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BP-04-1503as 1 \\ 1 a Miami Shores Village BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing t` Owner's Name (Fee Simple Titleholder) ) I{ S 3 l {,'t l 0 t$ Phone # Owner's Address 6� t • °' . \ \ \ ST-> Ci ty M A /41k J 40 e3 State e L, Zip 33 t ‘,X Tenant/Lessee Name Phone # Job Address (where the work is being done) 07D 1 C ( L City Miami Shores Village County Miami Dade Zip 336 Is Building Historically Designated YES NO Contractor's Company Contractor's A City Qualifier 1c;a -c Submittal Fee $ Total Fee Now Due $ (Continued on opposite side) Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. — 1503 Master Permit No. Notary $ — Scanning $ et Code Enforcement $ r 1 , iZ V-f Phone # Rs 4- - - State Type of Work: ❑Addition DAlteration Describe Work: n € ()C ONew Zip 3 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: CJCO ❑ Repair/Replace 0 Demolition * * * * * * * * * * * * * *** * * * * * *** * * **F * * * ** * * * * * ** *its * * * * ** * * *** * * ** .0C) Permit Fee $ / 7 0 CCF $ 58 C Training/Education Fee S 1 , 0 Technology Fee $ 3, 7 C Radon $ Bond $ '3 00 Structural Plan Review. $ c1 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 t� 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 FT FCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONIImONERS, 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 no e approved anal a reinspecdon fee will be charged • Signature ..r/ t Od�her or Agent The foregoing instrument was acknowledged before me this tj As identification and who .. take an oath. NOT ' Yr i i : � r / Sign: , .iF;1 Print. IL% Ma t ! e ' "i day of _AIDAL___, 200 , by =,�', :91 Pi who is personally known to me or who has produced Si Contractor The foregoing instrument was acknowledged before me this 15 day of 20 by � /ID eJc who is personallvicnown to me or who has produced as identification and who did take an oath. Martha L. HeiY PUBLI (• Commission # DD353557 Sign: i * ■ - M g, 2048 Bonded T6ra . , n, nn Print: g Co., Inc. My Co ' u'on Expires: n„ My Commission Expires: /7/ F a ' * * * **** . : * * * ** * * * * * * * *` * * ** * *** *** ** ** * * * * *, ************* * * ** * * * * ** * * * * * **•* * * ** * * ** * * ** (Certificate j of Competency Holder) State Certificate or Registration No.C3 Lro ."3 `� �5 Certificate of Competency No. *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 10/14/03 �9G_ i7 ,/d �y *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NOV 17 2004 Plans Examiner Engineer Zoning 1 .4 r • 'I. ..7 A. stie lli 0 ff ..4"S T/13‘1 4 : 4 •ilo RID?. STATE OF FLORIDA) COUNTY OF DADE) .• The undersigned Affiant, Mit6 S116).-1 • • • AFFIDAVIT \• 1 &Ifni .._)h.oreJ Vitt/age . „ locations of all structures on the property as of this date. • . • (property owner) • • . • : does hereby attest that the attached survey, performed by LA14146 A- gill26 (name ofsury • ' Company) • t is an accurate represtntaticm of the existing conditions apd of survey) . • 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 naughi Witnesgsign and print) operty Witness(sign and print) SWORN TO AND SUBSCRIBED before me thisi_a_day of AkAl Affiant is personally known to me, -•"" produced b • L ' . • : as identification. ("ee A alfte-L'' •wner Martha L. Hernandez IR ...t Commission # DD353$57 1:1'. ;41Expirer. SEP, 08, 2001 -74e. Bnaded ran Aa. •• ,•,_ c __,... ....u.a.DI . • . Miami SIiorp /�ag COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, p ��aG � l Dt-4)14 , hereinafter referred to as the owner of the (owner) following described property: Legal description/folio #: € alao CYcnt) Lot A Block Subdivision IVO JIM Tax Folio #: requests permission to install: [ J Asphalt, concrete, brick pavers [ J Landscaping [) Other SIM c 4Cfc within the public road right of way of ) t u k It SIGNED. SEALED AND DELIVERED in the presence of: 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (3051756 -8972 p� L4 � PPg o4Cti. Gcs: 3316 L (address) • IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: l . 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 day of en; Martha L Herad -.' `4A. Commission # DD333387 �o; Expires: SEP. 08, 2008 ",0 41° Bo Than Atlantic Bonding Co., Ice, • . • 7't ••.: 4' . A • • . .. • .. • •I • ' •'• •.! • , Not valid unless embossed with Surveyor's .Seal. T2 i.... Block ,:IL Thiglroperty,desoribedas: tot , NEW /AMVSHORES.E$TATES, accordingHto the'Plat . • thereof, as recordOd in Plat..Hook%51, PageF80 of -Public Records of Dadej%County;' ' . ••:; I • ..t ...b . : . ' NOTE tt...UndergrOundllncroachments, ifipy: not locatet ; :.. -:''.. . • . •,,.. ,. , .... 1; :. . , 4.•. ., • - .: • „LI" • '• '..... • Certified First MOrgage'Corporatibn, Home Title Compapy,:and AoUrirand Marie Simeon and Ed011itid!Charles.: • • i.73,0: i • . , . . ;. 3. • ..., •k .. •• 4 . , : "1: • ;, • • 4 s . M Pl• • : . :t . . . • e ' c . .• I. E r' /0 / li Z-4-, & .:.' - .-446/ dr ../ I , , 4 • o> c. , e , ... , ,e - , . .# ' '' 7 l'.? .... . . .. ; 4 nOUNInhiav • SURVEY . I hereby certify that the survey repre. tented hereon meets the minimum technical standards set' forth by the Board of Land Surveyors pursuant to Section 472.027, Ha. Statutes. There are no enuoachrrtents,overlaps. easements appearing on the Piet, other than as showr hereto. . • • • ft CtA.u..94. Fa Beg. Land Surveyor No..... sk/C23 tt b *W bc:14,4.t0.1- 1/' 7P 7-&- •NH /// rs 6 .../..aed,770N. -'5674 1 411INIII 111 INNIS* f tr' F7r . 1.;• 4.`t" 'tv.‘2•;,:ifr't ; 1\ • . "ff .1‘;‘• 0.'14 '.44 kV: OW Approvl. c 3000 0 S6011?-te( t_cgtelu4 Ph 6 -e . .ce"(? 0 w St' : . PROPERTY.!0 EinteoraEoland Marie * nd charlea`, . Edouard, 255 N . W. 1 1 rth Street • DRWG. NO 187-5197 LANN •avid feiA ah IN • ENGINEERS LAND SURVEYORS - LAND PLANNERS :I s Office address: 4080 S.W. 84th Avenue, Miami, Florida 33155 ....Mailing address: P.O. Box 561131, Miami, Florida 33156 NOTICE OF COMMENCEMENT A RECORDED COPY MIST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOUO NO, II 1 h Cb I C6 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that Improvements will be made to certain real property, 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: LOT }1 6L-0C4 Mt 1\ a1 Sr1ste3 6d. 111 Ste'• fkMI r� I E1. 2. Description of Improvement: / 1' �� t-E 'K' °A / 3. Owner(s) name and address: Merk 1 .S I M 60i Interest in property: r S . �• �• Name and address of fee simple titleholder. • 4. Contractor's naj a and address: lie 5. Surety: (Payment bond required by own - r from contractor, i ., , OF FLORIDA. COUNTY OF DADE Name and address: • Amount of bond $ ►�'P. 6. Lender's name and address: wirnF t My hair( .1 d 2 , 4 0111 c ri. �nve it and Couniy Courts 7. Persons within the state of Florida designated by Owner upon provided by Secgon 713.13(1)07., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to reoelve a copy of the Uenor's Notice as provid In Section 713.13(1)(b), Florida Statutes. Name•and address: 9. Expiratl differe / e Ifi ate of this Notice of Commencement: (the expiration date Is 1 year from the date of recording unless Notary Public - Print Notary's. N My commission expires: 125.0142 P? E 4 WO2 • •S gnature of Owner .Print Owner's Name Sworn to and subscribed before me 6/ Oct— 15o3 1�( 1 kffriE_3Y CERTIFY that this pyofthe IMI11lIlII•11111I11 FN 2004-R1026645 D. Bk 22835 Ps 11096 tips) RECORDED 11/18/2004 14:39 :03 HARVEY RUVIH, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE D.C. notices or other documents may be served a! Prepared by 5;6044 (Z IS day of )41,)t) 2Q _C_ H Commissioa # DD33t1 9ress. .iiiExplres: SEP. 08, 2008 jaea no Bonding .o., ha. 44 Martha L. ernandez g j ,,.� ni Arecthl a Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11 /30/2004 Applicant: MARIE Owner: SIMEON JOB ADDRESS: 255 Contractor BEAUTIFUL CONCRETE Local Phone: 954- 693 -7777 Parcel # 1121360010690 NW 111 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -1503 SIMEON MARIE ST Contractor's Address: 1868 N . UNIVERSITY DR. #100 Legal Description: NEW MIAMI SHORES ESTS PB 51 - 80 LOT 21 Permit Status: APPROVED Permit Expiration: 5/15/2005 Construction Value: $6,000.00 Work: INSTALLATION OF STAMPED CONCRETE DRIVEWAY Page 1 of 1 BLK 3 LOT SIZE 75.000 X Fees: FEE2004 -11806 FEE2004 -11807 FEE2004 -11808 FEE2004 -11809 FEE2004 -11810 FEE2004 -11811 FEE2004 -11812 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Builders Bond Submittal Fee Total Fees: Amount $150.00 $3.60 $1.20 $3.75 $9.00 $300.00 ($50.00) $417.55 Total Fees: $417.55 Total Receipts: $0.00 00° DEC 13 PAID 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: 8/15/2006 To: Current Owner 255 NW 111 Street Miami Shores Village, FL 33138- Dear Sir or Madam Mabel Vargas Administrative Assistant Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 Permit: BP2004 -1503 Address:255 NW 111 Street Miami Shores Village FL33138- Date Expired: 6/21/2005 In order for us to serve you better, we need to keep our files up to date. Our records indicate that the above reference Permit has expired. The Building Department has determined that the work applied for has been completed with out the required inspections and it has been more than 180 days since your last approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida Building Code. You are required to renew your permit and schedule all required inspections. In the event you do not comply with the requirements herein, the Building Department will file a complaint with Miami -Dade County Building Code Compliance Office for possible disciplinary action against your licensed contractor And/or if permit was obtained by the home owner the requirements of the Unsafe Structure Code of Miami Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed unsafe and a permit shall be obtained to demolish the structure or bring the building in to compliance with applicable codes as provided herein." Please contact the Building Department, immediately upon receipt of this letter.