FW-13-1738 '�Sjq
Miami Shores Village - -
a
P \� , Building Department � ' C 2013\J,
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
�S INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No.
PERMIT APPLICATION Master Permit No#"W 13" ,
FBC 20
Permit Type:BUILDING
OWNER:Name(Fee Simple Titleholder): 6-tti MP e S Phone# -
Address:
City: �A 'Urn, 560'=V-5 State: Zip: C
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: :;kgL
Folio/Parcel#: 11
Is the Building Historically Designated:Yes NO Flood Zone:
CONTRACTOR:Company Name: Phone#: b�
Address: f3 l)-)
City: VA I Q 1M 1 State: Zip: 'z? �
Qualifier Name: L Phone# h -y��
State Certification or Registration#: Certificate of Com ncy#: ® /9)S U(� l
Contact Phone#: 1�4S- � Email Address: CLI' Y-0 - cJ U�—) (
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ ®"' C Square/Linear Footage of Work: r
Type of Work: OAddress 1]Alteration ONew -ARepair/Replace ODemolition
Description of Work: 0 CX3 (A� �44 u 0�-V, <,,czl 6>5 i
COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by.-
Submittal
y.Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Tndubig/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ 11 t4o •
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 dlivrilL r c i.� Signatarej
Owner or Agent , Contractor
B
The foregoing instrument was acknowledged before me this_L�` The foregoing instrument was acknowledged before me this
day of 2113,by A (Y)e� S -nJt)S day ofdU 2013 by L-A ""('oY�-c c
w o' own 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: Si
Print: TORRES P t: . ' " A V --V ES
,.�0`0 M ��`'r°• �t Notary Public-State of Florida
My Commission _ ; ��: Notary Public-State of Florida
,.„ ,•? My Comm.Expires Jul 7,2015 , Sinn.Expires Jul 7,2015
Commission#EE 110471 '�� `°:= Commission#EE 110471
Bonded Through National Notary Assn. ••,,,,• Bonded Through National Notary Assn.
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APPROVED BY Plans Examiner Zoning
4�Z
Structural Review Clerk
(Revised 07/10/07XRevised 06/10/2009)(Revised 3/15109)(rev6/4/10)
09119/2013 07:49 3055924579 ULTRA FENCE PAGE 01
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m4mmmm% Building t
11805 SW 26th Street
Miami,Florida 33175-2474
786-315-2100
miaraidade.gov
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IFI-18-2406 11:00M FA* T-118 P•00AU F-TT1
Boundary Survey ftgeioil
Survey Number:8399
Property Add resg: See Revema
136 N.E.84th 8traet
> tflortda33138 �`, .� .,�� L�N��
Qg+rtified To: __ _
Almee sennas;Garcta a saloyra;AttornayWs e I utanoa Fund Ina.;Washington Adutuar Baulk,F.A.,its susaeaaors
and/or east rA as their Interests may a
Flood. Inaur;a,nc2 Rae Man (FIRM) Information:
Commurd q Numeor, -t2=2
Panel Number. 0098 Sum= J
Flood 2orm: X Panel Ravlsed Date; p3fQ2184
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4.pE and VwVC l data,if tear are refoned to NAV.D.1929.
9.tJRuairpra[vm udiiiflsa,toottags.aadrar L"Wotound endrosehments are net boded On tnt MUVEY Atop,
9.Ferreownarwtgr 1*d8W-9RW.A,ppwwd tarrmwomneas endbrenuraaehtoprrlm are noted by vwvat MSM,WV.
T.No Werdiga�lonti oopotbund on reowaft moaraoa%Unless othembp notes.
a.This aurwyIs alwwwsly ter the two af4tepadiee 10 wham It is w f&d.
9.Add@bra or�iefbas to tNa stav�rm�sndkr repel are faohlbitod. .1-
10.ThisawvrW map is rtet wtHdwnhaesdm atgnaaRe erd eti0kw rallied Raaf of a ScrWa Ragiatsred Lend Suweya and YFappri.
1,�t�,g1 rit>llene
Lot 19 and the East 30 feet of Lot 18,310*21,AMENDED PLAT OF M"SHORES SECTIM No.1.acwfdtng to the
map MOW, recorded In Plat Book 10.Page 70 of the Public Records of M1*mi-Dada County,Fbdda.
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ce e X5 o Miami Snores V
ate e%e V e®d\
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STATE AND l:f I-Jtv
t 'dt0t t9t18 9lretdt of s-w of the betaon desTW Prepe+'tY is a ore eros correct represerasm of a matte under
OF pAwge5j0w
SURVEYORS AND N WOM to a+a W 611317-5 Fbr Iohm wa Cane set n to by the"WMDRp 6oAR0
and cvrreatto tine treat of nN tmowledpe arm btdlaf. int m Seditan 472 Qp Florida> ft+d b acerata
Flek1 Work Data: '7 1 t9.Sr
ocwye C.Belle,P;S.M. -
Profewlanal&Wveyor and Mapper No.dies - L
12230 S.W.131stAvenue,8uRe 201
Miami.FkMa133186
TO:(305)261-9608 Fax(908)261-8057
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°°°"`• °° •`°f01YM10ha Tom'-�,', ,, PROFESSIONAL 8URVUYORAND MAPPER
i•wwor"° °"a r°ro�mr .,.,ems .a.....a e�.� 12230 S.W.131stAvanm SUte 201
MFaredr Ftorl48 83188
' ..•-4� • �" •0m°a TO:(305)251-9611$ FmMM-WW
Fthe
Side Out. The vertical and horizontal
embers pf a fence shall face the
plot on which the fence is located
hed side shall face the adjoining
tting right-of-way.
Miami shores Village
Boom Building Department
10050 N.E.2nd Avenue
�tie�, ea� Miami Shores, Florida 33138
�IORIDA Tel: (305) 795.2204
Fax: (305)756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
The undersigned Affiant, M of 2�z al-dC ,does hereby attest that
(Pro My owner)
The attached survey,performed by Co'Q S �r
(Name of surveyor's company)
For address: E79 4, �'
Performed on B ®'�� (date of survey)is an accurate representation of the existing conditions and
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 seven (7)years old 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.
Fu her,Affianteth naught. c
i 14 81?
Property Owner Signature Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this 7 day of �rn,
Affiant is ersonally known me,_produced a
, ANA M.TORRES
Notary Public-Sta' of Florida
re I 5
s
°; t Banded ationai Notary Assn.
Revised on 5JP4120091 Revised on 6/12109