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DS-08-1049Inspection Date: 11/04/2008 Inspector: Bruhn, Norman Owner: FIELD, PAUL & CAROL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Job Address: 1235 95 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: CHAMPION CONCRETE Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060143991 Lot: Phone: (305)252 -8055 Building Department Comments REPLACE DRIVEWAY, FROM ASPHALT TO OLD MIAMI PAVERS Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 86479. Sod not complted for Final inspection. 6/18/08 CG C/t" ��� Failed Correction Needed ■ Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Monday, November 3, 2008 Page 1 of 2 S t &b ictokku, Miami. Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 7s7i: :77:11 LA 110 ij • BYea!!L me_a_em__ Permit No. OSO ' 1049 Master Permit No. Permit Type (circle). Building Roofng Owner's Name (Fee Simple Titleholder) CANot y Po.uL fi N%ai Phone # 3 C Owner's Address 12.35 IN lz LS s�- City elvt-NivA S ItOre5 State zip 3301' Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip 3 3/37 FOLIO / PARCEL # Is Building Historically Designated YES NO X Contractor's Company Name '1 AAI ?J uN CO r lC/V" o'>r Contractor's Address LS 33 0 -sw l zl Z rtteL Phone # av5 -5Z - crags" City f Aso Qualifier Name --/A -117x- 6i4) vi State Certificate or Registration No. State 4-l Zip 33)q—it Phone# %�6 `tub= LL'* Certificate of Competency No.- 05 65 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: 68(--) Type of Work: ['Addition ['Alteration Describe Work: ®4O Mr4-4j1 1A-V+2q,.., Repai/11eplace [' Demolition Submittal Fee $ Notary $ "00 Permit Fee $ Training/Education Fee $ 'OD Scanning $ G .00 Radon $ Bond $5 .o4r10i *,********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ 6 CO /CC Technology Fee $ .542- $ COQ .15 . Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 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 FI.ECTRICAL 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 $2501, the applicant must prom ° n goof at 't a copy of the notice of commencement and construction lien law brochure will be � livered to the person w ose property is subject to , Also a certified copy of the recorded notice of commencement must b posted at the job site or e first inspection which . s en 7) days after the building permit is issued In the a x sence .uch posted notice, the inspec ion will no be approv 'l1 be charged. Signature Contractor m r ged before me this LPL The fore oing instrument was ackno ledged before a thi , 20 O, by PQ.LLe , day of ��.LUQ� , 20 O' bk.b) J S J� , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. lW las identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: , � !'p ",, sU�MIA AAANtAAy j I ( �) .: 4;© �,. "\A. �G`� Sign: ii .1 die/ ' -0 ,5i _ , , , Sign: I ec, A• 9 �t/ ,'' • Print: �. A� a lit ?4,2 • Y6. Nt..z, .b�°p# `�� ;- Print: 4 c4► �� p My Commission Expires: _ -NO = � My Commiss.. n Expires: ... • "" ",God ************ ***** ********* * * *** **:x ********* *** *** ::x****** *** ** :*** *** *** ** ******* ** x * * * ***** X01, APPLICATION APPROVED BY: Plans Examiner s l Engineer Zoning (Revised 07110/07) Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Perrnit NO. DS-6-08-10491 Issue Date: Not Issued Expires:Not issued Folio Number:1132060143991 Owners Name: PAUL & CAROL FIELD Owner's Phone: Job Address: 1235 95 Street NE Total Square Feet: Miami Shores, FL 33138- Total Job Valuation: 680 $ 5,000.00 Contractor(s) Phone Primary Contractor .. .. CHAMPION CONCRETE (305)252-8055 Yes .. :.•.:.: -.—.....---.,..e...-....—.y.,.............,...x.:...:.:.::m.:...m.x.:+:4:...x.:......:.:.:.:.:.....::m:::::::...:.:.:.x.:z:.x+x.:.:.:.:.:.:...x.:+:.:.sx.:.:.:.:.:.*x.:::*:+x::**::.:.:.:.:+o.„..,..:...:...:,;::: Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 6/6/2008 : Yes Comments: DRIVEWAY MUST BE SEPARATED FROM SIDEWALK BY GRASS STRIP OF AT LEAST 2 FEET IN WIDTH. 4. M o,.4. FLORIDA 4l� iccmi SJored %'L&p 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795- 2207 Fax: (305).756- 8972.... • WHEREAS, COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY t tld hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio #: Lot Tax Folio #: Block Subdivision requests permission to install: Asphalt, concrete, brick pavers [ ] Landscaping []Other within the public road right of way of 12-AC N h‘ -A OA S f t°0APg ,,/, 33 j (address) 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. 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. ?• 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 • uil authorized re •- esentative). SIGNED, SEALED, EXECUTED AND AC OWLEDGE on this SIGNED, SEALED AND DELIVERED in the presence of: rersuutlic 0-0)01_ it) nu. 00-1-W utlit 54e. 0-F Rovirlcc.. V (iuryr.i Skor (/iLCccc�.e 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, attached survey, performed by (property owner) does hereby attest that the (name of surveyor's company) performed on , is an accurate representation of the existing conditions and (date of survey) 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 existence of any such structures may affect final inspecti Further, Athant sayeth naught. r fitness ana1t) ilbt0,65 print) further understands that the s as applicable to th. oth ''ttness(sign and print) IA SWORN TO AND SUBSCRIBED before me this �� day o Affiant is personally known to me, roduced SefYlinZ� as identification. •...111• • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • OOOOOO • • OOOOOO • • •OOOO • • OOO•• •oo•oo • • ? • ••••••:11," ( Vj 'Ll q' 1.-,-. i;,,_i;■1 --_a_.,! ... i;' II' • 40. fro :• ;hap' j a IS.V. 04.10' • • -fir vie gi,tPrie04.1.400 14000.4,40 • 4, 41.34e of)04{ fluitwoo \11.4.,1""• • ;>\ Miami Shores Villa.e STATE AND COUNTY RULES AND REGULATIONS 3S HEREON (IF ANT) ARE REFERRED TO AN ASSUME) VALUE OF FOR THE • — R.." !W .A.. A 1,1. 0.1.••• Yttr f• OW AlAMitlY1 This Instrument Prepared By: Name •1/4 /11,•C_ 460a`tot a Address � 30 siq,J tAir`e '11 J Alt-* el, Permit No. STATE 0 F g-M- COUNTY OF Ie00't . THE UNDERSIGNED hereby gives notice that improvement 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. CFH 2008R0478673 OR RECORDED 06/11/2008 HARVEY RUVIH, CLERK .LAST PAGE 11111111111 1111111111111111111111111111111111 BK 26424 F's 2588 (1Ps) 10:56:57 OF COURT, MIAMI -DADE COUNTY, FLORIDA NOTICE OF COMMENCEMENT Tax Folio No. 1. Description of property: (legal description of property, and street address if available) (23$ Nom" RS sT h446 sk v)-141.45 /-/.o 3 3 let( 2. General description of improvement: 41UtwAy 3. a. Owner amefanda dd C4IL t �AV i f f a. Name and address: �..� ` b. Interest in property: t'2.15 I J 5 5 (,I,a t� 1 WAS 3 Z c. Name and address of fee simple titleholder (if other than owner): 4. Contractor: a. Name and address: b. Phone number. 5. Surety a. Name and address: b. Amount of bond $ c. Phone number 6. Lender a. Name and address: b. Phone number. 53 0 Xt.) 1Lt?'i 2& lLiA.t A 14..- 35»4 3L S ZS L- dr-ofS 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: a. Name and address: b. Phone number. 1 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a. Name and address: b. Phone number. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MAD COMMENCEMENT ARE CONSIDERED IMP FLORIDA STATUTES, AND CAN RESU NOTICE OF COMMENCEMENT MU INSPECTION. IF YOU INTEND TO COMMENCING WORK OR RECOR HE OWNER AFTER ER PAYMENTS UNDER C YOUR PAYING T1MCE FOR I BE RECORDED AND POSTED BTAIN FINANCING, CONSULT WI NG YOUR NOTICE OF COMM THE EX RATION OF THE NOTICE OF R 7 3, PART I, SECTION 713.13, P V NTS TO YOUR PROPERTY. A JOB SITE BEFORE THE FIRST N R OR AN ATTORNEY BEFORE VFW Sign= . ry's Title/Office er`s Authorized Officer/Director c649c- ceufjorpoi9g in ment was acknowledged before me this tP. day of ilL. �r�w 1 (year) by (name of person) as (type of authority, ...e.g. officer, trustee, attomey in fact) for (name of party on behalf of whom I s ' e. t s executed). Verification u uant S e nature of Notary Public - State of Florida Print, Type, or Stamp Commissioned Name of Notary Public Commission Number Personally Knows! or Produced Identification action 92.525 ° orida .. tutes Under penalties of perjury, I declare that 1 have read the foregoing an knowledge and belief. It are true to the best of my Sign ture of Natural Person Signing Above