REV-11-19-2733, 92 NW 100st TerMiami Shores Village ENTF-'.RED
Building Department NOV 15 j
19
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BYL-4j
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
[ZfBUILDING ❑ ELECTRIC ❑ ROOFING
FBC 20 R-7
Master Permit No. lq - 23-+-5
Sub Permit NoA2-eV- \\-19- 2�33
®REVISION ❑ EXTENSION ❑RENEWAL
❑ PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
, ` �, ` CONTRACTOR DRAWINGS
((��
JOB ADDRESS: " (� lam) 0012fface
City: Miami Shores County: Miami Dade Zip: ISO
Folio/Parcel#: Is the Building Historically Designated: Yes NO Ll""
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 'f�\\s r PiD l� Phone#: 331'�2
Address:
City: CA7-. NL)- Ib� VX-V-aim State: '" \\Qmk c� Wle5 �� Zip:33
Tenant/Lessee\Name: Phone#:
Email: \^t
CONTRACTOR: Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Phone#:
Certificate of Competency #:
ne#:
Address: City: State:: t� Ziip::,
Value of Work for this Permit: $Square/Linear Footage of Work:
Type of Work: ❑ Addition :1 Alteration r New ❑ Repair/Replace ❑ Demolition
Description of Work: �l'�V `�, on tom- wfm'-k
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 4q. o;�)
(Revised02/24/2014)
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 andg-reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of �\�-(�� . 20 1 by
NTCS:Who is personally known to
c`
me or who has produced TC---�i,�� UL N - as
identification and who did take an oath.
NOTARY PUBLI .
Sign:
Print:
Seal:
*****************
APPROVED BY .
(Revised02/24/2014)
SINDIA ALVAREZ
*: MY COMMISSIGN # GG 238273
EXPIRES: SentembFr 3, 2022
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
Gy Plans Examiner ll Zoning
Structural Review
Clerk
3 `
5 �Imam
mrqmmam
5'
F5' 12 16"x24" Pavers
with 6.4" Gap
1.
18' �
4 4,
13'
5'
5'
5'
25'
12'
s
z
.L s 4
5'
16'x24' Pavers
with 6.0" Gap
12'
2 FXISTIN DECK
5 13' 32"
1 9'
--OM-
• • • • Wood Fence
E Property Line
5'
22'
38x2' = 79"
12x25 = (300)
Total Pavers 498 Sc Ft
9'
.....
Goo
.• .
•.•••.
..
•
MARQUIS ROAD (PLAT)
_ N.W. IWTH TERRACE (FIELD) GRAPHIC S Liial -II
I inch -- ft.
Revision Permitfi.:.
C)sa.a DS 10 1 �-
•3 ,...;.
- 7 .
(%1`tCc
cJ_0� ti�31 ct3UA' - 5 • • • • • • •
•
m N i BLOCK 4 • • •
i (INCLLIL)ED"3 •••• • •••••
New Paved Area •
e";.,� . P .. • .. • . • . • . • . • .
;. 1 . •
i R�iX3hFtEI° . •
r PLAN L W 12 STILE 1®.f'—r+.... y • • • • • • • •
20.
? g BLfx'K i ' 1. Additional Area 5' x 11' • •: • • •
L.P. � 'i h
V� m 2. Final 30" / Instead of 32"
TARN
2e_1. 0 3. Final 4'.8" / Instead of 5'
_ t( 4. Final T /instead of 8'
yea OM
D .�� 1 5. Final 5'.8"/ instead of 5'
�TILZz E 1w° 6. Final 4' / Instead of 3'
■
�«V 2
83' zw f_ i CORNER ANGLE DA`A
(A) W39-W
(g) 9G"20-04"
` (C) W39'56'
,te 12 X 25 0) 1"20V'
3
. 2 f 1f
Q b k 'AM H(.Y) av c
9z7fiff Av r,
rt-#E E.Eo
E
5'.8" 5
1. LEGAL DESCRIPTION PROVtOED 6Y CLIENT
2 NO SEARCH OF THE PJBLIC RECORD FOR THE PURPOSE OF ABSTRACTING TITLE WAS PERFo RME iS OFFICE
3_ NO SUBSURFACE IMPROVEMENT S WERE LOCATED AS PART OF THIS SURVEY
�4. ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTM RECORD AND MEASURED UNLESS oTHEROASE NOTED '