to Fla. Statutes. - e are no easements other than as L MvO.tA /MJtNO. �- .FIELD DATE _ra5 4�a✓ES r • . /8x30 _ • SCALE , • •••• • .. • • .. • • • • • • • • • • • • .. • • • • • • • • .•.•• • • • •• • Miami Shores, Florida. LANNES AND (:ARCIA. INC. L.II. # 2098 SLIRVFYO12S- MAPPE:1(ti -LANI1 PLANNE:Itti IiENE AIGIIESVIVES Y.S.M. # 4327 Office address: 359 Alcazar Avenue, ('oral Cables, Florida 33134 (305) 666-7909 (951) 523 -8663 e�� of 2 . •• •. • • • • • • •. • •••• �. Tl' L.0(1:4 • • 7 ,2 • .. Steven, 440 N.E. 105th Street, • • • • • DRAWNBY DRWC. NO 49357 PROV. 5' NEW C. L. FENCE 0 L() CHICAGO ICK DRIV AY 0 !W.P 22' ASPHALT PAVEMENT MIRROR LAKE 75.02' EXIST. ASPH. DRIVE J. BOX FOR DOOR MOTOR 20 A CKT A-22 TO EXIST. PNL USE #12 W IN 1/2" GALV. COND. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • F.P.L METER i 1C-0 P-1 WATER 11 LK 75.02' AREA TO BE RESTORED ORIG. CONDITION © LO MOUNT C.U. ON ALUM. STAND (NOA ATTACHED) ABV. FLOOD ELEV + 7-0' NGVD. EXIST. 3 LINE TO SEPT. TANK. EXIST. 700 GALS SEPT. TANK. EXIST. 380 FT. DRAIN FIELD. WER POLE 1TY • nspection N Inspection Date: 03/14/2006 Inspector: Grande, Claudio Owner: GHARIANI, DENISE Job Address: 440 105 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pjro ne: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1122310150040 Lot: Monday, March 13, 2006 Page 2 of 2 Passed Inspector Comments ,D ` dSlege zie ivJ r btoki2-- „ie, We 5 — c ZI F-- 64:400 ie � itee,e.e2a642' 4,4d sea idelde9(0 l y/fd4)7 j Da -C4d „ Afi ,,, / re- Failed Correction Re- Inspection Fee ($75) No Additional Inspections can be scheduled inspection fee is paid. until • nspection N Inspection Date: 03/14/2006 Inspector: Grande, Claudio Owner: GHARIANI, DENISE Job Address: 440 105 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pjro ne: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1122310150040 Lot: Monday, March 13, 2006 Page 2 of 2 WATER METER._._ — — -- _ 75.02' MOUNT C.U. ON ALUM. STAND (NOA ATTACHED) ABV. FLOOD ELEV + 7 -0' NGVD. Pi 5' NEW 4 Dooetuf c-AT6 1W.P 'Clot . �. ICK DRI AY EXIST. ASPH. DRIVE J. BOX FOR DOOR MOTOR 20 A CKT A -22 TO EXIST. PNL USE #12 W IN 1/2" GALV. COND. 22' ASPHALT PAVEMENT s MIRROR LAKE 75.02' TE \.E. 1135 t ••• • • . • • . .• • II ••• • . • • • ..l • ••• - - - -- - -- - - - - - • • • • • • • • • • •• • • • • �� • �'P ° c°r4- q� R ••• • • • • • • • • • • • • • •• •• ••• • • • . • ••• • • •••• • • •••• •••• ••• • •• •••••••••0•• ••• ••. • •• -.•-__ -•- _ .-• _ s_. ._. .._,.•_. -.- 10' -0 EXI , : 3 LINE TO T. TANK. EXIST. 700 GALS SEPT. TANK. EXIST. ra;'', FT. DRAIN _ 10 v3