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BUILDING
PERMIT APPLICATION
ciz BUILDING ❑ ELECTRIC
ILI PLUMBING ❑ MECHANICAL
JOB ADDRESS:
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
Master Permit No.
Sub Permit No.
❑ EXTENSION ❑RENEWAL
❑ ROOFING ❑ REVISION
El PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
� 3 &1E q�Si
RECEIVED
JAN 0 9 2017
b4 -1A
FBC 011
F� �-tos
❑ CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores County:
-3010 ^OIH—ODLAO
tfolio/Parcel#:
Miami Dade
Occupancy Type: Load:
Construction Type:
Zip: 33 1315
NO Q(
Is the Building Historically Designated: Yes
Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): R VC 2 A(�� Phone#: C'(3 - 3?0- 0 30'f
Address: H, 3 hJ E q ST
City: M OSA t Sko 20
State:
Zip: 33 13$
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address: 50g.a l
(22- PUI('J & 1loc.
uc ' (31 S -T 1O -f
Phone#: ' O5— 23)-3) 1 3
City: t kNPt
Qualifier Name:
State: E i_.
State Certification or Registration #:
6_6CG 15\36,0
Zip:
Phone#:'305-23I —3113
Certificate of Competency #:
DESIGNER: Architect/Engineer: u Phone#:
City: State: Zip:
`3 r 000 Square/Linear Footage of Work: l 34 Ll=
Address:
Value of Workfortthis Permit: $
a! Py f`.I,f
Type of Work:',... .Addition ❑
Description: of Work: (,,V(�
Alteration
❑ New ® Repair/Replace ❑ Demolition
0-9 p%cekto,A7f. fo rt H0,44
IC, 0r A;,". ; st
Specify colorr•of color thru tile:
Submittal Fee $50 C1°
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Permit Fee $ 133•
Radon Fee $ 2 • a)
Training/Education Fee $
CCF $
DBPR$2,Q
jna
CO/CC $
Notary $
Double Fee $
Bond $ n
TOTAL FEE NOW DUE $ q t ? • CS/�V
4
Bonding Company's Name (if applicable) t s'`' \•
Bonding Company'sAddress
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City r. 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
OWNER o'►r NT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
Qin day of -11.,,,,. , 20 l'S , by S1- day of �,W:lA0-*1 , 20 1 k , by
kl,fkki..c 2.0. -GL- , who is ptcfsonally know)to f2-o&t-0 NO./LTA/3 , who is p anally known t•
me or who has produced as me or who has produced CP144't j / 'r-' oA p as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
JULISSA RODRIGUEZ
Commission # FF 98800
My Commission Expires
March 05, 2018
#################################
APPROVED BY
a.
(Revised02/24/2014)
identification and who did take an oath s�ttlmilll//////,,
NOTARY PUBLIC: ' ```\\�\Q_ <Ak.. S1oVFR9 •�,
y,20?0�9NA*
Sign:
Print:
Seal:
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Plans Examiner
Zoning
Structural Review Clerk
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Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)758.8972
Inspection Number. INSP-295100
Scheduled Inspection Date: February 08, 2018
Inspector: Alvarez, Manny Angel
Owner: PACE, BRUCE.
Job Address: 423 NE 92. Street
Miami Shores, FL 33138 -
Project <NONE>
Contractor: R2 BUILDERS INC
Permit Number FW -1-18-65
Permit Type: Fence/Wall
inspection Type: Final
Work Classification: Wood Fence
Phone Number (917)370-0704
Parcel Naber
140240
Ph+
13
Building Department Comments
WOOD FENCE REPLACEMENT 6 FT HIGH
Intrude
Passed Comments
INSPECTOR C
Fate
assed
vr-7"-Inspector Comments
Failed
Correction
Needed
Re -inspection
Fee
Inspections can be scheduled until
te-kispecticn fee to paid
February 07, 2018
For Inspectio
please call: (305)762-4949
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Certified
To: Bruce Pace and Lyle
Churchill LOCATION SKETCH
NaT TO SCALE
RECE,VEI E MIT_- :
JAN,9 2018
0
TONING DEPT
5741.-)G DEPT
UBJECT TO COMPLIANCE WI F1-1 ALL FEDERAL
TATF AND COUNTY RULES AND RFGI 11 arONS
BOUNDARY SURVEY
LEGEND
X x
11 11
POB:
POC:
CFO
D.UE
UE:
PRA:
PCP:
FID:
CL:
ENCR:
INDICATES CONCRETE
INDICATES OVERHEAD LINES
INDICATES WIRE FENCE
INDICATES WOOD FENCE
INDICATES PROPERTY CORNER
INDICATES POINT OF BEGWMNG
INDICATES POINT OF COMMENCEMENT
INDICATES PROPERTY UNE
INDICATES RECORD MEASUREMENT
INDICATES DRAINAGE i UTNJiYEASEAENT
INDICATES UTNJlYEASEAENT
INDICATES PERMANENT REFERENCE MOIILIiENT
INDICATES PE M4JENT CONTROL POINT
INDICATES FOUND
INDICATES CLEAR
INDICATES ENCROACHMENT
RP: INDICATES FOUND IRON PIPE
FRB: INDICATES FOUND REBAR
$/O: INDICATES SET 1/2' DIAMETER REBAR
TYP.: INDICATES TYPICAL
Ft/W: INDICATES RIGHT-OF-WAY
ORB: INDICATES OFRGAL RECORD BOOK
INDICATES MORE OR LESS
Ff. ELEV.: INDICATES FINISHED R.00R ELEVATION
N.T.S. INDICATES NOT TO SCALE
►/ INDICATES NORTH
S INDICATES SOUTH
INDICATESCENTERLWE
pAq INDICATES FIELD MEASUREMENTS
CONC.: INDICATES CONCRETE
OWL: INDICATES ON PROPERTY UNE
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LEGAL DESCRIPTION: Lot s
SHORES SECTION NO. 2,
recorded in
of
Plat
Book
Miami -Dade County,
1 hereby certify that this
survey conforms to the Minimum
Technical Standards for Land Surveying
in the State of Florida, as outlined in
Rules SJ-17,(Florida Administrative
Code),as adopted by the Department
of Agriculture and Consumer Services,
Board of Professional Surveyors and
Mappers in September,1981, as amended,
pursuant to Chapter 072.027 of the
Florida Statutes,and is true and correct
to the best of my know ge and belief.
FLO DA PROFESSIONAL SURVEYOR AND
MAPPER REGISTRATION NO.
15 and 16, Block 50, MIAMI
according to the Plat thereof, as
10, Page 37 of the Public Records
Florida.
SURVEYOR'S NOTES:
1) NOT VALID UNLESS SIGNATURE IS EMBOSSED WITH THE REGISTERED LAND SURVEYORS SEAL
2) LEGAL DESCRIPTION PROVIDED BY OTHERS.
3) PROPERTIES SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED
ENCUMBRANCES NOT SHOWN ON THE PROPERTY PLAT OF RECORD.
4) BEARINGS SHOWN ARE BASED ON PLAT MERIDIAN REFERENCE
5) UNDERGROUND UIILITTES, FOUNDATIONS, OR OTHER IMPROVEMENTS, IF ANY WERE NOT LOCATED.
6) ELEVATIONS, IF SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM 1929.
7) FENCE OWNERSHIP NOT DETERMINED UNLESS OTHERWISE NOTED.
8) MEASUREMENTS TO WIRE FENCES ARE TO CENTER OF WIRE
9) MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOOD.
10) WALL MEASUREMENTS ARE TO/FROM FACE OF WALL.
11) DRAWING DISTANCE BETWEEN WALLS AND/OR FENCES AND PROPERTY LINES MAYBE
EXAGGERATED FOR CLARITY.
12) FLOOD ZONE INFORMATION WAS DERIVED FROM FEDERAL EMERGENCY MANAGEMENT AGENCY
FLOOD INFORMATION RATE MAPS.
PROPERIYOF: Bruce Pace and Lyle Churchill
423 N.E. 92nd Street
Miami Shores, Florida
NOT VALID WITHOUT THE SIGNATURE
ANO THE ORIGINAL RAISED SEAL OF
FLORIDA LICENSED SURVEYOR AND
MAPPER.
FLOOD ZONE: X
BASE ELEV.= NOT AVAILABLE
COMMUNITYNo.: 120652
DATE OF FIRM: 9 -11 -009 -
MAP & PANEL= 12086C0302
SUFFIX: L
A BOUNDARY SURVEY
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064,7ArI1O1f4 FLORIDA ADAISSTRA77VE
000EMAPSYpA77OAEC770N47,4411, FLORIDA
SYA1717E4 MERE MEMO ENCROACHMENT;
OrEatAPIC IMASI 7.71APPEARNV LN•7fE
PLO; om6r 7RWAS VAVMNAINERA
PROFESSIONAL SURVEYING AND MAPPING
LANNES & GARCIA, INC.
PROFESSIONAL SURVEYING AND MAPPING
LANNES & GARCIA, INC
L.B.#2098
FRANCISCO F. FAJARDO PSM #4767 (QUALIFIER)
365 Alhambra Circle, Suite #C, Coral Gables, Florida 33134
PH (305) 666-7909 FAX (305) 442-2530
lannes iarcia(@vahoo-com
FLORIDA PRWESS011.9L SLRLETZWAAIDANPP R
RE2 At1 IIsi.
FIELD DATE: 3/7,/ 7 SCALE:1 " = G d _IMAM BY:
r•,7 _24-- 20 c RCERTIFEnTD, FIE _ lhll), CERTIFIED T0, NAME & FLOOD
T T L'IT"I CL'T\ L
DW'G. No.: 210354
258002