DEMO-20-348�,MO.2-Zo-3�s
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Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
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Issue Date: 03/02/2020
Location Address Parcel Number
10 NE 103RD ST, Miami Shores, FL 33138 1132060131620
Contacts
Permit NO.: DEMO-02-20-348
Permit Type: Demolition
Work Classification: Residential
Permit Status: Approved
Expiration: 08/31/2020
Michael Willard Owner A & A ORNAMENTAL INC Contractor
10 NE 103 ST, MIAMI SHORES, FL 33138 AMADO RAMIREZ
20649 SW 93 AVE, CUTTLER BAY, FL 33189
Business: 7869700487 frank55700@gmail.com
Ins ection Requests:
Description: DEMOLITION OF 40' CHAINLINK FENCE LTotalSq
$ 200.00 305-7Ca2 4949
t: 40.00
Fees
Amount
Application Fee - Other
$50.00
Building Demoloition Fee
$50.00
CCF
$0.60
DBPR Fee
$3.75
DCA Fee
$2.50
Education Surcharge
$0.20
Scanning Fee
$9.00
Technology Fee
$6.25
Work Without Permit 1st Offense
$100.00
Work Without Permit 1st Offense
$100.00
Total:
$322.30
Payments
Date Paid Amt Paid
Total Fees
$322.30
Credit Card
02/13/2020 $50.00
Credit Card
03/02/2020 $272.30
Amount Due:
$0.00
Building P16�paitment Copy
In consideration dfSlSe 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. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
March 02, 2020 Page 2 of 2
Miami Shores Village EN .rERED
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
UILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS
FEB 020
BY:
FBC 201-+
Master Permit Noyew)
Sub Permit No.
❑ REVISION ❑ EXTENSION RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: �i) N I V J
City: tMiami Shores �1 County: HQ Miami Dade Zip:
Folio/Parcel#: 11 b co J C (D a.() Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):( b�Phone#:(`)
Address: Lo N U
' City: �ScL State: Zip:
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name:
Address:
City:
Qualifier Name:
State Certification or Registration #:
ne#:
ne#: l 6 17 0 0(47 —
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: ► Zip:
Value of Work for this Permit: $ c� Square/Linear Footage of Work: ��
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace 'Demolition
Description of Work: btnn n i l(5 CL
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
(Revised02/24/2014)
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ ��� ` 30
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 J14,
4—�O
NER or AGENT
The foregoing instrument as acknowledged before me this
day of 20 fir_ �) by
who is personally known to
me or who has produced VL. i � s s
identification and who did take an oath.
NOTARY PUBLIC:
a`�S�jtlilllll
'•n6AAIi�
Print:
Signature ask
11—T CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 6k, 20 4:0 by
li /YYtG� �Ct? COnq&oA who is personally known to
me or who has produced as
identification and who did take an oath
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Seal: L ��' z2 ;aw_ Seal: JC-St8tON
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APPROVED BY v` Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
10 NE 103RD STREET MIAIV1) SHORES, FLORIDA 33138
(REV.O 7/10/2017)
MIAMI AVENUE
80• TOTAL RICHr-OF WRY LIMIT OF PLAT --✓ (N.A.P.) r `. tic) 10
N.A.P,
0,t,0: A5PtiiAl.T (P.B. 15 PG. 75) gi
C? C7
B.I.K. 1/2` 75
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NO Crap N'j a1P . -✓ �_ .08 I
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71 W.F.
0.": ENCR f.8 r 1 cn r, 37,50' —
W. 1 12.65'AX
11101
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F.LK. 112' W.Ff I v. ;Iz�'_ S
NO CAP NO CA. f 37.50'
GUY N 1
ANCHOR tl I IA5PHALT GRAPHIC SCALE'
r .4 15' ALLEY (N.A.P.) MWT. I
ENCROACHMENTNC)T 'S.'�..._�._.- _._. __ _..... _______ _... ...._ _. _..1 -20 0 10� 20
A. NORTH SIDE OF THE SUBJECT PROPER TY, CONCRETE RETURN IS ENCROACHING
INTO THE RIGHT OF WAY OF NE 103Td STREET (IN FEET)
B. SOUTH SIDE OF THE SUBJECT PROPERTY, , '000 FENCES AND IRON FENCE ARE �' //
ENCROACHING INTO THE NEIGHBORS PROPERTY 1 INCH = 20 FEET
a r' LEGAL DESCRIP770N: DRAWN BY: F.S.
LOT 10 & NORTH 1/2 LOT 11, BLOCK 12, OF MIAMI SHORES SECTION 1,
ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 10, PAGE
70, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. FJELt? DATE. 7/7l2b17
O No 6'''D
5TATF Of w.W CERTIFICATION.-
LfF,: 4F." MICHAEL WILLARD; MARKET TITLE, LLC; FIRST AMERICAN TITLE INSURANCE SURVEY NO: i7-00249z
'' "�L �y COMPANY; PARAMOUNT RESIDENTIAL MORTGAGE GROUP, INC; ITS
"SUCCESSORS AND/Oft ASSIGNS; AS THEIR INTERESTS MAY APPEAR