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560 NE 102 St (5)z4 Z 0 MIAMI SHORES VILLAGE -S BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date - Type Insp'n f i U-'C 1 CA1I Permit No. TP CIS- Name CompanyC SSO Phone # Inspection Date c7, /1 Address Approved V f> FOR Jy D Re- Insp'n Fee oY I t go 1 S � MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Datej2i Type Insp'n D-1( Permit No. B '354 Name Address Company Vr)L) Phone # Inspection Date pproved Correction Re- Insp'n Fee 5O c 4 ✓d IV G 1 p c.A c « z5Z MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 06 / I (o / O5 Type Insp'nF na 1 -1 vi v-u Permit No. L3P05 — 3 54 Name JOcq(. I Address = rr--�� KIC IDZ V T Company r50 Inc. I r c. Phone# (30 3- 38 2 J Inspection Date OL /QC / 0 5 Approved Correction Re- Insp'n Fee ❑ Address MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date °b 7foS ' Inspection Date Approved Correction Re- Insp'n Fee Type Insp'n Dib2.t. 14 s5 Permit No. BPC 5 m �� 7 Name (fQS Company Phone #33 > � SCS JLrn 5 -3 �� ■ PERMIT APPLICATION° FBC 2001 Permit Type (circle): Building Electrical I Plumbing BUILDING Owner's Name (Fee Simple Titleholder) Owner's Address 5 7'Q City j ) Q in/ g%OtC5 State Tenant/Lessee Name Job Address (where the work is being done) Contractor's Address @DLO Qualifier to.) ( $ Value of Work For this Permit 11 Type of Work: ['Addition Describe Work: I o ubmittal Fee $ D • Total Fee Now Due S (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. f)P6S \ MC vehn /U io ;, City Miami Shores Village County Miami -D Is Building Historically Designated YES (N Contractor's Company Name DYS1) ( Inc • �/ P N.E. N•E.gj S +. �/� City in 1 1 S`l1 Y S State t� L n masucci State Certificate or Registration No.(T 6C-4o51 LIq Code Enforcement $ Structural Plan Review. $ aster Permit No. m/¢5 fe4hone # Zip Phone # Zip Mechanical 33/38 Certificate of Competency No. 323 k %/ 2'6 Zip 33/.3 �j 0 S S C35 -- 7S ' Phone # St/5 ''G 1- q LiQ Architect/Engineer's Name (if applicable) Phone # oPp . Square Footage Of Work: V � ['New 1,4 Repair/Replace alff0a, cl? * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ i /09 CCF $ �0 Notary $ — Training/Education Fee $ Technology Fee $ —/ i ,j 0 Scanning $ [ Radon $ Zoning Bond $ Roofing ❑ Demolition CO /CC 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. 1 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 Owner or Agent Contractor The foregoing instrument was acknowledged before � m y e this _ _ The foregoin instrument was acknowledged before me this day of na& 20 % bX �.1C I �r,e 11�� .1 citY day of ( 7 , 2035, by 1W Dor t) vatic- who isyersonally known to me or who has produced As identification and who did take an oath. NOT Sign: Print: Chc 05/13/03 Y PUBLIC: APPLICATION APPROVED BY: 4 00° NN, Jessica Rose Fisher � My :,ommission DD366439 tio * * * * * * ** *+ s:W4tPOIkr *4 § * * * * * * * * * * * * * * * * * * * * * * ** Signature who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUl1c: Sign: Print: My Commission Expires: rl —I r f` My Commission Expires: o c ** mac. t 0 I M C ii Ei 1,c * L� * C . ,),„17„ Ma 2a Engineer Zoning j ras) m . s I"I i pPok4, 1, Jessica Rose Fisher My Commission DD366439 t * * p *res ctot4r tog * * * * * * * * * * * * * * * * ** Plans Examiner Tax Folio R: requests permission to install: SIGNED. SEALED AND DELIVERED in the presence of: Yl//iamj S/ior COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY &/ �� 4 WHEREAS, J / //e // n t �Q hereinafter referred to as the Owner of the (owner) following described property: Legal description /folio #: © v Lot Block 7 Subdivision /9/ ended P/U d g/. Asphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of 56' 0 N G f t)? 31 (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: I. 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 die 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 7 day of Ina Ch 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207. Fax: (3051756 -8972 ko Jessica R se Fisher My Commission DD366439 ofa Expires October 2008 APPRo4cti 4/o 'STATE OF FLORIDA) COUNTY OF DADE) attached survey, performed by performed on The undersigned Affiant, J , C V I t n " ' ' 4 'Ste hereby attest that the (property owner) 6: the ttray f6 50 CIA. 1-e 1: G. (name of urveyor's company) - g -q9 (date of survey) ' Thiumi Sliore� , is an accurate representation of the existing conditions and 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. !j ;y operty owner 0 >�,�- Tim b / Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this day of MO rr, Affiant is personally known to me, produced as identification. Jessica Rose Fisher . • My Commission DD366439 Expires October 27, 2008 Date 3\ \�� Address S(c 'J Dear Property Owner / Occupant In an effort to maintain the appearance and property value of your home, Miami Shores Village has various codes for the upkeep and maintenance of the homes and properties within the community. We are sure that you will agree that a well- maintained home enhances the appeal of the entire neighborhood. Occasionally, a deficiency may be noted at an individual residence. We have found that in most cases, residents were not aware that a problem existed. In this case, it was noted that the following item(s) require your attention: ❑ Property is in need of mowing / cleaning ❑ Trash on site ❑ Exterior of structure requires maintenance ❑ Trees/bushes /hedges need trimming ❑ Commercial vehicle in residential zone ❑ Inoperable vehicle on property 0 Vehicle parked in landscaped area Please correct the above noted item(s) by � -1 ' 1 t 1 k (Date) t---ArAc g_ pr = ? \ t -S e_ ac,- c�; +.! R Sincerely, A rtThe Code Enforcement Officer Miami Shores Village COURTESY NOTICE .0 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 -2382 TELEPHONE (305) 795 -2207 FAX: (305) 756 -8972 ❑ Vehicle parking areas must be paved ❑ Vessel / boat not properly stored 0 Interior / exterior work requires permits ❑ Prohibited signs on property ❑ Non - domestic animals on property ❑ Other: JMP (U U1'9 — r NTh, 'Orrd 9 - AQ tt c�roca� °rte �Jr�L.f . er C,. nrA✓.z % If you feel that ou may require additional time or assistance in this matter, please con- tact m at 305 -7 5 =2204 so - that we can discuss your options for bringing the property into compliance. ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(,AM /DD/YYYY) 03/31/2005 PRODUCER COVER ALL INSURANCE 5800 W. ATLANTIC BLVD. MARGATE, FL 33063 ___- _ THIS CERTIFICATE I S ISSUED A S A MATTER OF I NFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLIER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # _ _ INSURED ORSO INC. [�_INSLIRERA: 390 NE 167TH STREET 'INSURER )3: MID- ATLANTIC CASUALTY CO. NORTH MIAMI BEACH, FL. 33162 INSURER t✓: L INSURER D: INSURER k: •COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAfp1ED ABOVE FOR THE POLICY PERICD INDICATED. NOTWITHSTANDING • ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR - MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIC CLAIMS. �• — � INSR ADO'LI c . • I • • • • - , POLICY NUMBER j POLICY EFFECTIVE • - 11 r • POLICY EXPIRATION , P; u 1 • r LIMITS GENERAL LIABILITY I�G B I IT i COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I $ 1000000 04 -GL 000582776 03!28!2005 DAMAGE TO RENTED 03!2812006 oc tnren, �o) Ls 100,000 -- ___ CLAIMS MADE I X I OCCUR __ ._—_ __ _._--.. __ _ =Any ED EXP (Any one person) ] S EXCLUDED 1MMI I PERSONAL & ACV INJURY $ 1,000,000 I I I I , I GENERAL AGGREGATE L$ 2,000,000 I I I G_ EN'L AGGREGATE LIMIT APPLIES PER: 1 ! POLICY I P Rg I I LOC , LPRODUCTS • COMP /OP AGG 15 2,000,000 I AUTOMOBILE LIABILITY ! I __i ANY AUTO I I COMBINED SINGLE LIMIT I - (Ea accident) I " g i H 1 ALL OWNED AUTOS `_I SCHEDULED AUTOS I _ I HIRED AUTOS I NON -OWNED AUTOS I I I BODILY INJURY I (Per person) $ I I BODILY INJURY (Peraccrdent) $ II PROPERTY DAMAGE (Per 5 I I GARAGE LIABILITY I [AUTO ONLY - EA ACCIDENT S • ANY AUTO i OTHER THAN EA ACC 5 I AUTO ONLY: AGG 5 EXCESS /UMBRELLA LIABILITY I __ I OCCUR I_ _ CLAIMS MADE r I j DEDUCTIBLE EACH OCCURRENCE $ AGGREGA S $ $ 1 RETENTION 5 I 5 1 WORKERS COMPENSATION AND I EMPLOYERS' LIABILITY I ANY PROPRIETOR/PARTNER /EXECUTIVE 1 OFFICER/MEMBER EXCLUDED? ' I yes, deibe O under 1 SPECIAL P below 1 WC STATIJ• 0TH- To.RY 1 !NUTS Fe E.L. EACH ACCIDENT $ E.L. DISEASE • EA EMPLOYEE $ I E.L. DISEASE - °OLICY LIMIT $ • OTHER I I I f I 1 DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL .GENERAL CONTRACTOR PROVISIONS CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORES 10050 N.E, 2ND AVE, MIAMI SHORES, FL 33138 FAX 305.756.8972 SHOULD ANY DATE THER NOTICE TO IMPOSE NO REPRESENT OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION EOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS W RITTEN - HE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL •;;LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR A; S. ' � ' .,r.l�.r•.,,,,,,. AUTHORIZED RE RD 25 (2001108) © ACORD CORPORATION 1988 OEEE 13C213S1:11 dH WdE2 =b SOO2 16 - W 4 2 coFtv ,rat I t,ri ur- t3UUivuMrti>f auri c i SCALE 1"= 20' 0 0 L35 35' L0 9 ``DD 1 D, Uvt` d903 • , J 18.15' N GL t 50,00 ' =<<f frP rt. C /6'45/944x N ` rl '' � , 2 oV PA)./ 6NY •`4 cl \o (15 BEARINGS HEREON OF ANY) ARE REFERRED TO AN ASSUMED VALUE OF FOR THE SAID BEARING IS IDENTICAL WITH THE PLAT OF RECORD ACCORDING TO THE N.F.I.P. THE SUBJECT PROPERTY FALLS WITHIN FLOOD ZONE: X Miami Shores Village 10050 NE 2nd Avenue Printed: 3/31/2005 Applicant: JACQUELINE MASTER Owner: MASTER JACQUELINE JOB ADDRESS: 560 NE 102 ST Contractor ORSO INC Local Phone: 305/891 -9849 Parcel # 1132060171040 Signed: (INSPECTOR) Building Permit Phone: 305 - 795 -2204 Permit Number: BP2005 -354 Contractor's Address: 12430 W. DIXIE HWY Page 1 of 1 Legal Description: MIAMI SHORES SEC 4 AMD PLAT PB 15 -14 LOT 5 BLK 94 LOT SIZE 50 X 115 OR Fees: Description Amount FEE2005 -3972 Builders Bond $300.00 FEE2005 -3973 CCF $0.60 FEE2005 -3974 Building Fee $100.00 FEE2005 -3975 Training and Education Fee $0.20 FEE2005 -3976 Technology Fee $2.50 FEE2005 -4004 Scanning Fee $9.00 FEE2005 -4005 Submittal Fee ($50.00) Total Fees: $362.30 Total Fees: $362.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/10/2005 Construction Value: $800.00 Work: REPARE APPROCH TO DRIVEWAY - NEW CONCRETE DRIVEWAY 4 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: Miami Shores Village Building Department ✓1/.L .. -�I. L AO Permit - No. Job Na B b LDING CRITIQUE S - ET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 P P., rAeL;/ NO A c . S ' ' /' ti ,64,4 _ ) 4 . L !i / . ice. ' t � %le ANEW. � . r' Wei 4 J tAri-dL 05 35 0 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Dated// /2 3 Job Address 5 X'I"C /02 5t Tax Folio 11 114 / ! it i* Legal Description ZS 5 4 %iC4 7 V ,Ce- y 0 4 / j : .✓ �J `��y .eEep Lessee / Tenant X10 hh / 7 € Master Permit iti '% Owner's Address 57 D/1i1 /O 215f Mor $%/ Phone 9 ,-6 -6 3 . Contracting Co. 61...Yla Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer 7-pi-no 5 (T• q Bonding Company Address Mortgagor 12//p Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Av /irl f flij,6 /O = /Z ' - ,s41 VON Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. S nat re of owndt and /or Condo President Date / /JA( Not 6 1....�'l _i�=�s �r`.. , I rY/ I /r //� 7 '� , �[vw�tf . r 71 ry as to Own My ommission Expi ** * * * * * * * * * * * * * * FEES: PERMIT ' RADON C.C.F. )) NOTARY S TOTAL DU APPROVED: Buildin Zonin Fire Address Address 74* /3/y E7 As OA ` / Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: Other t� Electrical Mechanical Plumbing Engineering SHEET NO. A -1 OF -1I Residential Plans for JOHN & GINA HAGE 560 N.E. 102 ND STREET MIAMI SHORES, FLORIDA Thomas J. Laubenthal. Landscape Architects / Planners 1314 E. Las Olas Blvd., 101 Fort Lauderdale, FL 33301 Telephone (305) -522 -6648 DATE: NOV. 25, 1992 SCALE: AS NOTED DRAWN BY: T.J.L. REVISION DATES 50' N. E 102 STREET LOT 5, BLOCK 94, SECTION 4 OF MIAMI SHORES ACCORDING TO PLAT THEREOF, AS RECORDED IN PLAT BOOK 15 AT PAGE 14 OF THE PUBLIC RECORDS OF DADE COUNTY. FLORIDA 1006 SF PLAT ROOF AREA 363 SF TILE ROOF AREA 1374 SF GROSS BLDG. AREA 1180 SF LVINO AREA 194 SF CARPORT AREA 1374 SF GROSS BL DO. AREA N. E 101 STREET 4 3 1T X.ley 50' 52.35' 2 1 ,S 20 [ 21 1 22 1 23 1 24 PRIMARILY A FLAT ROOF STRUCTURE WITH PARAPET EDGE AND SMALLER PITCH ROOF SECTION ON STREET SIDE ELEVATION. CBS STRUCTURE WrTH ORIGINAL ROUGH PLASTER FINISH. NONCONFORMING LAT WrIH LESS THAN REQUIRED MINIMUM Ill SIDEYARD SETBACK. ORIOINAILY CONSTRUCTED IN 1921. LOT WE IS 113.0' DEEP X 300 WID7H., 25' FRONT SETBACK, 3' AND 6'A' SIDEYARD SETBACKS. 15' REAR YARD SETBACK. '0 11d z 5'_0. T t 1 SUE LAN ST e 11/8" '--- — CENTER LINE OF102nd STREET -- - - - - -- Sapodilla e Ina 16' 10 -o 20' GRASSED MEDIAN 50,0' 3' SIDEWALK _. -� - .-- _— . —. - -- - • r EDGE OF PAVEMENT • 38 3 14 operate Pall I p r U G 12' 1 L SIDEYARD ` 4 REARYARD EETBAcK ; FOR ACCESSORYRDM _L_— Sava-- - Existing 50.0' Pok Water Meter Q a tit 9 6,_9. 1' n 1 1 0 a Scale: 1/8' - 1' 4-