FW-17-1586BUILDING
PERMIT APPLICATION
■
BUILDING I 1 ELECTRIC
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
ROOFING
PLUMBING ❑ MECHANICAL PUBLIC WORKS
JOB ADDRESS: 9312 NE 9 PL
City:
JUN 15 2017
S
FBC 20IL-I
Master Permit No. eW 1 —4 1 S8(0
Sub Permit No.
REVISION 1 1 EXTENSION RENEWAL
CHANGE OF CANCELLATION I I SHOP
CONTRACTOR DRAWINGS
Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-3206-007-0070
Is the Building Historically Designated: Yes
NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): DANIELLE LEE FAY
Address: SAME AS JOB ADDRESS
Phone#: 30spye /3,/
City: MIAMI SHORESState: FL Zip: 33138
Tenant/Lessee Name:
Email:
Phone#:
CONTRACTOR: Company Name: REGOSA ENGINEERING SERVICES, INC Phone#: 786-262-2964
Address: 15700 NE 2 AVE
City: MIAMIState: FL Zip: 33162
Qualifier Name: GUSTAVO VELEZ 786-262-2964
Phone#:
State Certification or Registration #: CGC-1508952 Certificate of Competency #:
DESIGNER: Architect/Engineer: - Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ - CG67
Square/Linear Footage of Work: 76)
Type of Work: Addition Alteration ❑ New ■I Repair/Replace I Qemolition
Description of Work: Lf/<;v F5t/ (E 1* . /
irk' -r•
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 $
Bond $
TOTAL FEE NOW DUE $ Z( q •
Structural Reviews $
(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 be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the abse . such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
QWNERorAGENT
The
foregoing instrument was acknowledged before me this
ryd 2 day of yt t Y)t , 20 , by
�Lt,V/C��o
me or who has produced 1000 — /7Z— 12— N/ Oas
identification and who did take an oath.
, who is personally known to
NOTARY PUBLIC:
Sign:
Print:
Seal:
-4011111..4
MARCELO GIORDANO
• c • ary u . lic - State of Florida
rc My Comm. Ex .•
',,,,o Commission # FF 27318
*****************************
APPROVED BY
(Revised02/24/2014)
*
Signature
R
The foregoing instrument was acknowledged before me this
2 day of JUNE
, 20 17 , by
GUSTAVO VELEZ , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal
*********
P-4-Lbo
LUZ EDITH GIRALDO
NOTARY PUBLIC • STATE OF FLORIDA
COMMISSION II FF203458
WWWIli9e4na>E &NarelH@Fra
Plans Examiner
6
r
**********
Zoning
Structural Review Clerk
BUILDING
PERMIT APPLICATION
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
DHC 12 2017
BY:
FBC 20 N _
Master Permit No. Fix -)-6 ` - �'�ta2
Sub Permit No.
.1*BUILDING I I ELECTRIC I ] ROOFING REVISION XTENSION RENEWAL
PLUMBING I MECHANICAL 0PUBLIC WORKS El CHANGE OF 0 CANCELLATION 0 SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 6VID1a k' £ `6 T Las, ..e_
City: Miami Shores County: Miami Dade Zip: t) 3 ( 38
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): AN.\QLUC ? � � \.
Address: -1 b t a l
Phone#: 9 - t-[
c
City: t��f`Q.� State: {-- Zip: c� 3 (3B
Tenant/Lessee Name:
Email:
Qm.„' www 1�cov
Phone#:q( - atR
CONTRACTOR: Company Name: e1do&V&'JGNg\k)G I E SVCS
Address: (5i0C) Md 2 Am
Phone#:486' 262. Z90
City: ► State:... Zip: 33 1.61_
Qualifier Name/4 � a Phone#: • 2 z- .
y
State Certification or Registration #: Toe,- (so V P Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $
Type of Work: I 1 Addition
Description of Work:
Alteration
Square/Linear Footage of Work:
New
Repair/Replace Demolition
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 delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commenceme must b posted at the job site
for the.first inspection which occurs seven (7) days after the building permit is issued. In the abs nce of siJlch posted notice, the
inspection will not be approved nd a reinspection fee will be charged.
Signature
�yI
OWI R or AGENT
-r-
The foregoing inst u ent as acknowledged before me this
day of y.Q L 2 C , 20 L'T , by
p, 1.4 (C.( , who is personally known to
Signature
The foregoing instrument was acknowledged before me this
day of Fes' %...L ,20'T
) V Vo
me or who has produced I�'L---a\-e- U`. --N: 'as me or who has produced�.M` ,I�• as
identification and who did take an oa `�0,' C'\�1:91O'',''•,
s
aJ.
% �1 4,accx`DFF �:
),
V L� ys•• s-- - tc`:r,
'''''''''''''''''''''''
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Ct NK`AQ \A=4.0C7
Seal:
APPROVED BY
(Revised02/24/2014)
tl1PaY/kite, Notary Public State of Florida
Sindia Alvarez
ca My Commission FF 156750
or0,oQ Expires 09/03/2018
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner Zoning
Structural Review Clerk
December 8, 2017
Arthur & Danielle Fay
9312 NE 9th Place
Miami Shores, FL 33138
Miami Shores Village
10050 NE 2nd Ave
Miami Shores, FL 33138
To whomever it may concern,
We recently obtained a permit to build a new fence around our property, we planned to have this Tenc_
installed in September. As a result of the Hurricane Irma the scope of the project changed which delayed
our ability to execute on the permit which has an expiration date of 12/12/17.
Therefore we ask that our permit be extended so we can proceed with the work without having to pay
for a new permit.
Thank you,
Arthur & Danielle Fay
Project Address
......... ....................
9312 NE 9 Place
Miami Shores, FL
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number
Expiration: 12/12/2017
Applicant
Owner Information
DANIELLE AND ARTHUR FAY
1132060070070
Block: Lot:
Address
9312 NE 9 Place
MIAMI SHORES FL 33138 -
9312 NE 9 Place
MIAMI SHORES FL 33138-
DANIELLE AND ARTHUR FAY
Cell
Contractor(s) Phone CeII Phone
REGOSA ENGINEERING SERVICES I1 (786)262-2964 (786)344-8720
(203)470-2671
Total Sq Feet: 270
Approved:
Comments:
Date Approved: :
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info: WOOD FENCE P.T 250 LF
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Total:
Amount
$4.80
$4.05
$4.05
$1.60
$270.00
$9.00
$6.40
$299.90
Pay Date Pay Type
Invoice # FW -6-17-64323
06/15/2017 Credit Card
06/15/2017 Credit Card
Amt Paid Amt Due
$ 50.00 $ 249.90
$ 249.90 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Building
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. F . e re, I -ut. ize the above-named contractor to do the work stated.
June 15, 2017
Authorized ir,: re Owner / Applicant / Contractor / Agent
Building Department Copy
Date
June 15, 2017
1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-296921 Permit Number: FW -6-17-1586
Scheduled Inspection Date: February 14, 2018 Permit Type: Fence/Wall
Inspector: Alvarez, Manny Angel
Inspection Type: Final
Owner: FAY, DANIELLE AND ARTHUR Work Classification: Wood Fence
Job Address: 9312 NE 9 Place
Miami Shores, FL Phone Number (203)470-2671
Project: <NONE>
Parcel Number 1132060070070
Contractor: REGOSA ENGINEERING SERVICES INC Phone: (786)262-2964
Building Department Comments
WOOD FENCE P.T 250 LF
I i" o paste Comment*
tt+ESPECTOR COMMENTS False
Passed
Inspector Comments
CREATED AS REINSPECTION FOR INSP-284468.21612018
MUST REVISE PERMIT TO REFLECT THAT ON SOUTH END THERE IS
NO NEW FENCE.
Failed ri
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled
re -inspection fee is paid
until
February 13, 2018 For Inspections p#eass call: (305)762-4949 Page 10 of 16
1355 NW 97 AV SUITE 200
MIAMI, FLORIDA 33172
TELEPHONE: (305) 264-2660
FAX: (305) 264-0229
DRAWN BY: AL.
cant §Itrurru r
u
LAND SURVEYORS
SURVEY No. 16-0000867-1
SKEET No. 2 OF 2
coSes op WORK ROUNDARYSURVEY
w009 wEocc_ ,'j woo)) S i4164
A' iN, 1 LL /2o$i E-vt/2f l' E"/,c#
X F PEE p F/LL GtJ/CUhC2ET
/'/s"i Ate' x 6 A /'z /1orzf 'tyrfL
4 /0's ri LL 1 ,}CC E S 5 a;;/;7-•
4'60'TE SE 'F (71--f-)(7)16S EcQU, PP
Wiry" 5E4 L4T chiNG Sf /titcW
F.I.P 3/4"
NO CAP
SCALE = 1 " - 20'
LIMIT OF PLAT
(N.A.P.)
75.00'
4
F.I.P 3/4"
NO CAP'
P
(1(.;038'ENCR O r
RMT #:
Miarni Shcres Village
r 1i
6' W.F.
0.20'CL.
POOL
PUMP
OVED
BY
NG DEPT
BL I DEPT
DATE
IA 1
SU: ECT 1'0 CC.MIPU, NCE WI IN ALL FEDERAL
STA E AN C;CUN i'i dl,L.ES AND REGULATIONS
17.45'.
, POOL
rn
CNI
x
x
x
1 1 1 1 1 1 1 I 1
1131Z1Cir`1
{11{�1� 11
4' C.L.F.
x
2.03'CL.
9.77'
B.C.
F.1.P 3/4"
NO CAP
LOT -8
14.50'
ONE STORY
RES. # 9312 ,ts'.-.
Lor- 7
0.89'ENCR.
11 1;
75.00'
9.75'
LOT -6
111I•11},1T
P.R.M.
F.I.P 3/4"
NO CAP
F.1. P 3/4"
NO CAP
SURVEYOR'S NOTE:
A) Brick Return Encroaching onto Right-of-way on the East side of Property.
B) Neighbor's Wood Fence Encroaching onto Subject Property on the South side .
SURVEYOR'S NOTE:
- There may be Easements recorded in the Public Records not shown on this Survey.
- The purpose of this Survey is for use in obtaining Title Insurance and Financing and should not be used for Construction purposes.
RECEIVED
JUN 15 ''`1