DS-07-2329Inspection Date: 01/07/2008
Inspector: Grande, Claudio
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Owner: MCLAUGHEN, LAUREL
Job Address: 126 97 Street NE
Miami Shores, FL 33138-
Project: <NONE>
Contractor: CHAMPION CONCRETE
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
U•••■■ Work Classification: New
Phone Number
Parcel Number 1132060132540
Block:
Lot:
Phone: (305)252 -8055
Building Department Comments
PAVERS DRIVEWAY
SAN O 4 2000
Passed
10
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Thursday, January 3, 2008
Page 1 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Owner's Name (Fee Simple Titleholder) f vi I'
on #
Owner's Address (2-6 /tie q75-7---
City triP Pit 5110t7) State s Zip / 3 / 3(
Tenant/Lessee Name Phone #
NOV 1 5 2001 J
BY:___
Permit No. corn -62509
Master Permit No.
Electrical Plumbing Mechanical Roofmg
Job Address (where the work is being done) ,"
City Miami Shores Village
Is Building Historically Designated YES NO
Contractor's Company Name C i Y,/ 6),u
Contractor's Address 53 D Jul
County Miami -Dade
City ®'
Qualifier
"IA
Zip
Phone # O$ 752 'O 5
1l State �(• Zip
t IAt4d
State Certificate or Registration No. Certificate of Competency No. 054500/5
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Phone #
Type of Work: ['Addition ['Alteration f�
Describe Work: /e t�
are Footage Of Work:
❑ Demolition
****************************Fees******************************
** * *** * * * * *** * * * * * *, ** * * **
Submittal Fee $ Permit Fee $
Training/Education Fee $ V • SK)
Notary $ S • 00
Scanning $ •00 Radon $
Code Enforcement $
Total Fee Now Due $ 1,4 p.. • D 2.
(Continued on opposite side)
Structural Plan
Zonin
CCF $ 2.10 CO /CC
Technology', Fee $ 3r 17 sort
Bond $�� •� I ado
NOV 1 9 2007
hitti -peorg 1Sd4_
MIAMI SHO ES ViLLA E
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 ielivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must /. e posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the ab'ence such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature
Owner or Agent
The foregoing instrument nwas acknowledged 01
gnowledged before me this '
day of i' Aar • L. 20 .03 by 11)04 O I
who is personally known torme or who has produced
As identification and who did take an o, th
NOT '. PUBLI
Sign :. h %
Print: lir
Signa
Contractor
The forppe��gy�ing instrument was ackno ledged before me this
day of 104 O 0 , 20t;.! , b) ackno
1 ,) 1 1 l
who is personally known to me or who has produced
ARY PUBLIC. or
411,' ,A1: Laildral
My Commission Expires• i I o My Commission Expires:
Sign:
Print:
as identification and who did
* * * * * * * * * **
APPLICATION APPROVED BY:
chc 05/13/03
* * * * * * * * **
Plans Examiner
Engineer
Zoning
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, �A J L tiCk4U ileitidoes hereby attest that the
(property owner)
attached survey, performed by /4-P / 6-440 ijijC
(name of surveyor's company)
performed on
(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 an 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.
, is an accurate representation of the existing conditions and
Witness(sign and print)
operty o
Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this 1 day of J \J . ` a& T1
Affiant is )0 personally known to me, . produced as identification.
Xored Viliag
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138.2382
Telephone: (305) 795 -2207. .. •
Fax: (3051.756- 8972.. .
� �COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, /r-"� / / i C/4 IdCWX./' , hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description/folio #:
Lot Block Subdivision
Tax Folio #:
requests permission to install:
Asphalt, concrete, brick avers
[ ] Landscaping
[] Other
within the public road right of way of
(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.
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'thie 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 1 .. day of NOV _. r d 007
SIGNED, SEALED AND DELIVERED in•the presence of: j ,
MIA ROYSTER
Way Public - Slab GINO*
Comatalon Expbe De c 7S, 2008
Commbion # ID 382403
Bonded Nasal Aeon.
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit NO. BPP -9 -06 -2329
WHO
baStOet
Issue Date : 9/18/2006
Expires:941 8/2008
Folio Number:1122320280990
Owner's Name: SAM RUTLAND
Job Address: 10600 10 Court NE
Miami Shores Village, FL
Owner's Phone: (305)893 -7285
Total Square Feet: 0
Total Job Valuation: $ 8,500.00
Contractor(s) Phone Primary Contractor
ALL FLORIDA POOLS AND SPA CENTER 305 - 893 -4036 Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 11/16/2007 : Yes
Comments:
vamummmenv
This property described
The West 5 feet of Lot 9
and the East 1 of Lot 11
AN AMENDED PLAT OF MIAMI
SECTION NO. 1,
according to the Plat
thereof, as recorded in
Plat Book 10, Page 70
of the Public. Records of
Dade County, Florida.
FLOOD ZONE: X
as:
, All of Lot
, Block 19,
SHORES
10
3
rSG,I
So'
So'
slog
So'
ISo'
to,
• Iq
13
It
III.
` I1
4 Q
$
i
•1..
i
1/1
Z 15
14,
17
So'
18
s0
Iq
Sol
to
21
sus
9&t"
LCATIDNI tk4AF,
�GQLE (ii�2o0 r
Note: Underground
encroachments
and utilities,
if any, not
located.
eb
o: 14 And M
rvices, inc.,
Commonwealth Land Title
insurance Company,
McLaughen, Douglas and
Lauren and Universal
American Mortgage Company,
its successors and /or
assigns.
MERIDIAN.
BEARINGS, IF ANY SHOWN, BASED ON
�IP-- -Ot1ND Too pipe.
I -teA
cemmiz L4
1W- 12464 OF W
J CT TO COMPLIANT INI (N ALL bEDER:4L
'`'' +.TE AND COUNTY RULES AND REGLILATL4 ,• :•
PROPERTY OF: McLaughen, Douglas and Lauren, 12 -6" :° tb -S •,; ma_ 'horLg;:
Not valid unless embossed
with Surveyor's Seal.
1
L5
A BOUNDARY
U�i'yt
on
t nda
a d'Su
. u 27, Fl
•` en
SURVEY
e survey repre-
the minimum
et forth by the
yors pursuant to
tatutes. There are
erlaps, easements
a Wither than as
•
LANESand' GA, A, I N C. •
ENGINEERS - LAND SURVEY∎dar -•LAN 44M $NERS
••••
Office address: 359 Alcazar Avenue,rorrf Gabi s, trorlda 33,134
•• •• •• .. ••••s
Maifing-addr S P. Box_ 561:1 `+M•liami, Flo?ida 33156 • •
• vi nr4• •
d Surveyo No.
DATE
6. -11 -11
This Instru t Pre. -red Byp1U d
Name _ � 'C.- °.�
Address 1f'rr / -.
Permit No
STATE OF
COUNTY 0
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..
1. Description of property: (legal description of property, and street address if available)
WO-
Atria
111111111111111111111111111111111111111111111
NOTICE OF COMMENCEMENT
CFN 2007R11098233
OR 1'k 26050 F's 17841 (1P9)
RECORDED 11/15/2007 15:36:43
HARVEY RUVIH, CLERK OF COURT
MIAMI-DADE COUNTY? FLORIDA
LAST PAGE
Tax Folio No.
e
ilk NO f7 "' f 3' ed
2. General description of improvement:
J reaii
3. Owner Informatlorf `�,
a. Name and address: B17"1 ife 1//6 Z4 /'v t f Jr-
b. Interest In property: 11/14111/ hie"A 33>
c. Name and address of fee simple titleholder (if other than owner): v(J
4. Contractor:
a. Name and address: ‘%f4 Coivapot L 53)0 J� l / , "lime
b. Phone number. 3j5 t'®•S.S •� �+
5. Surety
a. Name and address:
b. Amount of bond $
c. Phone number.
6. Lender
a. Name and address:
b. Phone number:
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
7.13.13(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 JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
SI
P
Owner or •wne sA • , e:j.fflcer /Director
Signatory's Title/Office
.year) by = i-Wit
• oin 1 ument was acknowledged before me this 1a day of
(name of person) as
authori ��
authority, ....g. officer, trustee, attorney in fact) for
behalf of whom Instrument was executed).
(type 01
(name of party on
Signature of Nota' Public — State of Florida
Print, Type, or Stamp Commissioned Name of Notary Public
Commission Number •
Personally Known X or Produced Identifi fl
ca on
• Verification Pursuant to Section 92,626. Florida Statutes
Under penalties of perjury, I' declare that 1 have read the foregoing and that the facts stated in It are true to the best of my
knowledge and belief.
STATE OF FLORIDA, COUNTY OF DADE
I HEREBY CERTIFY that this is al - y of the
G «ina! fed in this office / day of
WITNESS my hand and
HARVEY RUViN, CL
,anty Ctun's
D C.
Signature of Natural Person Signing Above