FW-17-246 Perfnit NO. FW-1-17-246
,SNORES ri Miami Shores Village Permit Type.Fence/Wall
10050 N.E.2nd Avenue NE Pe' I
Work classification Wire Fence
Miami Shores,FL 3313&0000 Permit Status:APPROVED
Phone: (305)795-2204
fLORiDA
Issue Imo;2/112017 r Expiration: 07/31/2017
Project Address Parcel Number Applicant
1290 NE 96 Street 1132060143850
TERESA VEREZ ESTENSON ANI
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
DEBBIE LEA 1290 NE 96 ST
MIAMI SHORES FL 33138-2573
Contractor(s) Phone Cell Phone Valuation: $ 500.00.
HOME OWNER
Total Sq Feet: 35
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wire Fence Additional Info:EXTENSION OD EXISTING CHAINLI Review Planning
Classification:Residential Scanning:3 Review Building
CANCELLED
a
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice tt FW-1-17-62776
$2.00 02/01/2017 Credit Card $ 119.60 $0.00
DCA Fee $2.00
Education Surcharge $0.20
Notary Fee $5.00
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $119.60
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
construc4hied
� g. Futh re,I authorize the above-named contractor to do the work stated.
February 01, 2017
Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
February 01, 2017 1
. �
Miami Shores Village `ElIVIED
Building Department ANS zo,
g — —
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20^��
BUILDING Master Permit No. vy , 1 —f " 20
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION F-] EXTENSION ❑RENEWAL
❑PLUMBING F__j MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1/1'elo_ ql,Q �r, Y
City: Miami Shores County: Miami Dade Zip: ?;7213�2
Folio/Parcel#: �l — '; o(p —01+—�2 2�c!-70 Is the Building Historically Designated:Yes
Occupancy Type: Load: Construction Type: _Flood Zone: BFE: FFE:
OWNER: Name((Fee Sim le Titleholderd��/ )� f (e��� �Z phone#: �O�f.Q�_7i 6211 2�2
Address: 1 mo
City: f� _ � State: T 1, Zip: Z_22 1-23��
Tenant/Lessee Name: Phone#: }
Email:
CONTRACTOR:Company Name: f�K/1�� (7 Vy IV Li��+ Phone#:"�QC/ 2226EMI?i
Address:
City: State: Zip:
Qualifier Name: Phone#: -
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: r Phone#:
Address: City: State: Zip:
r l
Value of Work for this Permit:$ "!bb Square/Linear Footage of Work: _27c�? _',p 14
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ /Re lace
Re air/ p p ❑ Demolition,
Description of Work: e4fA!:a16
L 12L 0 � �tAj
c asr:sn3t,r s;??irrtl ,�a F', 'fit is i
�i 1'S^S S•rnn:vaN:F:�»'9Xw .yr.�, Y :;�_�
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 I ' 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
r'4
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOLIk-PROPERTY'. IF YOU INTEND
TO OBTAIN•FINANCING, CONSULT WITH YOUR ILENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT:"
. �,• 3 � 'c•...4' •4t� �ti � t �i x x �r . . Vit,
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 Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,�G r 12014 by day of 20 by
-MYcs Qy E-S Q to is personally known to who is personally known to
me or who has produced\) (� 22 —nOO �U Js me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: - �y Sign:
Print: MAHARN rc Go it Print:
MY COMMISSION 0 GG 041602
Seal: _ EXPIRES:November 2,2020 Seal:
Bonded Thru Notary Public Underwriters
**************************** ****** ************************************************************************
APPROVED BY �I Plans Examiner Zoning
E ? , Structural Review Clerk
(Revised02/24/2014)