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FW-6-16-1611, 760 NE 96 St�swOREr i,� Miami Shores Village 10050 N.E. 2nd Avenue NE F w . ..... Miami Shores, FL 33138-0000 Phone: (305)795-2204 <0RI10A Permit No. FW-6-16-1611 Permit Type: Fence/Wall Permit Work Classification: lron/Ornamental Permit Status: APPROVED Contractor(s) Phone Cell Phone HOME OWNER Approved: Comments: Date Approved: Date Denied: Type of Construction: Other Classification: Residential Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee - Wire & Wood $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 issue Date: 6/21/2016 1 Expiration: /201 Valuation: $ 500.00 Total Scl Feet: 22 Additional Info: ADD A 6' HIGH ALUMINUM FENCE A I Scanning: 3 Pay Date Pay Type Amt Paid Amt Due Invoice # FW-6-16-60138 06/09/2016 Check #: 157 $ 50.00 $ 64.60 06/21/2016 Credit Card $ 64.60 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Building Review Building Review Planning Review Planning 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 ELECTRICAyI, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVI �t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction o ing. Futhermore, I authorize the above -named contractor to do the work stated. June 21, 2016 Authorized Signature: Owner / Applicant Buil ing Department Copy June 21, 2016 / Contractor / Agent 1 Miami Shores Village !��cJ� ;j� _AAA S Building Department JUN092016 10050 N.E.2nd Avenue, Miami Shores, Florida 33138�: Tel: (305) 795-2204 Fax: (305) 756-8972 (�I A INSPECTION LINE PHONE NUMBER: (305) 762-4949 li FBC 201Y BUILDING Master Permit No. 10PW A ` 46 PERMIT APPLICATION Sub Permit No. R� UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [::]RENEWAL❑\PLUMBING ❑ MECHANICAL OPUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION SHOP / CONTRACTOR DRAWINGS JOB ADDRESS: 7&0 J�IG�=CfCy �J� City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: // ^ "3,;z 0/'V—a20go Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): y�,�_ %� . Li'S Phone#:_�c� Address: Mv r) City: i.i�`� DJ State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: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: $app _ „��� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteratio�a`. � New ❑ Repair/Replace ❑ Demolition De cr' tion of Work: T !`i 'a _ri�cy� r � � Specify color of color thru tile: Submittal Fee $ S 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 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 appOved and a reinspection fee will be charged. Signatu OWNER or AGENT The f"rego' g instrument was acknowledged before me this day of _ )wI 20 , by who is personally known to me or who has produced C as identification and who did take an oath. NOTARY PUBLIC: Sign Seal: =ore °��^ Notary Public State of Florida • Joanna M Feliciano v 04 My Commission FF 082753 ,'FcincP ExVires01/12/2ols *************** APPROVED BY Signature CONTRACTOR 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 Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: z2 • LJc li S DATE: �� 9-167 ADDRESS: �� /lo�� /sue-; 2P14-� Zv/ ✓/��� Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and tracts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease; wh ch violates the exemption. Initial 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by unty or municipal ordinance. Initial 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner -builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial _./ 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. r---r Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this day of 20 1,6 L M - v ZetAp known has O t- u' w m U N By`) )S 1Y7 who was personally to me or who �SEo C OQJ Produced the License or �as identification. ; Ta' ' Z `� W JP. a° P 0k. OWNER ARY ► t"-` v %'dam 5 - /0 `J��e�v`, f,��L ►1 �2 JUN Y 7 2016 06-09-16 SUN ®9 2016 Fence Details for 760 NE 961t' St Miami Shores, FI 33138 Owner Justin R. Lewis Install 2 swing gates on both sides of property located on survey. Gates will be 6' high al minum white powder coat. They will open in towards the house. Fences Good Side Out. The vertical and horizontal supporting members of a fence shall face the _ ^/%Iv/�"�✓ interior of the plot on which the fence is located p( and the finished side shall face the adjoining lot or any abutting rig"it-of-way. o ❑op�� Fences Good Side O ofha fencee vertica) shall to a the supporting memberc interior of the plot on which the fence i locate and the finished sic shall face the adjoining lot or any abutting ri ht-of-way. •• ... : : • • • .. FE�I s U*)od Side Out. The vertical and horizontal 64-4)rt!g members of a fence shall face the interior of the plot on which the fence is located and t% fink.' ed side shall face the adjoining • ••. ••• •llV or ,n�;ar:ut%ing right-of-way. • • • • • • i 0 �i`•-0-0 • • • 000 • •• • • • • • • • • • • • • Ift "A' &t �3 LOCATION SKETCH F. I. P. NO ID. ca W 0 0 0 of 0 0 y 0 f0' LOT-6 BLOCK - 68 horizontal I Fences Good Side Out. The vertwal and r�tembers of a fence shall face the supporting which the fence is located lot on adjoining interior of the0 and the finished sidert of Tway e the lot or any abutting g CERTIFIED TO: RAPID TITLE SERVICES COMPANY, OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY, JUSTIN R. LEWIS AND GIANNINA LEWIS, BANK OF AMERICA, NA., ITS SUCCESSORS AND/OR ASSIGNS AS THEIR INTERESTS MAYAPPEAR FLOOD ZONE: X • • • • • +P•RORERTY OF: JUSTIN R. LEWIS AND GIANNINA MAP & PANEL= 1208 0306: L�l�kS COMMUNITY No.: 120 . 2 .• • • • • SUFFIX.' L 760 "E.06th STREET, DATE OF FIRM: 09-11-200 •• • MIA;b 4WORES, FLORIDA 33138 BASE ELEV.= N/A •• •' • • BLOCK CORNER REMAINDER OF LOT-4 BLOCK - 68 Q LEGAL DESCRIPTION: THE WEST 112 OF LOT 4 AND ALL OF LOT 5, BLOCK 68, 'MIAMI SHORES SECTION NO. 3" ACCORDING TO THE PLAT THEREOFAS RECORDED IN PLAT BOOK 10, PAGE 37, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. SURVEYOR'S NOTES: p 1) NOT VALID UNLESS SIGNATURE IS EMBOSSED WITH THE REGISTERED LAND SURVEYOR'S SEAL. 2) LEGAL DESCRIPTION PROVIDED BY OTHERS. 3) PROPERTIES SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PROPERTY PLAT OF RECORD. 4) MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOOD. 5) UNDERGROUND UTILITIES, FOUNDATIONS, OR OTHER IMPROVEMENTS, IF ANY, WERE NOT LOCATED. 6) ELEVATIONS, IF SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM 1929. 7) FENCE OWNERSHIP NOT DETERMINED UNLESS OTHERWISE NOTED. Fences Gnpr' Side Out. The vertical and horizontal ! 8) MEASUREMENTS TO WIRE FENCES ARE TO CENTER OF WIRE. supporill`,l 1116rnbers of a fence shall face the I 9) WALL MEASUREMENTS ARE TO/FROMFACE OFWALL. Interior J1 he ;lot on which the fence is locate' fib DRAWING ERATDISTANCE FOR B TY.EENWALLS AND/OR FENCES AND PROPERTY LINES MAYBE and th3 ijnished side shall face the adjoiningi 11)FLOODZONE INFORMATION WAS DERIVED FROM FEDERAL EMERGENCY MANAGEMENT AGENCY lot or ai 1 y at,L;tting right-of-way. 1 FLOOD INFORMATION RATE MAPS 12) BEARINGS IF ANY SHOWN ARE BASED ON ASSUMED MERIDIAN AT: CENTERLINE N.E. 96th STREET = --Y EAST LEGEND I.C.V. IRRIGATIONCONTROL VALVE P.C.P. PERMANENT CONTROL POINT WIM WATER METER A/C AIR CONDITIONER LP. IRON PIPE PLS PROFESSIONAL LAND SURVEYOR W V WATER VALVE AVE. AVENUE FPL FLORIDA POWER 8 LIGHT PSM PROFESSIONAL SURVEYOR AND MAPPER W U.P. WOOD UTILITY POLE BLVD. BOULEVARD FLP. FOUND IRON PIPE PL PROPERTYLINE BM BENCH MARK FIR. FOUND IRON ROD P.O.B. POINT OF BEGINNING CA TV CABLE TELEVISION BOX FND. FOUND P.O.C. POINTOFCOMMENCEMENT C.B. CATCH BASIN L ARCLENGIi/ P.R.C. POINT OF REVERSE CURVATURE SYMBOLS CBS CONCRETE BLOCK STRUCTURE (L) LEGAL P.R.M. PERMANENTREFERENCE MONUMENT -_.-6 CONCRETE CHB CHORD BEARING L.P. LIGHT POLE P. I. POINT OF TANGENCY ----- OVERHEAD UTILITY LINES CH CHORD DISTANCE LB LICENSEDBUSINESS R RADIUS`- WIRE FENCE CDR CORNER LS LAND SURVEYOR (R) RECORD n WOOD FENCE CT COURT (M) MEASURED R.E. RIMELEVATION PROPERTY CORNER fL CENTERLINE NAVD NORTHAMERICAN VERTICAL DATUM RAN RIGHT-OF-WAY WATER FLOW CL. CLEAR NGVD NATIONAL GEODETIC VERTICAL DATUM SAN. SANITARY 9__60 EXISTING GRADE ELEVATION CONC. CONCRETE NO ID. NOT IDENTIFIABLE S.I.P. SET IRON PIPE --M PROPOSED GRADE ELEVATION C.O. CLEAN OUT NO. NUMBER S.LR. SET IRON ROD l4 WATER VALVE E B. ELECTRIC BOX NTS NOT TO SCALE ST. STREET SIGN ELEV. ELEVATION O.R.B OFFICIAL RECORD BOOK T TANGENT DRAINAGE MANHOLE ENCR. ENCROACHMENT ON/PL ON PROPERTY LINE TB.M TEMPORARYBENCHMARK SANITARYMANHOLE E.R.P. ELEVATION REFERENCE POINT O.UL OVERHEAD UTILITY LINES TEL. TELEPHONE 1K FIRE HYDRANT FF FINISHFLOOR P.C. POINT OF CURVATURE TYP. TYPICAL 0 LIGHTING FIXTURE F.H. FIRE HYDRANT P.C.C. POINTOF COMPOUND CURVATURE U.E. UTILITYEASEMENT t7 FIRE DEPARMENT CONNECTION A BOUNDARY SURVEY -- =__� PROFESSIONAL SURVEYING AND MAPPING I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY == -` - _ - "_ WAS MADE UNDER MY SUPERVISION AND MEETS_ r LA NNES &GAR CIA INC. STANDARDS OF PRACTICE SET FORTH BY THE �_" J r - 7 FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND n° LB # 2098 MAPPERS IN CHAPTER 5J-17.050 THROUGH 5J-17.052, rcia NOT VALID WITHOUT THE SIGNATURE AND THE FLORIDA ADMINISTRATIVE CODE, PURSUANT TO a FRANCISCO F. FAJARDO PSM IT 4 767 (QUALIFIER) JRIGINAL RAISED SEAL OF A FLORIDA LICENSED SECTION 472.027, FLORIDA STATUTES, AND, THAT THE a^n65 SURVEYOR AND MAPPER. SKETCH HEREON IS TRUE AND CORRECT TO THE 385 ALHAMBRA CIRCLE - SUITE C, BEST OF MY KNOWLEDGE AND BELIEF. SUBJECT TO CORAL GABLES, FLORIDA 33134 NOTES AND #ONS SHOWN HE N. PH (305) 666-7909 FAX (305) 442-2530 SAMUEL I CHBEIN FLORIDA PROFESSIONAL SURVEYOR AND MAPPER [FTIL7DDATE:11/13/2015 SCALE: 1 " = 30' DRAWN BY.• JONELLE DWG. No.: 258831 REGISTRATION NO. 3587 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 9 ILDING ❑ ELECTRIC ❑ ROOFING DEC 2 1 2016 3Y__ ram► AI F BC 20 / Master Permit No. 1 lj "6 16—�6f Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS _? Inn nnnnrcc. City: Miami Shores County: Miami Dade Zip: �7 Folio/Parcel#:_/ 3y'S 0tlo o'1 Lj d x Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: // FFE:: OWNER: Name Fee Simple Titleholder): 4. > . uu Phone#: Address: , City: ` Tenant/Lessee Name: Email: State: Phone#: CONTRACTOR: Company Name: t.L..tti Phone#: Address: City: State: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ .�— Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New QR-epair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ . Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (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 opproyed and a reinspection fee will be charged. Signature j OWNER or AGENT The foregoin Instrument was acknowledged before me this ay of �bcc 120 by Signatu CONTRACTOR The foregoing instrument was acknowledged before me this day of \l_?25TI I 1 Fj',I) "--)who is personally known to me or who has produced ;mil \ 4y)\w me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: 20 by who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign: *; MY COMMISSION # GG 044602 S I Seal: a; EXPIRE S: November2, 2020 L ;°P' Bonded Thru Notar y Public Underwriters as ***************************** **** *********************************************************************** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 12/21/16 To whom it may concern, Parcel #: 11320601420 Regarding Permit #: FW-6-16-1611 Owner: Justin R. Lewis Address: 760 NE 96i11 St Miami Shores, Fl 33138 i am writing to request an extension for inspection as there are a few remaining details to take care of because my time as owner / contractor has been limited due to an increase in my own business. Time has passed very quickly. ire c;i►� was Qc��naw�jocd be r-or� rr�e s �a5 P eed C'lOrt ciG dar ���5 I `C�t q44� 1 •�'pr a MAHARAI K. GONZALEZ = My COMMISSION # GG 044602 3r !. EXPIRES: November 2.2020 ,Fof Fro,. Bonded Thru Notary Public Underwriters