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BP-05-1503 (4)
LOT 3. BLOCK 4 SKETCH OF SURVEY SCALE. I- • 20' FAD 12° IP Gh 8LK COR 100.70' FAU 12 IP t. BISCAYNE BAY 19.4' •• E.6'• • • • ••- • • • • • • • • • • • • BOUNDARY SURVEY • • ••- •• •• • •••• ••• • • • • • ••. • '2.1 -� Imeilt •• • • • • !$fJ MJSI 6r 6"ii JOB AT TIME OF PECTION 0.5' CL - 83.00' S 00 44 • •• • • • •• ••• •• • • • • • • • •• • • • • • ••• •• -X- TILE POOL DECK 10.60' 16.2s' 2ND FLOOR is TERRACE 0.45' EL tV co z co 63 (1) t0 2STY fin • 9275 CBS r5. �i GARAGE ELEV - 2.63 ' e. GENERAL NOTES. I) BASIS OF BEARING. AS PER PLAT tE N. BAYSHORE ORIYE-S 00 44. 11- W) 2) ELEVATIONS SHOWN HEREON ARE RELATIVE TO NATIONAL GEOOETIC VERTICAL OATUW.I.G.V.D.) 3) LOCATION AND IDENTIFICATION OF UTILITIES ON Ate ADJACENT TO THE PROPERTY WERE NOT SECURE AS SUCH INFORMATION WAS NOT REQUESTED 4) NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 5) THIS SURVEY IS NOT INTENDED FOR CONSTRUCTION PURPOSES 6) ENCROACHMENTS Ate VIOLATIONS ON SURVEYtIF ANY). LEGAL DESCRIPTION LOT 4 IN BLOCK 4 OF BAY LURE. ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 44 AT PAGE 63 OF THE PUBLIC RECORDS OF DADE COUNTY. FLORIDA. BAYSHORE OR I VE ' I l9. e. PAVEMENT)----- �.�• TOTAL R/Y LEGEND. FAO - FOUND CM - CONCRETE MONLa4ENT IR - IRON ROD IP - IRON PIPE R/W - RIGHT OF WAY PQB - POINT OF BEGINNING P0C - POINT OF COMMENCEMENT PC - POINT OF CURVE POC - POINT ON A CURVE -_ —• CHAIN LANK FENCE - / -- W000 FENCE PB - PLAT 51)( P - PAGE • - MEASURED D - DEED R - RADIUS A - ARC 'A - CENTRAL ANGLE C - CHORD X —y • ELEVATION --I--1- N0N- VEHICULAR ACCESS LINE -CONCRETE -U- • OVEM AD LINE 0 - "MOLE T f - TREE cOMMINITY R NOEL NUNEIER 3 StEFnf 4.DATE O Farad MOM J 7/17/95 JCfu2OOF. 1:22:21 PM AE 6' BASE FLOOD ELEVATION 10.00 CB- CATCH BASIN UPDATE 5j /30/08 UPDATE: 8-20-04 CERTIFICATION OF I HEREBY CERTIFY RESPONSIBLE C AND BELIE ST LAND CODE ID PY BOUNORY SURVEY. T THIS' SURVEY WAS MADE UNDER MY O THE BEST OF MY KNOWLEDGE MEETS THE MINIMUM TECHNICAL H:BY THE BOARD OF PROFESSIONAL R 61017 -6 FLORIDA ADMINISTRATIVE 472.027. FLORIDA STATUTES. JULIO S. PITA. P.L.S. PROFESSIONAL LAND SURVEYOR LICENSE NO. PSM 5789 STATE OF FLORIDA JULIO? S. PITA. P.L.S. LAND SURVEYORS 7821 CORAL WAY. SUITE 121 MIAMI. FLORID 33155 PHONES 1305) 262 -2404 SECTION: CERTIFIED 06 -53 -42 1 COUNTY: DADE TO:JEFFERY DAVIS COHEN. NORIS. SCHERER. WEINBERGER & WOLMER FIRST AMERICAN TITLE INSURANCE COMPANY 9275 N BAYSHORE DRIVE. MIAMI SHORES. FL. 33138 DATE: 8- 22 - 00 f REF: 00 - 08-41 L!K DWG: GL 2634 LOT 3, BLOCK 4 SKETCH OF SURVEY SCALE • 1° • 20' FND 1/2' IP DL( COR • • ..- • • •• • • • • 1.•4. • • • • • •0- • • •• •• • • • • • • • • • ••• • • • • • • 0• • IS y i • • • • L•6.6. • • • • • t • • • •• • • • • • • •• 91 SCAYNE BAY NATERL I NE 0.5' CL 83.00 MAO 13.03' acIUNDARY SURVEY 0 • • • • • • • • • • • • • • • • • • • 2).4' GUt>I'i. SEaYq.L • • • • • • • S g1J•44 •1i'•W• • • POOL TILE Pte. DECK 100.70• /111 FND lS IP Fg 1 De 17.80' 25.65` TILE 16.25 2110 FLOOR TERRACE 1 STORY 2 STORY AES • 41275 CBS FINISH FLOOR ELEV. - 9.03' r CBS VAL c GARS ELEV - 7.63 37.45' • 9 . 83. • O . • • O • 1 . 0 E N 16e eaml Shores Village wma APPROV ZONING Dr BLDG DEPT - DATE U[3JECTTOCONPIJAEnWITMALL % TATE AND COUNTY RULES AND REGULATIONS :.I :8.45' 0. ill 3. BL K If W a• 03 Z x .w PY .c, N h UG ... x .0 NEWtis -- J- - - - - -€ NORTH BAYSHaiE DRIVE 119.®' PAVEMENTI--- -- - - - - -- - -- . 59.0. TOTAL R/Y CERTIFICATION OF BOUNDRY SURVEY. GENERAL NOTES. I) BASIS OF BEARING. AS PER PLAT to N. BAYSHORE DRIVE-S 06 44. 1)' Y) 2) ELEVATIONS SHOWN HEREON ARE RELATIVE TO NATIONAL GEODETIC VERTICAL OATUNtN.G.V.D.) 3) LOCATION AND IDENTIFICATION OF UTILITIES ON AND /OR ADJACENT TO THE PROPERTY WERE NOT SECURE AS SUCH INFORMATION VAS NOT REOUESTED 4) NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 5) THIS SURVEY IS NOT INTEND FOR CONSTRUCTION PURPOSES 61 ENCROACHMENTS AND VIOLATIONS ON SURVEY(IF ANY). LEGAL DESCRIPTION LOT 4 IN BLOCK 4 OF BAY LURE, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 44 AT PAGE 63 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. h C01OAAA7Y NUMBER 120652 2: PmEI. NUMBER 93 3=F1x J 4: DATE OF FAN •DEX 7/17/95 5/30i2008 3+ FNM Bt�E AE LEGEND. FND - FOUND CM - CONCRETE MONUMENT IR - IRS ROD IP - IRON PIPE R/W - RIGHT OF WAY POB - POINT OF BEGINNING POC - POINT OF COMMENCEMENT PC - POINT OF CURVE poc - POINT ON A CURVE -x -- CHAIN LINK FENCE -/— • WOOD FENCE PB - PLAT BOON P • PAGE M • MEASURED 0 - DEED R - RADIUS A - ARC A - CENTRAL ANGLE C - CHI x —XX- ELEVATION -I -1- N 4- VEHICILAR ACCESS LINE • ' - CONCRETE -U- • OVEI*EAD LINE 0 -- NAt•40LE d BASE ROOD ELEVATION 10.00 ca - CATCH GRIN UPDATE 5/30/08 UPDATE: 8-20-04 1 HEREBY CERTIFY T RESPONSIBLE CHARGE AND BELIEF': i! ST AS SE <'FI LAND VEY CODE HIS HIS SURVEY WAS MADE UNDER MY 0 THE BEST OF MY KNOWLEDGE MEETS THE MINIMUM TECHNICAL BY THE BOARD OF PROFESSIONAL :+ 6101-8 FLORIDA ADMINISTRATIVE r Ti 'TI 47? -027. FLORIDA STATUTES. "te JULIO S. "'ITA. P.L.S. PROFESSIONAL LAND SURVEYOR LICENSE NO. PSM 5789 STATE OF FLORIDA JULIO S. PITA. P.L.S. LAND SURVEYORS 7821 CORAL WAY. SUITE 121 MIAMI. FLORIDA 33155. PHONE. 4306) 262 -2404 SECT": 06 - 53 - 42 I COUNTY: DADE CERTIFIED TG :JEFFERY DAVIS COHEN. NORIS. SCHERER. WEINBERGER & WOLMER FIRST AMERICAN TITLE INSURANCE COMPANY 9275 N BAYSHORE DRIVE. MIAMI SHORES. FL. 33138 DATES -22 -00 IMF: 00-08 -41 I4DWG: GL 2634 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 06/19/2008 Inspector: Dacquisto, David Owner: DAVIS, JEFFREY AND YASMIN Job Address: 9275 BAYSHORE Drive N Miami Shores Village, FL 33138 -2304 Project: <NONE> Contractor: BEJAR CONSTRUCTION, INC Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: Addition Block: Phone Number (305)577 -3777 Parcel Number 1132050270570 Lot: Phone: (954)431 -5981 Building Department Comments ADDITION TO AND RENOVATION OF EXISTING RESIDENCE IA‘1(1/ " r Passe• Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Thursday, June 19, 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 2001 Permit Type (circle): Permit No. IS Pcxs - S 03 Master Permit No. Mechanical Roofing Owner's Name (Fee Simple Titleholder) Z F r c Phone # � J S� r7 7 ° 171-1 Owner's Address CI L") , L, (A /A ark' °N. City w Cr 5.141.2 State / krt Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) cv) , lc( City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO x Contractor's Company Name Contractor's Address R. 0. (? / cis /'7.9 Phone # Zip City 654L State f . Zip '3 / /LI Qualifier r 1' . , r(7,, ',, y r"._. State Certificate or Registration No. Q C A J Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: Addition .Iteration Describe Work: f ,p,� I e.,,0 :New Square Footage Of Work: 454 0 Repair/Replace ❑ Demolition Ica � Submittal Fee $�. a). Permit Fee $ 5 t �� , CCF $ CO /CC. * * ** * * * * * * * * **** * * * * * ** * * * ** Fees * ** * * * * *** * * * **** ** * * * *** * * ** Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ O. 00 ÷.50. CO "t" .00 . 41 p . Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) ' g 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 A1Mi•1DAVIT: 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 The fo day of Owne egoing instrument was ac 20 es" by or Agent owledged�before me this Z who is personally known to me was =produce& Signature tractor The foregoing instrument was acknowledged before me this Aid day of ,204.s. by (4x, lf', Ay rson^lly knins to me who has produced As identification and who did take an oath. 5,Z, V4:,a 41.c%,—.yas identification and who did take an oath. NOTARY PUBL Sign: 4 .'. EXPIRES: January 10, 2009 Print: 0 Bonded Tin Budget Notary SeMces My Commission Expires: APPLICATION APPROVED BY: chc 05/13/03 My Commission Expires: * * * * * * * * * *'b* * ** TFOF FAO JUDITH A. FARNEY * 0-CrMISSION8DD385019 EXPIRES: January 10, 2009 0 * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (0, Plans Examiner Engineer Zoning 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 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: NOTARY PUBLIC: Sign: Sign: Print: Print: - { My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 /72H 'C 1 47/U Silr €-J Plans Examiner \ \ n Engineer A,e1A tl" (9/io ioce Zoning • Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: 305 79 .2204 Fax: 305 756.8972 BUILDING PERMIT APPLICATION FBC 2001 E EOVED OCT 1 > = 05 Permit No.R ° l Master Permit No. �5 Permit Type (circle): Building Electric:. Plumbing Mechanical Roofing Q Owner's Name (Fee Simple Titleholder) -Se,f'F `4avi5, Phone # S%5 - 511 ' 37 7 Owner's Address 19 OQ Co e/44.„ t/l7 City Ni1 A'M1 State r1.. Zip .?il 4C. Tenant/Lessee Name Phone # Job Address (where the work is being done) 911S VijAat.dmm DIL City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO w Zip Contractor's Company Name 14v me Owrne r Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) t'• % DNS Phone #;DC • 443 . / i?S • `0.05,.5551 $ Value of Work For this Permit 4 Square Footage Of Work: Type of Work: VAddition Alteration ❑New ixf Repair/Replace ❑ Demolition Describe Work: e'tc10141> J {-D two 1le,N00d11oaa of ert cr.) . 4Z�3joa44w ****************************Fees****************************** Submittal Fee $ 200 CO Permit Fee $ CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $.50. CO Total Fee Now Due $ (Continued on opposite 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 ELECTRICALVORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S ANIFH)AVIT: 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 bf 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) Slays 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 r Signature Owner or Agent ' Contractor The foregoing instrument was acknowledged before me this n The foregoing instrument was acknowledged before me this ` day of OCA- -, 2005, by M i dila €4 Sig v-5 , day of , 20 , by who i personally known to me)r 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` BLIC: Sign: �" Q Print: P 1--e-e_ NOTARY PUBLIC: Sign: Patricia Lee Young My Co nminsivn DD226077 Print: My Commission Expires: to 12_4.1 07 a Expues June 24, 2007 My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Chc 10/14/03 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 (circl Building Roofing MAR 12 2)08 RY: Permit No. t FOS 1 Master Permit No. Owner's Name (Fee Simp a ` °i w o re) � ) J � . )av Phone* (3c^) 454, 3-S l 2_ Owner's Address 9 Zi 5 i\.r-t iN \3,exii s h®c-e '1)s °i-e_ City tkt o. , S ' State Zip 33 l 3 S Tenant/Lessee Name Phone it Job Address (where the work is being done) t 2.15 P.1. laid City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO dor. or Zip Contractor's Company Name Phone # Contractor's Address City State Qualifier Name Phone it State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For Type of Work: Describe Wor $ Square / Linear Footage Of Work: ['Alteration ['New ❑ Repair/Replace ❑ Demolition ****** * ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********** * * * * * * * * * * * * ******* *** * * *** :**** Su t ^! $ Permit Fee $ CCF $ CO /CC Notary``' Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 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 approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The fore oing instrument was ac owledged bef re me this, The foregoing instrument was acknowledged before me this day of YCj , 200/S', b 1 C4V�S day of , 20 _, by who is personally known to me or who has produced who 191.-- who is personally known to me or who has produced As identification and who did take 4Fklib as identification and who did take an oath. UBLIC: NOTARY Sign: Print: My Commission Expires: NOTARY PUBLIC: Sign: Print: My Commission Expires: xa:******** ***** * * *** * ******** ****x:***4• ******: *** **** ********* ******;. *********** ***** x** *** ***** **** ** Adir• APPLICATION APPROVED BY: (Revised 07/10/07) 3 isVak or Plans Examiner Engineer Zoning Miami Shores Village oi`24101 1,e,c Building Department } Imo 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PER1VHIT APPLICATION FBC 2004 Permit No. S l C aster Permit No. Permit Type (circle): Bilding Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) i cart,, g ov, v, -S Phone # 3 G :5 577 3 7 77 Owner's Address `\ a--7 5 N1 . ig a1 shlrc .0rj ve-- City A �,.,; ShorgS State /F-C._. Zip 33j 3 Tenant/Lessee Name Phone # Job Address (where the work is being done) cj p_7 5 iv 6 u /Si o L Or, ue City Miami Shores Village County Miami -Dade Zip '3 3 ff FOLIO / PARCEL # Is Building Historically Designated YES NO A" Contractor's Company Name 504 Phone # Contractor's Address City Qualifier Name State Zip Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: DAddition DAlteration ['New ® Repair/Replace olifion Describe Work: aee J ace Tro °�" ,L,Jao * * * * * ** * ****************************Fees**************************** , ** * * * * ** * * ** Submittal Fee $ Permit Fee $ Notary $ Scanning $ - Radon $ DPBR $ Training/Education Fee $ CCF$ CO /CC Technology Fee $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Zoning $ Total Fee Now Due $ 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 thatno 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 a.proved and a reinspectio fee will be charged. Signature er or Agent The foregoing instrumen was acknowledged before me this CI day of 20) , by aQ JJ 611% who is . - onally . own to me or who has produced • As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * *, rat &***,raY****9r**** *aF *,t44e9r4e*** tot***** ****9e4 ******, t*Ar9r, r9Y, t, t, t**** ak9Y**** *,t,t4r*** ** *3r*9r* * APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02/08/06) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT APPLICATIO BUILDING g Permit No. �o ► 5 O3 FBC 2004 OCT 131006 Master Permit No. Permit Type (circle): E1ctrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Title o er) k 'fas , # Owner's Address 92-75 No. rick, Q S=' L Zip 3 313? City A -,: r.t; S)-,c)Ce5 State (3es) 8©3 -8 4-o 8 Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County . Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name 1 I `� -"'-`�' c"'10`, oc. Phone # `� ' `�� ' - ` / Contractor's Address 43 Z S t\--1 ' State 4-4- - Zip 33 3 Q»alifier Name Phone # / L �'r ` +jqc?" State Certificate or Registration No. Qom"+ ; Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration [New ❑ Repair/Replace ❑ Demolition Describe Work: 44.-/ Fr G I c* .../ nr n c' 7� , a Submittal Fee $ Permit Fee $ Z d ®- CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 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 approved and a reinspection fee will be charged. P Signature i '--Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 13 The foregoing instr unen was acknowledged before me this day of C' ---, 200(0, by YbSrn I .ice asn day of (at( , 20 C by who is personally known to me or who has produced who is personally known to me or who has produced gl�'s L lL As identification and who 4jd fake an oath. l)% 7 - r °1. S8 D as identification and who did take an oath. @ xpiaes:Iw1 3,2'i NOTARY PUBLIC: Bonded"I bP! JitilOCBMUling Sign: Print: My Co a ission Expires: Sign: Print: My Commiss * * * ** ******************** APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning Miami Shores V inage tiuliaing veparimeni Ci@MEW `' OCT 12 2006 Li BY. Change of Contractor Permit No.S E Yta'y R Dt i s k Owner's Name (Fee Simple Titleholder) )'¼ SM. I a 2) fay I S Phone # ©� 203 -8408 Owner's Address 9 21 North S s h o r. ► . ; Shores FL 33 1 fi g' City M t o.r„ ; Shores State F L Zip 33 i 38 Tenant/Lessee Name Phone # Job Address (of where the work is being done) 9215 Nor ., shores i ve_ City Mt. -rn. ShoftS County rL Zip 3"a t3 g Legal Description L of 4 S to cat 4 of- SI c1/4.4 ? $ 44) P & 6.3 Contractor's Company Name 4t AC C) QHephnne # 3 7 8 ) Contractor's Address 6 3Zl- S /` 1 .61/4''E w City "t,''/ ' r�1 E P,FrFs State --L--or'. Zip 33 7 Z Qualifier �� •—� -� Describe Work: - I hereby certify that the work has been abandoned and /or the contractor is unable or unwilling to complete the contract. I hold the Building Official and the Village of Miami Shores harmless from all legal involvement. Signature Q Owner or Agent The foregoing instrument was acknowledged before me this 13 this fCi- day of f7CDO 20 , by Y The foregoing ' • - . was acknowledged before me day of j3 ,2064, by who is personally known to me or who has produced ,w,h�o�is�pe/rsonally known to me or who has produced fl • Dbeff L.,tr I Z 4Z�I 0r as identification and who did take an oath. NOTARY PUB Si ` •_ r .1.,.0rrr..: Sign: Print: - Print: \'iy Co 1: 1 _ a b My Commissio '•': LXptB-es•Jd irs k�" Bonded Tiro * * * * * * * * * * * * * * * * * * * * * * * * ** e'* * * *Abitietiontakort &*'o * * * * * * * * * * * * * * * * * * * * * * * ** 4127- 310 .)1671 u� NOTARY P As identification and who did take an oath. scion Expires: Rev. 09/19/03) Miami Shores Village Building Department f0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building J Electrical Plumbing Mechanical Roofing OCT FEC;MEWE'n 1 3 2006 h, B Y: oU Permit No. 0.5--1.SC' Master Permit No. Owner's Name (Fee Simple Titleholder) 5�cv.As ' y Asm 'sPhone # (3 ) 603 8 ¢og Owner's Address 3z 7 S No-r.4%. t..® D rev City ate..■ Se•o, -v} State Zip 33 13 $ Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County . Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Q,o.0 Corr s � - u ct • or._, Contractor's Address 6 ! Z- (, S `i k 6� -^ Phone # c /-Lf _ Y3 City 1 ,t-1 %, . P, ,-, E t State '.L__o.r--- ^ �'� Zip 33 3 32_ Qualifier Name ,-+-' i-1 ` S� e1'' Phone # cAri 9 3 ' - A 1 State Certificate or Registration No. C600 'f 7 21 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ]Addition °Alteration °New Describe Work: 0Si t'l�,� CFtitii Co rgi ° Repair/Replace ° Demolition r******* * * * ** * ***** ** ** ** * ** * ** ** ** ** ** Fees************* * *** * * * * * ** * * * * * * * * * *** * ** * * *** Submittal Fee $ Permit Fee $ 250 CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Ca, 6v DPBR $ Zoning $ Total Fee Now Due $ 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 approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoingc m ent was ackn , led ° d before me this a day of , 20 by� 03 }'r l rl � day of �d✓ , 20 � by 1/4)' �I310 11 known to me o 'who has produced who is personally p s identification and who did take an oath. NOTARY Sign: Print: My ( ommission Expires: rt,�,. �• , -,us9eaThro * * * *- * * * * * * * * * * * * * * * * * * * * ** , APPLICATION APPROVED BY: (Revised 02/08/06) lc. who is personally known to me or who has produced 'jL '��D�' as identification and who did NOTARY PUBLIC: take an oath. Sign: Print: My Commission Expires: ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** t ) Miami Shores Village Building Department CERTIFICATE OF OCCUPANCY CHECKLIST Requir �// BUILDING PERMIT CARD Containing final initials of all inspectors SURVEYS (2) FINAL AS BUILT - Required. Items: Elevations of building showing all intended setbacks from property lines and other existing structures. Ingress + Egress required parking spaces, wheel stops, stripping, and all paving to exterior. CERTIFICATE OF ELEVATION - (sealed by surveyor) EXPIRATION DATE REQUIRED ON FORM CERTIFICATE OF INSULATION - (must be original) CERTIFICATE OF SOIL TREATMENT - (for termite - original) CHAPTER 2913.5 TERMITE PROTECTION: "This Building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and laws as established by the Florida Department of Agriculture and I Consumer services." HEALTH DEPT. APPROVAL LETTER - (on septic .or private water) Note: If house has a septic tank, approval letter is required from the health dept. SOIL COMPACTION LETTER - (density reports required) BACKFLOW PREVENTOR CERTIFICATE - (Required on commercial projects only) * PLEASE NOTE THAT THE SAME ITEMS ARE REQUIRED FOR TEMPORARY CO. Emergency CO (without 24 hrs. processing) additional fee is $80.00. Temporary CO (up to 90 days maximum) $75.00. Residential CO fee is $150.00. pa Commercial CO is $200.00. Approved Date chc- 1/20/05 1 7404° A- PERMIT # DT t 3. CONTRACTOR: JA? , SUBMITTAL DATE: WWI it Of, RESUBMITAL DATES: LO 101 3106 'ROJECT TYPE: RaN \Ot 3E) /°/ 47°‘ ov ZONING FIRE %J/3 j /'/11/t ( STRUCTURAL IMPACT FEES Or 1 / j / 19-e-T6 ELECTRICAL HRS /DERM PLU NOC ' . lbjAivido MECHANICAL 102 aLp, BLDG Parcel Owner Report Parcel Number: 1132050270570 9275 BAYSHORE DR Miami Shores Village FL Tax ID: 1132050270570 Owner Information JEFFREY AND YASMIN DAVIS Phone: (305)577 -3777 Current Owner: Yes Related Permits Driveways /Sidewalks /Slabs Electrical - Residential Electrical - Residential Electrical - Residential Electrical - Residential Electrical - Residential Electrical - Residential Fence/Wall Imported Permit Imported Permit Imported Permit Imported Permit Imported Permit Imported Permit Imported Permit Imported Permit Imported Permit Imported Permit Mechanical - Residential Plumbing - Residential Plumbing - Residential Plumbing - Residential Plumbing - Residential Plumbing - Residential Plumbing - Residential Pools/Whirlpools /Hot Tubs Residential Construction Roof Roof Roof Permit Number DS -12 -07 -2489 EL -9 -07 -1930 EL -11 -06 -2799 EL -4 -07 -824 EL -11 -07 -2249 EL -12 -06 -3007 EL -2 -06 -497 FW -9 -07 -1870 BP2002 -2116 BP2005 -343 EL2005 -149 EL2005 -75 BP2005 -1192 BP2005 -406 BP2005 -227 PL2002 -65 MC2005 -31 PL2005 -69 MC- 1 -07 -99 PL -4 -07 -847 PL -12 -07 -2459 PL -7 -06 -1883 PL -6 -07 -1268 PL -2 -06 -496 PL -3 -07 -637 BPP -3 -07 -636 BP2005 -1503 RF -2 -07 -326 RF -2 -07 -327 RF -12 -07 -2522 Application Date 10/17/2005 10/17/2005 10/17/2005 03/30/2007 11/05/2007 12/14/2006 10/17/2005 09/05/2007 12/09/2002 03/10/2005 05/05/2005 02/25/2005 08/11/2005 03/22/2005 02/16/2005 03/05/2002 02/25/2005 02/25/2005 10/17/2005 04/27/2007 12/07/2007 10/17/2005 10/17/2005 10/17/2005 03/30/2007 03/30/2007 10/17/2005 10/17/2005 10/17/2005 12/21/2007 Expiration Date 10/05/2008 06/07/2008 07/08/2008 06/09/2008 06/07/2008 06/07/2008 10/08/2008 06/07/2008 09/15/2003 01/02/2006 12/31/2005 10/05/2005 02/28/2006 04/17/2006 09/28/2005 01/04/2003 10/02/2005 10/04/2005 01/14/2008 12/12/2007 06/07/2008 03/04/2008 06/07/2008 09/28/2008 05/12/2008 06/14/2008 07/08/2008 09/17/2007 09/17/2007 07/08/2008 Status APPROVED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CANCELLED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED APPROVED APPROVED CLOSED CLOSED CLOSED CLOSED APPROVED CLOSED CLOSED CLOSED Thursday, April 24, 2008 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 09/06/2007 Inspector: Grande, Claudio Owner: DAVIS, JEFFREY AND YASMIN Job Address: 9275 BAYSHORE Drive N Miami Shores Village, FL 33138 -2304 Project: <NONE> Contractor: BEJAR CONSTRUCTION, INC 0 Permit Type: Residential Construction Inspection Type: Windows and Doors Work Classification: Addition Block: Phone Number (305)577 -3777 Parcel Number 1132050270570 Lot: Phone: (954)431 -5981 Building Department Comments ADDITION TO AND RENOVATION OF EXISTING RESIDENCE °Ii(eit Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Wednesday, September 5, 2007 Page 2 of 2