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DS-07-2530Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 08/14/2008 Inspector: Grande, Claudio Owner: WYSONG, GEORGE Job Address: 345 100 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 Parcel Number 1132060135370 Lot: Building Department Comments REPLACE CONCRETE STRIPS W BRICK PAVERS 2 3/8" THICK PAVERS OVER 1" SAND AND 6' LIME ROCK 0 t 4 MD Passed Inspector Comments PAPER WORK IN THE MAIL BOX Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Wednesday, August 13, 2008 Page 1 of 2 it t \tri Tat, Oct , 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 RECEIVED DEC 2007 BY: Pi/ Permit Type (circle): uildin Roofing Owner's Name (Fee Simple Titleholder) )610,eY1 �� SO 1 Phone # Owner's Address 3q $ ®4 r / li C) Ice-1 City C`/ ;Qn1 / Si , -eS State T (_. Zip 3 3'3 11u1ov col. -N Permit No. _D Master Permit No. Tenant/Lessee Name Phone # %-3 /-9(am Job Address (where the work is being done) SG rn,c? City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name QCAJTL .✓ Phone # Contractor's Address City State Zip 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 ['Alteration Describe Wor 3 Square / Linear Footage Of Work: 1260 Repair/Replace D Demolition ************ * * * * * * * * * * * * * * * * ******x***** Fees**** ********* * * *** ** **** ****a:**** *a:*** * *** ** Submittal Fee $ ,,er Permit Fee $ L ) CO ' CCF $ 'CD CO/CC Notary $ 6'C) Training/Education Fee $ I* W Technology Fee $ 315 Scanning $ 1.00 Radon $ DPBR $ Zoning $ Bond $ 3 .CO 10-Z, Code Enforcement $ Double Fee $ �C Structural Review. $ Total Fee Now Due $ � 1 1 • V . See Reverse side -* Bonding Company's Name (if applicable) iq 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 an d` 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 r a reinspection fee will be charged. Signatur Owner or i t Signature Contractor The foregoing instrument was acknowledged before me this C The foregoing instrument was acknowledged before me this day of AC , 20 ® , by L ifet6tez, , day of . , 20 _, by who is personally known to me or who has produced ft -Data. who is personally known to me or who has produced Lic 1 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 Conunission Expires: ***************** * * * * * * * * ***** * * ******* * * *** x* :**** *** ** * **** : ** *** * ********** ***** APPLICATION APPROVED BY: (Revised 07/10/07) * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Apr -15 —O8 01:39P NOTICE OF COMMENCEMENT A RECORDED COPY MOST BE POSTED ON 'MEMO WEN TIME OF FIRST INSPECTION PERMIT NO. _._ TAX FOLIO NO. 11-3206-013-3370 STATE OF FLORIDA: COUNTY OF MIAMI -DADE; THE UNDERSIGNED) hereby gives notice that improvements wit he made to certain mai omurvty. and In accordance with Chapter 713. Fkmdte Statutes. the hallowing informatic n is prtovided in this Notice of Commencement. P.01 11111 111111111111111 111111111111 11111 11111111 CF'N 2008R10130864 OR Pic 26326 Ps 336 ?r (1os) RECORDED 04/15/20)08 13si)8 =34 HARVEY RUVINr CLERK OF COURT F1IAt1I -CASE COUNTY, FLORIDA LAST PAGE 1. Logal description of property and street/address: 345 NE 100 S tre j MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 & g1/2 LOT L& BLK 39 OR 19091-4905 2. Description ot improvement:... Driveway Z(nprovement 3.Owner(s) name and address: George K. Wysone 11I 345 NE 100 Straet, MIAMI SHQR:'sS. FL 33138 interest in property: Ovnnry Name and address of fee simple titleholder. 4. Contractors name and address: 0vrier1Bu jider STA1 tlF FLORIDA rt�LtrrY, fir aADE ! HMV CEFr rfFY l*9! r,dx o^ o Luy .vpy pfrho 5. Surety (Payment bond required by owner from contractor, if any) / (l' Name and Address: na Wir,4t.4S taond eiai3tt:' ' •- -hMf+t9 Amount of bond $ na 6. Lender'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: na 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(h), Florida Statutes. Name and address:___ • ne 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different dato is specified) Signature of Owner Print Owner's Name George K Wyson . III Sworn to and subscribed before me this _15ttday ot April Notary Public Print Notary's My commission ex ISM of .0:t PAM 4 RAI? r l r h�l . 747)(7>v race Prepared by t;eorge. K. Wyriogj, I11 Address: ,.345 NE 10Q Street Miami Shores, FL 33138 ,M" 04v i f 1/ 3uttlit State aI FlailOa F11140k1 metro a, `.:orvi i'sion D0398468 :a4n.:9.P .'2i o09 A;," VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: 6, (i , •; I`= 10) . S o DATE: ia? /2 l/G) „0 ADDRESS: 3L{S'" At /06 .,5 -) /eeJ /� "� <r���- 5/1 -d,Ps) L 3.3/Z3 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 con ruction 00 Initial <�t 2. I understand that as an owner- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application 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. Initial 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 Teets 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&any contract disputes. Initial 4l 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 7 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. Initia 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 (, day of Initial, 1 rtn4&d, 20L 7 BY efe,o/14 ice / /(2 fdn who was personally known to me or who has Produced there License or as identification. NOTARY 0501- t r 'v. 'Y' m F'7ca ix yo Rtj II//Lan'ij 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138,2382 Telephone: (305). 795 -2207 Fax: i3Q51.756 :972.,,. COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, 1 /17/4_ /f'/ S G277 , hereinafter referred to as the Owner of the (owne following described property: Legal description /follog: Lot Tax Folio n: Block Subdivision requests permission to install: XAsphalt, concrete, brick pavers [ ] Landscaping []Other within the public road right of way of L 51 � 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. ?• 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 (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on his /76 day SIGNED. SEALED AND DELIVERED in.the presence of: 4. 9'11.1,,,'1'4 MONICA LISSETH DIAZ '!. ril %.*T. MY COMMISSION # DD 483995 EXPIRES: October 20, 2009 Ap,al7 Bonded Thru Notary Public Underwriters EIVED DEC E 9 2001 BY'� Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit NO. DS-12-07-2530 Issue Date: Not Issued ifiatida Expires:Not issued Folio Number:1132060135370 Owner's Name: BRENDA WYSONG Owner's Phone: Job Address: 345 100 Street NE Total Square Feet: 1200 Miami Shores Village, FL 33138- Total Job Valuation: $ 5,000.00 Contractor(s) Phone Primary Contractor if Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 4/11/2008 : Yes Comments: 'STA t h OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, , does hereby attest that the (property'owner)j A FIDAVIT attached survey, performed by (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. 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. Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this 24" day of IX& . Affiant is personally known to me, produced P7-/t/P3 l!G as identification. • • •• •• • • • • • • • • • • • • • • • • • • ••• • • • • ••• • • • • • ••• • • or • • • • •• • • • • ••• • • • • ••• EX 1ST (NG WATER.415TER • • •• • • • EXISTING OVERHEAD SERVICE. EXISTING WATER SERVICE PROV, 1' DIA. • • •• •• • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • wommgmagy a* 15.0' ALLEY W' PAVEMEN K AND • APR 1 ® -. ® ®4 ose Or • UNOI:3STUCTED 3'15 SF EXISTING CONNECTION PIPE TO REMOV. EXISTING RESIDENCE (2336.8 SF.) # 345, ADDITION (FIRST ,FL. 4212 SF 8 SECOND FL. 589 SF) FINISH FL. EL, TO MATCH EXIST. EXISTING TERRACE TO REMOVED (162.0 SF.) NEW EXISTING NEW 4' DIA. CONNECTION PIPE r I 001 sing) opsor � r POI 111 APPROVED. �TI ZONING D -- NEW SEPTICTANK 100 CGS. AND IPRA INF1E .D 5'19.6 SF. UNOBSTUCTED 1 AREA 621SF t SECT. 64E6.004 11-'44 / r stmalk --77.710- OMPUANC SUBJEAND COODUNTi RU STATE VVi LEI A FEDERAL AND AEG'-. =GLJ 1AT10NS_ ._• 23' PARKWAY NE 100 V STREET SITE PLAN SC: 1' = 20' I J airs ,V V l Zn iami Shores Village APPROVED ZONING DEPT BLDG DEPT SUBJECT TO COMPUAN WITH ALL FED AL JG`AL DESCRIPTION STATE AND COUNTY RULES AND REGULATIONS THE EAST ONE HALT (1/2) OF LOT 18 AND AL OF LOT 19, BLOCK 39, AN AMENDED PLAT OF MIAMI SHORES SECTION No. 1' ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, AT PAGE 10, OF THg PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. 4FT1OIs4 t0 SINGLE FAMIII-t- Rms. FOR: sREntoa, wPtI,oNIG AT: 345 NM 100 WREST MIAMI -DACE PJ.,. tel.: (UPS) 161-3611 / (9fi4) 925 -53.4b ANTONIO ACOSTA PSI CIVIL ENG. "'1. 004084EP 10306 NUJ 41 STREET Su t 11 ► 1x'11 AM1 -t' 'A DE , PI.001DA 33119 Tn.: (30) 219-0711 SIkNATi)RE 4 SEAL aastarammta Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 RECEIPT PERMIT #: D 7— Z,r3 D DATE: I, 6rie Contractor Owner rchitect Picked up 2 sets of plans and (other) Address: ),---r/tr 3 ter NG-. lOvs r . From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department o continue permitting process. Acknowledged by: PERMIT CLEARK INITIAL: RESUBMITTED DATE: 4116l °Y PERMIT CLEARK INITIAL: Miami Shores Village Building Department ;y l `N lidi'Menue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 07- ZS30 Job Name Date /)- BUILDING CRITIQUE SHEET ile€4) /0.4(4:-.7re. 6//2.r ase41,4-c, 1.;uS 'fir, /6a Oc.'LG l,4C JCiP•rc) c h r e V. 4is c/Lit%ee-c) rus r -1 ozovp0 de;sr- Aefree AAe., e.44.) witt,16€4 Reviewer: Claudio Grande C.B.O 305 - 795 -2204 Ext 1430