DS-05-1300Issue Date: 1/4/2006
Owner's Name: RAMIRO DEL ALMO
Permit Type: Driveways /Sidewalks /Slabs
Work Classification: Addition /Alteration
Job Address:
9215 N BAYSHORE Drive
Miami Shores Village, FL
Contractor(s)
HOME OWNER
Phone Primary Contractor
Yes
Comments:
REPLACE EXISTING DRIVEWAY WITH PAVERS
Additional Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 12/22/2006
Type of Work: PAVERS Additional Info:
Bond Retum :
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
Bond Type - Owners Bond
CCF
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$300.00
$1.20
$0.40
$125.00
$9.00
$3.15
$438.75
Building Department File Copy
Applicant Signature
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: DS -12 -05 -1300
Phone: (305)772 -6820
1132050270590
4 Lot: 6
PB:
Total Square Feet:
Total Valuation:
Required Inspections
1000
$ 1,500.00
Foundation
Sidewalk
Landscaping
Final
Invoice Number
DS - 1 - 06 - 23335
Total:
IAN O 4 PAID
: .g:, =!#-
Amt Due
$438.75
Amt Paid s
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
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle).
Owner's Name (Fee Simple Titleholder)
Owner's Address q)1 00 at+A
City ••1 11 1 State
Tenant/Lessee Name (9031
Job Address (where the work is being done) Pig 00[:i -1
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company
Contractor's Address
City
Qualifier
ame
Miami Shores Village G_/\- .�L,.os
Building Department ()7c74 -Zl
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrica
Phone #(54 � ?6,`3- 2 77
Ow oek.
e., a.)Qfo
State
rrai►
Zip -33 is
Phone #
Phone #
Permit NoPS C � — t 3 t�
aster Permit No.
Plumbing Mechanica Roofing
r
County Miami -Dade Zip .5
NO
Zip
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit • 0 I
Type of Work: ❑Addition
Describe Work:
tt
Total Fee Now Due $ 436.1S
(Continued on opposite side)
['Alteration New
* ** * * * * * ** *** ** * * *** * * **** ** F ees * * * * * * ** * * * * * *** ** * ** * * ** * * * **
Submittal Fee $ Permit Fee $ / Z T CCF $ 1 • 2.0 • CO /CC
Notary $ Training/Education Fee $ 0. 4 0 Technology Fee $ 3 • 1 •
Scanning $ 0 0 • Radon $ Zoning Bond $ • 00
Code Enforcement $ Structural Plan Review. $
Square Footage Of Work: 1
❑ Repair/Replace ❑ Demolition
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
NOTARY PUB
Sign:
Print:
Relic; Ua5tz.
My Commission Expires: /0/748
APPLICATION APPROVED BY:
Chc 05/13/03
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 certed copy of the recorded notice of commencement must be posted at the job site
for the trst : : ction which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not a approved and a reinspection fee will be charged
Si ;+ a'r e € , v12s4,0 Ca t Signature
Agent Contractor
The foregoing instrument was acknowledged before me this ?-/ The foregoing instrument was acknowledged before me this
day of , 20 f 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 idenffication and who did take an oath. as identification and who did take an oath.
^D - NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
*** * ** * * ****** * ** *** * * * ** * * * * * *** r ** , *,V, * *, * * *** * ** ** p it* * *** * *, * * * * * *, ** * * ** * * ** *** * ** * ****** * * * * *** **
** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Li ,
rq4A; / 3/06)
Plans Examiner
Engineer
Zoning
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COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, C fit:..
a , hereinafter referred to as the Owner of the
(owner)
following described property: �g},,,, __�� , j
Legal description/folio #: 6 1 e2i- %t- 4j is i ,
Lot Block � ' Subdivision tc ( LO ) -P o
Tax Folio R: i 0 5 , 7 0 20. 270
requests permission to install:
)(Asphalt, concrete, brick pavers
[ ] Landscaping
[]Other
within the public road right of way of 001211 _ ,
(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 bein 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 land and
shall remain in full force and effect and be binding o . ndersigned, their heirs and assigns, until such
time as this obligation has been canceled by an : ''davit filed the Public records of Dade County, Florida
by the Village Manager of Miami Shores Vill - _ e (or his fully orized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLE
SIGNED, SEALED AND DEL[ Q esence of:
Th iami SIlorQi G e
10050 N.E. SECOND AVE
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax (305) 756- 8972._.
PPR °r' -cff
BOOK 2407 PAGE 0958
LAST PAGE
• STATE OF FLORIDA )
) * SS.
COUNTY OF DADE ) .
(ACKNOWLEDGMENT INDIVIDUAL)
I IDEREBY CERTIFY, that Ott this day of r , A.D. 5;
before me personally appeared, c7_01
to me known to be the person described in and vho executed the. foregoing
to the County of Dade, a body Corporate, and a political subdivision of the St1.11;r:
Florida, and
acknowledged to me the execution thereof.to.be
at and deednrEhruses and purposes therein mentioned..
'WITNESS m7 signature and official seal at . • in the County
and State aforesaid, the day and year:last aforesaid.
STATE OF
Aer
ota.7! blip, State of
Commis/04u =ply's:- l'e7
• WIT IVE&5 roy ;-
HARVEY R(.1\i" •
• By •
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant,
attached survey, performed by
performed on 0
Affiant is
06
existence of any such structures may affect final inspections as appli
personally known to me, produced
,1
E:s Cr 7,
• ..
AFFIDAVIT
E,t;E.C- 6-44 , does hereby attest that the
(property owner)
(
tkatst.D.S MA 'WCT1.63cm
(name of surveyor's company) 5 i ee_s
is an accurate representation of the existing conditions and
( 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
itness(sign and print)
SWORN TO AND SUBSCRIBED before me this c? / day of.C.
as identification.
OWNER BUILDER DISCLOSURE STATEMENT
I I2 i 12 G. Dei, 4140 being the legal property owner, for the property
Located at: I
Legally described as ,J.01f e. I; bt 1 y,,; I. o N ri, , , 44.4,,.... 63 bt iA-4 iPAtte
Do hereby petition the Village of Miami Shores to act as my wn cont t ctor pursuant to e laws of theme 0 011 1 , .
State of Florida, F.S. 489.103 (7), I have read and understand the following disclosure
Statement, which entitles me to 3ivork as my own contactor, I further understand that I as the owner
roust appear in person to complete all applications.
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that 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 or a farm out-building. 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 completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that 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 F1.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided (' ) initial of reviewing clerk. Tlie foregoing instrument
Was acknowledged before me this , / day of p_ 20 2-00,5
w ho is personally wn to me or who has
By �40>2 40>2 � � ��� � y kno
Produced • • as identificati • n . d who did take an oath. •
JOB ADDRESS:
vv. i f () )CAY4
AP LICANT: iI11,
01) 6
APPLICATION:
D AAN2-1/' Dr %may
DATE
t> .A
ZONING CRITIQUE SHEET
PERMIT # g p
COMMENTS
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INITIALS
The following pages were
• originally attached to plans
with the following permit #
7i>s - u - 65--(360
A.
12/14/2005 11:65 FAX 3054432238
€s
D ; EASIONS INC.
Land Surveying Services
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