FW-15-597/G
ole) 6'1944.
/10-
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
Master Permit No.
-VW S
Sub Permit No.
FBC 20
lnl —
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑.MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF yKANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: C-11—i CM 1 \ Q _ t
City: Miami Shores County: Miami Dade Zip: .Z:7-Z7V.j�
Folio/Parcel#: A"' f^� — eikb— zi-v2.Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Avere,t F,lood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Phone#:
Address:
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOICCorripany Name:z AC,✓'\t'A
Address:rtj \ \ ijLakJ `Q� Qt....._
City: 1.---� �Q V.-Vs ` 1 State: --.\ Zip: 3� \ 59
Qualifier Name: ��J�/'1 A v�1 �k'v Phone#: ' � L,QL ^ 3\V'b
State Certification or Registration #: • Certificate of Competency #:CI `pS�2�
t
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value ofWork`fbF'thisPermit: $ Square/Linear Footage of Work:
Type,of Work:;:::,,: .'i4diiition ❑ Alteration a n New ElRepair/Replace 0 Demolition
Description of�Wo�k ��l�} `' 'C ,0CA V ‘-'1i...---%
S�7
Phone#: "beS �91/4..CF:\--‘401/4.C1 b
Specify color of color thru tile:
Submittal'Fee'$ iil,,, . 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. v ._• ,••.
"WARNING'TO'OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO.YOUR"PROPERTY: 1F 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.
•- .-:.1,,+ .s T � df�+ t. .,wf--,;.... »�,
Signature.fir Signature's
CONTRACTOR
The foregoing instrument was acknowledged before me this The fore i g instrument was' acknowledged before me this
.•. �.q,-sue r,l•� ��.f in °k ~ < I' �.. Y ''" ...,F7 2
day of , 20 by �i,_ ay of • • 20 1 , by
OWNER or AGENT
me or who has produced
who is personally known td
identification and who did take an oath.
NOTARY PUBLIC:
as me or who has • roduced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: Sign:
Print: Print:
Seal: Seal:
APPROVED BY
Plans Examiner
NM&:1•
•
`�� 0111 I I I llll,,
s06 Ft4DR �,
2
:*•
'72;.*:::;:csTup7r..• 6\'1/41
el
Zoning
(Revised02/24/2014)
Structural Review
Clerk
HENRY'S FENCE, INC.
henrysco@bellsouth.net 3931 SW 63RD Ave. Miami, FL 33155
305/ 669-0180 Voice
305/ 669-5992 Fax
henrysco@bellsouth.net Email
www.henrvsfenceinc.com
December 14, 2018
Property Address: 9717 NE 1 Ave
Permit Number: FW-3-15-597
To whom this may concern,
Please cancel permit # FW-3-15-597, no fence work has been performed at this property.
Sincerely,
}f eivury P. V Enoch'
0,\oni7ousza
.. : 0. ,_ctl : ./ . 4 *
„owl ligioo,
s .••
eaca
/, 7:4RY PUB\-\\ A
ii/NI1111111
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
RFC
MAR 182015
FBC20/C
BUILDING Master Permit No. F(A)
PERMIT APPLICATION Sub Permit No.
❑ BUILDING ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION Ei3 RENEWAL
PLUMBING ❑ MECHANICAL 0 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: '3
Folio/Parcel#: t 1- 'ZC) ( — D' 3' 7-610.,D Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: 1/ Flood Zone: BFE: FFE:
COWNER: Name (Fee Simple Titleholder): , I O �- 1' i �1 S Phone#?
Address: O- ,iv
City: N- i L{��/11 `, �� State: �1 %dip: �j
Tenant/Lessee Name: Phony#:' 0 g "/ /
n iilEmail: ` �i1 qi�
- qe,‘
47 4 ‘at1/104/2)6
CONTRACTOR:I:6Company Name: 1�leit
Address: 7 31 S `
Ci : tate�/ ' ' i
ty i�-t,t�.i�, s Jr'
Qualifier Name: r y c:),.,
V I `1 vim' 1 Phone#:
State Certification or Registration #: Certificate of Competency #: .,%2�-
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 0\00 Square/Linear Footage of Work: l; 1 -r
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
i `\4.Q,P1 ft -4- — $al4 aN wASk. SA Ac AS Aroltvi
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 will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded no 'Si,f commencement must be posted at the job site
t.
Sign:
Print:
Seal:
for the first inspection which occurs seven (7) days after the building permit i
inspection will not be approved and a reinspection fee will be charged.
Signature
Th-f
ng instru
me or.who h
nt was ac owledged before is
20_by
f ally known to
produced �,Q'o 010604 i
identification and who ad talc ane Pr.0 F'�A �—+
NOTARYPU' C: Slit :
•.� '��'
•*
.. #EE 185969 •
4r°G*`P. �blle icIit eci Qj
r.../ll
as
,: In the absence of such posted notice, the
oing instrument was acknowledged before me this
me or who '�����r Q,OS �4 as
identification and who did take a Q...........................ss
'
�� v��M19� 2�.•c�
NOTARY PUBoilt
QQ 0�6 ; t
N;
Sign: 1,, » o ; #EE 185969•
111
3.7
Seal: �°� �11141Q1111{1\\+�•\
as produced
**********************************************************************000***********************************
Plans Examiner Zoning
APPROVED BY
(Revised02/24/2014)
Structural Review Clerk