DS-06-2806 Miami Shores Village
t�
10050 N.E. 2nd Avenue
r' Miami Shores, FL 33138-0000
.o� Phone: (305)795-2204 Fax: (305)756-8972
FLO FtiD�``
Permit
Permit Status: APPROVED
Issue Date: 11/20/2006 Expires: 05/19/2007 Permit Number: DS-11-06-2806
Owner's Name: JIMMY GAMONET one:
Permit Type: Driveways/Sidewalks/Slabs Parcel#: 1132060171680 _
Work Classification: New
Block: Lot:
Job Address: 600 97 Street NE Section: PB:
Miami Shores, FL 33138-2471
Contractor(s) Phone Primary Contractor
Total Square Feet: 1412
HOME OWNER Yes Total Valuation: $ 4,500.00
Required Inspections
Additional Information Foundation
Type of Work: Additional Info: Final
Bond Return : Classification: Residential
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.
Fees Due Amount Invoice Number Amt Due Amt Paid
Bond Type-Owners Bond $300.00 DS-11-06-26777 $465.35
CCF $2.70 Total:
Education Surcharge $0.90
Notary Fee $5.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $3.75
Total: $465.35
Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
7 DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES.
Applicant Signature
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Permit Number: DS-11-06-2806 Owner Address:
Invoice Number: DS-11-06-26777 600 NE 97 ST
Applicant: JIMMY GAMONET MIAMI SHORES, FL 33138-
Company Name:
Job Address:
600 97 Street NE
Miami Shores, FL 33138-2471
Date Payment Type Check Number Amount Change
Wednesday, November 22, 2006
11/22/2006 Check 3839 $465.35 $0.00
Total Payment: $465.35
Page 1 of 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305) 795.2204 Fax:(305)756.8972
BUILDING a Permit No.
Nov � 6 zoo6
PERMIT APPLICATIONI� Master Permit No.
FBC 2004 BY:k'A----------
Permit Type (circ : (Building) lectrical Plumbing Mechanical Roofing
Owner's Name(Fee.Sim YYl J'Y1 % -_-.-_7Phone# 301 O��_3
21
Owner's Add es s /v _l•'
City State Zip � 8,f
Tenant/Le see Name Phone#
Job Address(where the work is being done)
City Miami Shores Village County /Miami-Dade Zip
FOLIO/PARCEL# _2®6 0A 2 (�
Is Building Historically Designated YES NO
Contractor's Company Name 6?W Phone
Contractor's Address
City Sta Zip
Qualifier Name Phone#
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name(if applicable) Phone#
Value of Work For this Permit$ ;.5V Square/Linear Footage Of Work: q12
Type of Work: ❑Addition ❑Alteration 911
ew ❑ Repair/Replace ❑Demolition
Describe Work:
C,
�?
Submittal Fee$ Permit Fee$ Z5C)55 CCF$ CO/CC
Notary$_J&00 Training/Education Fee$ •I D Technology Fee$ -' )
Scanning$ -Vo Radon$ DPBR$ Zoning$
Bon( • Code Enforcement$ Double Fee$
Structural Review. $ Total Fee Now Due$ S.—,�5
See Reverse side c�PW
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: Asp 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,lnot be roved and reinspection fee will be charged.
Signature Signature
O er or enl Contractor
The foreg ing instrument was acknowledged before me this ►�1 The foregoing instrument was acknowledged before me this
day of ,20 by '� d y of ,20 ,by ,
who is person lly known to me or who has produced who is personalty known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Si '' Sign:
Pr f1'•....' PIR 0 20
Print:
My ommission rxpjrest My Commission Expires:
APPLICATION APPROVED BY: ` Plans Examiner
Engineer
1 Zoning
(Revised 02/08/06)
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
NAME: ��rY1 ' DATE:
ADDRESS: 60o V
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws
of the State of Florida,FS 489.103(7). And I have read and understood the following disclosure
statement, which entitles me to work as my own contractor; I further understand that I as the
owner must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor.You have applied for a
permit under an exception to the law. The exemption allows you,as the owner of your property,
to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one-family or two-family residence. You may
also build or improve a commercial building at a cost of$25,000.00 or less. The building must be
for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a
building you have built yourself within one year after the construction is complete,the law will
presume that you built for sale or lease, which is a violation of this exemption. You may not hire
an unlicensed person as a contractor. It is your responsibility to make sure the people employed
by you have licenses required by state law and by county or municipal licensing ordinances. Any
person working on your building who is not licensed must work under your supervision and must
be employed by you, which means that you must deduct F.I.C.A and with-holdings tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction
must comply with all applicable laws,ordinances,buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I hold title to the above property and I am planning on doing this construction
Initial
2. I understand that as an owner-builder I must abide by all zoning ordinances and
building regulations in effect at the time of permit application
Initial
3. I have an understanding of the 2004 FBC & FRC and understand that this
department and its inspectors are there to help enforce and interpret the code.
There is a copy of the code in this office for review.
Initial G
4. I understand that the building official and inspectors are not there to design,
alter or give advice on how to meet code —. only if the structure meets the
minimum code. I----
Initial G—.
5. I understand that as an owner-builder, that any contractor disputes with sub-
contractors and myself must be handled in a civil court with the advice of an
attorney. The department will not mitigate'any contract disputes.
Initial -
6. I understand that if I compensate any person or company for work performed
they are required to have a business license in the county. If for any reason they
do not posses a business license I will be responsible and liable for any wrong
doing from this unlicensed company or person.
Initial V
7. I understand that if any person gets injured on my construction project—they are
entitled to workmen's compensation. And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
loss of wages during recovery from injury.
Initial
8. I understand that under state and local laws I can not do any Electrical,
Plumbing, Heating, Air & Roof work on my property with out first obtaining
the proper permits by licensed contractors.
Initial v
Was acknowledged before me this day of , 20
BY who was personally known to me or who has
Produced the cense or as identification.
a' ER NOTARY
lot. .9 11111r"
_. 10050 NE 2oa Ave
io s i-pso Miami Shores, A 33138
Phone 305-795-2204; Fax 305-756-8972
www.miamishoresvillage.com
AFFIDAVIT
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, 66Z/J�P104,, does hereby attest that
(propeyfy owner)
The attached survey, performed by
q. (nam of sury m
pr's copare
for address: ,(, ,
performed on (date of survey) is an accurate representation of the
existing conditions and 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 inspections as applicable to this or other
4rm
A ants naught.
01
Alwn Si nature Pro ert Owner Print Name
g
Property
SWORN TO AND SUBSCRIBED before me this day of
Affiant is personally known to me, produced
as identification.
Notary
P VL_wiry
R
S
f�PPS 06C
� E
• NQS 7Miami
//A,,, M..rn 4orej c G!c�e
T0_�6
FLORIDA 10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138-2382
Telephone. (305) 795-2207
Fax: (305)_756-8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, !')')Y1'] % // ,hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description/folio":
Lot Block Subdivision
Tax Folio R:
requests permission to install:
sphalt,concrete, brick pavers
] Landscaping
[ ] Other
within the public road right of way of--6m
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
I. 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 theP ublic
right of way.
3. The Owner does herebya to remove or
agree it relocate their facilities at their own s expense,within 60 days
Y
notice� by the Village to do so. Faure to comply with this notice will result It m the Village causingthe
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 av
co enant running with-the land and
shall remain in full force and effect and be binding on the undersigned,their heirs and assigns,until such
timei-
as this obfi ati n
o has been canceled by an affidavit led in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village(or hid fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLED�E on is a
(owner)
SIGNED.SEALED AND DELIVERED in the
presencence
of.
OR I?k 25106 Pn 1541; (Ips',
NOTICE OF COMMENCEMENT RECORDED 11/17/2006 11:00:19
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION HARVEY RUt1Ihb CLERK OF COURT
MIAMI-DADE C'OUNTYr FLORIDA
PERMIT NO. TAX FOLIO NO. LAST PAGE
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.
1. Legal description of property a d strep[/tjaddress
2. Description of improvement: A UJAV-S .
3. Owner(s) name and address:
S
Interest in property:
Name and address of fee simple I holder: _
l
4. Contractor's name and address:
5. Surety: (Payment bond required by owner fr�^m coo acto , if any ,, Q
Name and address: 6001✓ 9 -7-1 7/.t 0 �7�'�•C' � )Yy� �L a32 2x
Amount of bond $ - n
6. Lender's name and address: A rn
03
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:
0o ,ll
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 Oddress:
r
-
9. Expirdtion date of i Notice of Co ncement: the expiration date is 1 year from the date of recording unless a
'diffe'ra d e'is s
f
n r o e r _ r.
61
t 0, s Name Nw/��/ Prepared by
Sworn to and subscribed before Me this—&,Aay of �2 20 or. r
,max E ��
° 99PCA1`8t1'titER,JR. Address:
Notary Public WL±Alla,Statef Florida
MV 0,40 , §✓i ares Apr. 19,2009.
Print Notary's N m D p � v / y c
ry
g �!
�.
My commissiontai
123.01-52 PAGE 4 8/02
S PRI OF FLORIDA,COUNTY OF DADE
1 HEREBY CFR77FYft this ft.s true cow Offt °c°uNrr
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55Q2 N.W.7`H�J'TRF'E1.SUITE 202
MIAMI,'FLOR111 33126
TELEPHONE;(305)220.317±
FAX:(305)554.7822
ouraqvro
DRAWN BV. m ,✓mum .c. SURVEY NO.
LAND SURVEYORS
SURVEY OF 10T 9 SHEET rr�p,_ ✓ OF
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SUBDIVISION 4,M��/p6D
RZ,47- OF /1'1/r4M/ BLOC AOC?
ACCORDING TO THE PLAT'....HEREOF AS RECORDED IN PLAT'800fC NO 5>�OpIas
RECORDS OF _ l�s�Off, 15 AT PAGE NO, �¢
PROPERTY ADDRESS: 6' 0 COUNTY• FLORIDA. DATE: OF THE PUBLIC
---iY,E 97�h fir-
FOR Jorge A. Mursuli & Jimm`onet M/AM/
.�9 LOCATION SKETCH Scale 1 =
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LEGEND ••••••
A.ARC.
--. F7N.6.- ND NAIL&DISK P R..C.=POINT OF REVERSE • •• WOOD G�
A/C-AIR CONDITIONER PAD. F •
A.E.=ANCHOR EASEMENT. CURVE. •••AHA(N FINK FENCE. ••• •
FT.-FEET. PROP.COR.-PROPERTY • C.B,S,WALL4C.B.W.)
A/R-ALUMINUM ROOF. FNIP.-FEDERAL NATIONAL CORNER. 0.00 X •
••• ••••EXISTING ELEVATIONS.••• ••
A;S=ALUMINUM SHED. INSURANCE PROGRAM. P.B.-PLAT BOOK,
ASPH.=ASPHALT, F.N.=FOUND NAIL. •'. • • •
B.C.=BLOCK CORNER. PG.=PAGE. O.00 .....s"IR0 FOC-.AT 9L•EVATION&-•• •
BLDG,=BUILDING. H=HIGH(HEIGHT). PWY=PARKWAY. see*
IN,&EG.-INGRESS AND EGRESS PRM=PERMANENT REFERENCE • •
B.M.=BENCH MARK. S RV YOR •e NOY --1)•iF"QWW BEARING@ ARE � ••• •
B4O,B.-BASIS OF BEARINGS. EASEMENT. MONUMENT, REFERRED TO AN ASSUMED MERIDIAN,BY SAID P%
P.L.S.-PROFESSIONAL LAND IN THE DESCRIPTION OF T LP PFR7AERTY,IF NOT, • ••• ••
C.=CALCULATED. L.P.=LIGHT POLE. SURVEYOR. THEN BEARINGS ARE REF •
C.B.-CATCH BASIN. L.F.E.-LOWEST FLOOR R.=RECORDED DISTANCE. TOWNSHIP MAPS. 6RRFG IaCOUNTY • •
c,BS.-CONCRETE BLOCK ELEVATION.
STRUCTURE. L.M.E.-LAKE MAINTENANCE RR,-RAILROAD. • • see* ••• ••
COW-CONCRETE BLOCK WALL EASEMENT. RES.=RESIDENCE, 2).IF SHOWN,ELEVATIONS ARE%FERRED Tb••••• • •
CH.-CHORD DISTANCE. •-MINUTES. RNV. RIGHT-OF-WAY.
RIGHT-OF-WAY. • • • ••• •-
CH.B.-CHORD BEARING. M.-MEASURED DISTANCE. RAD,-RADIUS OR RADIAL. B.M.# EIfY. • so**
• -
CL-CLEAR. MON.-MONUMENT. 8083 RADIUS QjJI( OF N,G,V,D.OF 1929.
•• •
C.L.F.=CHAIN LINK FENCE. bVH.=MANHOLE. SEC. S ON 3).THIS'SKETCH OF SURVEY'REPRESENTS A LAND
C.M.E.=CANAL MAINTEN�,N ��AI T A PA 0 TY SURVEY,ALSO REFERRED AS A BOUNDARY SURVEY,
EASEMENT. E T A PAR O . ,=SIDEWALK.
C.P.- =CONCRETE. ATICTIONAL Villa - 3A.)THIS IS A SPECIFIC PURPOSE SURVEY.
C.P.=CONC.PORCH. VERTIOAL -
C.S.-CONCRETE SLAB. H. L.B.06044
D,E.-DRAINAGE EASEM 'N,T.S.-NOT TO SCALE, •-SOU •TC' 4.)THE CLOSURE IN THE BOUNDARY SURVEY IS
D M.E.=DRAINAGE MAIN NIAA� UMBER., N.D,_ kali B.r.9paa ABOVE 1:7500 FT.
EASEMENT. _SE'L, R E Oy�H I HEREBY CERTIFY:THAT THIS'SKETCH OF SURVEY'
DRIVE.-DRIVEWAY. =OVERHEAD, S p D . C' OF THE PROPERTY DESCRIBED HEREON,AS
o=DEGREES. Oji,��3VERHANG. A E . RECENTLY SURVEYED AND DRAWN UNDER MY
E.=EAST. it FFICI =',I� N SUPERVISION,COMPLIES WITH THE MINIMUM
E.T,P.=ELECTRIC 7RANSF .-PAVEMENT, U E•= I TECHNICAL STANDARDS AS SET FORTH BY
PAD. PL,-PLANTER U i TY. THE FLORIDA BOARD OF PROFESSIONAL LAND
ELEV.-ELEVATION. ,k PROPERTY LI a fL E. SURVEYORS IN CHAPTER 91017.6,FLORIDA
ENCR.=ENCROACHMENT. B� POINT Of COMPOUN W.M._ ATER TER, ADMINISTRATIVE CODE PURSUANT
F.H.=FIRE HYDRANT. - UAYE. p -I„)V)ty ..= DD FENCE, T047ZO LORIDA STATUTES,
` FJ,P.=FOUND IRON PIPE. SUB _;r T OF CU E:NC A=CENTRAL ANGLE.
F,LP.F,E=FOUND IRON ROD. PT.=POINT OF TA ENC e W.=WEST.
F.G E.=FINISHED FLOOR POO.=P,NTOp CX�T'N' �=CENTER LINE,
ELEVATION. :,' POB.-POINT OF BEGINNING.—�X,=ANGLE. BY:
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY(SURVEY); ��0 Fj IBARRA(DATE OF FIELD WORK),
j EXAMINATION OF THE ABSTRACT OF TITLE WELL HAVE TO BE MADE TO DETERMINE RECORDED PROFESSIONAL LAND SURVEYOR NO, ,2•0.3`
STATE OF FLORIDA.(VALID COPIES OF THIS SUR EY WILL
INSTRUMENTS,IF ANY,AFFECTING THE PROPERTY.THIS SURVEY IS SUBJECT TO DEDICATIONS,
LIMITATIONS,RESTRICTIONS,RESERVATIONS OR EASEMENTS OF RECORD.LEGAL DESCRIPTIONS UURV THE-EMBOSSED SEAL OF THE ATTESTING LANG
SURV
PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY-
SKETCH
SKETCH OF SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK REVISED ON
PERFORMED IN THE FIELD,COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE. _
THE LIABILITY OF THE SURVEY IS LIMITED TO THE COST OF THE SURVEY, REVISEDON—
THE TERM*ENCROACHMENT'MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS.
ARCHITECTS SHALL VERIFY ZONING REGULATIONS.RESTRICTIONS AND SETBACKS AND T HEY WILL
BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOA THEIR
APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN.A NEW CONSTRUCTION.UNLESS OTHERWISE
NOTED,THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTINGS AND/OR FOUNDATIONS.
FENCE OWNERSHIP NOT DETERMINED. _ y ,N,_
THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE '
SITUATED IN ZONE X _(.COMMUNITY# 120652
PANEL#—JOSS SUFFIX J
DATE OF FIRM 3/2/94 BASE FLOOD ELEVATION _ N/A _ -w _
CERTIFIED TO: Jorge A. Mursuli & Jimmy Gamont
Jay Koenigsberg P.A. ----- - — H ��
Attornnpys` Title Insurance Fund Inc=
Gibraltar.Ba4 FSg ats successors and/or ps i
_-_ be_ir -"I eves^-r�may appear gns-- S
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MIAMI,FLORONE:(A )2 $ t
TELEPHONE:-306}220 3171 *1trult4wWrit F,ua:(3os1 sse Y. ,. SURVEY NO. 9e-
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