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BPP-07-1218d��SH °sue c, tyo Miami Shores Village CCF 10050 N.E. 2nd Avenue ° ^• �I " "'�' FiORio� Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Notary Fee $5.00 Pwmit No. BPP -6 -07 -1218 Permit Type. Pooistwhiripooismot Tubs er t Work Classification: Repair Permit Status: APPROVED Issue Date: 611312007 I Expiration: 12/10/2007 Approved: Yes Comments: Date Approved: 6/12/2007: Yes Date Denied: Type of Work: Swimming Pool Occupancy: Private Additional Info: pavers Repair Bond Return Classification: Residential Fees Due Amount CCF $16.20 Education Surcharge $5.40 Notary Fee $5.00 Permit Fee $780.30 Scanning Fee $9•� Technology Fee $19.51 Total: $835.41 Total I Amt Paid I Amt Due $ 0.00 $ 0.00 $ 0.00 Payment Type: Available Inspections: Inspection Type: Final A �r G� 1JA 14PW in consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. June 13, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy 1 Wednesday, June 13, 2007 Miami Shores Village . Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIVED BUILDING Permit No.��� PERMIT APPLICATION JUN 1 1 2001 aster Permit No. FBC 2004 BY:_ Permit Type (circle):, Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) bee &­d t-._, e Phone # Owner's Address (Y $ City j)!—,,.,.,: Stu,, State %'" �7as Zip 3 Tenant/Lessee Name Phone # Job Address (where the work is being done) `.j 4,a.... r­ 4:y. _, I e-, 6 c c" -0— City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name/ .0/ .,Phone # City Olt O State Zip S50,2_0 Qualifier Name _ y; a% %3 �� Phone # State Certificate or Registration No. CPC,009 22 VV Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # D� Value of Work For this Permit $- �, 0/ �. Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration XC w �Repair/Replace ❑Demolition j _ �- /Describe Work: °�Ol t � r- D E o r �,r g.')� , _ A A _,� le ap" Gh B� % 1-1/ "Ae, b."A/ `ia 1,1 rx--v Submittal Fee $ Permit Fee $ �50�� CCF $ i (= CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ C — Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ » "' R Structural Review. $ Total Fee Novi Dod~ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip. �r 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 Age i The foregoing instrument was acknowledged beforee this�l� day of �.f t' -k , 20 �, by C le -a �UC1� wh s personally known to r who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print:'bt ; t My Commission Expires: `� /��/ / Contractor The foregoing instrument was acknowledged before me this day of 1Xt"l. , 200 1 by -414d Ike , who is personally known to me or who has produced n, -✓ !'uji5 Z IC as identification and who did take amoath. NOTARY PUBLIC: Sign: -__./ Print: �taCr� My Commission ; \ t � ode` APPLICATION APPROVED BY: (Revised 02/08/06) s.........DEBO •RAH J �LABRIE••••••••• ` ��y Colemw 000447 Erpes1 �'aa� eaw.aan, �? i ........................;Y Assn Me.s Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT N0. TAX FOLIO 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 Statutes, the following Information is provided in this Notice of Commencement. OR Bk 25703 Ps 0969; (fps) RECORDED 06/14/2007 14:31.58 HARVEY RUVIifr CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA LASST PAGE 1. Legal description of p% operty an�r et/address: , y"( � AD 2 2. Description of improvement: 3. Owners) name and address: _��� i-� AL y oo� fir/ /Wrl o1/0 JCPa -V 6..a1: Interest in property: J., • ✓ n. g �P� Name and address of fee simple titleholder: 4. Contractor's•namQ and address: 5. Surety:. (Payment bond required by owner from contfactor, if any) Name and address: Amount of bond $ . 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: 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)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement:. (the expiration date is 1 year from the date of recording unless a different date is specified) Signa2ner's Owner // // Print Name d.- i� Prepared byuD<y : a? -elkGx✓ Sworn to and s,dbscd bed before me this 7A day of '2001 ER Add ress• i 3S' (4,0' Notary Publi Q 203163 W. Print Notary's Name r BonM WS My commission expires: 123.01 -52 PAGE 4 8/02 81191 OF FLORIDA, OOUI�TY Cl)e 1 HEREBY CERTIFY that i 181s a the tn�° c°a'�r Q c :cee C� ftd in this ofte on day of WAr M1yVINdvW0 PT Carts ooutnr�oe zti rnvNt1� D C. .v .. .. .. .. }.'• to ... .. F. .. e :. ru .. . Planning and Miami Shores Village CA 10050 N.E. 2nd Avenue etit Miami Shores, FL 33138 -0000 ih*+rVB Phone: (305)795 -2204 Fax: (305)756.8972 Folio Number: 1132050240130 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Owner's Name: GEORGE AND KAREN GODFREY Owner's Phone: (305)586 -5092 Job Address: 1481 102 Street NE Total Square Feet: 0 Miami Shores Village, FL 33138- Total Job Valuation: $ 27,000.00 Co Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 6/12/2007: Yes Comments: A >n . . ••• • • • ••• 00- . • "SCALE: NTS •' r VAT WAY Jr' LoF 17, EAST 1/2 LMT 18 HE 102nd CERTIFIED T0: GEORGE S. GODFREY AND KAREN D. GODFREY, HUSBAND AND WIFE, 1481 N.E. 102ND ST., MIAMI SHORES, FLORIDA 33138., CHRISTOPHER I'. KELLEY, P.A., ATTORNEYS' TITLE INSURANCE FOND, INC., HELLS FARGO HOME MORTGAGE, INC., ITS SUCCESSOR$ AND /OR ASSIGNS, ATIMA. LEGAL DESCRIPTION: LOT I7 AND . BAST /2 OF Lm , 18 BLOCK 1. OF . MLAMI SHORES BAYPARK ESTATES AMENDED SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK S6 AT PAGE 86 OF THE PUBLIC RECORDS WAM DARE COUNTY. FLORIDA I HEREBY CERTIFY That the sit SINCE 1887 thereon meets the mbll mm tedu&W BL ANco SURVEYORS INC;. adopted by the STATE OF FLORIDA Board of LmW S psusuarst Seen 472027 Fbrlda Erets • Lam! Surveyors •Planners • LB S X07089 �atu6E"s. S5S NORTH SHORE DRNE There are no enc+oachcn�ts, over�s. easemoft weartonamplatoro em MAN D ACH.FL 33141 assha " hemm (305') 865 -1200 Fax: (305) 865-781( Z AE ,J DATE: 7/17/95 ' 9' — 0093 120652 N. rANEt: # REGISTERED LAND SllVEYORR DATE MA I F• , ' . � .h .n .ws . •b'4Y7tlb• S F.N •: f. � 7 A, ° • 4141..." EASr LOT 18 I�U14E L.�T LOT 17'* D) q XLCgt 1 cmt METAL . t 'A � L13T 18 BL= 1 ' • , ( • • Q 00� t c `d •� ° LOT 16 ----•- 44+' tt CilidC. y 1t.J GRASS cn 11401F ° '••� . ® ✓•4 ay fie. TERRACE •' •4141 L 20 'FILE ga.._•� • ;' •" Co?) Id ry '1 ? Q d � n 63.CW Z< UJ �£ PIL-Vev� &JV6 X •4141..• C.B.S. ONE ST©RY : 4141• 4141.. so 90:0 RESIDENCE ElW�itVE 00 • 6... srs #� 1481. o 4141 '4141•--- .- �..».; 1n • :; 14, a cis �� 4141 : &451 0•• 0 :4100:0 :0000 ' • , .41.. ---4141... t7RCH .41 41 4141. ;- 4141... 41.00:0 BRICK Cflf.U�1N •. •• • ..41.0• 6° tROM F•. t4' K X 1.45' V. :41 41 :.: • 0 s GRASS STEP . . 0000.• 000000 ' GRASS It:K GRASS ; 0 0 4141.. :0060: °• . ♦ s 00 0 .4141 . . .: GRASS 1� � ` •• ' 4141 •., � ASFi(Ai.T ' '. �. • tlt�?tItEVA' 1tRINE�lAY' 'i • • F.I.P. y • GRASS t OL41r OUR, t t . t>4o 127,50' (M&R) N89.50'54 °E pC CERTIFIED TO: GEO •pAP •T •41,41 F.I.P. 102ND ST., MIAMI 15.00° PARWAV 'A TITLE INSURANCE F • ASSIGNS, ATIMA. f' LEGAL DESCRIPTION: L4 OF laml AS AVE �"- NE 102 STREET ACCORDING TO THE PU B1'OCK MCUK'°1A°"�'""'wmft um MR a OF THE PUBLIC RECORI •�v000e�euman v v vat a earmrrra+�ww,awva .Ono e. M "HIM . CALEw. ua• ns �eAa, �.vrnmr v�me� ers:� e tape o•owwr, mrne,� into, NOT VALID UNLESS F:id98083ED NVITPi i+w••�ut.a�cs•se�vetraa�vu� gl10%mv^rs"a .wr. • 4141.. Ai1�OM•••BAR.PON�Ipgg�p. °.°.or"'°....M,,.'•" Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Job Address: 1481 102 Street NE uwo� Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor: DOLPHIN POOLS & SPAS INC Buildina Department Comments Phone Number (305)586 -5092 Parcel Number 1132050240130 Lot: REPAIR POOL, REPLACE CONCRETE DECK WITH PAVERS, NEW POOL COAT. Passed Inspector Comments 4 G Failed El Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Friday, October 5, 2007 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: GODFREY, GEORGE AND KAREN Work Classification: Repair Job Address: 1481 102 Street NE Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor. DOLPHIN POOLS & SPAS INC Rnilelinn nPnartmpnt Cnmmpnts Phone Number (305)586 -5092 Parcel Number 1132050240130 Lot: REPAIR POOL,REPLACE CONCRETE DECK WITH PAVERS, NEW POOL COAT. 't Inspector Comments Passed my Failed .1d ,D4, 07 Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, October 3, 2007 Page 2 of 2