FW-18-1977Miami Shores Village
10050 N.E. 2nd Avenue N
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
9518 N MIAMI Avenue
Miami Shores, FL
Owner Information
MIGUEL TEMBLADERA
Parcel Number
1131010330460
Block: Lot:
-7-18-1977
Type: Fence/Wall
ion: Wood Fence
Expiration: 01/20/2019
Applicant
Address
9518 N MIAMI Avenue
MIAMI SHORES FL 33150-1717
620 SW 10 Street
MIAMI FL 33130-
Contractor(s)
HOME OWNER
Phone Cell Phone
MIGUEL TEMBLADERA
Phone
Cell
33
Valuation:
Total Sq Feet:
Approved:
Comments:
Date Approved: :
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info: REPLACING WOOD FENCE- HORIZ
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
P&Z Review Fee
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Total:
Amount
$0.00
$0.00
$0.00
$0.00
$0.00
$85.00
$0.00
$0.00
$85.00
Pay Date Pay Type
Invoice # FW-7-18-68316
07/24/2018 Cash
07/24/2018 Cash
Amt Paid Amt Due
$ 35.00 $ 50.00
$ 50.00 $ 0.00
$ 3,400.00
170
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Building
Review Public Works
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. Fut re, I authorize the above -named contractor to do the work stated.
July 24, 2018
Authoriiisd Sigfia�ru e� owner / Applicant / Contractor / Agent
Building Department Copy
Date
July 24, 2018
1
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
BUILDING
PERMIT APPLICATION
❑ BUILDING ❑ ELECTRIC ❑ ROOFING
❑ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: ?5 l n�
FBC20Ylb
Master Permit No. 4W 18 — till
Sub Permit No.
❑ REVISION
❑ CHANGE OF
CONTRACTOR
❑ EXTENSION
CANCELLATION
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): M" ( 6 %'Ct115Gi Oc' /L i
Address: '"1 S 'v IV((rIi-1
City: (0 ( 5-(-for?-3 State:
BFE:
Phone#:
❑ RENEWAL
❑ SHOP
DRAWINGS
S3/$ )
NO
FFE:
305 305 j?/
Zip:
3 3 /5
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ®ci /Ui I f /Q/!`l t Phone#:
Address:
City: State: 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: $ J•A W
Type of Work: ❑ Addition n Alteration
Description of Work:
r `r pk1 c nWe
Specify color of color tidru tile:
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace
-219
QR n1ce - -14o r r, Zpr1-c0
Gu IRL-e-w �G
n Demolition
Submittal Fee $ 5C.) 1 Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $
Structural Reviews $
oo
CCF $
CO/CC $
DBPR $ Notary $
Training/Education Fee $ Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE$ <-0
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
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
Zq day of :A LAU ,20 ,by day of ,20 ,by
M l W,-V-TtAJriu d`trq who is personally known to , who is personally known to
P
me or o has produced ;QS Or t- as me or who has produced as
identification . id who d'• n oath. identification and who did take an oath.
NOTARY P NOTARY PUBLIC:
Sign:
Print:
Seal:
AnC C
•
,00:,V iP,, YANADY PRIETO
'°• MY COMMISSION # FF 214031
EXPiRES: Marc 25, 2019 i!
APPROVED BY
•
Sign:
Print:
Seal:
Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)
1
N
0
N
30'0
. cT
�oT 5
/3c o
*yAi OF SL?. Y
for
I. R . :,AN;:Ii
IGINEER 13 CF- TINJCATE:
I hereby certify that -
Lot 4 and the North half of Lot 5,
in Block 131, of "MIALII SHORES-
3ection 6, " according to the Ilat
thereof recorded in slat Book 10,
}age 39, of the public reeorde
of Dade County, Florida, have
been 8urseyed under my direction
and the buildin? located ae ehown
hereon, November 28, 1938.
There were no encroachnente .
i?efzietered land •urveyor 1-312
:tepitered. Fngineer F867
State of Florida.
PERMIT #: "
�_
Miami ShcreS Village
APPROVED
BY
DATE
ZONING DEPT
BLDG DEPT8)1.5/1
FEDERAL__. __
_SUBJECT .0 CCMPLIANCE WITH
ALL
REGULATIONS
STATE ANv CY UN,-! rtWLS AND
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vertical and horizontal
Side Out. the verC e Shall face the
Good
a fens located
Fences 3O0 embers of fence 'adjoining
supp°�onfgth plot on which thetfiace th
and the finished side shall
interior right-of-way.
lot or any abutting
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