DS-14-2685 I%
Miami Shores Village "L ,�
Building Department DEC 10 2814
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax: (305)756.8972 __—
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 Ld
BUILDING Permit No.Q SJLI — 2 0�
PERMIT APPLICATION Master Permit No.
Permit Type: BUILDING ROOFING
JOB ADDRESS: 1 f�'°�' ®� t� ��
-39
City: Miami Shores County: Miami Dade Zip:
Foho/Parcel#: J,%-,3zc6'-03
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder) �'l� �`-
^� .
� - Phone#:,��`�
Address: 13 ) �V 3 c-
city:
q°`aSNw� &6 State:f- Zip:3?J 3,Y
Tenant/Lessee Name: Phone#06 1 -7"—&4 W,
Email:
CONTRACTOR: Company Name: 1"k#A # Deal 6WCAV7AL Phone#: Z � �
Address: 11001 A 0 F3 !�J_ ,r
City: 'D®a7L State: zip: �17 r7
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competent #: eC5
Contact Phone#:165 q7J?V35, Email Address:
DESIGNER:Architect/Engineer: Phone#: 6 e VW WaWZ
Value of Work for this Permit:$ to_® Square/Linear Foofage of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace `,- ❑D6n9lition
Description of Work: AwLWA-:i
Colo"thru d1e:
Submittal Fee$ Permit Fee$ . �� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$ d
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
P _� 1 ��
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 must a posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the ab nce of uch posted notice, the
inspection will n t be approved and a re' ection fee will be charged.
Signature Signature
Oer Agent Contractor
The foregoing instrument acknowledged be re me this The foregoing instrument was acknowledged before me this
day of 120 4y,by /'7 day of 20 ,by ::26/;-7
who is ersonally kno to me or who has produced who is ply known to me o ho has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
PAMCIA aKHRm Sign:Print: FVIM A Print:
My Co 'ssion. My[�* 8fstc State of Florida
Gciano
y Commies onanna M 'FF 082753
xpires 01/12/20183:
IL 11 "`
APPROVED BY Plans Examiner J � Zoning
Structural Review Clerk
(Revised 5/2/2012XRevised 3/12/2012)XRevised 06/10/2009XRevised 3/15/09)(Revised 7/10/2007)
f
i
Miamishores Village
see EMT" 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) S a) 11 e _10— hereinafter referred to as the owner of
the following described property(address): 6 &_ /Uc— /03:C
4I Aavo =
Legal Description Lot Block Subdivision
Folio#
Requests permission to install(describe work): '
Within the public right of way of(address)-/3 4M A/E 103
IN CONSIDERATION of thea approval of this permit b the Village,the owner a
pp p y g grass 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
I�
r
3
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 T day 20
(Owner's Signature)
SIGNED SE DELIVE , in the presence of:
" PATRICIA RAMQNA NIfNEZ
Ms CommWon#EE 180649
•o E)#ms March 18,2016
P�
B.-AW TW Ty F.W V..WWRM
ffia.
2
Property Search Application-Miami-Dade County 11/4/14 11:11 PM
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Address Owner Name Stmt Name Folio �Y
r.7'`..sStG
SEARCH. - 1399 NE 103 ST Q
s t'
Folio:11-3205-030-0190
Property Address .
1399 NE 103 ST
Miami Shores,FL 33138-2623 on
JAMS til 81i #R+tFA - s
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k P �
Malft Address
1399 NE 103 ST
MIAMI SHORES,FL 33138-2823
Primary Zone
11{klArl F"MU's ' _'? fln�a'r'.'
a � �1
Pdntaty Land Use
0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT
Actual Area 3,832 Sq.Ft ,.
3 1
Year Bulb 1973 - -
USE
Featured Ordure Tools
Comparable Sales Glossary Non-Ad Valorem Assessmeffts PA Additional Online Tools
PrWatty Record Cards Property S-rch Warp Report Dfficrqpatr t s Report Homestead Fraud
Tax Comparison Tax Estimator TRIM Nam VieurTWM
Uz
Yew 2014 2043 2012
Bette Type 2014 2013 2012
Land Value 3262.732 $177.58Y
http://www.miamidade-gov/propertVsearch/*/ Page 1 of 3
LOCATP0M SKETCH NoTToscALE
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1 Bearings and cocrdinates refer to
�� recamdedPlatorNAD83.
riptiZ Legal Deamiptian provided by
A 6,REPLAT OF TR B MIAMI SHORES ops.
according to the Plat thereof as recorded 3 IU lands shown hmm%wee not
k 63 Page 17 of the Public Records of ab*acW fi)r at at other
eninumbrances not shown on plat
e County,Florida. 4 Undergroadportions of foot
fmmdatim or other imluaveamts
LEGEM were not located.
FN&D Found Nail and Disk 5 Fdevatioea are based an National
G Vertical Datum 1929.
Concrete 6 Fem ownership not determined.
Asphalt 7 Walities are to the face of the waL
® Property Comer 8 Not valid unless sealed wide an
embossed surveyor's seat.
(R) Recorded 9 No identification f rand on
Property Address: 1399 NE 103 STREET (M) Field Measured PMWLY Comm Unless no.
Miami Shores, FL 33138 q Centerline loontyvilocalled.
Folio No.: 11-3205-030-0190FIP 1�2” Found Iron Pipe 11 The survey deputed here is not
114 W diameter by poksdond
tr fimaited
CoveredAre. cost of ew sar"y.
co. Utility Pole 12 This survey is intmded for the use
® Fire Hydrant by*ose mwhomitis= fied
Catch Basin and far amburUftpemmtorred
3 may.
® Water Meter 1311matmchedsmveyma m-Wo rethe
--�,-- Wood Fence aritwo �° oftlreeacveyar
—•-- Chain Link Fence ofeeus �me Maws
«xnrs if
- - - - - Overhang Electric tbissae s rvey is ra4me d in a later
MetalTenua m' i '�
xqg°' Elevation hT11Vf12 it in ponngo�body sell or
eir
Survey numbejJF,CI4Afwgll 3 -gy-: 'too I p • 1 ENGINFUMG DOSP.
I HMW aRm MT-#o t�MMY mit 1013 Y&fuer r�IMCAI � E�.
STARS as ser FgtTh BS'THE FlORsaA Qt ( Ldp
suRvemRs sa-i7�,aluA aA c •_ i CTSYlLTING ENGINEERS,
PUR MMT 70 ON 47:' �.:. :r1P '�; a E• • L�►MSMVEYORS,SOILS
VD VATERLAL TESTING
a 10465 SW 46th STREET
Sim - A+ILQ&FL 33165
aua:Rro T.cAv •• � . • PH NE•786-252-1440
STALE F eeA Rao 8: g varrete OLCOM
STATE�FLORA DATE: • • • • • •
BOUNDaRY "MRN1'Y ,
N 89o 46
7.5'Alley '
Hp 1/2 — x x x x x
x x x I�n
I �
ft 7f�)V
4 ® 10.00'
A
�:�' ;x''18.20'
fIPool
DEC
201
1 � o
10.00'
4 O
52.00'
® � 5 Mme'
Block 6 N. Lev
Lot 9 One Story VtLot l
w #1399 cn BAY
j�V � 000 3 0 w o in Pt
LIP, �_. co Mian
1.10'? ^10.
fin
�r
Commtin4 number:
L Village Miami Shores
Panel: 12086 C 0306
Suffix:L
A r— FJKK Date:09-11-
Pam : :2® Date��09-11-:
" Date of field work 11
:89n 0 54" W 90.00' CM} HP 1/2 Flood tee:AE
15'Parkway Base flood elevation:,
.. . Diagram: lA
03rC1 SES 20'Pavement Finished flowelevatic
Lowest adjacent g
Highest adjacent gad
Total Might.of�VVay=SO-. Crown of road:6.10'
Garage:7.48'
•' 000 ' • . '. A/C Pad:8.03'
'• •: •': : : :•: '• Latitude: 2505221"N
•• ••• •• IF •• Longitude: 80°1011'*1
GRAPHIC SCALE ••• 900 ••• ••• •••
20 0 10 20 ...� . . . . . .
. . . . . . . .Cy fir.
JAMES MCCREAUAI Y III&W/LINDA
( IN FEET ) ••• • ... .
1 Inch = 20 ft. • V: • •
. . . . . . . . . .
... . . . ... . .