FW-17-2220Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit' NO. FW-9-17-2220
Permit Type: Fence/Wall
Worts Classification: Wood Fence
Permit Status: APPROVED
Issue Date: 9/25/2017
Expiration: 03/24/2018
Parcel Number
Applicant
433 NE 91 Street
Miami Shores, FL
1132060140120
Block: Lot:
JENNIFER ROSE CHAPMAN
Owner Information
Address
Phone
Cell
JENNIFER ROSE CHAPMAN
433 NE 91 Street
MIAMI SHORES FL 33138-
(305)323-7400
433 NE 91 Street
MIAMI SHORES FL 33138-
Contractor(s)
CAIBAI CONSTRUCTION LLC
Phone Cell Phone
(786)229-2770 (786)470-4207
Valuation:
Total Sq Feet:
$ 1,200.00
80
Approved:
Comments:
Date Approved: :
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info: 80 OF 5 HIGH WOOD FENCE TO RE
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.00
$2.00
$0.40
$100.00
$3.00
$1.60
$110.20
Pay Date Pay Type
Invoice # FW-9-17-65065
09/25/2017 Credit Card
09/05/2017 Credit Card
Amt Paid Amt Due
$ 60.20 $ 50.00
$ 50.00 $ 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, - •OFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing inf
construction and zoning. Futhermore, I authorize the above -
orm
at • s . u - - .
.r / Agent
Authorized Signature: Owner / Applicant �. / rac
nd that all work will be done in compliance with all applicable laws regulating
work stated.
September 25, 2017
Date
Building Department Copy
September 25, 2017 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
ji4WLDING ❑ ELECTRIC ❑ ROOFING
RECEIVED
SEP 01 2017
d--P
Sin
FBC 20 IL -it
Master Permit No. 4 w \2220
Sub Permit No.
❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
/� �./ CONTRACTOR DRAWINGS
�
JOB ADDRESS: T "1� ¶ '
City: • Miami Shores
County: Miami Dade
Folio/Parcel#: iI--J -1)*b*20 Is the Building Historically Designated: Yes
Occupancy Type: (C.(�,J Load: Construction Type: R9(.01in�Flood Zone: ' BFE: FFE:
Zip: 'T /38'
NOrX
OWNER: Name (Fee Simple s/ "Ire Titleholder): �jcJe0A. kt/t� (li'%/ )
Address: q?3 v6 9/ r
City: `Tm
State:
Phone#: 3DJ'3-/ Tw
Zip:. 3/3?
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: CA/ ee.,�` o,u / /W�1 Address: /Q7( SW �!� ,'2
Phone#: 3 2eP 7 pv23
City: fii/ f / T7' % f State:
anCe— a291
Qualifier Name:
Zip:
// /(-C
Phone#: iU(p d 7 27/t/
State Certification or Registration #: tS�b(�S Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ /2-0 r Square/Linear Footage of Work:
aV ,
Type of Work: ❑ Addition ❑ Alteration/ �/ /I�' New �,❑/1 Repair/Replace
Descri tion of Work: Of S l 6�/ [,t��� FCA/e
Lit CF ? m/ A4J /0 /�.--1Pe >2
❑ Demolition
Specify co/or,of color;tliu:tile:t
Submittal Fee $ Perntit.•Fee $
Scanning Fee $
Technology Fee $
Radon Fee $
Training/Education Fee $
Structural Reviews $
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE$ 6 20
(Revised02/24/2014)
day of , 20 (7 , by
identification and who did take an oath.
.ir
'47
Bonding Company's Name (if applicable) .t . ,
VII\ ' t) -i'.,. •,. y , : •1 I 1 ., .iw. + I ►" i, tr
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) ' "r �� `- ' 0'1 f •
Mortgage Lender's Addressta"
City ' \ -• •, • ' ..• r ; :r • State Zip k' t, i ..J 1' , y
.g 1 'f:' -1 tl• '" 1 L" 1 _, I. y. w: � i s i .±1"
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 issuarce ofa'permit and that all work will be performed 'to- meet the'standards of all la`ws3 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 , , ,�. 1_ ,- r-• . ,
r. _ >r ,.
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'FORVIMPROVEMENTS TO YOUR PROPERTY.- IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
" , r
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 absejce_of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Signatur
0' ER or AGENT CONTRACTOR
The forgoing instrument was acknowledged before me this -
The fore i g in rument was acknowledged beforemethis
day of , 20- /7 , by
7�;� `` ,mho is personally known to
me or who has produced !/Ic�l t 7 s°case' as
% .
, who is personally known to
me or who has produced- 1.42Lr0 2/ 'as
•
identification and who did take an oat
SDSE /-mil
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: i! L i /L i�� ` Sign: - . LLLI
Print: L�.. %1 • . I!� e,..,�!. Print: refit %�/.//L��/ 0 0
N PRY PUBLIC OF
s .;1�
Seal . Seal:
;1 -+S ATE OF FLORIDA
- - �" ;;�. Comm# GG026296 . id"
'''t` Expires 8/31/2020 -_. __ •�`t.�
• w+ - •
APPROVED BY
f(ot1
t'l r Plans Examiner
_
i T i ‘1
Yordanka Wingfield -
NOTARY PUBLIC -
STATE'OF FLORIDA 11
Comm##G�1G00262996y�
#� II Cif r mmr #**********.* •
Zoning
4
- Structural Review Clerk
(Revised02/24/2014)
4.