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REV-17-835 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 FBC 20 11 stt) BUILDING Master Permit No.-F7w � b -n 41 PERMIT APPLICATION Sub Permit No. Rf-� I _(S 35 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: —tp-�5— CO I City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: 1 Construction Type: Flood Zone: BFE: FFE:G OWNER:Name(Fee Simple Titleholder): Li s4 pal e-Vt0\1 Phone#: `-30 S 3 5' I e? ss Address: V�50 t j C 1 1 tjd . City: A�� L o� r State: Zip: 1 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: i �6 Cc L` Phone#: � 7 � _�l Address: P C L, (.) City: " S State: L Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ ew, (� ❑ Repair/Replace E] Demolition Description of Work: 5 1 LS Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature EASignature OWNER or AGENT ONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this th da`yrof MCIrCh ,20 �� by �th day of MG1rCh 20 1_l ,by D 1717 bCA,h V Id Q[ ?Y-kfS0 who is personally known to IOU1 Nt �Gr't81 S who is personally known to me or who has produced —p t V`Q✓ l 1 W&C as me or who has produced b y'1 i-C r t 1 C-fh3 -t as identification and who did take an oath. identification and who did take an oath. NOTARY C: NOTARY UBLIC: Sign: �A� Sign: c) Print: Print: : YMAD 0 y� YPi31E117. Seal: '*; .; COMMISSI #FF214031 Seal: �,• fi: MYCOft2MISSION#FF214031 EXPIRES:March 25,2019 Bonded EXPIRES:March 25,2019 7hru Notary Public Underwriters �o?, Bonded Thru Not Public Underwriters R5 �> APPROVED BY IT � Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 5® ( o ► SH Fences Good Side Out. Trr,: vt and horizontal wt,, 1•�ci 1 3 3 0 supporting members of a 'ence shall face the interior of the plot on which the T-ice is located and the finished side sr,.l! the adjoining lot dr;any thuttina :iy. 126-5�IarA "� f �•••�� s'i••s• _ Var.aprax 14.511 • , • • •`• E „ Color:Dove Gray •• �." .• •• •' *o%i • i s Y •..• sss••r •• • 0 0000 �" =-�• - s s • • fi • s s • •••�►s _ s'• • •/•rsa►" '� • T 0 « O's 000 0 ••i 5Tn, k Variate 4 2' U t IT Mt 935 �I -$ Miacrii SPtcr s Villat}e APPROVED BY DATE 70P1iN3 DFPT BLDG DEPT i i SUBJECT CO GCP,I Llf NCE WI(H ALL FEUER a.L STATE ANS L�,I�N /Hl_L=S ANL �?:`_C�l_1' aLI;i�.-�- Good Side Out=The Vt;PCical c; d hc.nzOnt81 •••�i• •• • supporti Membexe of a fence s it f c the « interior of the p lot n=which the fence is,Q,*d E - •••••• and the finished tf t shalt ince the lcining � . . tot or any abutting ,-6wof4ay. ',. _ s .�i u.i••r• �Fz' .• r r• t •r ` • `i , • •_ ••• z SYN x ' S J � - ti r � $ w Fences Good Side Out. The vertical and horizontal supporting members of a fence shall face the interior of the plot on which the fence is located ghpli and _ JOB: 13-7332 LOCATION SKETCH SCALE 1`=100lot Dr any abutting ri - 1 'F SURVEY SCALE N.E. 102nd STREET RISCAYN8 BAY R41m9f • W 6 1 w 1 •�� •••• •••••• a © ,�r� moamkr •••••• 2 cif_ • • • P5 r kr N�I•L ...••• r r- IomWla k r • • • Laj L.i .'. z 4 3 Z 3 CWW uet ME-, .••.. ••••.• ..:•.• o• •� Wp�gklg a •••••• N.E. 101st STREET -'"' ` " • • • •43 �i •fi.';'.r' .. • stooge 3 4 FEE F= c¢ • ,m.,gFi•o o ...... BISCAYtdE W NS I 2LV -_ LEM DffiC&PTLON: -^ k LOT Z,SACK 1,IM SHORS BAY PARK ESTATES,A=RT G TO 771£PIAT THIMIF AS REGORGED IN PUT BOOK 55,PAGE 83 OF d 1 STORY C.H.B. T� THE PUBLIC RECORDS OF MflAIO-DIRE CUM.FLORIDA d GENERAL NOTES RIYk 11 R, m 1)OWNERSHIP IS SUBUECF TO OPMION OF Tn1E. , . YR•I k FJS z)EXMINIVION of THE aasTRAcr of TIME Ww HAVE To BE MADE no DETERMINE RECORDED usrnulfENls.IF ANY.aFFEx1DARTHIS PROPERTY FIXED 1/lPCIE FIPE A :•,•'.Ss1 :.4y`etif 3)(222)DENOTES THOSE E1MAT1011S REFERRED TO N.G.M. OATIM 0•a" -._ •''.'�'; PH 4)LOCAISN AND MENTUrATION OF MUTES ON Alm/OR AONOENF TO THE PROPERTY WERE NOI SECURED AS SUCH 05, -- -- QD•� mwoRmATION WAS NOT RMUESIFD. 5)THIS PROPERTY IS WITHIN THE LWFS OF THE FLOOD ZONE-AF-SW FLOOD ESEVA•ROM 9 FEET; R-s" rx 6)NO U NDFRMMND UXVOFONS WERE DONE BY THIS OONPANY. IYIO®I k r-�"� •� F•0.B7 '.• CERTIFIED T0: UPDATE:APRIL 29, 2015 ® RBS UPDATE:JANUARY 19, 2015nim' i'fll� to UPDATE:OCTOBER 28, 2013 DATE:MAY 06, 2013 N N.B. LOlat BT. APUMME ZONING,UNDERMUND.ZONING ANO BUODflm SET SACM MUST BE% .�'M BY OWNEL ARM=OR RAIDER BEPDRE DESIGN OR CONTRACTION BEGINS ON THIS PRDPERIY. 9-11 CFRTIPY:Thd e adiadmid�� uo-, the lemon ow ler eoGiaem• PBOPSBfY ADDS: •Tt&air ftnd.rde 1350 N.E. 101st ST. UNITEC mkftm ad ra ys tww�FlbMa so�N, a m t' MIAMI SHORES, FL. 33138 61017-66 Ftorldo MmWebaktw Code.9eot�472-027.Fbrida� SURVEYING, INC. LB. No. 3333 6187 NW 167th SWEET,H-5 0ZARO 0•AU)= .- AJWC Ak.AR as-mmm BOOP SM M N 0AI-Omw LIMY UE n nm OLM M URE Mo-li61L A 16A16.FTOR®q 37016 PR OFFSSWK&LAND SURVEYOR R/9J=OF WIN U4�I N HE U-M WA WX-6 R IE81 WI-1=1FX PfipEAiY LE M.WlOEIE FX.RRE MW Up-um"ME FIRONE:I,:10$)512-490 THIS ISA BOUNDARY SURVEY '"TE Ne'am 4 �'"� &MMMM T—Nr QR-O=WM '-AATER "M s—Ao STATE OF ET:Ot M N NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S SEAL BENCH MW ISv:DADE COUNIY NO RA EEYATION:1725