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DS-18-2467111111111111111111111111111111111111111111111 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO.DS-- 7-12' 7-1027 TAX FOLIO NO. fi-iza-017-(30117 STATE OF FLORIDA COUNTY OF 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: C FIA 201 uE;.t_ 551519'%N- OR BK. 31137 Ps 1626 (1F9s) RECORDED iI 17:i:2 i1.- 1 :Y5:ii HAR.VE`i RUVIHr CLERK OF COURT • hIAIII-DAr_:E COMM FLORIDA 1. Legal description of property and street address: 1'I SZ 6/4-I e Con,cvui$ - 2. Description of improvement: 4'1 iJ la d 7' pelves 3 3. Owner (s) name and address: YS2 6,,vc0►-O 33/3l Interest in property: Name and address of fee simple titleholder: L; t ` Ca W2 1v` • {20 Lc'- 4. Contractor's name and address: �I7frii' / ram 6./141 '7/ %UZIrW miti G3 7 tom-- l6) L SAT OP'PR.ORIOA, CuuNTY OF DADE 5. Surety: (Payment bond required by owner from contractor, if any) 'HEREBY CERTIFY that this is a Prue copy of the Name and address: original filed in this once � p 1 2 2018 y of %� u ° AD20_ lit �. Amount of bond: $ i p -Y? '% sr wod'o"uusr o 6. Lender's name and address: WITNESS my hand and Official Seal. aARVEY RUVIN, CLERK, o urt ounty Courts 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: 8.1n addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713. 13 (1) (b) 7., Florida Statutes: and address: 9. Expiration date of ent (the expiration date is 1 year from the date of recording unless a different date is specified) .1 asrt(J1 t • f,949 gnatute oLQ STATE OF FLORIDA ss COUNTY OF MIAMI-DADE ) an subsc befof me this V7day of }he year 20I _ by who has taken an oath and i s persona y known to me or has produced as identification. My Prepared by:-% f fvda' Address: 102- Xi) 44(J 6 3 77iset if for /1 33/1 i Form 104 8/18/2017 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue 0 Permit NO.: DS-9-18-2467 Permit -!VR Number: 609849 -a Permit Type: Driveways/.Sidewalks/Stabs Work = Classification: Addition/Alteration Permit Status: Approved e:10/01/2018 Expiration: 03/18/2019 Parcel Number Project 452 GRAND CONC, Miami Shores, FL 33138-2463 1132060170020 <NONE> Contacts JOSEPH RAIA 452 GRAND CONCOURSE, MIAMI SHORES, FL 331382463 Owner CHAMPION CONCRETE JAIME BASILIO 10280 NW 63 TER 105, DORAL, FL 33178 Business: 3052528055 Other: 7864024802 Contractor JOSEPH RAIA 452 GRAND CONCOURSE, MIAMI SHORES, FL 331382463 Applicant Description: DRIVEWAY PAVERS ( REPLACE BROKEN STREET SIDEWALK ) Fees Amount CCF DBPR Fee DCA Fee Education Surcharge Notary Fee P&Z Review Fee Permit Fee Scanning Fee Technology Fee Work Without Permit 1st Offense Work Without Permit 1st Offense $7.80 $2.63 $2.00 $2.60 $5.00 $35.00 $175.00 $9.00 $10.40 $100.00 $175.00 Total : $524.43 Valuation: $ 12,400.00 Total Sq Feet: 1,620.00 Payments Total Fees Credit Card Amount Due: Amt Paid $524.43 $524.43 $0.00 Inspection Requests: 305-762-4945 Building Department Copy 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 + ECTRICAL, 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 con truction . nd zoning. Futhermore, I authorize the above named contractor to do the work stated. .� A5lei (19 .J —1 Authorizes, igna ure: Owner / Applicant / Contractor / Agent Date October 05, 2018 Page 2 of 4 Miami Shores Village 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 BUILDING PERMIT APPLICATION UILDING ❑ ELECTRIC ❑ ROOFING El PLUMBING ❑ MECHANICAL [I PUBLIC WORKS JOB ADDRESS: _I 2_ "Prit=9C City: Miami Shores County: Folio/Parcel#: /I� 3ZO 017— D1,2Z, Occupancy Type: Load: Construction Type: FBC2011(+h Master Permit No1Ds 193 - 24 61 Sub Permit No. ❑ REVISION ❑ CHANGE OF CONTRACTOR ❑ EXTENSION ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS Miami Dade Zip: Y313r Is the Building Historically Designated: Yes NO Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): JU.seyh' £_ _ Mfg Address: LI& 60)04 CPAC'c'1SC City: ii i.4Aye 511'00State: Phone#: Zip: 33f3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: (k/(41/® /ilt, O/00 (7 `i. /ILoaV mu 0 -7r#4 ( for City: ipkW / State: Qualifier Name: J 'ir%C b 35)L3' d Phone#30,5 `l %i-1,i333 State Certification or Registration #: Certificate of Competency #: GC O.5 5 a 1) DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 1 Z/ Lie 0 Square/Linear Footage of Work: l / t Zl2 5k Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace n Demolition Description of Work: .40/U1V eel- 0Y T AV 44J. (n. !Att.- !j 1 4-("er -.6,t0v4-1914) Address: Phone#:301 2SZ d'QfS Zip: 3 3/m .rA^ur •..7 Specify.color of color thru tile: A' .:;. .Z K ... a Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ Notary $ Double Fee $ Bond $ .S ©O u 3 TOTAL FEE NOW DUE$ `�..Ic• (Revised02/24/2014) as 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 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 low brochure will • delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement m be posted at the job site for the first section w ,c • - seven (7) days after the building permit is -issued. In the absence f such posted notice, the inspectio will not be approv- • •ia a tion fee will be charged. Signature WNER or AGENT Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of \"` , 20Ib , by , who is personally known to me or who has produced identification and who did take an oath. NOTARY PU 3 day of 20 01rYIrl ,who is per. by to me or who has produced as identification and who did take an oath. v NOTARY PUBLIC: Sign: Print: Seal: ********************************/* ***:�.•..• ..**********1 APPROVED BY Plans Examiner Structural Review g1SIVE ti>����✓ h6, 20 X✓'/� . gpdeA t? ;mac `a ********************1 ************** ************* 1 / / Zoning o g Clerk (Revised02/24/2014) ..51-LLT 2 Or 2 • -5' cOnec.- eittl}44*,k /vo 07= 5 6L.c5c.4 • NC c4 to • /1444Y 1 4-7 qe-12 471CV • t, frifAeL _ur 2i,g/strva2 -vrIf — ito r,• • -004,01:2 -• ggYstv-t- • p#71 OfIgi< mslir — /74474 ef<vi wro, ip5 •-•TgAr47-7vik:0) '11 wql Tr?. '7fig.1;20)-7, przrivr vrvay 7rilt,,W7 Ao°11'. `k) • NO OBJECTION Florida Health Miami -Dade County O.S.T.D.S. & Well Program Application No.; ies 5(0 Man - Date: 2( 2n° kcc Signature ro,c vz. 1 /10 C,4/ 30 ON 004, 0 2 ti\ ,040c4. 86 / • • P/G A/c) /0/ ,4 PvAAT- TL/OM.6..5J. IC.C_LLY, Lb. #64s6 _511ZVLIYORMAPPC_12.3-LANt) PLAti\LZ.5 333 PALL.121-40 ca.. FLoszva 55434 (505) 444-7692 DAIX. (954) 779-5288 E%2..\\/P (305) 441-6494 rti,X P4TG. fr-11) Wok. 1-3CALC.. VC. t( 1" - _20 .5uzYc..y No f19- /(,7/ PERMIT #: S 1 R—Z46") MiOrdi,SheresVilliAge• 20N11N.Q..DEeT nEPT SUBJER 10 CCIMI.La Pl'ICE ciV1 ni Ali FEU ‘ . S FATE ANL, (...CIA I, f ril.,LTS Als )0'REG tiL.A TIONS ..„ ,tt •