53 NE 102 St (8)‘t5
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
.Z
Date `y" oT
Type Insp'n sJ nn qq , /
Permit No. P a�CCC ° ye
Name — V
Address 5 /V /0 6-74
Company I[ / CO/9 Cdj ledblt.{L
Phone # 9e4 3 99/
Inspection Date 2 'S — o7'
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT 0(
305- 795 -2204
Building Inspection Request
Type Insp'n \ Or> .
Permit No. T)/PC) - c i`c)
Name C A O
Address n3 1--)E 1 U D, S)--
Company T'COF
Phone #
Inspection Date g•010
Date
•01 SL
Date
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1/29/2004
Applicant: AMELIA LA
Owner: 0
JOB ADDRESS: 53
Contractor ICOA CONSTRUCTION
Local Phone: 786 326 - 4041
Parcel # 1132060131660
Signed:
NE 102
(INSPECTOR)
Building Permit
Permit Number: BP2004 -96
0
AMELIA LA
ST
Contractor's Address: 1101 S.W 18 COURT
Permit Status: APPROVED Permit Expiration: 7/25/2004 Construction Value: $1,500.00
Work: PLAIN CONCRETE DRIVEWAY
Page 1 of 1
JAN 3
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 17 & W1/2 OF LOT 18 BLK 12 LOT SIZE
Fees:
FEE2004 -960
FEE2004 -961
FEE2004 -962
FEE2004 -963
FEE2004 -964
FEE2004 -965
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Builders Bond
Total Fees:
Amount
$100.00
$1.20
$0.40
$2.50
$6.00
$300.00
$410.10
Total Fees: $410.10
sao
Total Receipts:_ $0..
"3 6 o 1 U C.
t 3 03 OCR t . ' 5 I
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:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's - A ` Address —53 102
M sku:, afvl State
City
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name "`"'' '"t," Phone #
Contractor's Address I • 4 g ca.es
City �'c '
Qualifier
20�x st State Zip •333
r2 �a c fc :e v
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work: DAddition ['Alteration
Describe Work:
(Continued on opposite side)
Code Enforcement $
Total Fee Now Due $ ` � h O 1 D
Miami Shores Village.
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrical Plumbing Mechanical Roofing
OLSL\ Q L—O Phone # 30 S 224 _
J4— Zip 3.3I -68
Notary $ Training/Education Fee $
Scanning $ 6 Radon $
s3 4. roe 54stsbzA
County Miami -Dade Zip
NO
r l c
9.' J.Q ■PJ en,
* * ** * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee S V s a /P rmit Fee $
/�-
0
Permit No. r3 P
Master Permit No.
Square Footage Of Work:
)(New ❑ Repair/Replace
CCF
Technology Fee $
Structural Plan Review. $
33138
(/-8c) 326 _4041
260 Sj.
Bond $
❑ Demolition
�t�
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 alsenc of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature X s Signature
Owner or Agent Contractor
The foregoing instrument was aclaiowledged before me this _ The foregoing instrument was acknowledged before me this
day oft )- L\ it ) , 20 ' ', ; , day of 4 J , 20 ,by -
who is personally known o me or who has produced who is personally known to Ipe or who has produced
As identification and10 did take t aAth.
NOTARY PUBLI ,•i� / NOTARY PUBLIC:
Sign: `,, r - y�' � Sign:
Print: ��. '__._. -'..0 RY SEAL Print:
D1A' .I0S L , 1� ' - _— •.��.�.
My C. ssion Expires: . - pt ra; Ic s TF OF FLORIDA My Commission E lr�s: , F '� OTAR'
I S No. Dd2828 F�hl ' JQ Z
MIY
e lcate o Competency Holder) W ONE Es ig XF
State Certificate or Registration No. Certificate of Competency No.
APPLICATION APPROVED BY:
Chc 10/14/03
as identification and yho ditake an oa
************************************************************ * * * * * * * * * ** * ** 11* * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
"` r� • Zoning
Legal
Lot
Tax F
reques
SIGN
SI
b0 3Jdd
io
COVENANT OF CONSTRUCTION WIT RJCHT Of WAY
L e4 0 , hereinafter referred to as the Owner of the
weer)
WHE AS,
followi Sg described property:
scription/folio#: /1- 52 - - ► _ f L ( 0
Of -6r1 Block /,J— Subdivision
permission to install:
''Asphal concret brick pavers
[] Landscaper-
[ ] Other
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
:..
Fax: 1305) 75.6 -8972 .
/iPPRor4cti
iumi Shore W�crge
SEALED, EXECUTED AND ACKNOWLEDGE
, SEALED AND DELIVERE
X0
within e public road right of way of
(address)
IN CO SI DERATION of the approval of this permit by the Village, the Owner agrees as follows:
t. To maintain and repair, when necessary, the above - mentioned item(s) installed within the dedicated right
of way. I 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 Miami Shores Village (or his fully authorized rep - ntative).
ay of
II0I4L NOTARY SEAL
- MIAS JOSE LOPE
+dnAt X PUBLIC STATE OF FLORIDA
O No. Dd2626
C O M SS /ON EXP. FEB. i , 2005
T31G1S310 - bbZE85LSOE 00 :ET 000Z /9Z /T0
01/23/04 15:46 FAX 3052040220
NOVA SURVEYORS
uN + c0+U4 I 0:40 CAA 3U52D4U128
000s N.00 7q STREET SUL11 202
MINA RAMA 53120
1ELOANONi: (300) 220 -3171
FAX (300); 204 -0220
ONW Sri
Ip
Survey of LOT 17 AND THE REST 1/2 OF LOT 18, (N BLOCK 12
Subdivision: AN AMENDED PLAT OF MIAMI SHORES SECTION NO 1
According to the Plat thereof as recorded in the Plat Book No. 10
at Page No. 70 of the public records of MIAMI -DADE County, Florida.
Property Address: 53 NE 102 ST, MIAMI SHORES, FL 33136
For: PETER KIRCHER
-1
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NOVA SURVEYORS
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LAND SURVEYORS
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LEO& NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY)!
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• 0.00 • MO DNS EIEV%TIONS
. PR0P08ED ELEVATIONS.
REVISED 010
Situated in Zone: X Community /Panel /Suffix: 120652-0393-J
Date of Firm: 07/17/1995 Base Flood Elevation:
Certified to: PETER KIRCHER
711001
SURVEY 4...698.964.3 -.-
SHEET No. / OF 2
Date: 01/16/2004
J0
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SURVLYORS'R NOTPS•
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1I WAN= APE TRH OCICIPTION TO WANT °/ NAGS t
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SIRKWRO M CNAPTEA 01017 -0, FUND*
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MAMA (DATE OF FIELD NORIO
PROFESSIONAL. IA30 SURVEYOR N0. 6107
STATE OF NOWA AUD COPIES Of Slit SUR0Y ow. SEAR
118 08001000 NAL OF 114E *3005TSRO LAND SIR SET0111
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iUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
f
r1
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 3939
Contractor's
License No.
Work to be performed under this Permi
B1
Signed.
DATE. 19
Subdi-
vision
Value of Amount of
,� y r - Project $ a ,,,.- I Permit $
This permit is granted to the contractor or builder named above to cons ruct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. . ,
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all \rdinancea 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 ac.
cepting this permit I assume res for all work done by either, myself, niy agent, servant or employee.
/
CONTRACTOR OR BUILDER HY
AUTHORITY
ADOPT PRINTe
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
L/ Date./1428 ° Z ,191x7
Owner's Name and Address ._.. . II M -D / A f - - 'r No t$ s'/a. �
Registered Architect and /or Engineer lt9.A.RI) 1 . - -C
Name and address of licensed contractor ! - - - -� S
Location and legal description of lot to be built on:
Lot Block Subdivision..._..
Street and Number where work is to be done
State work to be done A and purpos9 of building (by floors)
at,/
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Co ering
Estimated Total cost of improvements $.. /be) Amount of Permit $
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, n work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Date___? r - 05
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are tru -
Permit No
Disapproved
( Signed) ..._ __ ...
Building Inspector
to me well known,
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chainnan Member
Member Member
Member ...... Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re inspection fee of $1.00 will be charged when such re inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.