Loading...
DS-14-881Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION P ir-7' MAY 01 8014 FBC 20 10 Permit No. y�� Master Permit No. DU Permit Type: BUILDING ROOFING JOB ADDRESS: ." _4 /ffl) 11 24 Ng) qv �r City: Miami Shores County: Miami Dade Zip: 3 3 60 Folio/Parcel #: `/° 3/01-193t -' 0/WO Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 7 740 L / Phone #: Address: Z- m u q y r City: i $414,1)1 rt04 State: Zip: 3 3/5a Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: 6 -/49- �'� P ,/ (;)tte*'" Phone #: 36' 25-2 ASS Address: / 1 01)1 ,)1V t�' 3 'r $ "°'1) - /V' City: 494 State: /1— Zip: 33/71 /7O Qualifier Name: J%lilfe- 4/t5/(4() Phone #: Virti y ?C State Certification or Registration #: Certificate of Competency #: GC-©s 65 OC--)(3" %�' Contact Phone #: 7CY 0'14 e Email Address: -ikkl - 4,l ett L'h/- DESIGNER: Architect/Engineer: Phone #: 3675 q73?-1/33 Value of Work for this Permit: $ iii ov t) Square/Linear Footage of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace Description of Work: 012A1 Cl '!e- V d li Gt-A7 Pi 7 gJ /144- ❑Demolition Color thru tile: ******** * * * * * *** * * * * * *** ** * * * * * * * * * * * ** Fees************* * * * * * * *** *** * * * * * * * * * * * * * * * * * ** Submittal Fee $(3 C Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Technology Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 9 t 9) 4 � 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 mus . e posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the ab ence s7such posted notice, the inspection will not be a.' v • and reinspection fee will be charged. Signature // Owner or Agent t The foregoing instrument was acknowledged before me this \ day of V t A'—" , 20 M, by Si (-IRA (CN-I " Are- ,2 , who is personally known to me or who has produced rk--1. 9 As identification and who • •d take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY 8/i1 Illit" Signature Contractor The foregoing instrument was acknowledged before me this d a y of i l ` ( , 20 N , by ,T,A I (Y1 l LL �5 who is p - onally known - or who has produced Plans Examiner Structural Review entification and who did take an oath. 04\ NOTARY PUBLIC: ` n i i u�,,�, �, o Sign: Print: My Commission Expires: (Revised 5/2/2012XRevised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) cu C-7/77V Zoning Clerk Miami Shores Vniage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) C-2—r, %tom hereinafter referred to as the owner of the following described property (address): 25° /1)2-el •z 7 �J iV -19> p 3? Legal Description Lot Block Subdivision Folio # �>— 3% 1i� - 03 tf - (2 G V Requests permission to install (describe work): ..., r..4'1,. `�i -04 Within the public right of way of (address) AAA-) q If $ T lad,//as J L3 p) 1-P._ 33'5 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. 1 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 obligations 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 this \ ,1 ay of Pt A' \ , 201 9 SI �• �, S • D, AND DELIVER 2 InesiuiiUr aoP CO) F✓sfc,'. /A% 11-. r c /- 4" ;• n• Owner's Signature ) 15' 75.00' ALLEY Legal Description: Lot 23 and the East 1/2 of SECTION 6 A, accordix 12, at Page 54, of the Pub o 10.8ff Certified To: STEPHEN K. HARPEl BENTE & WHITEBO( INSURANCE CO. OF LENDER, ITS SUCCE r 0 IN) HORES;z N.W 13 DG. 94th LUECT 0 COMPLIANCE WITH ALL FEDERAL, TATE ANDOWNWNPLeriNIVD REGULATIO ept' 4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 211654 Permit Number: DS -5 -14 -881 Scheduled Inspection Date: June 18, 2014 Inspector: Rodriguez, Jorge Owner: ODALYS ACOSTA, STEPHEN HARPER Job Address: 29 NW 94 Street Miami Shores, FL 33150- Project: <NONE> Contractor: CHAMPION CONCRETE Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1131010340140 Phone: (305)252 -8055 Building Department Comments CONCRETE PAVER DRIVEWAY Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 17, 2014 For Inspections please call: (305)762 -4949 Page 8 of 26