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DS-07-2070Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 01/07/2008 Inspector: Grande, Claudio Owner: RAMOS, MARIA ERICA Job Address: 308 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: CHAMPION CONCRETE Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number 305)757 -8815 Parcel Number 1132060135990 Lot: Phone: (305)252 -8055 Building Department Comments PAVERS DRIVEWAY �' jo 0 4 2000 ifit Passed I Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Thursday, January 3, 2008 Page 1 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATIO FBC 2004 Permit Type (circl Permit No. CIS 1 lab Master Permit No. Owner's Name (Fee Simple Titleholder) b L ,0410O K IA/ �J Phone # Owner's Address 30 AJE City • /MaEl State r-Z-C/Z( it 306' -7R # f� Zip 33 ! 31 Tenant/Lessee Name Phone # Job Address (where the work is being done) 300 NE 5C !xl/ee City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO D( Contractor's Company Name c f, p i CQ/l7eikel c Contractor's Address 5-33 ®Su) / iii°, City ft-4 Qualifier Name J4III e 1A D State Certificate or Registration No. Certificate of Competency No. ®`CAS it, 491 ?S State Phone # 0o5 271,0.. kJ Zip 3 3/T6 Phone # Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $6gfi Square / Linear Footage Of Work: Type of Work: ['Addition DAlteration ['New Describe Work: / 74YJ'ioi4s9 559 Repair/Replace ❑ Demolition * * ********* * ******** : *: * **** *********** s * ******** :* **** ******* ************ ********** Submittal Fee $ Permit Fee $ l D 4 Notary $ 5""' 40 CCF $ 441 CO /CC Training/Education Fee $ t 40 Technology Fee $ Scanning $ Radon $ Bond $ Structural Review. $ DPBR $ Zoning $ Code Enforcement $ Double Fee $ A (6 Total Fee Now Due $ 4 . 3^ S 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement st be posted at the job site for the first inspection w ich occ .. s seven (7) days after the building permit is issued In the a senc of such posted notice, the inspection will not b a % ro,i qj a ret pection fee will be charged. ner or Agent The foregoing instrument was acknowledged before me this day of � ,2061, by U .�1 who is personally known to me or who has produced 6FT,'D9NIAS \A(.. 501/41- As identification and who did take an oath. NOTARY PUBLIC: t, killirriAPPP Sign: Print: My Commission Expires: ***** **** ** ** * *** * * * ** ** Signature Contractor The foregoing instrument was acknowledged before me this 7 day of ocr 20 ®0$ , by Fa/OrSri who is .' ° rsonally know F' to me or who has produced as identification and who did take an oat NOTARY PUBLIC: Sign: Print: My Commission Expire ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 07/10/07) Plans Examiner Engineer Zoning w MIAMI-DADE COUNTY, w 0 u_ 0 z 0 0 O LL LL 0 Q This Instrugient Prepared y: Name eNi loge bi}3ii; 0 Address Sua jet 7eAt, fi{ f 9f1m „ 33 Permit No. STATE OF COUNTY OF 07 THE UNDERSI GNED 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. NO DICE Or COMMENCEMENT Tax Folio No. 1. Description of property: (legal description of property, and stree+ address If available) _goit Ara i j4Avvvt rite' xyl f(.. 3313i' 2. General description of improvement: 301 3. Owner information a. Name and address: L - d r O v # 4) K. N 3e4 me et �9 .l,4 S> S b. Interest in property: 3Y)33 c. Name and address of fee simple titleholder (if other than owner): 4. Contractor a. Name and address: 41-1 4(,A) GOAct'<2/c (533 0 .SLC) b. Phone number. 3to5 242_ —162,7 5. Surety a. Name and address: b. Amount of bond $ c. Phone number. 6. Lender a. Name and address: b. Phone number i��Y,tIL- AltAwt /4 33174 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. • 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 MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE •B SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH 0:'='+ • OR AI'jATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMME Ztai4,uV 1 , VL gna re of • er or Owner's Authorized Offi« «or Partner/Man, ! er Signatory's Title/Office K The foregoing in§tryme t was acknowledged before me this q day of 0C( ( (year) by �/dkl��r AO ((1 (name of person) as (type of authority, ...e.g. offi , trustee, attom =. fact) for (name of party on Slgna re of ' otary Public — Sta of Florida Print, Type, o ; ..mp Co . coned Name of Notary Public Commission Number ' Personally Known _ or Produced Identification � ,.,.�" ' `Z ' behalf of whom instrument was e Verification Pursuant to Section 92.525, Florida Statutes Under pi allies of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Signature of Natural Person Signing Above 1b '•STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, /60P4raPO KocK1 &i( , does hereby attest that the (property owner) attached survey, performed by IVO e4 j g t/Cv ©Q 5'i /NC (name of surveyor's company) performed on 27 200 is an accurate representation of the existing conditions and date o 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. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to thi Further, Affiant sayeth naught. 12 /Al- ER(esti' tekM S Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this C day of co- Affiant is personally known to me, produced e,----Ditve73 1 /C §7Oi6' 4as identification. if/laini Sh,ore� ?/M1 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (3051755:-.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, Z®/V/ H 24 /i'j4('� , hereinafter referred to as the Owner of the (owner) following described property: Legal description/foliog: f4 3206 -04 3 '590 Lot ,d 9 Block by Subdivision Tax Folio #: requests permission to install: Asphalt, concrete, brick pavers [ J Landscaping [)Other within the public road right of way of 3 bC S„ (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 f 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 5, d SIGNED, SEALED AND DELIVERED in•the presence o 5582 N W. 7th STREET SUITE 202 MIAMI, FLORIDA 33126 TELEPHONE. (305) 220-3171 FAX: (305) 264.0229 DRAWN BY. TULY cr a ill 11 Lir Nti nr. LAND SURVEYORS • • • • • ••• 80LIN ai Vql •••SC'3ALE m1•:2i • • • SURVEY No. 6- 0002885 SHEET No. 2 OF 2 y ¢ JI ,rl �t ?, F ,y r ,u i dpVb. ! - - - -- 111116 �'�tl 4,r' • . • • • O. •I +•T'� JJJd....JJJJ - la�lvt, I 1H /y 7 log al4�s .,a d • •• • • ••t by y5, i. ®oY tr11 d�. +.: • • ••• ••'� ^i11;i� Opt R�I LIYF A play �f1y 11 fl4 , '' �,.Y 6 i' YI ll I IXA'1.�F , I 1,l � I 4 "'11. l'} p }1 I 1 �. jn -. SAiJiu ta, r ��ry,�I (,�.4ytAjr F 1,',a h ll k N la',14 1:. 1 y. tli I 4 ' 'v'I t'h v; l'' ;' =�X �''. .•G�1 ✓r ' f a• {� �:k�1' 1. 11' MEDIAN F.I P 1!2' NO CAP ". 1 30 X : 3 LOT -7 BLOCK . 44 90 °7'12' ZONING 'b EPT Age BLDG D PT frArA IF SUBJECT TO COMPUANC WITH ALL DERAld STATE A. ID COUNTY RULES AND REGULATIO F.I.P 1/2 100.00' 15'ALLEY': (N.A 60,00' TOTALRJW• U.P LOT- 10 BLOCK • 44 LOT-11 BLOCK -44 .SI /t1 I :iUH'S.'VOTE: .••,I:n: ma•; be lEuiements recorded in the Public Records not shpwn on this Survey. • '1 Lo I•;:rl,li.;l: of this Survey is for use in obtaining Title Insurance and Financing and should not be used for Construction purposes. LOT - BLOCK SURVEY No. 6-0002885 ••• • • • • • .,x,... • ' • w • • • • • '7•• (�• m• O.1 O • • M '' of 'y Vyrj•JS • • ••• • • • • ••• •• SHEET No. 2 OF 2 M SH ;For D before fin i insp apptoved f 9 r refu ust i J THIS • F NC CAP U.P. LOT • 10 BLOCK— 44 LOT• 11 BLOCK 44 LOT - BLOCK- .St it 1'!; Y't1 H'S .VUTE: l':n:rc may be I•;usements recorded in the Public Records not shown on this Survey. • I i.r ,.ury, :r.;c cf this Survey is for use in obtaining Title insurance acid Financing and sh. Construction purposes. Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit Na DS-10-07-2070) Issue Date : 10/15/2007 Expires:10/15/2007 Folio Number:1132060135990 Owner's Name: MARIA ERICA RAMOS Owners Phone: (305)757-8815 Job Address: 308 96 Street NE Total Square Feet: 1500 Miami Shores Village, FL 33138- Total Job Valuation: $ 7,000.00 ...... Contractor(s) Phone Primary Contractor •• •• CHAMPION CONCRETE (305)252-8055 Yes Planning and Zoning Criteria and Comments Approved: Yes Comments: 12/10/07 Date Approved: 12/10/2007 : Yes NEW PLAN ADDS SIDEWALK OK Miami Shores Village 1211 kiftW g Ecithil Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 ; 4 S i Permit Type (circle): Owner's Name (Fee Simple it eholder) Roofmg tzs<litA Act,- Ownterr.'s�Address .388 AO- 9 V �"' City V �4)4 Sf +ij State Permit No. DS -1 2016) Zip 3 318i1 Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip 3 (3 y FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name el-6/4"4". C2) 1Q 014) Contractor's Address 143(30 —S G J /''t w'-re ,'( Phone # Sus 2-52 aPO5 City µ2 % AiA.4 p State .�'� Zip ?1 Qualifier Name �.1 *cLi"e 0,14.1L6.4 Phone # State Certificate or Registration No. Certificate of Competency No. O5 As O® 8'S Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 4250 at3 Type of Work: Describe Work: DAddition DAlteration Square /Linear Footage Of Work: 3ED v Xew )] Repair/Replace D Demolition ******** * * * * * * * * * * * ** ******* ** **** ** * ** Fees **** *** **I *** ** * **** * **** *** **** **** *** ***** r Submittal Fee $ Permit Fee $ B ��'' • Notary $ Training/Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ CCF $ CO /CC Technology Fee $ Zoning $ DPBR $. Structural Review. $ DqulelFee�$a Total Fed Now Due $ JAN 6 3 2008 we 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 Q s 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 approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by , day of , 20 _, by 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. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * **** **** *** ***** :: ****** : **** * * *** ** ********* * * ****** : *** ** * * *** * * * ** ** : *** ** ******* **** * *** * ** NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 07 /10/07) Plans Examiner Engineer Zoning