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BP-03-0277(� I uuju �INz nd Avenue v Phone: 305 -795 -2204 Ad k 9 Permit Number: s •, BP2003 -277 Printed: 2/20 /2003 ' Page 1 of 1 Applicant: ANNETTE WATKINS Owner: WATKINS ANNETTE JOB ADDRESS: 1421 NE 102 ST Contractor ARROW ASPHALT & ENGINERING INC Contractor's Address: 14799 NW 117 AVE Local Phone: 305 - 556 -5702 Parcel # 1132050240190 Legal Description: MIAMI SHORES BAY PK ESTS AMD PB 56 -86 LOT 23 Fees: Description Amount FEE2003 -1067 Building Permit Application Fee $60.00 Total Fees' $62.40 FEE2003 -1068 CCF $2.40 Total Fees: $62.40 Total Receipts: $0.00 Permit Status: APPROVED Permit Ex iration• 8/19/2003 P Construction Value: $3,169.00 Work: OVERLAY EXISITNG DRIVEWAY REPAIR 164 SF CONCRETE AND INSTALL 52X2 WALKWAY If there is no permit pa fee is $50.00, which must This Permit is granted to the cc ordinances pertaining thereto and and approved by the proper munic authorization. A further condition ordinances and regulations pertali by his agents, servants or employ Signed: In consideration of the issuance with the plans, drawin s, statemei myseif, my 99€t, KKvbpts or emi ig\ /vim /G BLK 1 r=► a02 2 Z L Z Z Elbb :112 0000'E 90 .11bZ 16 0000all r, � c aaalnnaa sawn n nls i r Mnowv aiva 31-1101 '0 W Abed g i�OLS 9S'S fgm) twz-M6 4%) BLOCS 'Id 'HV3'MIH OC9-Z-£9 '3AV Ll L MN 66LbL )INVS IVNOIIVN NOINn isHld 31001.0 U30010 V/s/a '3NI'0NIU33NI9N3 V 1'1VHdSV M0UHV r- I TA SENT BY:KOPPEN,WATKINS,ROUTMAN; 2 -12 -03 12:30 ...... . ..... . . . . . . ... . . . .. .. . . ...... CI�7Yn /�irc�'�cr r 5e•o' 5vX 1 V Yoo f r4,21 sod 3Ub' /b't6ISU -► MbbUUZUU l;F 4 e Oro i r Aolwl %jwvi ut •nvrrt_iv nninarvvi nvvimnnr it. w . is._.... v .- ....• -• -- • ••• • • • ••• • • • • • • • • • • . 1 • • • • •e• �• wAr&A•w.4•Y • - -- . .....ia Joe r 7.0 ' A got ie 6 t SKETCIt OF' bulivEy IWA^fl -xvO -A iir Lot AO ,Block iiULAT CF TRACT AVBAy FAAK ESTATES according to the Flat theregj6a $ reco rded in p�.at �3ook 5G, pit Fage X61 o1 Lhe Fu'blic Rec�orcts of Dade ty $ ,F`lorida. I order Na. - 10520 September h0 , 1953 F. 191. Scalos shown I HFMBY C$RT11rYj •'Th,Et the Attached "SUTCH G�' SUjjVEY" of the 4bovc dcacribel property , le true and correct to the bfst of my knowledge and Ix-lief as recen ly Surveyed end platted under my direction. HARRY C. SCHWEME & AS,50CIATU.;-, INC* • bert .t. koussalnt Registered L%nd burveyor #9C7 Atate of Florida. THIS 15 TO CER1lFY: That the attached IjKF'f(rH .)i- C:y-�vr'Y w;4.; .;., i,;p� 'ritr, I!�ti, dny cl July, I• +7 under Ordor No. (l50r6. t WC . Reg 13?"rSO lend Sur f(115 Statf, or FlUrtd., . . ... . . . ... Oho „,, r 11 ,,,,,en L G>tmt OY'e .4 Vi . 1 Lh, s— O�` ••• •• ••• ••• ••• • • . • • • • • �LORIU�' • • . • • STATE OF FLORIDA) COUNTY OF DADE) • .•'.•..0, • -• • • • •. Aj!'FIDA'f • • The undersigned Affiant, 14AIX%% fe does hereby attest that the (property owner) attached survey, performed by (name of surveyor's company) performed on _. is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not Permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspectic Further, Affiant sayeth naught. 01” ._ ��m"l, Witness(sign and print) SWORN TO AND SUBSCRIBED before me this �3 day of Affiant is personally known to me, rodu as identification. Fadel Hamdan COAI fission #DD 179272 �. Ires: Jan 22, 2007 %;ionnd Bonded 77w " " "` Atlantic Bonding Co., Inc. . . ... . . . ... to 11 loll .. DRIUEWAY ......... . . loll.. .. . ... A PPS L) f$ctf . loll... loll `logo ff soils" . • • ha.; Z -:11-0 of e,4 Vil, o� ficO�� 10050 N.E. SECOND AVE. .. . b4IA"*SH@RES. FLORIDA 33138 -2382 %Telephpne: (305) 795 -2207 loll... ..' : •. Faz (305) -756 -8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, AA- iV �.%¢y- �� , hereinafter referred to as the Owner of the (owner) following described property: Legal description /folio #: Lot ?, -3 Block Subdivision Hf;f'*'Y� Tax Folio #: /'11 requests permission to install: Asphalt, concrete, R &-fk;;7 Ue7 -2Z' 1 [ ]Landscaping [ ] Other_ 1412-1 within the public road right of way of IZ742— A� 40 7 S7' f ,� ` (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) lobe 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 ly authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOW DGE this / da of Fadel Hamdm SIGNED, SEALED AND DELIVERED in the presence of �t/ _ commission #DD179272 xp�ires. Jan 22, 2007 Bonded Thru Atlantic Bonding Co., Inc. SENT BY :KOPPEN,WATKINStROUTMAN; 2 -12-03 ; 12:30 • • • • • • • • • • 3U5'rb'f573U 3UbttUUZUdI;F 4 •• • • • • • ••• •• W-dem Awe se.o' S', a ' y'i+w r• ' Tic , i Ad 1 b 4i'4 tZI ' GSA c LlG�l • •• � , • • . .. •� �o ' ":fir: '. � � ✓for G,,B S. ti vp g V= . � /t. R•tivr °,r s IT ' i Page 4 "' ' ' ' • • • PERMIT APPLICATION OFFICE USE ONLY • CHECKLIST ❑ OWNER -BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) • • *1,: i i , 0 • (Attach) ❑ FIRE DEPARTMENT ❑ HRS / DERH APARQUI:: LD BPR APPROVAL (Restaurants) APPROVAL (Commercial / (Septic / Sewer) i • multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (On File) ❑ OTHER (Specify & Attach) (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ISSUING OFFICIAL REVIEWED AND PREPARED BY: SECTION BY $ �0' Zoning, z�-- $ V (x 0.60) x/1000 $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) SECTION BY DATE Zoning, z�-- Electrical Repair Mechanical Alteration Interior Plumbing Relocation of Structure Fire Shell Only Public Works Add'I Attachment Structural Other Building Official Other '3 TOTAL $ � as Lf D DATE: Revised July 2001 10050 N.E. 2- AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com SNORES • • • ••• • • • C. "_= y PERMIT APPLICATION �•� 03- • ➢✓Iastia�r Permit No. %�FN oe • • •' • 3ubsidi ary Permit No. INSTRUCTIONS - The following steps must be taken to F�OR1Dp' • • • • • • • • obtain from Step 1. Complete the attached permit application which hurt be s&' n•d by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate pr(I'Ming 01 your apphcation.• If roofing work will be done, a roofing application must be submit- ted along with this permit application. •• ' ' ' ' • ' • ' •• •• ' Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: �"7� G-� /�C ®� - /`( /iTl� /i �i��C° 3 J %_�T Address Apt. City State Zip Folio Number Description of Work v C vi / t j� f Lot 7 Block /r/" �- Alf,*y'r,/5 . . .� i4 Subdivision ���PB PGA Zoning _ Linear Feet Current Use of Property 6,-D' A2 6157__ Square Feet �g-$� °� nits Floors i Proposed Use of Property Value of Work ° Bldg Value r Tenant Information Tax Assessed/Appraised Value PERMIT TYPE (✓ ) J Electrical Mechanical Plumbing LPGX Fence Other ARCHITECT Name License No. Address Telephone Fax Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension PROPERTY OWNER Name "4A'vt e77- Address /1/7- 1 Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other ENGINEER Name License No. Address Telephone Fax CONTRACTOR � y� Name License No. e5_ 9 2- e�' c> Address /47 9 4 // 7A4 All- 330 Telephone 3.0 ®� Fax o �S6 Qualifier Name Page 2 . "' ' • • • PERMIT APPLICATION IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED Y(LIT VALfL]4 E&iERMI.To4 1D PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN?A•CLRAN, NBff AND SANOTA"Y CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPTIFREE44RC I DIRT AN4 &BPA9. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENTT Olt tElICLE1, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT Please Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 151 Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Cho ' g Contractor. STAT %617 FLORIDA, COUN I -DADE STATE OF FL IDA, O NTY OF MIAMI- ADE S' ature of Owner Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this o3 day of O Signatu otary Public - State of Florida SEAL: II P1 Fadel Hamdan Commission #DD 179272 Expires: Jan 22, 2007 Bonded Thru Personally known OR, Yl9ucc _ I icfl�ii�rc°ati�• Type of Identification Produced: Sworn to and subscribed before me this 13 day of , 1— (14zz�<zz� Signa re of ry Publ - iate of-11onida SEAL: „t►Y ",,,, Fadel Hamdan - ' - Commission #DD179272 �'Q xpires: Jan 22, 2007 Of Flog' Bonded Thru " �R Personally known Atlan PraClt &N&Mification Type of Identification Produced: so 00 0 Page 3 ; ; : V: : . • • • • • • • • • PERMIT APPLICATION 11 INSTRUCTIONS: Please indicate the typeof wo;k boing performed and quantity(ies) in the space provided below. II ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE 0 'Uutfet, Appliance QTY. TYPE Q'IY. Service Repair A/C Central 1 -3 Ton Fan Outlet, Wall Miscellaneous Repairs Service, Temporary Dryer Vents, Number of A/C Central 4 -7 Ton Fire Pump Outlet, Switch Air Handler, Tons Signs Piping, Flammable Liquid A/C Central 8 -15 Ton Fixture - Fluorescent Oven Fire Sprinkler System Space Heater (kw) A/C Central 16 -20 Ton I Fixture Light Parking Lot Lights Pressure Vessel I Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Pump, Fire Stand Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Pump, Re- circulate Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Pump, Replace - Pool Swim Pool, Residential Chiller Generators, etc. Receptacles Pump, Sprinkler Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Pump, Sump Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Relay Repair Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Roof Inlet Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Septic Connection Water Heater Dishwasher Low -volt, Television Service, Number of Amps Septic Tank Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE QTY. Condensate Drain TYPE QTY. Generator TYPE Q'i-Y. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost Miscellaneous Repairs A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Fountain Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Water Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Supply, AC Well PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE QTY. Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4” Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply RECEIVED AND REVIEWED BY: