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BP-05-261 Miami Shores Village 101666,- g p . Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 BUILDING Permit No. ® - PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Ti e o er)_ j�� j—� Phone#C�N)7�7 7 S� Owner's Address /3:7 /)Z(J I C)o"-- S'7— city AWJ*4t-�64-5 State o4j, Zip -3 31 Tenant/Lessee Name Phone# Job Address(where the work.is being done) 13 7 City Miami Shores Village County . Miami-Dade Zip �� C FOLIO/PARCEL# Is Building Historically Designated YES NO_� Contractor's Company Name Phone k 7A Contractor's Address 6 y �= City /YUP fr State Zip C Cie? Qualifier Name,./� /lsf cl�'I� Phone State Certificate or Registration No. !S Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ Square/Linear Footage Of Work: Type of Work: DAddition DAlteration FINew Rep ' eplace ❑Demolition 4 � Describe Work: 0�%L I Af A-7— , Li Submittal Fee$ Permit Fee$ ��jrjVo CCF$ CO/CC Notary$ Training/Education Fee$ Technology Fee$ Scanning$ Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ See Reverse side 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 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 ap d d a reinspection fee will be charged. Signatur Signature er or ge Contractor The foregoin ' trument was ac ow edged before me this The foregoing instrument was acknowledged before me this day of ,20_,by day of .20 by who is personally known to me or who has produced who is personally 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: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: / d Plans Examiner Engineer Zoning (Revised 02/08/0 �� a ✓ t ,yHORES � C1 umM GGL�'j'L(�/ S40pej Villaae res j� 10050 N.E. SECOND AVE. �LORIDp' MIAMI SHORES, FLORIDA 33138-2382 Telephone: (305) 795-2207 Fax: (305) 756-8972 DAVID A. DACQUISTO, AICP PLANNING 6 ZONING DIRECTOR No DEVELOPMENT ORDER File Number: PZ06-0921 -07 SEP 2 7 2006 Property Address: 137 NW 108th St. Applicant: Edward Duffy (Owner) Address: 137 NW 108" St. Miami Shores FL 3138 Agent: Jerry Nelson Address: 6600 NW 27" Ave. Miami FL 33147 Whereas, the applicant Edward Duffy (Owner) has filed an appeal of an administrative decision before the Planning and Zoning Board on the above property. The applicant sought approval as follows: Site plan review: Sec. 701: Appeal on allegation of error — paving of rear driveway and parking area Whereas, a public hearing was held on September 21, 2006 and the Board, after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code and upon a finding that the work undertaken was repair, reverse the decision of the Building Official. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing. Additionally, the applicant must, satisfy all applicable Miami Shores Village Codes, Miami-Dade County Codes, the applicable building and life safety codes required for development, and provide a copy of the development order to the Building Dept. Page 1 of 2 PZ06-0921 - 07 The application was passed and adopted this 215'day of September, 2006 by the Planning and Zoning Board as follows: Mr. Abramitis Absent Mr. Ulmer Yes Mr. Reese Yes Mr. Sastre Yes Chairman Fernandez No F Date Clea ifinan, Planniq#and Zoning and Page 2 of 2 PZ06-0921 - 07 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204• Fax; (305)756-8972 12/10/2015 To: Current Owner 137 NW 108 Street Miami Shores, FL 33168 Permit: BP2005-261 Address: 137 NW 108 Street Miami Shores FL Date Expired: 2/17/2007 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance,or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, Ismael Naranjo (CBO) Building Director Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Bill To EDWARD DUFFY Invoice Number: DS-10-06-26461 137 NW 108 ST Invoice Date: October 18, 2006 MIAMI SHORES, FL 33168-4312 Permit Number: BP2005-261 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Permit Type: Driveways/Sidewalks/Slabs / Work Classification: New Date Fee Name Fee Type Fee Amount 10/18/2006 Scanning Fee Calculated $6.00 10/18/2006 Revision Fee Calculated $35.00 Total Fees Due: $41.00 OCT 2 4 2006 ow ("C� q02'1 Wednesday, October 18, 2006 ' t0C1i2 4 ;56 ' 3058350951 SLA:�PI�INTING PAGE 02 /PLAN OF -SURVEY s": � I, AUG 1 006. • ---- - -------- �i 10 All in • tit '��R �, — _ w._ , ,-7�.. /^ '�. � ' f d ( . f Miami Shor t PPROVED r TpIr M ' BLDG DEPT Q WTH ALL { ECT TO G'OMPf-IdR�I 9 i \` f SU®•� \ { rl® LE�AN REGU L I • Ttt.gr b tom. ' �0•b9� cp N P1pr— °P eo •. 4Q..Kw AY VI 6 j;145 /19/2004 1:3:56 3058350951 SLASHERSPRINTING PAGE 01 r +• row Joe 293-•111 LOCAWNM3CAtX rN T A 4 .T S` 17.(60 1 1 zo 4 ` r 1 W 1 rJ N y r 'S �► Z + � � 7 't't Tr r 14 7 571.98' `�T LEGAL DMRIP'ITON., Lot 13, Block 213•, of DQNNMG3 MIAMI SHORES, according to the Plat thereof, a.s re orded in flat Book 51, at Page 31, of the Public Records of Dade County Florida.- . �.. GENERAL NOTES 1) OWNERS14I1°IS SUBJECT TO OPINION 00 TITLE. 2) EXAMINATION OF THE ANTRACY OF TITLE MI.HAVE TD BE MADE TO DETERMINE I>fEvOROED 1HSYRU1SSEIrMIFANY,AFFECTINQTHIS PROPERTY. ?QUA Z i�=) 8E?IOTES THOSE f LEVATIONS REFERRED TO DATUM. 0 LOCAl7101 AMI)IAESIrt'IFIrATION DF UTILITIES ON AND/011 A0JACExTTO THE PROPERTY WERE N, f BEC41RED M SU 01 INFORMATION WAS NOT REIIUMED. TW11,PROPERTY IS W • I2 THE LIDU`i'S OF FLOOD ZONE_ FOR Ed`ua.rd'fmd Lorraine D. Duffy mlim.S�c .FL DATE ?�2� /86 Qom. , Apr LICA RK,ZV1+cit6.UNOMS30" u"O.ZO"QNG AND OVILA""m Srr BACKS.MUST BIC CHUCK=BY OWN" xrtd:,1T[c aa7 R+:�ILtr¢6t OB�OR@ 3iicsfGF1 OR COIMgisRUCTION 6194INS ON TMts P*OPZRTY. CE �^ - i;th 'Florida Savings Bank ti 1 H6aE9.Y.CERTIIPY: ThA th rmxh Plan of Sawy of On sboa�dMe�Y�d rop.rtr is troy b ,�yr•,•s� mWaosat im tbv best at mq k00040do. WO 01 ' WA bOW, w Ih�OW9. �� I�;.zim.: pfacseaC uexlec nvp Ziac+. auDo OL IRtbwa we no 1b0r*g0Nnd .tloroeet�nwn adn►t11rR m shomu Thb nwvW OWN the fm6admum to 1 111111 shr+orb Mt 1'H I/4* w? Lmd Sands pwmmpm t* CbWw 472JW Florid° 147 At-2-IJI-.00,7•14 MIV W.I.=0 ag D.A .1' LAND 8 RVCYOR W1 4JxXT14;A- STA"ts OF-FLORK k Wt1w; :�u unnu.dis�a:n:y:saniv,�iwsataA: �'w N0" VAUD UNLE SHALED WITH AN EMBOSSED SURVEYOR'S SEj L RE Miami Shores Village rid, P 10050 N.E.2nd Avenue Miami Shores, FL 33138-0000 o� Phone: (305)795-2204 Fax: (305)756-8972 OR Permit Permit Status: APPROVED Issue Date: 8/15/2006 Expires: 02/11/2007 Permit Number: BP2005-261 Owner's Name: EDWARD DUFF Y one: Permit Type: Driveways/Sidewalks/Slabs Parcel#: 1121360100290 Work Classification: New Block: Lot: Job Address: 137 108 Street NW Section: PB: Miami Shores Village, FL Contractor(s) Phone Primary Contractor Total Square Feet: 1200 NELSON&NELSON (305)696-0777 Yes Total Valuation: $ 2,400.00 Comments: Re uired Ins ections Foundation DRIVEWAY Sidewalk Landscaping Final Additional Information Type of Work:DRIVEWAY Additional Info: Bond Retum: 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 CCF $1.80 DS-8-06-25913 $167.15 Education Surcharge $0.60 Total: U 5 ✓ Notary Fee $5.001 Permit Fee $150.00 Scanning Fee $6.00 C �/ Technology Fee $3.75 Total: $167.15 Building Department File Co NOTICE: In addition to the requirements of this permit, there may be 9 p Copy 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 DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. Applicant Signature Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fag:(305)756.8972 BUILDING Permit No.15 Pa'2-G I PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type(circle): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder)6W- ft bKk_� Phone# Owner's Address 13 7 W Zoe F17— City n1'fm( *Zff dPState Zip Tenant/Lessee Name Phone# Job Address(where the work is being done) 13? AV Att + City Miami Shores Village County Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES NO a. Contractor's Company Name�J��(/h/.-/ ` Ulf���� $�. GYZ-- Phone# TT_?� AS71"T' Contractor's Address �O 4-M A40 2? 47/F_—T CityLffruv/wr State PL Zip 3 SL Qualifier Name Phone# State Certifiete or Registration No. C Ttrtl l Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ /, Square/Linear Footage Of Work: l ZO o 5 Type of Work: []Addition []Alteration []New Repair/Replace []Demolition Describe Work: ex Fralit ees Submittal Fee$ Permit Fee$ S CCF$ CO/CC Notary$ Training/Education Fee$ Technology Fee$ Scanning$ Radon$ DPBR$ Zoning$ Bona$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ See Reverse side–� 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 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 approv nd ins ction ee will be charged n Signature Signature if .1 Owner o ent Contractor The foregoing ins ent was o fed before me this 1 The foregoing instrument was acknowledged before me this . day of AUCA 2ViOrd DUFF0 day of 2c �,byjQ r Y , 0 who is personall known to me or who has produced who is person ly known to me or who has pr uced As identification and who did take an oath. as identification and who did take an oath. NOTrission : NOTARY C: Sign: Sign: Printv;��� Print: — My Ces: r Ipitec v' My C ission Expires: JIAV 13,20 17 �nnded`lin.� �II�HEIEAf)flF�lfl��"�:.�b�; C APPLICATION APPROVED BY: / PlansJ �� Examiner Engineer (� Zoning (Revises 02/09106) • �`s';�°�„�Gam` APPR0 ctf Miamtn S40re6 71iLlage X10 5, 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, /V r4i ( El ,hereinafter referred to as the Owner of the.. (owner) following described property: Legal description/folio#: Lot Block Subdivision, PII�( �- - ( vy►it- 1r� Tax Folio#• requests permission to install: []Asphalt,concrete,brick pavers [] Landscaping [J Other within the public road right of way of ( �( (addrS) IN CONSIDERATION of the approval of this permit by the Village,the Ower 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 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 obligation 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 7th* _day of er) SIGNED,SEALE V in h r e ce oP •ippY PV DAVID J.GUEST :°. ;Yc's(Votary Public-Sf �9 •Y NIVCarvrVabnEIVIQ24,2MB Commission#DD303454 Bonded By National NotaryAssn Miami Shores Village • Building Dep ment 10050 N.E. Miami Sh res,Florida 33138 Tel: a 76.8972 BUILDING = s " Permit No. _ 'V PERMIT APPLICATION r" "� = _ , aster Permit No. FBC 2001 Permit Type(circle): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) �f Phone# ���p �� Owner's Address 13 7 IV(/y f Cityf ryJ��'I� � State F7&. Zip Tenant/Lessee Name N/t4 Phone# Job Address(where the work is being done) 123hy j®i365E:- City Nfiami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO �qcfq Contracto mpanne#--- Co tracto ' A ess C tate er W---� State Certificate or Registration No. q-7— Z®® Certificate of Competency No. Architect/Engineer's Name(if applicable) N f Phone# $Value of Work For this)hermit Square Footage-Of Work: /,9-00 y Type of Work: ❑Addition ❑Alteration ❑New Repair/Repl ice ❑Demolition Describe Work: tati �L6 od, Dl Submittal Fee$ Permit Fee$ CCF$ CO/CC Notary$ Training/Education Fee$ Technology Fee$ Scanning$ Radon$ Zoning Bond$ Code Enforcement$ Structural Plan Review.$ Total Fee Now Due$ (Continued on opposite side) 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 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 r Signature Owner gent Contractor The foregoing instrument was acknowle ed before me this ® The foregoing instrument was a knowledged before me this to day of / 20® ,by day of f�' 20 W, fit �� who is personally own to me or w has duced wh is pe sonally to me or who ha oduced (�E"C As identifi o did take an oath. as id NOTARY P I Y PUBLI a ofary Public-State of Florida Eq*esMar2q M Sign: - 2008 Sign: N i Print: (� °••' Commission#DD303454 Print: t �'`"" t6nnJNofn,. t Y a na o GFvAssn My Commissio Expires: (�j� My Commission Expires: APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Chc 05/13/03 This proeprty described as: Lot 13 , Block 213 , — z DUNNING' S MIAMI SHORES EXTENSION NO. 6 , according to the Plat • •- Int : :. 7 i 77� �� 5 thereof, as recorded in N: Q Plat Book 51, Page 31OCT '•' ;- � ,•� ��• � � C � / � � of the Public Records of vi N Dade County, Florida. p •• •• �-______________J_ ® ___J fr►fs ``�GL • ••• • _ • • • • • f • • `�' , Z t ti , �N __-...._v.. y I •= ' f� �x..:yid: `k _,�.__ �• !%'�� ` m /•// 3 O 'h ' �~ • moi � � bo , Svc 42 •, 1. �, 6 ,�l, �: ' 3 i Note. Underground a encroachments and m ; � utilities, if any, not •. located. Fence ownership by visual means only, u :�, j^u� 5'x5 ' � `� legal ownership not determined. `�. o• //.�©• � - °�{s 4;°:/ `' FLOOD ZONE• X �;/Lv�r:• - - Certified To: Gulfstream %Q\ Title Company, Duffy, Edward and Lorraine D. and Fleet Finance and /0126 �1 Mortgage, Inc. , �) its successors and/or assigns . e f-ori p,I /` ze I S!{!/1 s9aoyS iwelW a ---- -- ® `yeORES Inspection Worksheet Miami Shores Village uta un� 10050 N.E.2nd Avenue Miami Shores, FL �toRiuA Phone: (305)795-2204 Fax: (305)756-8972 Irtsperan � � �. Permitlurtt er: BP2t�©.5-251 Inspection Date: 08/21/2006 Permit Type: Driveways/Sidewalks/Slabs Inspector: Grande, Claudio Inspection Type: Final Owner: DUFFY, EDWARD Work Classification: New Job Address: 137108 Street NW Miami Shores ViIla9%pf1L,, Phone Number Parcel Number 1121360100290 Project: <NONE> Block: Lot: Contractor: NELSON&NELSON Phone: (305)696-0777 Building Department Comments Rear driveway is not as per approved plans. Asphalt is placed in the side setback. 10' clear setback required from property line. 8/21/06 CG Inspector Comments Passed Failed Correction a Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Monday,August 21,2006 Page 1 of 2 Receipt Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit Number: BP2005-261 Owner Address: Invoice Number: DS-8-06-25913 137 NW 108 ST Applicant: EDWARD DUFFY MIAMI SHORES, FL 33168- Company Name: Job Address: 137 108 Street NW Miami Shores Village, FL Date Payment Type Check Number Amount Change Tuesday,August 15,2006 08/15/2006 Credit Card $167.15 $0.00 Total Payment: $167.15 Page 1 of 1