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574 NE 102 St (10)381 . 8 MIAMI SHORES VILLAGE��- - BUILDING DEPARTMENT ( S` 305- 795 -2204 Tr" Building Inspection Request Date / I I 4 )05 Type Insp' n ' t'l -lam-_ ∎/t- A/ ' Permit No. P 1 1 O? S Cc Address 51 4 LOZ S'r Name Company Phone # Cam) Se)-C=,(34- Inspection Date q is LOS Approved ❑ Correction Re- Insp'n Fee /❑ S o 6 yho TA262( A- YZmU 21V¢.eJ ___e,41-2 1iJ s MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat Type Insp' n -oon d a On 3409 Permit No. 1635 - 1 (00 Name Cc{r C a l t) C3 Address 5 N T Company 'Ue1 pro Phone # ` bbl - 38 l5" Inspection Date 6 Approved Correction Re- Insp'n Fee 12 i ltsrs Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Mnspection Number INSP -33606 Permit Number. BP2005 -1109 Inspection Date: 11/30/2006 Inspector: Grande, Claudio Owner: GONCALVES, CARLOS (LI Job Address: 574 102 Street NE Project: <NONE> Miami Shores Village, FL Contractor: PAVERPRO Building Department Comments Wednesday, November 29, 2006 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 305/754 -5840 Parcel Number 1132060171030 Lot: Phone: 305 - 220 -1531 Page 1 of 2 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Mnspection Number INSP -33606 Permit Number. BP2005 -1109 Inspection Date: 11/30/2006 Inspector: Grande, Claudio Owner: GONCALVES, CARLOS (LI Job Address: 574 102 Street NE Project: <NONE> Miami Shores Village, FL Contractor: PAVERPRO Building Department Comments Wednesday, November 29, 2006 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 305/754 -5840 Parcel Number 1132060171030 Lot: Phone: 305 - 220 -1531 Page 1 of 2 Bill To I CARLOS GONCALVES 574 NE 102 ST MIAMI SHORES, FL 33138 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name 11/28/2006 Miscellaneous Tuesday, November 28, 2006 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Invoice Number: imp -11 -06 -26840 Invoice Date: November 28, 2006 Permit Number: BP2005 -1109 Permit Type: Imported Permit / Work Classification: <NONE> NOV 2 8 PAD Fee Type Calculated Total Fees Due: Fee Amount $75.00 $75.00 Payments Date Pay Type Check Number Amount Paid Change 11/28/2006 Credit Card $75.00 $0.00 Total Paid: $75.00 Total Due: $0.00 I BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) City Miami Shores Village Is .Building Historically Designated YES Contractor's Company Name V ti 2 IZ. P i Contractor's Address 34 ! 5 "6/ ( L( City 1 1 r1itM ► �;'. State Qualifier State Certificate or Registration No. Submittal Fee $ Notary $ v Scanning $ 1 2 • 0 � Code Enforcement $ Total Fee Now Due $ 4-01 (Continued on opposite side) ��r /tvNJ7G i' Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305756.8972 j NO F Permit Fee $ ! D V Training/Education Fee $ / 'Ta Zoning .S 7 1C Z S ' County Miami -Dade **************************** F c * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Structural Plan Review. $ Permit No. &2 1 1 c 9 ster Permit No. Permit Type (circle): Building Elect ical '" Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) er�._L0 // S C,�Uki FA L i u 5 Phone # Owner's Address 5 A/ c= 10G 5t � City Al :q/✓. G State rL Tenant/Lessee Name �� __. Phone # Zip '? ��aY Zip ,�� Phone # 3 r%5 5 i 5eS `l d Zip ;.j r 5 Certificate of Competency No. ' r 0 Architect/Engineer's Name (if applicable) �' Phone # $ Value of Work For this Permit $ (• .CGP°, - Square Footage Of Work: 3.50 3 Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: Co ,l•/Cl?„e =Tr'- SIAS 2a ftlt t,VA CL A-- f'av:.rt 6 (,(47)-1 711).4(3e-0 ..t<A 12 C1LG CCF $ I . 20 CO /CC Technology Fee $ Z . cv Bond$ 50D � . ro3s2 Bonding Company's Name (if applicable) Bonding Company's Address '� f 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 absence of such posted notice, the inspection will not bp.- tpproved and a reinspection,fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day , 20 , by z �.:� �, . ✓. ti who is persona y known to me or who has produced NOTARY PUBLIC: Sign: Print: My CorimiXsism Chc 05 /13/03 As identific n and who did take an oath. ********/****)**1***** Signature 7 " r ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1. Sign: Print: My Commis Contractor The foregoing instrument was acknowledged before me this i day of ., t :T , 20&- , by "1 , who is personally known to me or who has produced as identification and did take an oath. NOTARY PUBLIC: Comm State of Florida 0D151864 1 � � ************************ * * **** * * * * ******* *** * ** * ** *** ** ** **** ** ******* L***** *** * ** * *** * * **** ***** ** *** APPLICATION APPROVED BY: 2 7 �_ Plans Examiner Engineer Zoning * * *m * * * * * * * * * * ** Subdivision: Amended Plat Of Miami Shores Section No According to the Plat thereof as recorded in Plat Book: 15 Page: 14 Public Records of MIAMI -DADE County, Florida, M ADDRESS: 574 NE 102 STREET MIAMI SHORES, FL 33138 Encroachments Noted: ()LIE LOCATION SKET H SCALE: /J1. S LEGEND OF SURVEY ABBREVIATIONS A ARC DISTANCE C CALCULATED A/C .... AIR CONDITIONING CBS ... CONCRETE BLOCK STRUCTURE C.B CATCH BASIN O.U.L....OVERHEAD UTIUTY LINE CL .... CLEAR CA.....CENTER LINE P.C.C... POINT OF COMPOUND CURVE ENC ... ENCRO,.AHMENT p,C POINT OF CURVATURE P.O.C... POINT OF COMMENCEMENT FIP .... FOUND IRON PIPE p.0.8 POINT OF BEGINNING BLDG .. BUILDING O.H.... OVER HANG W.M WATER METER C.H CHORD DISTANCE P.B.... PLAT 0001( M MEASURED D.E DRAINAGE EASEMENT P/L ...PROPERTY LINE CONC .. CONCRETE F.H FIRE HYDRANT UP ... UTILITY POLE F.D FOUND R RADIUS CERTIFY TO: Carlos A. Guncalves Terramar Guaranty Title di Trust, Inc. First American Title Insurance Co. Coldwell Banker Mortgage Services, LEGAL DESCRIPTION: Lot: 3 Block: 94 ti N. /o2 n 51 c 5 41 2 11113 4j • i •te • • • • • ••. • •j •AJ Fr anc" •m ••w•" arm Kneen are of appose nature. Fenn owarsh` • by •buel meena. Legal ownership of fsnalMt• • • • • AJ TALI tr M t • • • coy v 4oWswly for this ' yf • •b thou to M IS 44 • wsaa. •arftisd. This survey Is not to be used for construction, ■•cloy design, or •watherouse without emirik•con- saat of Thomas J. Kill', IA. • • • •4 •CI<d1'ratrletlen and title fetch are not M d •an this sunny. • D) The flood Inforloti n shove hereon doss ndl heir fi at the referenced Ir will or will not be free b fro% flooding or donAge an/ stn not create Ihubl N •y jhj ypyj 0 the fin% y,ii Wirier or allplyree thereof, far any damage tiiot•esults frog% reliance on said Information •••• • • E) The lands depicted hereon were surveyed per the legal description and no claims as to ownership or matters of title are mode or Implied. F) Undaunted Encroochmenrs, if any, not located. I herby certify that the survey represented hereon nets the minimum technical stan- dards sat forth by the Board of Lond Sonoran 1n chapte 61617 -6 Florida Administrative Code to Section 4 2,027 Fla. Statutes. 4/g. / v/ ' s7- J05E 9) PERE.A „R.. . di M. #4858 NO V U N NLLE SS IMPRINTED WITH AN EMBOSSED SURVEYORS'S SEAL NOTES: 1. IF SHOWN, BEARING ARE TO AN ASSUMED MERIDIAN (BY PLAT). 2 IF SHOWN, ELEVATIONS APE REFERRED N,6.V,D 1929. 3. THIS IS A BOUNDARY SURVEY Its Successors And /Or Assigns, As Their Interest May Appear /02 ST O. 20 CL . zio A C.11 -t Etro2 V I 0 1' CoA 0.2Q 1N o Th6 f g � A o . OR 5110 PRap �,���� E,VC . (cm I. FIPh. ° (/ / ',45oN. /UV DATE FIELD WORK 11/14/2001 NGVD... NATIONAL GEODETIC VERTICAL DATUM PRC . , . POINT OF REVERSE CURVATURE RAD ... RADIAL RAN ...RIGHT OF WAY SEC ... SECTION SCR... SCREENED S.I.P ..... SET IRON PIPE SWK ...SIDEWALK U.E UTILITY EASEMENT 20 dd 504 PAV/t. // 5 0, 0 50. 00'0 , 0 FLOOD ZONE: X THJ5 IS A FLOOD JAZARD ZONE I / THIS I5 NOT A FLOOD HAZARD ZONE PANEL NO.:. 93/J COMMUNITY #: 120652 DATE OF FIRM: 07/17/1995 BASE FLOOD: N/A FINISH FLOOR: N/A LOWEST N/A ADJ GRADE Q A SlriL/ C.&.S/ WQ LG THOMAS J. KELLY, INC. L, B. #6486 SURVEYORS - MAPPERS - LAND PLANNERS 333 PALERMO AVENUE CORAL GABLES, FLORIDA 33134 (305) 444 -7692 DADE (954) 779 -3288 BAWD (305) 441 - 6494 DADE FAX (954) 779 - 3260 BRWD FAX SCALE C' / ISURVEY NO. 1” = 01 -4843 Sheet 1 of 1 /02, 3 R Lk) 1 ij .t LEGEND OF SURVEY ABBREVIATIONS A ARC DISTANCE NC .... AIR CONDITIONING CBS ... CONCRETE BLOCK STRUCTURE C CALCULATED C.B CATCH BASIN O.U.L....OVERHEAD UTILITY LINE CL .... CLEAR CIL ....CENTER LINE P.C.C... POINT OF COMPOUND CURVE ENC ... ENCRO:;'•HMENT p,C POINT OF CURVATURE P.O.C... POINT OF COMMENCEMENT FIP .... FOUND IRON PIPE P.0.6 POINT OF BEGINNING BLDG .. BUILDING O.H.... OVER HANG W.M WATER METER C.H CHORD DISTANCE P.B.... PLAT BOOK M MEASURED D.E DRAINAGE EASEMENT Pll ...PROPERTY LINE CONC .. CONCRETE F.H FIRE HYDRANT UP ... UTILITY POLE F.D FOUND R RADIUS CERTIFY TO: Carlos A. Guncalves Terramar Guaranty Title & Trust, Inc. First American Title Insurance Co. Coldwell Banker Mortgage Services, Its Successors LEGAL DESCRIPTION: Lot: 3 Block: 94 Subdivision: Amended Plat Of Miami Shores Section No According to the Plat thereof as recorded in Plat Book: 15 Page: 14 Public Records of MIAMI -DADE County, Florida. Q ADDRESS: 574 NE 102 STREET MIAMI SHORES, FL 33138 Encroachments Noted: LOCATION SKETTH SCALE: N r 1 9 Qu e 2. 1 Ine • •. •. • • • • • • •. • • • . • • • •A) All asmollee1 and/or enaoaclunenfs•shaon • • � ore of appalsnt%+oture. Fence o:ntrth�t • • .b• owe meow legal canorshlp of fsnce..st • • determined. • • • • • • • B? Da tumm is wadi&fbr mortgage !,ft ldk! purpose's eaglIgvglusively for tiliuse 4B those to wipe p je certified. This surpy Is pt to be used jor eautngflan, • pamotM9 design, a• any err use wltho t.vdysn con - • •arm Willman J. WIIy Inc. C) Cad: restriction mid tints search ara • milt :ltef ed •.ae aft 'way. •• •� The flood Infalina4 star's hereon Boss ngtinrply .that the referenced property will or alienat,. free • • flatrtldedlrg or deli I t goes not areas IIobilAy on the part of the firm sur officer or employee thereof, for any damage that results from reliance on said Information. E) The lands depicted hereon were suroyed per the legal description and no claims ns to ownership or matters of title are mode or Implied. F) Underground Encroachments, If any, not located. I hereby certify that the survey represented hereon nests the minimum techa:wl stan- dards set forth by the Board of Land Surveyors In chapter 61617 -6 Florida Administrative Coda to Section 472.027 Fla. Statutes. J05 Al PERE.A,.R 5 I M. #4858 STATE OF FLORIDA • — "NOT VALID. UNLESS IMPRINTED WITH AN EMBOSSED SURVEYORS'S SEAL NOTES: 1. IF SHOWN, REARING ARE TO AN ASSUMED MERIDIAN (BY PLAT). 2. IF SHOWN. ELEVATIONS ACE REFERRED N.6.V.D 1929. 3. THIS I5 A BOUNDARY SURVEY. 3 v N- 0.20 CL . 1 < q oz: . D '- f 0 L j > i 6 6' NOVD ... NATIONAL GEODETIC VERTICAL DATUM PRC ... POINT OF REVERSE CURVATURE RAD ... RADIAL R/W ...RIGHT OF WAY SEC ... SECTION SCR... SCREENED S.I.P SET IRON PIPE SWK ...SIDEWALK U.E UTILITY EASEMENT And /Or Assigns, As Their Interest May Appear 2,e) fi Pa vti 2550 ; . or•&' — ?,50' \ /Co. / 0. ld `` CO A/C y � 6 0 o U` ATE FIELD WORK 11/14/2001 DR • / .r-- 70.3 5 3A A /1- CO (IC IVA !-4 fL Th 6,5 /2,Z'Y • FLOOD ZONE: X TH} 5 I5 A FLOOD HAZARD ZONE / /THIS IS NOT A FLOOD HAZARD ZONE PANEL NO.:. 93/J COMMUNITY #: 120652 DATE OF FIRM: 07/17/1995 BASE FLOOD: N/A FINISH FLOOR: N/A LOWEST N/A ADJ GRADE 1,] 6 50 0 Fi/ • L.L:k- 1" = SCALE 4 4rroL/ cf3.S WQ LL THOMAS J. KELLY, INC. L.B. #6486 SURVEYORS - MAPPERS -LAND PLANNERS 333 PALERMO AVENUE CORAL GABLES. FLORIDA 33134 (305) 444 -7692 DADE (954) 779 -3288 BRWD (305) 441- 6494'DADE FAX (954) 779 -3260 BRWD FAX / SURV NO. 01-4843 Sheet 1 of 1 .. • • • •• . • • • •...• . . • . •••• • ,, • • •• • • . • •. •• • .• • • • . • •••• •• . • •• •• • • •••• • •• • • • • • •• • • • • •• • • • • •••• • • • • • • • • • • • Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/29/2005 Applicant: CARLOS Owner: GONCALVES JOB ADDRESS: 574 Contractor PAVERPRO Local Phone: 305 - 220 -1531 Parcel # 1132060171030 NE 102 Legal Description: Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2005 -1109 GONCALVES CARLOS ST Contractor's Address: 3431 SW 143 PL Permit Status: APPROVED Permit Expiration: 1/22/2006 Construction Value: $1,500.00 Work: CONCRETE SLAB DRIVEWAY TO BE COVERED WITH TUMBLED MARBLE BY: Page 1 of 1 PB 15 -14 MIAMI SHORES SEC 4 AMD PLAT LOT 3 Fees: FEE2005 -10378 FEE2005 -10379 FEE2005 -10380 FEE2005 -10381 FEE2005 -10382 FEE2005 -10383 Description Building Fee CCF Training and Education Fee Scanning Fee Builders Bond Technology Fee Total Fees: Amount $100.00 $1.20 $0.40 $3.00 $300.00 $2.50 $407.10 Total Fees: $407.10 Total Receipts: $0.00 BLK 94 AUG 1 1 PAID c►G #z4O 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. MIAMI SHORES VILLAGE, FLA. NO 5850' JOB -- i:t 4(. j0 INSPECTION c&f2p. _ TIME READY REMARKS : ADDRESS o INSPECTOR DATE