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DRIVEWAYC1� As legal owner of s ject property I request the cancellation of permit numbe O I — (� G ` n �, issued to D/6 U Q��v�i l<''y5 6ibuc /tl6 for the f flowin reason: ).9 tr")) p/� 1,«'rL_ Citcv IJbf3' (.00 41<-- (.oAs e v.:e.2. PROPERTY LOCATED AT: 1 r ,- 7, — 7— 7- ) MAY 2 2007 U B Y: 1`A Date of last inspection: I hereby apply as owner - builder, or authorize (new contractor) to apply for such permits as necessary to construct or complete the construction on subject property. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee) resulting from the cancellation of the existing permit or the issuance of a new permit. I furthermore assume responsibility for the correction, if required, of work performed under the permit for which I am requesting cancellation. (O r's Signature) A-1 e HeO (Print Name) State of Florida County of Dade: AllAti(1-° (AVAAfruk The undersigned, being the first duly sworn property. Sworn to and subscribed before me this 24 Notary Public, Sate of Florida at Large �1l %a�cd S'iste4Village Rif eluntsteat 10050 NE 2 ^d Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305 - 756 -8972 www.miamishoresvillage.com HOLD HARMLESS - q/ 2 -0/o oL1/4,, DATE: (Prime Contractor -Only if subcontractor holds permit or if change of qualifier) (Print Name) Mabel Vargas r °``�' � Commission #DD231984 . o e Expires: Jul 13, 2007 Bonded Thru AN2ntic Bond ineC . In c , deposes and says that he /she is the legal owner o the above day of Cpl LIctues. 200). 1 2 L - (2 1(0 10 -- it •z it S3 ic,( c)/U 0-A'0J& P /1 e Lo SkA foa__ 11/& fit 5[01 VTV(-fbX I - apex ( Dito-)4 47 a/44/6e- eb diteixi A4i.4(4/ r4_01, c,AA/A-- Ai4A-14--L sb-icn,6. - 04-pa4)( Ge-v)A5-)-ir alltur 2m6- , • 4g0 (a,u e i4-1AR - 6 g1 4- 5 4 -rY9 ,oec-tJ LS(,u(L o-6--tcg4 -‹/D oe---( 12424, aDo iti-uprd-D b43 z tuvA--1 9r-ve (k/ • nyo x. 41 cDrm BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address 161 N E lo ? City M AA44 i Sr(OY Ef State Tenant/Lessee Name Job Address (where the work is being done) FOLIO / PARCEL # State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ s • / 00 CO Type of Work: DAddition ['Alteration Describe Work: EI(iCE C)•c A im.D &se - I Miami Shores Village Building Department I 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 az 3(p Tel: (305) 795.2204 Fax: (305) 756.8972 B Y: ElectriEa) 161 NC- 10 5 City Miami Shores Village County Miami -Dade Zip 3 31/ Is Building Historically Designated YES NO t Certificate of Competency No. Phone # Square / Linear Footage Of Work: Permit No. aster Permit No. Plumbing Mechanical Roofing rl'r 30 RC- rank IAA Phone # 305.5 Y 2. 6 31 2 Zip 33/6/ Phone # Contractor's Company Name 4ALE L$ ifb $DIG 560. ,it , # Contractor's Address 4 ,vE RO , t City EL ¶DOVCrA L State S Zip 33138 Qualifier Name y t p v.v9E 2- Phone # 305 . 22..0-1531 0 6 !3$00 6 ?so 375. `186. 25 Y4". v4,Repair/Replace 11 Demolition i vewA'' \ -; rf l3K i c ' ve ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *F s ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ © . Permit Fee $ 1 e„./ CCF $ 64:: CO /CC Notary $ Training/Education Fee $ 1 . Technology Fee $ 4 - 10 • Scanning $3' Radon $ DPBR $ Zoning $ Bond $330 • CO . Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 's1 2-0 • See Reverse side —* 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 properly 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. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20,by , 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: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) My Commission Expires: Plans 'Examiner Engineer Zoning c. f . , 6,1,4p( C /-`1"P (R 34 6, 5; „0 e <,)% wve o lit9S P\-49( 6.ittt‹ oL„L,„), BUILDING Permit No. PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) MTU /t/f J2 ER A Phone # 5 , 5`( 2. 63 1Z Owner's Address /C / /V E /0? Sr City / t(/ ft m i S I/DIL State Zip 33/6/ Tenant/Lessee Name Phone # Job Address (where the work is being done) /G... / A/ F_ /fJ 7 City Miami Shores Village County Miami -Dade Zip 3.3/4i Is Building Historically Designated YES NO !/ Contractor's Company Name falmmelthicis . Contractor's Address !i/E 90 St cit ,EL porer4L State FL Qualifier State Certificate or Registration No. ertificate of Competency No. 06 Bs` Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 3 /Oi C Type of ❑Addition ❑Alteration Descnbe�Worlt ��'t* Ze6iC. 6 Total Fee'Nov"v Due $ (Continued oil opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Square Footage Of Work: ( -° Master Permit No. Zip . 33 4 3 4 — Phone # 6 -- a 1 ii A -SPHA bi'z.Z u E vtiny tti i - TH g re_ ;c: < * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * -- ❑ Demolition Submittal Fee"$ Permit Fee $ CCF $ CO /CC Notary $ } , y . Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning . Bond $ Code Enforcement $ Structural Plan Review. 8 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) _Mortgage Lender's Address City • ° = _ ' — NOTARY PUB JOS O I UEQAMAY Sign: V • 1 _ e • . • Print: My Commission Expires: ' " Bonded Thrut aryPublic wrr> • My Commission Exp ************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 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. Signature Signature F Owner or Agent Contractor The foregoing instrument was acknowledged before me this Gb The foregoing instrument was acknowledged before me this GY day of lyc..vE , 2006 , by Arlin ti. riemehA. day of t..,c.c> , 20 CZ by f 4 .iL FA EIVA/De2 who is personally known to me or who has produced who is personally known to me or who has produced As i. ntification and who did take an oath. as identification and who did take an oath. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** Plans Examiner Engineer Zoning A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 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: /.4.p 1. Legal description of property and street address: Zvi' Zvi' 141 I oc ; 42,0, J�d..C.YIYU fi4 AA1.14 w Slaw- Fade � � - 161.1)E 107 sd i t L. �r1 2. Description of improvement: /}c, F?/ LT 1011 L EWA -1 se. ie r Pf.Ac.ss uay_1t .141? IC-KS P}l L /FgS. OA) A S 4A1 D RASE 3. Owner (s) name and address: A}R T() 'ems() 4N p 4/./01.1 1I ate k A - - l6/ A/5 /07 SI' , 11 /A-R/ �S�1nR t S F 3 3 /6 / Interest in property: E S / Dr /V T Name and address of fee simple titleholder: • 4. Contractor's name and address: RA i)L. F ()vacs - 3431 Sul /4 3 ?L wti. FL 3/ 1.S' 0 134L/61 , 15 AA/ D t311 /QC' ,i c.e 5. Surety: (Payment bond required by owner from contractor, if any) __ Name and address: Amount of bond: $ 6. Lender's name and address: NOTICE OF COMMENCEMENT 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 (1) (a) 7., Florida Statutes: Name and address: 8In 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) Srignanue of Owner Print Owner's Name Sworn to and subscri Notary Public Print Notary's My Commission Expires: Av -funo .i FATE OF FLORIDA, COUNTY OF DADE ' HEREBY CER TIFY that this is a tru cop}_of the 'rrgrnat file in this office on day of , A0 20 0 fficral Seal. of rr uit and County Courts D.C. EXPIRE$: July 1, 2006 doct11au ring Underwriters Prepared by: CFN 200680655247 OR BI: 24634 Ps 3396; (1ps) RECORDED 06/15/2006 12:05:55 HARVEY RUVIH, CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE A uC,o.a$ (/55 /v6 go s7` llllll 11111 11111 11111 11111 11111 11111 1111 IIII 6 L -g'n Al F 33/3'. 3 ©5, 926.25'7V. Form rw • COVENANT OF CONSTRUCTION WITHIN RICHT OF WAY WHEREAS, /9 QTOR 0 14F/e_12Fe2.A , hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio#: LOT 16( YI 2 p /47 P 33 TAW .vT7 Lot /4 Block n 2 . 0 9 Subdivision ' / 1V91 T /t/ ' f C 44 IAA; 65 Tax Folio R: requests permission to install: sphalt, concre , brick pavers [ 1 Landscaping [ ] Other within the public road right of way of r c (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. 1 f 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 Miarni Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKN' ,E o day of .•' Le./A, 2w� SIGNED, SEALED AND DELIVERED in the presence of: IATE Of FLORIDA, COUNTY OF DADE H yep Y CERTIFY that this is a y of the wifpnal in Oka office on day of , A D 20 D Official Seal. K, of Circuit and County Courts D.C. mami _ Ch '. oNe� L 10050 N.E. SECOND AVE. MIAMI SHORES, FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (3051766 -8972 » . a D R7 '17 -1 < c -7 c rn o�vo- C V V 23 a 1111 111111 performed on 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, pozru F 0 /k£/QQ_E/e/; , does hereby attest that the (property owner) attached survey, performed by '&4 sif Lim C/N i /vCE n,,/✓ 5 urzyc ,v t� (name of surveyor's company) l/ SWORN TO AND SUBSCRIBED before me this day of Affiant is personally known to me, produced 4 3/1/ , 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. A t/Property owner R a g o He re RA L , to,a. oS Witness(sign and print) Witness(sign and print) Issue Date: 6/20/2006 Owner's Name: ARTURO HERRERA Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 161 107 Street NE Miami Shores Village, FL 33161- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/12/2006 Contractor(s) Phone PAVERS AND BRICKS SERVICES C Yes Primary Contractor Comments: REPLACE EXISTING ASPHALT DRIVEWAY WITH BRICK PAVER IN A SAND BASE Additional Information Type of Work: DRIVEWAY Additional Info: Bond Return : 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. Fees Due Amount Bond Type - Contractors Bond $300.00 CCF $3.60 Education Surcharge $1.20 Permit Fee $175.00 Scanning Fee $3.00 Technology Fee $4.40 Total: $487.20 Building Department File Copy Applicant Signature Permit Status: APPROVED Permit Number: DS -6 -06 -1630 Phone: (305)542 - 6712 Parcel #: 1121360070300 Block: Lot: Section: PB: Total Square Feet: 1700 Total Valuation: $ 5,100.00 Required Inspections Foundation Sidewalk Landscaping Final Invoice Number DS - 6 - 06 - 25281 Total: Amt Due $487.20 a 0 6 MD c 4=L- l("1S 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 .