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DS-15-1235Owner Information Address Phone Cell ANTHONY 8, LINDSEY TANONA 253 NE 94 Street (954)593-3229 (305)710-9152 MIAMI SHORES FL 33138- 253 NE 94 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone ORONI INC (305)685-0412 In Review Approved:: In Review Denied: of Work: CONCRETE APPROACH Retum : ning: 3 Fees Due Amount Bond Type - Owners Bond $500.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $617.80 Additional Info: Classification: Residential Valuation: $ 2,499.00 Total Sq Feet: 175 Pav Date Pav Tvoe Amt Paid Amt Due I Invoice # DS -5-15-55691 06/05/2015 Check #: 486 05/22/2015 Credit Card Bond #: 2741 $ 567.80 $ 50.00 $ 50.00 $ 0.00 Available Inspection Type: Final 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 zoAing_Futhermore, I authorize the above-named contractor to do the work stated. June 05, 2015 Owner 7 Applicant / Contractor / Agent Building Department Copy June 05, 2015 1 Miami Shores Village g t Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 �() BUILDING Master Permit No. Ds_ PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ZS__S PL City: Miami Shores County Miami Dade zip: Folio/Parcel#:_ (•3zoro • 03:1. 37ac> Is the Building Historically Designated: Yes NO Occupancy Type: Load: / 'Construction Type: /Flood Zone: /V'� BFE: FFE: OWNER: Name (Fee Simple Titleholder): /r 'tel NPs --84"10tj(� Phone#: �- I'1 Ci C - ! (� Address: <:►� -� QLD 1914 S f— City: %�kli4'-k-k r State: lot- Zip: Tenant/Lessee Name: Phone#: Email: ,� r CONTRACTOR: Company � Name: �1�` `�L Phone#: �• ��' � � Address: L `�C,o W(A-) 6 C� p City: &P -o' State: Qualifier Name: Qetl�'�Cz> %-kes[A S Phone#: State Certification or Registration #: cac-i Ts- 1657� Certificate of Competency #: _ DESIGNER: Architect/Engineer: hone#: Address City: State: Zip: Value of Work for this Permit: $ t — Square/Linear Footage of Work: Type of Work: ❑ Addition Ej Alteration New ❑ Repair/Replace ❑ Demolition Description of Work: CCnIC.R-ME: WIF-0 A -- Specify color of color thru tile: ��/••�� Submittal Fee $ .Q Permit Fee $ IVt> - CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ Double Fee $ Bond $ Q7 TOTAL FEE NOW DUE $ '1 (Revised02/24/2014) isr._� . 90 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 Zi 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 The foregoing instrument was acknowledged before me this ZZ day of _ k" . 20 (S; by O t'lk who is personally known to me or who has produced®°�' I " �a S identification and who did take an oath. NOTARY PUBLIC: CONTRACTOR The foregoing instrument was acknowledged before me this ZZ day of t -kA t , 20 lSr by who issonally know to me or who has produced identification and who did take an oath. as Seal: REBECA M.PASTRANA MY COMMISSION # EES72624 ` e EXPIRES: F&mary 07, 2017 w +k�k�kW�k�R&i4�+k4 1 APPROVED BY L Plan (Revised02/24/2014) Seavom e_-__ -_.._ov-_____ REEECA M. PASTRANA a� MY COMMISSION # EES72624 �c�_4 EXPIRES:Febnmy07,2017 s Examiner Structural Review L Zoning Clerk N Miami Shores Village 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) N PCe-1 1 A-^Jd �*- ,� hereinafter referred to as the owner of the following described property (address): 2a P L. �7 ,/ S f_ �-kk /moi iL- 33 I rfli� Legal Description �"� (�� Lot ��t �� Block q-� Subdivision ( &tg S (�4`s M® Folio # 11• 9706 - O125,' M0 Requests permission to install (describe work): NSW CONCRx'rL= AP (Zook �- Within the public right of way of (address) Z51 tA;- ?4 s 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) 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 2— day of , 201 (Owner's Signature) 1---STGNEC�-S�EALR—,AND DELIVERED in the presence of: REBECA M. PASTRANA MY COMMISSION 4 EES72624 EXPIRES: Fe n wy 07, 2017 SKETCH OF BOUNDARY SURVEY 15' ALLEY Li �. p�p F1,R 1/2°.. ::. 19.''.ASPHAtr.AIC£Y : :... , F.I.P. 3f4" No I.D. ................ A ......o .:oo ..r�(R}:: ..... . LL -- __ 77a- _ ° LOT 21, BLOCK 28-M (� 0.50 CL 89'5142 {c) — 90'18°(C) . a 111E EAST 1 j2 OF LOT 20, BLOCK 28 ... l l ( POOL ��a 0i ® ::► W z ° a3 . -c c... , 10.i0' az MAY rn I o.�o' cL. j ONE-STORY O 12.x0' RESIDENCE A 253 15.40 Ln o W �L 113,75' NC. � � � 13.50' .�0.18'•CL 3 4" "� rn No IA. s-r►n+ ' cn L1) I 90'8'18°{lut �' 89'51'4 (M) 270 OO'(P) ..' •5' SIDEWALK' 7J�.ti�� Up.v ., OCK w,�H dF NGw CORNER New Lc co Nc�[�S • • • • ApPKOACarI-tv� BE.p�}y d+a SwAt . . • sees • •. • • • • sArvvC PAW w CFI •••• : • • • •• = -a 22' PARKWAY ..• •. •.: : ••••i• fi.AqS c wed M •••••• ••• • • ••••• S '00 ...'...'.......'....... .....'...'..'.'.'.'.....i i . •.• .'..'...'t .'. . e..�y�,6� ..... - ... •2'2 ASPHALT PAVEMENT• ....... • .. _..... ..�...� ... r .,- ............. •.•" . ........i' ••• ........................:NE':' 4#h' TRE T....'.','...'.'.'..;....:........ ......................... .. :...............•...�.,..... ...... ............... .'.! • • .................................................. • •