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BP2003-801Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/27/2003 Applicant: RICHARD Owner: GILBERT JOB ADDRESS: 1480 NE 102 Contractor Local Phone: Building Permit Permit Number: BP2003 -801 GILBERT ¢ RICHARD ST Contractor's Address: Parcel # 1132050240260 Legal Description: MIAMI SHORES BAY PK'ESTS AMD Fees: Description Amount FEE2003 -2965 Building Permit Application Fee $60.00 FEE2003 -2967 CCF $1.80 Total Fees: $61.80 Permit Status: APPROVED Permit Expiration: 11/12/2003 Construction Value: $2,800.00 Work: ASPHALT RPAIR AND OVERLAY OF EXISITING DRIVEWAY Page 1 of 1 PB 56-86 LOT 9 Total Fees: $61.80 Total Receipts: $� BLK 3 Signed: (Contractor c -ti:, 2 6 70 7 784 N i►' 4 3 4-7 70 & V 65q 2 ERNIIT APPLICATION FOR NIIAAH SHORES VILLAGE E003 9 Z Ndd 10050 N. 2nd Avenue - Miami Shores, Florida 33138 - Phone: 305- 795 -2204 Fax: 305- 6 -8972 �.II Date Job A 1 It ••�zo$• -DZ -C'lta ��o ®II s SO A46. 0:07iQFsET Tax Folio Legal Description LO OF: n) Owner/Lessee/Tenet -at—, Owner's Address u ontracting Co. Qualifier State # 14 ST. Municipal # ly Designated: Yes _ Master Permit # _ Ke Address HEMYOE MAY 15 201Y2, sex - - - - -- SS# Phone Competency # Ins. Co. IF THERE IS NO P PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE RE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING XORK DESCRIPTION: 6IJI;1--t , -,J f �,-IZ%-rv'^ �bAl L 1R APO DAJSRLA OF 6)LISTW6 ZA! L16t s AD T Square Ft. \ ed Cost (value) oZ 14 i5b . p0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made t all work will be performed to for all disciplines. OWNERS AFFIDAVIT. I i regulating construction and do a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws ;. Furthermore, I authorize the above named contractor to do the work stated. 40% ture f owner and/or President fry as to Owner Commission Ex1p s . BONDED TI Signature of Contractor or Owner Builder Notary as to Contractor or Owner Builder My Commission Expires FEES: PERMIT RADON C.C.F NOTARY ROVED: �N7 pvQ1 TOTAL DUE Buil9-n _ Electrical Mechanical Plumbing Structural Engineer BOND Date Date OKMEW by APPROlictf . •.,. .,n.� GGLYYLG Ore. G L jilt A ° 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone:. (305) 795 -2207 Fax: I3051_75Er8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS,- Q / c dAkD D • CLa547 hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio#: ! 1-3z05-o1.4 - CA40 "1 4 Lot Biock _Subdivision_ l Mcrf ' ,4" Tax Folio #• 1 / -,P or- 0z 4 -02,Q> requests permission to install: WAsphalt, concrete, brick pavers [ ] Landscaping , [ ] Other within the public road right of way o )QQe j' (address) 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 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 SIGNED, SEALED AND DELIVERED A ' W - _ l /f 795 attached survey, Performed byi(' IVr��'S AO 044!4 A , XAJ`- (name of surveyor's company) perfbrmed�4 $ "-7 " I4 l , is an accurate representation of the existing conditions and (date of survey) 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 permits.. Further, Affiant sayeth naught. Witn ess(si gn d Pmt) A r 76P�Y ,, ita sign and print) �s SWORN TO AND SUBSCRIBED before me this day of Affiant is / personally lmown to me, _produced _ Gi . as identification. 1 JJ 4 r a . 157 L 3, > 9 ,F CEIV �r.►! N t, 15 o �4� � STtoS � !� d• , .AS r` al a j 2 -sroRy 4. Cl 6 ec rlo►1 4�r 4► 22.44o i t / f,rr It Sr 70 cy Gj A\ r i UJ Afflbk cJ Zoning 4C?�' Approved a -.. A . I + , . > . This property described as: Lot 9, Block 3, REPLAT OF TRACT A OF MIAMI SHORES BAY PARK ESTATES, according to the flat thereof, as recorded in Plat Book 55, Page 86 of the Public Records of Dale, County, Florida. lloce: Under-iround erlcroacluacnl:s and utilities, if any, riot located. z 4 D rL W g FLOOD_ ZONE? AL 4LIE. FLOOD INF'ORHA'e "OiJ Cot,uaunity l4o.. i25098 Panel IJo.: 93 Sutfi):: F o DaL-e Of F-ria: 11-4 -87 D Base Elevation; +10.00 14GVD a + 9.00 NGVD Certified To: FicsL Financial 'Title i Company Of Floc ida, Ticor Title ,. insurar ►ce Conipany, G ibert, Richard D. z. and Terry i1. and Gulfsik.ates 4or tgage, iLs successors and /or assigns. z ix f� W M stw-= "..P)o mw� 6"r fj�rz �a�wa. «1 pii�lGt �i�urs�ea i�� C,, , OIJAllme, '!*w0J0-1 C -&rA4F, 'Et W t: 5.7© pz 4,(o 75 99.57' 3 n a;fN alyf N � � =lop PROPERTY OF: Gil;lelt, Ri.cliard D. and Terri ►J.,. 1400 id.i,. 102nd S'C.-Cet, Iliaaa S ►ores, on a . Not valid unless embossed A B O U I I I J A R Y SURVEY L A N N E S and G A R G I A, INC. with Surveyor's Seal. I hereby certify that the survey repre- sented hereon meets the minimum ENGINEERS - LAND SURVEYORS - LAND PLANNERS technical standards set forth by the Board of_Ldnd Surveyors pursuant to se�tion i� n. fla. MatutesrThere are Office address: 4080 S.W. 84th Avenue, Miami, Florida 33155 no hU hments.overlartsreasements ShTft he on the Pla pfher than as sho n hereto. Fla. Reg. Land Sy6eyer No. "T Mailing address: P.O. Box 551131, Miami, Florida 33156 �r'I -�O � SCALE /G�tal � TRAWN GE•{BY I I3R Wi,.bNO2