DS-09-883NEW PATIO AND DRIVEWAY WITH BRICKS OVER SAND
BASE
Passed '
W i>
-
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 115204. Driveways are too wide.
2 trees are required. NB
ef(—
'I %
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
inspection Number: INSP - 118244
Permit Number: DS -5 -09 -883 I
Inspection Date: September 21, 2010
Inspector: Bruhn, Norman
Owner: GENOVEVA DE JESUS, WILFREDO &
nkIA ow�on
Job Address: 9800 N MIAMI Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: PAVERS AND BRICKS SERVICES CORP
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
September 20, 2010
For Inspections please call: (305)762 -4949
Permit Type: Driveways /Sidewalks/Slabs
Inspection Type: Final
Work Classification: New
Phone Number ()_ -,
Parcel Number 1131010330030
Phone: (305)986 -2544
Page 1 of 1
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building Roofing ++
Owner's Name (Fee Simple Titleholder) e l j S LJ
5 14 70 A414 "4 i li da-d
C i t y / 1 1 i I 1 1 1 5'i-6:R65 State pZ.
Tenant/Lessee Name
Owner's Address
Job Address (where the work is being done) 300 / i /I//4 i 1 ,4116
City Miami Shores Village County Miami -Dade Zip 31.33
FOLIO / PARCEL #
Is Building Historically Designated YES 69
Contractor's Company Name 1
Contractor's Address 1183 IA/or 1xIE
City /ti - at iAA
Qualifier Name
Certificate of Competency No. 0 6 !3S 00 610
State Certificate or Registration No.
Phone #
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work:
Describe Work:
iJt, i sio
Submittal
Notary $
Scanning $
Bond $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
State
Structural Review. $
r ,
l
13'h i C 15 udC 5 Phone # 305 gg4 g171
P7—
***************************F
Permit Fee $
Training/Education Fee $
Radon $
Code Enforcement $
Permit No. - a oct--FE,3
Master Permit No.
S I hone #
Zip -
DPBR $
aLi& :33-(I a- .
Phone #
Zip 33/e/
FEB 11 2010
BY: oom000
Phone # 3DS - y 3. 4/07 .
Square / Linear Footage Of Work:
❑Additio <\ Alteration ['New ❑ Repair/Replace
rtti (fa nti4 4rifiCk rA Lia S oft.-
bra uC a/le j 0 4 At/1 ; A i6 .,
❑ Demolition
CCF $
Technology Fed $
Zoning $
Double Fee $
Total Fee Now Due $' .
See Reverse side --)
CO /CC
Bonding Company's Name (if applicable)
Bonding Company's Address
City o 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 CONDmONERS, 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such .posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature x
The forego'
day of
Owner or ent
instrument was acknowledged before me this 0 v
.�• :..; ,
200, by /Wet FvIM& 4,0511,4,
who is personally known to me or who has produced who
As identification and who did take an oath.
NOTARY PUBLIC -STATE OF FLORIDA
" Ruth Cordeiro
Commission # DD734765
•.,,,,,,,,; Expires: NOV. 15, 2011
Sign:
z� runs • —' BONDED THRII ATLANTIC BONDING CO., INC.
Print: �- 0
My Commission Expires: (iO . 15 c -k
NOTARY PUB
APPLICATION APPROVED BY:
(Revised 07/10/07)
Signature
The foreg
day of
is personally known to ,t
me who s poduced
NOTARY or PUBLIC
, io' end igt " e� 2011
NOTARY PUBLI - ` �0ha on #D
��}�$Q ••...••�� es: NOV.
as identifi w
,
C BO NDI NG C0.,7NC
Contractor
g instrument w acknowledged before mee this 02
, 20 k2, by AUZ D. I'n i t
(1).) .2/1,
My Commission Expires: ifjQ(1 . _L 5 P-0.1, k
a�+ ��x• ��x�x�xs���x��x�x• x�x+ a����a��:*+ ����x�x�: xa����: �xa: �x�x�x��x�x��x�x���x�: �: ����x��x�x�x�x�x�x�x�x+ xa�������xa: �x����x���x�: �x+ x�x�x�: �:+x������x�x��x���x����x��:�x�
Plans Examiner
Engineer
Zoning
131DG: :0 5. ..:
.................
37.50
12.60'
_ .
IP 1/2° GONG •
F.N.D.
NO ID.
17.20'
ONE STORY
RES. # 9800
• . {.. LL.LL �
(. LLLLLL . :. 1 A..LL..
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it
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L LLLL I ` 1 11.9$
20c O'
1k3,Gs:
6' W.F.
REMAINDER OF
LOT -3.
L3LOCI< -129
r.I.l' 112°
NO CAP
D'AVILA do ASSOC. SERVICES, INC.
1800 W. 991.h ST, SUITE 336
IIIAI , FL.33012
'ten' ND.ARY.• SURVEY
PI IONE:(305) 512 - 3710
• • • • • • • • • •
LEGEND
DRWY.
U.P.
B.O.D.
A /C•
A
BLDG.
C.B.
C.O.S.
CH.
CL
C/L
CONC.:
AND .ABBREVIATIONS
ELEVATION
DRIVEWAY
UIILRY POLE
BASIS OF BEARINGS
AIR CONDIIIONNG PAD
ARC DISTANCE
BUILDING
CATCH BASIN .
CONCRETE BLOCK STRUCTURE
CHORD OLSTANCE
CLEAR
CENTER LINE
CONCRETE
P.O.C.
F .N.
P.T.
E.N.C.
;.H.
I'.I.R.
I.F.E.
• ••• • • • •••
•• as • .- a as as
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• • • • • O. • •
• • •• • •.0— • 0 • •- • • •
sa . •
• • • • •
• • • • • •
• • ••• •
C. & 0. - CURB & GUTTER P.I.
S.I.R. SET IRON ROD P.R.0
POINT Of COMMEN - CEMENT P.C.
FOUND. NAIL F.N.D.
R POINT OF TANGENCY P.C.G.
▪ ENCROACHMENT AA /L
0. FIRE HYDRANT N.G.V.D.
m FOUND IRON PIPE 0.E.
• FOUND REBAR P.B.
▪ LOWEST FLOOR ELEVATION P.C.P.
I.P. a MINT POLE P.O.
(M) - MEASURED P.O.B:
(R) RECORD P/L
(R & M) m RECORD & MEASURED N.T.S.
• • • •
• • •
• ••
•• • • •• •• ••• ••
• • • • • • • •
• - • •
......... ......... _... - RLP1l2 ° ..
NO CAP '.'.
75.00 (RAM)
c6Mi WIT1i ALL fEflEiR •
.. .......
STATE AND CO( N RULE'S AND REGULATIONS
SURVEYOR'S N() . N 4 on this Suivey.
There may be Easements recorded in the Public ec
The purpose ()phis Survey is for obtaining Tide Insurance and Financing and should not be used for Construction inopnses.
- POINT OF INTERSECTION
▪ POINT OF REVERSE CURVE
POINT OF CURVATURE
▪ FOUND NAIL /DISK
m POINT OF COMPOUND CURVE
- MONUMENT UNE
.. NATIONAL GEODETIC VERTICAL DATUM
OVERHEAD ELECTRIC LINE
• PLAT BOOK
▪ PERMANENT CONTROL POINT
�. PAGE
4 POINT OF BEGINNING
= PROPERTY UNE
o NOT TO SCALE
PAGE 2 OF 2
NOT VALID WITIIOUT PACE 1 OF 2
JOB No. 08_ 004028 _ ,_
Drawn by: TULY
SCAT. .E: 1" = 20'
N. MIAMI AVE . : ..:..::::
D. & M. E. ° GRRABMI & MAINTP.NANCE
e ..
can RAT_ ANGLE
--/ /-- .. WOOD FENCE (8' HIGH)
-1(— *=CHAIN LINK FENCE (4' HIGH)
TQZ.I ..C.OS. WALT.
B/C - BLOCK CORNER
R a RADIII^.
MAD. - RADIAL
RES. RESIDENCE
B/w a mom or WAY
SEC. - SECTION
S.I.P. m SET IRON PIPE
STORY
SWK •+ SIDEWALK
UE UT8.I1Y FASEMENT
D'AVILA & ASSOC. SERVICES, INC.
1800 W. 491.11 ST. SUITE 336
I IIALLAI I • FL33012
PI.IONE:(305) 512-3710
Luty7538
Bkha D PT
...... . .
Ul.
......................... . • .• • • • • . • - • .•.••••!4••••••••••••••••••• • • • • •
4. •
ONE STORY
RES. # 9800
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-LL .. LT- 1-LL.L....•
C) -LL.LLELL I.I..1_1..1
L
- L.LL L1.1 1 I
LLLLLLL I I-LA. '. 11.98'
t .',
20.. 0'
EMAI ND ER OF
LOT - 3.
BLOCK -129
• • • .......
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• • • ......
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.. ..... . . ... — .
• /
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•
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SURVEYOR NO
oPt*TY . 4t
• • • •-•:* %•-• . ... . 7f.fr
:Argo.nroutivrioN
There may be Easements recorded in the Pubic
The purpose °phis Survey is for obtaining Title Insurance and
LEGEND AND ABBREVIATIONS
& 0
DRWY.
U.P.
B.D.B.
A/C •
A
BLOC.
C.B.
C.B.S.
CH.
CL
c/L CENTER
CONC.: - CONCRETE,
ELEVATOR
DRIVEWAY
MOAT POLE
BASIS OF BEARINGS
AIR CONDITIONING PAG
ARC DISTANCE
BUILDING
CATCH !IASI
CON'
CLEAR
BOUNDAF“ SURVEY
HYDRANT
UND IRON PIPE
.1 FOUND REBAR -
E IJ.E. LOWEST FLOOR
LORE POLE
(M) ...MEASURED
(R) RECORD
(R & M) RECORD & MEASURED
. ......... .
• • • • • " " • "
.. • ..... ..
on this Stu•vey.
oncing and should
P.R.0
-CEMENT P.C.
F.N.D.
GENCy • P.C.C. -
P.D. M/L
-
ELEVATION P.C.P. • -
PA.
P.o.e.
P/L •
N.T.S.
•
PL. 75.00 (R&
. .
• JR,1/2 •
• • CONC. • • • •• • • "I ••• ' • '• . i<•(2*it.!
OS'Af !age:: . . ...
.....
not be used for Constructio717AVIles.
. D. lic M. E.
••••
POINT OF INIERSECTION • • A
PONT OF REVERSE CURVE • • • • --//---
POINT OF CURVATURE --X—
FOUND NAIL/DISK • • r/22:D
POINT OF COMPOUND CURVE • • OA LI/C
MONUMENT UNE 11
NATIONAL 0EoDEfic VERTICAL P1101TUM41 • RAD.
OVERHEAD ELECTRIC LINE • • RES.
PLAT BOOK • • •RAY
PERMANENT CONTROL POINT • • • SEC.
PAGE 0 • • S.I.P.
POINT OF BEGINNING STY
PROPERIY LINE SWK
NOT TO SCALE LIE
PAGE 2 OF 2
NOT VAUD wallow' PAGE 1 or 2
JOB No. 08-:094028
Drawn by: TULA'
SCALE: 1" = 20'
• • •
• • w
• • •
•
•
•
EIRMIRABE & MAIRTENANCE•
EASEMENT
iwoLE• •
• Wo•) (11;
• OHNN LINK EENCE WO
• •■;C,13,1 WAU.
• maffelt ° CORNER
▪ RADII ill
▪ ADIAL
• REIIDLNCE
•• 'LAMM, DT WAY
SECTION • •
ems SEW MDR PIPE.
• stow
• •J'Adtwau<
UTILITY FASEMENT
•
•
•
i.VeR.441
. •
• • • , • . • • • .. • • .. - • . • . • • • • " • ' • ' 56 ASPNALT.....
p rd: • • • • • • •
N. MIAMI AVE.
.. . .............................
• •
. . • • • " • • • • • ' " • " • ' •
• • • • • • • • • • • • • • • • • • • • • • • • • • ••••• •
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. • • • • • • • • • • • • • • • • • • • • • • . • • • • • • 2 • • • • • • • • • ' ' ' ' • • • • • ••• • • • • • • • •
• le 04 WO
.• • •
• • ••••
• • •
• • •
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• •
ij itOMEVIEW
FEB 11 2010
BY: ....................
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• •.
• • •
•••
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•
• • •
•
s : • • s •
Ivtiami Shores Village
APPROVED
BY
OM
DAIE
ZONING DEPT
BLDG DEPT
/41 C`v
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
a•••
• •
••••
•.••
• •
ij itOMEVIEW
FEB 11 2010
BY: ....................
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MIAMI -DADE COUNTY HEALTI-1 DEPARTMENT
PERMIT #:
DATE:
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'ON! 'S3OIAH3S 'OOSSV 'P V1IAV,0
Charlie Crist
Governor
(Paver And Bricks services)
9800 N miami Ave
Miami, FL 33150
RE: Contingency Letter
Application Document No: AP923718
Centrax Permit Number: 13 -SC- 983233
OSTDS Number:
9800 N miami Ave
Miami, FL 33150
Lot: 4 +3 Block: 128 Subdivision:
Enclosures
cc:
June 03, 2009
Dear Applicant:
This will acknowledge receipt of an application dated 05/22/2009 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
There is no increase in sewage flow, no change in characteristics compromising the integrity or
function of the system.
From a review of your completed application, it has been determined that your existing system is
adequate for the proposed use..
AP 923718 is approved for the installation new patio and driveway.
If you have any questions on this matter, please call our office at (786) 315 -2444.
Sincerely,
Miami -Dade County Health Department
1725 NW 167th St, Opa Locka, FL 33056
Phone: (786) 315 -2444 Fax: (786) 315 -2090
Ana M. Viamonte Ros, M.D., M.P.H.
State Surgeon General
Jose • h ] r, E er Specialist I I
Charlie Crist
Govemor
(Paver And Bricks services)
9800 N miami Ave
Miami, FL 33150
RE: Contingency Letter
Application Document No: AP923718
Centrax Permit Number: 13 -SC- 983233
OSTDS Number:
9800 N miami Ave
Miami, FL 33150
Lot: 4 +3 Block: 128 Subdivision:
June 03, 2009
Ana M. Viamonte Ros, M.D., M.P.H.
State Surgeon General
Dear Applicant:
This will acknowledge receipt of an application dated 05/22/2009 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
There is no increase in sewage flow, no change in characteristics compromising the integrity or
function of the system.
From a review of your completed application, it has been determined that your existing system is
adequate for the proposed use..
AP 923718 is approved for the installation new patio and driveway.
If you have any questions on this matter, please call our office at (786) 315 -2444.
Enclosures
cc:
Sincerely,
Miami -Dade County Health Department
1725 NW 167th St, Opa Locks, FL 33056
Phone: (786) 315 -2444 Fax: (786) 315 -2090
Jos `^ - , ngineer Specialist II
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MIAMI -DADE COUNTY HEALTH DEPARTMEN
PERMIT #:
DATE:
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'ONI 'S3OIAN3S 'OOSSV �P V IIAV cJ
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Number INSP - 115201
Permit Number: DS -5-09 -883 I
Scheduled Inspection Date: June 17, 2009
Inspector: Bruhn, Norman
Owner: GENOVEVA DE JESUS, WILFREDO & AN
Job Address: 9800 N MIAMI Avenue
Miami Shores, FL 33138-
Project <NONE>
Passed 9i
Failed
Correction
Needed
Re- Inspection
Fee
June 16, 2009
Contractor: PAVERS AND BRICKS SERVICES CORP
Building Department Comments
U,
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
Permit Type: Driveways /Sidewalks/Slabs
Inspection Type: Foundation
Work Classification: New
Phone Number Q-
Parcel Number 1131010330030
Phone: (305)986 -2544
Page 9 of 15
t
Inspection Number: I NS P- 115204
Permit Number: DS -5 -09 -883
Scheduled Inspection Date: June 30, 2009
Inspector: Bruhn, Norman
Owner: GENOVEVA DE JESUS, WILFREDO &
ARIA DIVCDA
Job Address: 9800 N MIAMI Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: PAVERS AND BRICKS SERVICES CORP
Building Department Comments
NEW PATIO AND DRIVEWAY WITH BRICKS OVER SAND
BASE
Passed
Failed 9
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
b ac eut er s aeu /So '"
®02 Tticc4 "et •. off
1. .nn 'ICI Irmo
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756-8972
For Inspections please call: (305)762 -4949
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Phone Number ()_-
Parcel Number 1131010330030
Phone: (305)986 -2544
o ,ne Q ..s IA
BUILDING
PERMIT APPLICATION
FBC
Value of Work For this Permit $ 6.9 00.00
Miami Shores village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
RECEIVED
Job Address (where the work is being done) 9 800 N. 0J0
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
County Miami -Dade
Architect/Engineer's Name (if applicable)
Permit No. 5 O 1 —8K)
ter Permit No.
Permit Type (circle): Building Roofing
Owner's Name (Fee Simple Titleholder) 1 jt1. q; A ni. Phone #
Owner's Address q g D0 ,! . /V,/.! rn :. A✓°
City414iet 5 A4'i L, State L.
Tenant/Lessee Name
Zip 33 150
Phone #
Zip
Contractor's Company Name ui tit_ et_wit /mid t It CeiulliLo Phone #
Contractor's Address g 3$ W . 4 e ii. I-1 u y
City 191C4 Al State F L Zip 33/
d
Qualifier Name Taut rilm In - - Phone # 11 T / - 441 -116/
State Certificate or Registration No. Certificate of Competency No. O to ..;.Se2 406 70
Phone #
Square / Linear Footage Of Work: 2 - 3c
Type of Work: 0Addition ❑Alteration ew ❑ Repair/Replace ❑ Demolition
Describe Work: //
7 PA - 7 no ,.,9 i tygo/ aki (/ ( 1 4 , 11 �i
�� 7
c . � * ******* * * * * * * * * *a ** * * * * ****a:�x�xx�:rx *** Fees ***** �x�x**** �x: x *�x**** *�x***** * *+��x�:**** **** : ****
Submittal Fee $ . Permit Fee $ ow` CCF $ 4ao C6fcc
Notary $ #.--- Training/Education Fee $ I •40 Technology Fee $ S
Scanning $ Radon $ DPBR $ Zoning $
Bo $ 1153 Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ zu. 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 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 apps ved a reins Lion fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 1 -
day of , 20 4, by
who is personally known to me or who has produced
As identificabiemigiega4iflak6
Ruth Cordeiro
3• -" : Commission # DD734765
Expires: NOV. 15, 2011
BONDED THRII ATLANTIC BONDING CO., INC.
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 07/10/07)
4
Viga
Contractor
The foregoing instrument was acknowledged before me this ?_ r
day of .ItA -4r , 20q.,by 'RAUi?. j) flikA0Ve
who is persona y known to me or who has produced
as identification and who did take an oath.
NOTARY PUBL NOT B LIC -STATE OF FLORIDA
Ruth Cordeiro
Commission #DD734765
' Expires: NOV. . 15, 2011
Bodes TRW ATLANTIC BONDING CO. IN
My Commission Expires:
* * * * * * * * * * * * ******* ********s: ** * * * *** * * **** *, **** *** ** * ** * * * * *** * ** *****
Plans Examiner
Engineer
Zoning
oz
NOTICE OF COMMENCEMENT
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 MIAMI -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.
1. Legal description of property and street/address: Lit 4 ÷ ,
2. Description of improvement: Ai f w
` »tic -K
3. Owner(s) name and address:
A A)
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address:
"OIL , iagW /a' , dp it/Ew PA i irJ
9 R o lD N. A,t i 0/"AL A-el,o 4. s4,# p, tc 3 3 1 S O
5. Surety: (Payment bond required by owner from contractor, if any)STATE OF FLORIDA, COUNTY OF DARE
Name and address: da
•s office on
Amount of bond $
6. Lender's name and address:
I HEREBY CERTIFY ►hst'i1;.. IS,O copy or Ma
111111111111111111111111111111111111111111111
CFN 2009R0430889
OR Ek 26902 Ps 3939; tips)
RECORDED 06/15/2009 14 :43:58
HARVEY RUVIN? CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
-al
Vnrilp. A D 20
'hind ' Official Saal.
UVIN,
f
BY A41,144_ IP
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:
8. In addition to himself, Owners designates the following persons) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), 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
differe • ate is spe 'fied)
wgtTature of Owner
T\NAM;SEle A805 7-11`)
Sworn to and subscribed b me this • 2'l day of 1
, r e dile
Print Owner's Name
■otary Public
'rant Notary's Name
the commission expires:
13.01 -52 PAGE 4 8/02
Prepared by
, 20 O'q
Address: l 1 E Vj x ■
C -STATE OF Itrn ,/� ifl
Ruth Cordeiro
lion # Df7347G5
'••.,;,, ".••' Expires: NOV. 15, 2011
BONDED TERT CO., INC.
33`6/.
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, Ayteli,a24
following described property:
Legal description/folio#:
Lot
r
Tax Folio #:
requests permission to install:
sphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of No/' 3 -
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 Iien 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'tiie 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 2, f day of d VIA, - 9
SIGNED. SEALED AND DELIVERED in the presence of:
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (30 795 -2207
Fax: MO5)-766-8972
, hereinafter referred to as the Owner of the
Block 12_ Subdivision , /!/l ;A/ 1 $ / - ic$ S . 7 j L)
. NOTARY PUBLIC -STATE OF FLORIDA
"" Ruth Cordeiro
Commission #DD734765
Expires: NOV. 15, 2011
BONDED TURD ATLANTIC BONDING C0 INC.