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FW-06-873Value of Work For this Permit $ 2- 2- 0 C) J Square / Linear Footage Of Work: Miami Shores Village Building Department 10050 N.E.2nd r:. Florida 33138 Tel• s t Z' .?I `�Z� :?' j 56.8972 - I BUILDING APR 0 5 20 Permit No. U' 1MO (S 78 PERMIT APPLICATION BY :- ----------- 'Master Permit No. FBC 2004 Permit Type (circle): (uildin) Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) (A, Ckr o taaPhone # 3 S - s ©7 - U q& 3 /U E 1 Owner's Address l d 5 - C) City et vid i c--5/ State (® Zip 3 3 Tenant/Lessee Name Phone # Job Address ( w h e r e t h e w o r k is being d o n e ) 1 p 6 - 0 J Zv' / I City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name `J e I P 00J1.102, Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # AS? r�°5t Type of Work: ['Addition '['Alteration New [] Repair/Replace ❑ Demolition Describe Work: c:y L.) W t vi LL Pvt. f e - ei / � �v`l�° - Z VAS - I - et Q �. Submittal Fee $ Permit Fee $ / (0 0 • CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side --> 3/4/2008 To: Current Owner 10150 NE 2 Ave Miami Shores Village, FL 33138- Permit: FW-4- 06-873 Address: 10150 NE 2 Street Miami Shores Village FL33138- Date Expired: April 5, 2007 Type: Fence Date of Last Inspection: No inspections done Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerel f pr Cl��� Gra � ! � 'O B ilding Director Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AII 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 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 NOTARY P Sign: Print: (Revised 02/08/06) Owner or Agent - Contractor The foregoing instrument was acknowledged before me this 0 5 The foregoing instrument was acknowledged before me this day of H rC, , 20 0b, by Hori1 h 2. Drorrwrtal day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. . Signature NOTARY PUBLIC: as identification and who did take an oath. 1 IRyc 1 , My Co 11 Ilk 5 Commission#DD23198z sion Expires: Expires:Jul13,200" t _ My Commission Expires: ''0����`' At lantic Bonding Co. .Inc - Sign: Print: APPLICATION APPROVED BY Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE ST' • EMENT NAME: ( 1 6h .5 L /d51101/ DATE: ADDRESS: ( O SO . 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 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 . thatyou 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. I hold title to the above property and I am planning on doing this construction Initial fin ("-, )2sd 2. I understand that as an owner - builder I must abide by all zoning ordinances . d building regulations in effect at the time of permit application Initi 3. .I have an understanding of the 2004 FBC & FRC and understand that department and its inspectors are there to help enforce and interpret the co There is a copy of the code in this office for review. Initial 4. I understand that the building official and inspectors are not there to desig alter or give advice on how to meet code —. only if the structure meets e minimum code. Initial ieb 5. I understand that as an owner - builder, that any contractor disputes with sub - contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial iq,b 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company-or person. 7. I understand that if any person gets injured on my construction project—they . e entitled to workmen's compensation. And if they do not posses a workmen s policy I could be held liable for all doctor and related cost which could inclu e loss of wages during recovery from injury. 8. I understand that under state and local laws I can not do any Electri 4 al, Plumbing, Heating, Air & Roof work on — my property with out first obtain ng the proper permits by licensed contractors. Was acknowledged before me this rqeil i e1 day of (0 i0 =" CS 20 0 (p . By �OrfrYlcyi Produced ther (XL 0441440-- OWNER Initial who was personally known to me or who has Initial lR o ,eo„ o , GYP ` abet Varga _ Commission #Dp2319„, a I;xpires7Ju! 13,200 - • Initial MR,6 as identification. 'STATE OF FLORIDA) COUNTY OF DADE) performed on locations of all structures an the property as of this date. Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this 65 Affiant is personally known to me, produced >� The undersigned Affiant,/ � �4r a �l 0 j �4c gn 5 � v; does hereby attest that the (property owner) attached survey, performed by gia Kee cJ UI` YEA./ f91-5 ... mc: (nang4 of surveyor's company) 4� 7-) 0 4- , is an accurate representation of the existing conditions and ( to of survey) The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted -or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. C%` _,l4.i Affi tJProp owner da G_C ► 1 zoo Mabel Vargas mss' • " .4 : Commission #DD23198 Expires: Ju113,200 oP, Bonded - tat Atl aitic Bonding Co., Inc as identification. Aluminum Fence Specialists 26 Truman Street Palmyra, PA 17078 1- 888 -867 -7995 Fax: 1- 717 - 754 -0137 www.alum inumfencespecialists.com Prepared on: 4/3/2006 Prepared for: Martin Drummond P.O. Number: UAF -200 - Flat Top Residential, 3 13/16" Spacing 21 42" H x 6' W, 3 Rails Notes: Quantity Description Quotation Color: Black Price Amount 17 Line Posts - 2" Square x 6' x .080 21.50 365.50 2 Comer Posts - 2" Square x 6' x .080 21.50 43.00 4 End /Gate Posts - 2" Square x 6' x .125 30.10 120.40 1 UAF -200W - Walk Gate, Res., 3 13/16" Sp., 42" H x 36" W - 3 Rails 144.05 144.05 25 Caps - 2" Square 0.00 0 142 Screws - #8 x 1" Self Drilling (per Hundred) 0.00 0.00 1 Hinges - Multi -Fit (pairs) 0.00 0.00 1 Latches - Lokk Latch 0.00 0.00 1 Paint - Spray Can Touch Up 12.00 12.00 is • .• .•• • • • • • •• Some Important Notes• •. All panels, posts and gates are powder - coated, not painted, for durability; All gates are welded, npt braced, fpr added ri,idity; All rails are the new, 4x Iutile UI¢aR$il4wititiitetn41 ribbing for superior strength! ... .. • .•• ••• ••• .. ... • • • • ••• • • • • ..• • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • •. •• • • • •• •• 1100 • • • 000 • • Quotation MAR0064 - Q8794A Thank you for the opportunity to earn your business! Quotation valid for 30 days from Date prepared. 59.13 1,241.73 APR 45 BY: _ --�� am APR 0 52096 BY: Sub - Total: $1,926.68 Other: $0.00 Tax: $0.00 Freight: $330.00 Total: $2,256.68 SPECIFICATIONS RESIDENTIAL Posts 2" x 2" x .060 Wall 2" x 2" x .080 Wall 2" x 2" x .125 Wall 2'72" X 2%" X .100 Wall Horiz• iota Rails Side Walls Top Walls 1'le" x 1" .082" .062" Pickets • Picket Spacing 5 /e" x 5 /9 x .050 Wall 3 or 1' /s° Available Heights 3, 3%, 4, 5 & 6 Ft. 14- DIMENSIONS A B C D E 3 ' 6" 24 5 Per Local Code 3 6" 30 51/2" Per Local Code - 4' 6" - 36 - 5 Per Local -Code 5' 6" 48 5 Per Local Code 6' 6" 60 5 Per Local Code .Project; - t • •••• • •••• .Owner: • • • .•••• • •••• • . Submitted 5y .. ...Date: • ... • •••• • • ••- . ..••. • . • • • • ...• •• RAILS NOTE: Standard for 4', 5' &6'high (3' high is a 2 rail system) PICKETS NOTE: This rail added for 6' height only IMMO UAF200 FLAT TOP A 1 6 A A 1111 IIIII,I!I 111 1111II9 ALUMINUM MFG., INC. 6' +1- 1" E— 3 13 hs" TYP CONCRETE FOOTING Local od ) i 6 C GRADE MOMRIFIR 36 " APR 0 5 2006 BY: HT 4V ••.•• • • • 00 0000 • • 00000 • • ..•.. • • •.••• •••••• • • • •••..• :•••• • • • • • • • • •••• • • • • • ••.• Aluminum Fence Specialists • P: 717 - 832 -3693. F: 248 - 927 -0368 • sales @alumin ...... Components Residential Commercial Industrial Ultra Pickets 5/8" x .050" 3/4" x .055 1" sq. x .062" 1" x 5/8" x .062" Rails: Top Walls Side Walls 1 1/8" x .062" 1" x .080" 1 3/8" x .065 1 1/4° x .088 4 5/8" x .070" 1 5/8" x .100" 4 4/8" x .062" 1" x .080" Standard Posts 2" sq. x .060" 2" sq. x .080" 2" sq. x .125" 2%2" sq. x.100" 2" sq. x .080" 2° sq. x .125" 2 W sq. x .100" 3" sq. x.125 2' /" sq. x .100" 3 sq. x .125" 2" sq. x .060" 2" sq. x .080" 2" sq. x .125" 2%2' sq. x.100° Gate Posts 2" sq. x .125" , " ° 2/2 sq.x.100 3" sq. x .125 4" sq.x.125 3" sq. x .125" " 4 sq.x.125 2" sq. x .125" W' „ 2sq.x.100 Spacing Betwe en. 313/16° (1 %" available) 3 5/8" " (1 W' available) 4 " (1 W available) 3 7/1 „ Post Spacing 72 on center 72 W on center 72 3/8" on center 72 W on center Heights Available 36 ", 42 ", 48 ", 54 ", 60 ", 72" 36 ", 42 ", 48 ", 54", 60 ", 72 36 ", 48 ", 60 ", 72 ", 84 ", 96 ", 108 ", 120 ", 132", 144" 36 ", 42 ", 48 ", 54", 60 ", 72" Standard Colors: White Pearl Black Designer Beige Bronze Forest Green *Notes: ° Ultra Offers a 2" x .080 post for added strength ° The Ultra Picket has the same contours as rail for superior strength ° Ultra's 2 1/2" sq. post has a wall thickness of .100" for superior strength and can be used for both residential and commercial applications • • • • • • • ° Ultra offers both 54" Residential and the 48" Ultra Line to meet BOCA Code'• • : • ' Aluminum Fence Specialists Residential, Commercial, Industrial & Swimming Pool Fence Complete Specifications © 2001 -2004 Aluminum Fence Specialists 1- 888 - 867 -7995 for a no obligation quotation or email: sales @aluminumfencespecialists.com •0••-- • •• • • • • • • •'• • • • • • • ••• • •••• • ••• • •••• • • •••• • ••• • • • •• • • ••••• • •••• •••• • • • • • • • •••••• • • ••••• 0.00• • ••••• 0.0.0• • •.•••• • • •00 • • NOT VALID UNLESS EMBOSSED WITH SURVEYOR'S SEAL REVISED: i HEREBY CERTIFY That the survey represented thereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments, overlaps, easements appearing on the plat or visible easements other than as shown hereon. ADIS N. NUNEZ REGISTERED LAND SURVEYOR STATE OF FLORIDA #5924 (305) 865 -1200 FLOOD ZONE: PANEL: SINCE 1987 BLANCO SURVEYORS ING. Engineers • Land Surveyors • Planners • LB # 0007059 555 NORTH SHORE DRIVE MIAMI BEACH, FL 33141 DWN. BY: F. Blanco DATE: 7/17 /95 BASE: N/A 120652 JOB No. 04 -698 Fax: (305) 865 -7810 1 tib .3250' >: - 893124 LOT 5i, BLOC? 14 R � =9 =25 � y 00' 77��•• D0 2 36" L =.35 LOT LAVE LOT 4, BLOCK 14 ASPHALT 4880' 1, �L0131 NFAD: TWO STORY C,B.S CHURCH PARKING Lor 4 BLOCK 14 PORN LOT LAVE v—LOT LINE LOT. BLOCK 14 COS WALL 8' MN ONE STORY C.B.S. CHURCH N10150 F.FF.I =11.31 LOT 1, BLOCK 14 FOUND NAIL ABBREVIATIONS: SWK= SIDEMALK, CBS = CONCRETE BLOCK STRUCTURE, CLF =CHAIN LINK FENCE, PL= PROPERTY LINE, DUE = DRAINAGE UTILITY EASEM ENT, IP =IRON PIPE F= FOUND, NC =AIR CONDITIONER PAD, P /C= PROPERTY CORNER, D/H= DRILLED HOLE, WPF= WOODEN FENCE, RES= RESIDENCE, CL- CLEAR, RB =REBAR, UE= UTILITY EASEMENT. CONC= CONCRETE SLAB, RM'RIGHT OF WAY, DE= DRAINAGE EASEMENT, C/L= CENTER LINE, O=DIAMTER, TYP =TYPICAL, M= MEASURED, R= RECORDED, ENCR = ENCROACHMENT, COMP= COMPUTER, ASH = ASPHALT, N/D =NAIL & DISC, S =SET, FEE = FINISH FLOOR ELEVATICN, O /S= OFFSET, P/P= POWER POLE, OHP= OVERHEAD POWERLINE, VIM= WI4TER METER VV3OD FENCE= [MASONRY NA L =l 1 I t I I I I I 3100 �. V. 1 • ,•I ELEVATION BASED ON LOC. CONCRETE- , •.:;,.. ::•..., :••,;.:•.,;.:•. CBM# ELV 9 MAINTENANCE& DRAINAGE EASEMENT = IAA &D.E. TYPE OF SURVEY: BOUNDARY SURVEY SURVEYOR'S NOTES: 1) •OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5) UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB PAGE ALLEY 245.00'(R &M) 43' ASPHALT PAVEMENT N.E. 2nd AVENUE 75' TOTAL RIGHT OF WA r BY PLAT LonLSVIZ FOUND NAIL & DISC (NO L) 3Z50' LOCATION SKETCH SCALE: NTS 37.50' 14 LEGAL DESCRIPTION: LOTS 1 TO_5 INCLUSIVE OF AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 OF THE PUBLIC RECORDS MIAMI -DA.DE COUNTY, FLORIDA 20 21 22 14 23 • • ••• • • • • 9• • • ••8• • • • • • • ••• • • • • •7• • • • N.E. 2nd AVENUE SURVEY FOR: MIAMI SHORES CHRISTIAN CHURCH, 10150 N.E. 2ND AVE,, MIAMI SHORES, FLORIDA 33138. lO -513 AT • • • • • • •• •. • • • • • • • ° • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • ••• • • • • • 11!) LMOgIIdg APR 0 5 100 • ••• • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •.I�• • • ,)• O • • • • •• E' 70 DAVID A. DACQUISTO, AICP PLANNING & ZONING DIRECTOR 66 . 7///iami Sliorei f ilillaqe PZ06 -0420 - 01 Property Address: 10150 NE 2 " Ave. Applicant: Miami Shores Christian Church Address: 10150 NE 2 " Ave. Miami Shores FL 33138 10050 N.E. SECOND AVE. MIAMI SHORES, FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 DEVELOPMENT ORDER Whereas, the applicant Miami Shores Christian Church (Owner) has filed an application for site plan review before the Planning and Zoning Board on the above property. The applicant sought approval as follows: Site Plan Review, Sec. 600, fence in front Whereas, a public hearing was held on April 20, 2006 and the Board, after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Applicant to obtain a building permit before commencing work. 2) Applicant to meet all applicable code provisions at the time of permitting. Additionally, the applicant must, satisfy all applicable Miami Shores Village Codes, Miami -Dade County Codes, the applicable building and life safety codes required for development, and provide a copy of the development order to the Building Dept. Page 1 of 2 4 The application with conditions was passed and adopted this 20 day of April, 2006 by the Planning and Zoning Board as follows: Mr. Abramitis Yes Mr. Ulmer Yes Mr. Reese Yes Mr. Sastre Yes Chairman Fernandez Yes an, Planning ai}. Zoning Board DAVID A. DACQUISTO, MCP PLANNING & ZONING DIRECTOR DEVELOPMENT ORDER PZ06 -0420 - 01 Property Address: 10150 NE 2nd Ave. Applicant: Miami Shores Christian Church Address: 10150 NE 2 Ave. Miami Shores FL 33138 10050 N.E. SECOND AVE. MIAMI SHORES, FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 Whereas, the applicant Miami Shores Christian Church (Owner) has filed an application for site plan review before the Planning and Zoning Board on the above property. The applicant sought approval as follows: Site Plan Review, Sec. 600, fence in front yard. Whereas, a public hearing was held on April 20, 2006 and the Board, after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Applicant to obtain a building permit before commencing work. 2) Applicant to meet all applicable code provisions at the time of permitting. Additionally, the applicant must, satisfy all applicable Miami Shores Village Codes, Miami -Dade County Codes, the applicable building and life safety codes required for development, and provide a copy of the development order to the Building Dept. Page 1 of 2 The application with conditions was passed and adopted this 20 day of April, 2006 by the Planning and Zoning Board as follows: Mr. Abramitis Yes Mr. Ulmer Yes Mr. Reese Yes Mr. Sastre Yes Chairman Fernandez Yes Page 2 of 2 Date C'hai4m Planning an Zo ning Board Issue Date: 5/5/2006 Owner's Name: Permit Type: FenceNVaII Work Classification: Iron /Omamental Job Address: 10150 2 Street NE Comments: ALUMINUM FENCE Additional Information Miami Shores Village, FL 33138- Expires: 04/05/2007 Contractor(s) Phone Primary Contractor Type of Construction: Other Additional Info: Classification: Residential 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, 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. Fees Due CCF Education Surcharge Notary Fee Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $1.80 $0.60 $5.00 $150.00 $9.00 $3.75 $170.15 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Parcel #: Block: Section: Permit Status: APPROVED Permit Number: FW-4- 06-873 Phone: 1132060131850 Lot: PB: Total Square Feet: 150 Total Valuation: $ 2,200.00 Required Inspections Invoice Number FW - 5 - 06 - 24717 Total: Amt Due $170.15 Amt Paid ceif MAY 9 5 PAID NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.