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DS-07-2025Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 03/17/2008 Inspector: Rodriguez, Jorge Owner: PETERSEN, JHON Job Address: 893 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Block: Phone Number (305)498 -1440 Parcel Number 1132060142690 Lot: Building Department Comments REPLACE EXISTINING CONCRETE SLAB OF ALLEY INFRONT OF GARAGE AT REAR OF PROPERTY WITH MARBLE PAVERS IN SAND BED. TO CREATE A COURT YARD IN THAT AREA MAR 1 8 M Passed ! Inspector Comments CC -..-17 .0 /j Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Friday, March 14, 2008 Page 1 of 2 stiU, LA Vt. TiCkiwA Oa' tvituaki-\i 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 CEIVED SEP 2 2007 BY: 61)2,do--1 Permit No. ©1— 2616 Master Permit No. Permit Type (circle): Building Roormg Owner's Name (Fee Simple Titleholder) ,7 1/ PErm5;e4/ Owner's Address gig /V_ fi„ City in/4 . ri State F�-• Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) F75 AZ87, ?Z9 fr - City Miami Shores Village County Miami -Dade Zip 1:7/,?," FOLIO / PARCEL # gay Is Building Historically Designated YES Contractor's Company Nam Contractor's Address City State NO Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: ['Addition Describe Work: 60® Square / Linear Footage Of Work: ee Iteration ['New ❑ Repair/Replace ❑ Demolition ,Atc. . x' ,f, off, file., ` ( ,��1�% ***** *** * **** * ** ** * * ** ** ** **** * ** *** ***Fee ******************************************** Permit Fee $ 0-0.0 CCF $ 2 40 CO/CC Technology Fee $ L. <S Q Zoning $ ouble Fee $ Total Fee No Due $ '1. ■I . 2 See Reverse side -* Submittal Fee $ Notary $ 5-00 Training/Education Fee $ V 'CO Scanning $ Bond $ WO Pa) Radon $ Code Enfo Structural Review. $ OCT 15 2O1 C -'AM 0 itbt �' `.",122[2,5 MIAMI SHORES 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 occur. 'ven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved a nspection fee will be charged. Signature Signature Owner or Agent e� Contractor The foregoing instrument was acknowledged before me this p� A The foregoing instrument was acknowledged before me this day of .5_04___, 2001 , by jiht '% fivgtiv , day of , 20 _, by , ed tl who is personally known to me or who has produced Lc 07(6 As identification and who di. ;n oath. as identification and who did take an oath. who is personally known to me or who has produced Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * *_* PUBLIC: APPLICATION APPROVED BY: (Revised 07/10/07) NOTARY PUBLIC: Sign: Print: My Commission Expires: *********************************************** * ** * *** ** * * *** ** * *** ***** * ***** V/C Plans Examiner Engineer Zoning Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. DS -9 -07 -2025 Issue Date: Not Issued Expires:Not Issued Folio Number:1132060142690 Owner's Name: Job Address: 893 96 Street NE Miami Shores Village, FL 33138- Owner's Phone: Total Square Feet: 600 Total Job Valuation: $ 4,000.00 Contractor(s) HOME OWNER Phone Primary Contractor Yes 1 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 10/3/2007 : Yes Comments: PATIO OR OTHER HARD SURFACE NOT PERMITTED WITHIN 10 FEET OR SIDE YARD OR 5 FEET OR REAR YARD. 10/03/07 DRIVEWAY IN SIDE YARD SETBACK REQUIRED TO ACCESS EXISTING GARAGE AND IS MINIMUM NECESSARY . Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Per mit NO. DS-9-07-2025 Issue Date: Not Issued Expires:Not issued Folio Number:1132060142690 Owners Name: Job Address: 893 96 Street NE Miami Shores Village, FL 33138- Owners Phone: Total Square Feet: 600 Total Job Valuation: $ 4,000.00 Contractor(s) Phone Primary Contractor •• •• •• •• i HOME OWNER Yes •• •• •• •• •• •• •• Planning and Zoning Criteria and Comments Approved: In Review Date Approved: : In Review Date Denied: 9/27/2007 Comments: PATIO OR OTHER HARD SURFACE NOT PERMITTED WITHIN10 FEET OR SIDE YARD 0R5 FEET OR REAR YARD. Prepared By : William C. Davis, III, Esq. 2655 LeJeune Road, Penthouse 2 Coral Gables, Florida 33134 Tax Folio Numbers: 11- 3206 -014 -268 and 11- 3206 - 014 -2690 1 111111 11111 11111 11111 11111 11111 11111 1111 1111 I•'# .w�".. f....g CY•...F U 70_ � 5 76r 7 .-. ... OR Bk 23444 NI 1168; (1P.9) RECORDED 06/06/2005 12114702 C'.LEC. COt: ;A 4?890.00 HARVEY R Vsfir CLERK OF fOURi fIFiM1-Ct' E COUNTY? FLORIDA LAST PAGE WARRANTY DEED THIS INDENTURE made this 0 it; of May, 2005, between E.I.I.N.C.O. Limited, a British Virgin Islands Corporation , whose address is c/o Luiseugenia Johnson, 22 North End Road, Key Largo Florida 33037 hereinafter referred to as "Grantor ", and BEVERLY JAMESON and JOHN R. PETERSEN, Husband and Wife, whose address is 893 NE 96 Street, Miami Shares, Florida 33138, hereinafter referred to as "Grantee". Witnesseth that the Grantor for and in consideration of the sum of Ten and No /100 ($10.00) and other good and valuable consideration to Grantor, in hand paid by Grantee, the receipt of which is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the Grantee all that certain following described land, situate. Lying and being in Dade County, State of Florida, to wit: Lots 3 and 4, Block 74, MIAMI SHORES SECTION THREE, according to the Plat thereof, recorded in Plat Book 10, Page ), of the Public Records of Miami -Dade County, Florida. 310 SUBJECT TO: All easements, lien rights, covenants, restrictions, limitations, dedications, declarations, reservations, and conditions of record, whether set forth on the subdivision plat, common to the subdivision or otherwise of record; zoning and other governmental regulations, and taxes and assessments for the year 2005 and subsequent years. And the Grantor does fully warrant the title to said land, and will defend the same against lawful claims of all persons whomsoever. In Witness Whereof, the Grantor has hereunto set its hand and seal the day and year above first written. Signed, sealed and delivered in our presence: ( Witness Signature) Printed Name: ( Witness Signature) Printed Name: (,k1 i C.kt STATE OF FLORIDA COUNTY OF MIAMI -DADE ) BY: Luise genia J • s ; , President A. , ress: 22 North End Road E.LI.N.C.O., ited Grantor Key Largo, Florida 33037 1S -4 (Corporate Seal) I hereby Certify that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared Luiseugenia. as President . of E.I.I.N.C.O., Limited, a British Virgin Islands Corporation, , well known to me to be the person named as the President of Grantor in the foregoing deed and who executed the foregoing instrument, who acknowledged before me and two subscribing witnesses that he executed the Same freely and voluntarily , and an oath was not taken. (Check one:) Said person is personally known to me. V Said persons provided the following type of identification L- NOTARY RUBBER STAMP SEAL v,a w L. i ,nr »c: vei =;. ?,!i ji:Fld 1: :A16200 ; ::XPIRF[ ::':i: r:"+' 6, 2006 Witness my hand and offici l seal in the County and State last aforesaid this it day of May, 2005. Notary Signature Printed Notary Name This Instru0�nrepare Name '` ��i9.i( Address CFN 2i)07R0953393 OR RECORDED i 19/27/2007 HARV Y RUVINv CLERK PAIGE /111 , -NO ) \STATE OF 'COUNTY OF 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 1s provided in this Notice of Commencement. 111111111111 111111111111111 iiili 11111 iiii 1111 BY. 25956 P9 3588 (1130 14 :29 :00 OF COURT' MIAMI —DADE CDUNTYe FLORIDA NOTICE OF COMMENCEMENT F Tax Folio No. I /3 ?a/a ly�69� 1. Description of property: (legal description of property, and street address if available) Leer V ; 7J/ ,0th, s. l' 1e- 14,9 144.2 2. General description of improvement: r1 0. F4 'a /444J5 ,,e4 3.Owner information 44,70d/e) A/, l 74 0' �d�r� 5-6, `,t d a. Name and address: '"'Yf '" 9 4 b. Interest in property: 01"9/ c. Name and address of fee simple titleholder (if other than owner): 4. Contractor ®(✓)4F 4 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: 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: apfA 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. Al i9 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 1, 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. Signature of Owner or Owner's Authorized Officer /Director Partner /Manager Signatory's Title /Office strument was acknowledged before me this 21 r day of i3 t person) as fact) for d 4/ ,(year) by (type of (name of party. on Signs Print, yp Commission State of Florida intoned Name of Notary Public Personally Known _ or Produced Identification/X Nf fS /it ,. Verification Pursuant to Section 92.525. Florida Statutes Under penalties of perjury, I declare that i have read the foregoing and that the facts stated in it are true to the bast of my knowledge and belief. Signature of Natural Person Signing Above .iTATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that this is a true copy of the original filed rn this office on _ _ day of AD20 WITNESS my hand and Official Seal. HA U C RK, of Circuit and County Courts 3y "lam D.C. NAME: VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT R P 7T ' �5E// . DATE: ' ADDRESS: 7, Al %i �- - , Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000:00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your Supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction 7/W67 Initial 2. I understand that as ati owner- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial 3. :I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code -. only if the structure meets the minimum code. Initial 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigat&a,ny contract disputes. Initial/ 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed companyor person. Initial v`1' 7. I. understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial 4 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my.property with out first obtaining the proper permits by licensed contractors. Was acknowledged before me this By 106 1rk)71 Tt-rt b d Initial day of El , 20 who was personally known to me or who has Lk Produced there License or t '' � • as identification. 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant,e '" ERS "R/ , does hereby attest that the (property owner) attached survey, performed by 776.0Ar 14-At r IF5'. (name of s eyor's company) performed on 47;f 064 , 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. 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. Affiant/Property owner Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this 23 day of "307 .a97 Affiant is personally known to me, roduced 77 "-Pr W ✓'5 tit- • as identification. LEE MANAGEMENT INC. REALTORS August 8, 1980 Miami Shores Planning and Zoning Board Miami Shores Village City Hall Miami, Shores, Florida Re: New CBS Wall To Be Located At 893 N. E. 96th Street Miami Shores, Florida Gentlemen: We hereby request a variance to construct a CBS wall with a height of 5 feet 6 inches in lieu of the 5 foot high wall requirement. This request is made in order that the new wall will match in appearance and continuity to the existing wall now on our property. Said new wall is to be located adjacent to the front property line bordering Biscayne Boulevard and will be approximately 50 feet in length. See attached plans for specific details. We would appreciate this re est for variance being placed on the August 14, 1980 agenda. truly DAVID LIPSICK (Owne