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DS-07-2123Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 03/11/2008 Inspector: Grande, Claudio Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Owner: BROWN, CONRAD Job Address: 117 98 Street NE CL Miami Shores Village, FL Project: <NONE> Contractor: PAVERS AND BRICKS SERVICES CORP 12 Block: Phone Number Parcel Number 1132060132300 Lot: Phone: (305)986 -2544 Building Department Comments NEW DRIVEWAY WITH BRICK PAVERS ON SAND BASE Passed l Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Monday, March 10, 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 2004 Permit Type (circle): ��22I(71 E OCT 1 7 zuui BY: 1'16 Permit No. 1 " 2IZ3 Master Permit No. Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) CON item ts ® &Etc 00 ?J Phone # Owner's Address C / 9 N qg ®ek City Waifs; 4 State f- L Zip 5 3l �. Tenant/Lessee Name Phone # : ` 5 6 , ce - Job Address (where the work is being done) /17 we- q City Miami Shores Village County Miami -Dade Zip $ 3 ( $ 3 FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name POJAA. ctsvi 60 r Phone # %3 , ";=?:3&_s tof Contractor's Address it At E %® StAdegt City EL 1206 -r L.. State Zip 53 / 3 Qualifier Name R9,,,, &t., R r , a pn Phone # State Certificate or Registration No. Certificate of Competency No. !t 0 Architect Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 6,000, Type of Work: LjAddition Describe Work: ❑Alteration EM) i +)1vt; INA IN Square / Linear Forage Of Work: 2 ,c>00, . ['New Repair/Replace Aron �. ❑ Demolition ********** * * * ** *,* * **,* * ** ***** ** * * * ** *** Fees************,* * * * * * ** * * * ** * * * * ** ** * * ** * * * * * ** Submittal Fee $ Permit Fee $ ` (3 .... ' CCF $ ) • CO /CC Notary $ s/��,� ,��rr��- Training/Education Fee $ , �O Technology Fee $ 4 .5g Scanning $ J .00 Radon $ LL�-y�--�� DPBR $ Zoning $ Bond $ 471.J1.J Code Enforcement $. Double Fee $ q-7 Structural Review. $ Total Fee Now Due $ 48 1 • i e 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appr ed and einsp,ection fee will be charged. Signature wner or Agent The foregoing instrument was acknowledged before me this 17 day of d [n) 6 , 20 07, by a Poi 0 /3 p-ew who is personally know to me or who has produced Tip*` Vet- II (2 (V As identification and who did take an oath. NOTARY PUBLIC4TATE OF FLORIDA NOTARY PUBLIC: •,�NH'I,I, Tarry. J. March /SlowCommission #DD549584 _ ,,.,,,,..a Expires: MAY 08, 2010 Smite ATLANTIC BONDING MOW. Signature Contractor The foregoing instrument was acknowledged before me this 17 day of ()ebb* ,200fiby RPU1 �&il J FZ who is personally known to me or who has produced �!'IV� 110t•.as identification and who did take an oath. Sign: Print: My Commission xpires: ,.. Ds L0) D My Commissio o Expires: /W/ O' ' ?jJ 10 * * * * * * * * * * *� .... *, *, *. * �x******* I************************ * * * * * * ** * * * * * * ** ** * * * * * * ** *** ** * * ** *** x *** * * ** �. Nuwc�y NOTARY PUBLIC: Sign: Print: NOTARY PUBLUC -$TATS OF FLORIDA ",.,,. J, March /�.„•> _ ;�;,;1 s oa#DI?349584 Y08,2010 6 .li.,, y. 1 APPLICATION APPROVED BY: (Revised 02/08/06) :510 /Let Plans Examiner Engineer Zoning 111111111111111111111111111111111111111111111 NOTICE O COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOUO 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 Statutei, the following information Is provided in this Notice of CoMmancement. • • • • 1. Legal description of property and street/address: CFI-4 2007R1043164 OR Bk 26014 Ps 3923; (1ps) RECORDED 10/2P/2O07 1255:45 HARM RUVIMp CLERK OF COURT MIAMI-DADE COMM FLORIDA LAST PAGE 2. Description of improvement: ) ALA /•■••••••••■••••• 3. Owner(s) name and address: ! Interest in property: Name and address of fee simple titieholden 4. Contractor's name and address: 5. Surety: (Payment bond resp.dred by owner from contractor, if any). Name and address: Amount of bond $ 8. iLender's name and address: 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 persoage)1038ele , in Section 713.13(1)(b), Florida Statutes. HEREBY CERT artginst Name end address: 9. Expire diff thatienorss Noti office at this a a true y of the on day of ri AOTNESS and and OthcialSeal. HARVEY VS. date of this Notice of Commencement: (the expiration clfte ad 7111711r Print Owner's Name Sworn to and subscribed Notary Public Print Notary's N My commission expires:. ne mos Alla Ma, • ■•■ Larry J. Mareh Commission #DD549584 D ,fres: MA 08,2010 . . jr).. ,P 1 Mt 1 • 0 prepared bY tite, Address: 1155. (F 'O Si et 'Pt* t FL 33/a 30s, 9g6, 25'W Iiami Shore o 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207. Fax: l3O517 ,56; $972.. COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, Cc kA C , hereinafter referred to as the Owner of the (owner) following described property: Legal descriptionlfolio#: Lot d6„ et vt 1 /7 Block / 7 Subdivision Tax Folio n: requests permission to install: ['Asphalt, concrete, brick pavers [ 1 Landscaping [) Other within the public road right of way of Si -,, - i (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 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 ofthe 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 Inay 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 shalt 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 (or his fully authorized representative). 2067 SIGNED, SEALED, EXECUTEQ.ANb ACKNOWLEDGE on j1 11 '. SIGNED. SEALED AN Notary Public Print Notene.5 My commtssio 123&)1 -0x ►wle Win LIVERED in the presence of: NOTARY PUBUCSTATiet }? FIARIDA \ Larry J March Commission #DD549584 expires: /N Expires :, , / 2010P, 10 131�a 4.)s aorrn� �ttv . f P, • a n ,..•• . Iiv•& a g Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Penmt NO. DS-10-07-2123) abs Issue Date: Not Issued Expires:Not Issued Folio Number:1132060132300 Owner's Name: CONRAD BROWN Job Address: 117 98 Street NE Miami Shores Village, FL Total Job Valuation: $ 6,000.00 Owner's Phone: Total Square Feet: 2000 Contractor(s) Phone Primary Contractor •• •• •• •• •• •• •• •• Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 10/18/2007 : Yes Comments: MUST MAINTAIN AT LEAST 9 FOOT SEPARATION BETWEEN SIDE PROPERTY LINE AND PAVEMENT. FRONT SIDEWALK CAN NOT EXCEED3 FEET IN WIDTH OR WIDTH OF EXISTING SIDEWALK WHICHEVER IS GREATER