DS-14-591s�
Miami Shores Village
10050 N.E. 2nd Avenue NE
CCF
Miami Shores, FL 33138-0000
DBPR Fee
Phone: (305)795-2204
Project Address Parcel Number Applicant
1286 NE 99 Street 1132050090150
Miami Shores, FL Block: Lot: ALAN SHERMAN
ALAN SHERMAN 1286 NE 99 ST (305)757-5503
I MIAMI SHORES FL 33138-2643
Contractor(s) Phone Cell Phone
RODWINS PAVING (305)253-5354
In Review
Valuation: $ 3,500.00
Total Sq Feet: 2200
Approved:: In Review
Denied:
of Work: RESURFACE EXISTING ASPHALT ON DR Additional Info. RESURFACE EXISTING ASPHALT C
Retum : Classification: Residential
ninq: 3
Fees Due
Amount
CCF
$2.40
DBPR Fee
$3.00
DCA Fee
$3.00
Education Surcharge
$0.80
Permit Fee
$200.00
Scanning Fee
$9.00
Technology Fee
$3.20
Total:
$221.40
Pay Date Pay Type Amt Paid Amt Due
Invoice # DS -3-14-51031
04107/2014 Check #: 9640 $ 171.40 $ 50.00
03/25/2014 Check #: 9609 $ 50.00 $ 0.00
Avaname
Inspection Type. I
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
April 07, 2014
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
April 07, 2014 1
Y
Miami Shores Vill;-A
-
Building Departme t ���
10050 N.E.2nd Avenue, Miami Shores, Florida 3313$
Tel: (305) 795.2204 Fax: (305) 756.8972 l —.-
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: WELDING
2017� ,�jq
Permit No. O v(-
Master Permit No.
ROOFING
JOB ADDRESS: 0-196 wie 6n 5�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder):l 1� j �j 1�'{��i� Phone#:
Address: 1 410 —Ur " 1s- t
City: W{ i�'(�p _ - z State: � �- Zip: � � 1
TenandUssee Name: Phone#:
Email:
s r� - hr- -
CONTRACTOR: Company
Address: M-10 rD\AJ
City: State: Zip:
Qualifier Name L^ Phone#.
State Certification oorRegistration #: -Certificate of Co ency #: m g141J1-J
Contact Phone#'56 22� Email Address: �1C� ��1 0 neJ • -
DESIGNER: Architect/Engineer.. Phone#:
Value of Work for this Permit: $ 5 SquarelLinear Footage of Work:
Type of Work: OAddition OAlteration (LINew Atepair/Replace ODemolition
Description of Work: a% C'D .� II � �1� % �7 k I �l�rrll�cl
COZOP thru tlx:
Submittal Fee $Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW D�
+
Bonding; Company's Name (if applicable)
,,Banding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
zip
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 properly 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 In the absence ofsuch posted notice, the
inspection will not be approved and a reinspection fee will be charged 1'
Signature
Owner or Agent ,,q �^
The foregom instrument was acknowledged before me this u� `
day of �' 20 A, by ►"� CI!n D GJq& VV)
who is personally known to me or who has produced 0� --
As identification and who did take an oath.
NOTARY PUBLIC:
My Commission Expires:
APPROVED BY
P - 8ft of Florida
Commdss N 0 FF COU89
Contractor ``��
The foregoing instrument was acknowledged before me this
day of , 20 4by _ Lt b 1f
who is pepoa�1_y 1=Wn to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
F
My Commission motwPu c - Stas al Bot
d• My Comm. EgUes Met 9.2( µ�
•.,fid;• Commission FF QBE 6
% � '
Z- S'-( Plans Examiner < Zoning
Structural Review Clerk
(Revised 3/12=12)(Revised 07/100 )(Revised o6/lMM)(Revised 3/15/09)
CERTIFICATE OF LUUM .ITY INSURANCE
Wn CWTIR "U M 68M A8 A MAY= OF DIFORCAIITM ONLY AND CONFRIN NO NONTS UPON THE 1i6 HOLUM :ice
iN 09VATA' DOES Nor AFFNINWKY OR NEMIWELY A1006 ExMID OR ALT M in COVEM011 AFFON= BY THE POLMB
BUM. TaB+ii CMIMATE is NBUROM Dt» NOT COMM/TE A COMB a 00 '"ON' 111E WOUNS WOUROM AUTHOMIRD
ATN@ OR AND THE OERT9=TE HOLUM
a TANr.
fdom On Ae a f» i alert bN �wAilr�, �o
iw aad cm M, diApo3q.cabinpM6Namgtngaabe=SIL ASUORWASOM daaeal o to>�
PROMM
Be"iet Ineuiramm Grow, Inc.
870 74th Aveam forth
8t. 8®toraiburg, 8L 33702
tom► Rodwins paving too.
19270 SXIF 188 Court
Miami, IM 33187
305-253-8334
THB L9 TO CiEtMY THAT IM POLICES OF RMRWM Lam' O BELOW MAVH BiNDI MMW TO TILE Mwwu wwwmw m mm rues onw. rw&xw• ��
8113='80 NC7llAiihiSTAi ANY REMMMEK, TEW OR CONDIT01 OF ANY C ON RWT OR C7MM DOC2AI M WRM REM= TO WHCi"
MATE MAY BE GBI OR WAY PERTAK TFC WALMM AFFORM BY THE POL1CM MCFAM NORM 18 81H,1110t TO ALL TME 11616A
own a ma nnuwWIN;ORauCH PQ1.EM tlliNi8 SWM MAY HAVI DE01 ABY PAW C UUML
521-10363 j 7/18/131 7/18/14
A
DRIVEWAY, PARKING AREA, SIDEWALK PAVING AND REPAVING
Miami Shores Map
Building Dein.
10050 NE 2nd Ave.
Miami Shores, FI 33138
Lof r -f
commove . MOM Lwsnr
Qa
atb'�a91F+ A�aa awataw $
cell. n ►11 a
ElPmw El ,11ICT El Lao�•�
a
521-10363 j 7/18/131 7/18/14
A
DRIVEWAY, PARKING AREA, SIDEWALK PAVING AND REPAVING
Miami Shores Map
Building Dein.
10050 NE 2nd Ave.
Miami Shores, FI 33138
Lof r -f
�► CERTIFICATE OF LIABILITY INSURANCE
W15/13
THIS CERTtMMYE IS ASA MATTER OF INFORMATIM ONLY AND CONFERB NO RKiHTS UPON THE CERTIFICATE Ems. THIS
CERTFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, M(TEtND OR ALTER THE COVERAGE ARFOWED BY THE POLICIES
EELOW. THIS CERTFICATE OF INSURANCE DOES NOT CON$TITU1E A CONTRACT BETWEEN THE ft AUTHORIZED
RESENTATIVE OR PRS, AND THE CERTMATE
IMPQRTANT 11110 boldo Is m A tL USI► o bs R ISWAM104 rAfed to
*At0=001141`111010011MA 011 P moUn>GdPo4oa cot dowadooaNr s$Ddm
Ia
MAitILYN L. PEREZ
EstMo & 2lIS-17M
7219 Cola) Wqr
MWnt FL 33155
Piste (305) 266.17W Fax (SM2V-1197
a
WESTERN WORLD i MLgtANGE COMPANY
NIEBLAS St SONS PAVING ENGINEERING INC
DBA RODVM PAVING u1sumc-
19270 SW 185TH Cr. 0:
MIAMI, FL 33187 305-253-6354
COVERAGES CERTIF44ATE NUMBER: NEVI R:
TIRE ISTO CERTIFY THATTM ROM OF IMMO LISTED BELOW 14AW 8M WU10TOTHE INSAJM NAMED ABOW FOR THS POLICY PERIOD
RUCATI:D NOTWITHSTANDINGAW REQIJIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECf TO W" THIS
MATE MAYBE E ISSUED OR MAY PERTAIN, THE INSURANM AFFORDED BY TW POWES DESCRIBED HEREIN IS SUBJECT TOALL THE TF.F&118,
MLSONSAND CONDITIONS OF SUCH POLICIES. UMITS Std MAY HAVE BEEN REIXCED BY PAID CLAIMS,
""opvwJRu= NUMBER LLIIST9i
aat.ta+r+r 1000 0LO
7®y 10L
L71�0 maw
s
A ❑ Y 0Et3 OEIIS82014 .aAr�+rv,nr s 1OtG000
❑ ABATE 000
QM1 7EtAV81 N*=PER: 110nm
168 POLY ❑ M ❑ we s
❑ hws m ao�xouue:sr�►P J $
❑ .uia 6pDi1.YMWiRY{per
❑ ' as
❑ ►A,moa ffi
❑ , s
stesss un pie a
pDEDUCTe :
ANDOWLORIMPLLAOLWY
AF4 MIA CLEACCHAOCE1l T s
0FRERNAMMO111LLUESSE-EAEMPLOVE S
OF EJ. OCB@M- POLICY LWr S
r
M-PIMOPOPMUMOMiLOGRIMUSIVEN 10811h ROM I,Add00nW s,EamnsPN*1s }
O RP&WAY, PAR1010 AREA OR SIDEWALK PAVING OR REPAVING
CERT111WATE HOLM CANCELLATION
Miami Shares Village TSHOULDANY OF W�THR ASM
DATE. t BE
Building DepL ate "1E p
IWSO NE 2nd Ave.
Miami Shares, A 33128 AUTHONSEDNINUMNImUM
I MARITZA WCLAN
STATE OF (FLORIDA)
COUNTY OF (RADE)
Miami Shores Village
Building Department
SURVEY AFFIDAVIT
10050 N.E2nd Avenue
Miami Shores, Florida 33138
T®1: (305) 795.2204
Faw (305) 756.8972
The ung Affiant, 9-61% 1'% �..y 'ma�1. does hereby atlhedthat
PqMtYow10)
The attached surer, perforrned by LAnnBS "I Gar`! k t�
(Narrro Of sur"YWS conWy)
Foraddress: 12 I CQ AJ& q0t 54— 01 1 AM : &&t3d 1 PU
Pwfo bed on %D ZA 14-L- (date of survey) is an accurate repr eserhtation of the waling condifiorm and
looms of all dwchm on the prod as of thb dad.
The p qm of the Afidaid a to induce Man Sty VMW to mue a k&hg permit IN #0 Property
withmA fust prvAftg a shwey less than swo M years old old. The Affiant, as property owW, b#ff agrees to
remove or ooh permb fa' any duchm which now may exit on fire properly which are not Pernalled or which
may violaie zoning or build'irig code regulaborm The Mid b#w urxierslands that tiro awMence of any such
may affeet linal mgxct m as to the or otter permits.
Furl hq, Aunt say eth naught
to &''�l�%do ,,;;7
P"" Owner S palure RM" Owner Pant Name
SWORN TO AND SLESCRiBED before me ft -IS—day of n �
Aftd is laity bon to me, poduced
�NIEM1► CARIE
z P FWL
N
CFN: 20140206493 BOOK 29076 PAGE 2479
DATE:03/20/2014 03:29:01 PM
HARVEY RUVIN, CLERK OF COURT, MIA -DARE CTY
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, ( L&n 1. s � hereinafter referred to as the owner of
the following described property (address): Int • � • "1 Sit" •
1�tlGur i 5homes I� 3i3�
Legal Description
�� q3- ` D Lot.*
Folio 0-AM-09-asD
Requests permission to install (describe
Block 22- SubcMsion c 4t -I Im d , MS
Within the public right of way of (a drm) _ l � a & 9U1 l(LM R%
�313�
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. g 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 Memnify and hold NMami Shores Village or Dade County harmless from any
and all tiabifity, which may rise by virtue of permitting the installation of these items within the public right of way.
0.
0 ,
CFN: 20140205493 BOOK 29076 PAGE 2480
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 Ite n(s)
to be removed and a filen 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 ` day of 2014
(Owner's Signature)
SIGNED, SEALED, A ELIVERED in the presence of:
1ENEM1f GAt�
E:n
�Fdit • Sda d FWW
Games. iii tiler !. 2010
Oa a FF 099_I
2
Page 1of2
This property described as:�,
The West 50 feet of Lot 2 and the Ea 0 feet
of Lot 3, Block 2, loa c
EARLETON SHORES,
according to the Plat
thereof, as recorded in
Plat Book 43, Page 80
of the Public Records of fits
Miami—Dade County, Florida. =
f
SN01iV 11WAU UNW I +'• ,
LU
�v83a v i-iliM 3JNvl IJuuu:� ,, 1., �� ;,, , 1
1 30 :� ��', - a
id G U I� I V OC SC'.a G.E •' /W =,/_450' a
Ala A08ddV
o _
•� I N i { sutveytothaaiinintan
Ftta.',�i __._ .1E1.�`% .+'�.,�� (s�M r Toaa�lse�alarastort.�asar�lrtns�
.�!/� bttite�eotF.�oud�diruu
Ruias si•17.tFior[da�Uve
ro �a� r b £ too• '� or�CAgtsawlas Sovim.
44
� � .,�, j ,,,q - �• / JZ � ,!� � to a+e�e*.rtazr erUta
0
3N Ss ,to
Lrr
t 17-75' z,7s
fat Note: Page 1 of 2 U.
o� h not complete without
11.5 U) Page 2 of 2 with
R j y corresponding Survey
44,
41
vi
t pA
fP(P
PROPERTY OF -Sherman, Lana X. and ISherman, ' Alan 1-1..,:%.286 N.E.- 9%t.h Street,
n.
Shbres, F d
�„ S A BOUNDARY L A Ai ants u Ii`
Alm suRVEv
i hereby certify that the urvey repre- -rte,
.�'"'� PROFESSMAL SURtirEYWO AND MAPPING
sented hereon meets t minfmun+ � CANNES 8 GAr.ClA, INC
technical standards set fgrth by the t ;! LB. 82088
bard of land Survey pursuant re �FRANC=0 F. FAJARDO PSM 04767 (CUAUFIER)
no aFla. St t es to
There are 385 Alhambra Chale, Stdte MC, Coral Gables. FtorW 33134
nos ; mems,
a riPH (303) 87808 FAX (305) 442-2930
ng on the t t as
86.
® hereto. ? /
Fla. Reg. tan Surveyor DATE SCALE _ DRAWN BY DRWG. iv0
s!i4� J G��k�✓-- "2`y �' /� — ?:d' Ct�2' //� 92•-11634
/DQ" rt;'e r7v,��blPs �ev�:c d 1
193 -9336
-rtsrd3� 233326
I ,2F.V£ CtoV fS�li,�F� Y
.5i!•
5D-
?e
75-
61
..l
K
4
C
V
h
AC
17
7S'
ii
75 •
74-%
LU
�v83a v i-iliM 3JNvl IJuuu:� ,, 1., �� ;,, , 1
1 30 :� ��', - a
id G U I� I V OC SC'.a G.E •' /W =,/_450' a
Ala A08ddV
o _
•� I N i { sutveytothaaiinintan
Ftta.',�i __._ .1E1.�`% .+'�.,�� (s�M r Toaa�lse�alarastort.�asar�lrtns�
.�!/� bttite�eotF.�oud�diruu
Ruias si•17.tFior[da�Uve
ro �a� r b £ too• '� or�CAgtsawlas Sovim.
44
� � .,�, j ,,,q - �• / JZ � ,!� � to a+e�e*.rtazr erUta
0
3N Ss ,to
Lrr
t 17-75' z,7s
fat Note: Page 1 of 2 U.
o� h not complete without
11.5 U) Page 2 of 2 with
R j y corresponding Survey
44,
41
vi
t pA
fP(P
PROPERTY OF -Sherman, Lana X. and ISherman, ' Alan 1-1..,:%.286 N.E.- 9%t.h Street,
n.
Shbres, F d
�„ S A BOUNDARY L A Ai ants u Ii`
Alm suRVEv
i hereby certify that the urvey repre- -rte,
.�'"'� PROFESSMAL SURtirEYWO AND MAPPING
sented hereon meets t minfmun+ � CANNES 8 GAr.ClA, INC
technical standards set fgrth by the t ;! LB. 82088
bard of land Survey pursuant re �FRANC=0 F. FAJARDO PSM 04767 (CUAUFIER)
no aFla. St t es to
There are 385 Alhambra Chale, Stdte MC, Coral Gables. FtorW 33134
nos ; mems,
a riPH (303) 87808 FAX (305) 442-2930
ng on the t t as
86.
® hereto. ? /
Fla. Reg. tan Surveyor DATE SCALE _ DRAWN BY DRWG. iv0
s!i4� J G��k�✓-- "2`y �' /� — ?:d' Ct�2' //� 92•-11634
/DQ" rt;'e r7v,��blPs �ev�:c d 1
193 -9336
-rtsrd3� 233326
I ,2F.V£ CtoV fS�li,�F� Y
p ; � ,,,i
."
--o-.�,.�.......�
�'
. �.
t
e
•