BP-04-768MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305 - 795 -2204
p n u ding Inspection Request
`E�
Date I�
Type Insp'n ]AVM
Approved
Correction
Re- Insp'n Fee
Permit No. E c3L -
Name f r oylko.(31)-iv
Address 1 U 0 NO 1 1 S
Company 66
Phone #
Inspection Date
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2004 -768
Printed: 6/9/2004
Applicant: BARRY
Owner: UNIVERSITY
JOB ADDRESS: 140
N.W. 115
Contractor BEAUCHAMP CONSTRUCTION CO INC Contractor's Address: 247 MINORCA AVE
Local Phone: 305 - 445 - 0819
Parcel # PARC2004 -8
Legal Description:
Building Permit
UNIVERSITY
BARRY
ST.
Page 1 of 1
Fees: Description Amount
FEE2004 -5872 CCF $1.20
FEE2004 -5873 Training and Education Fee $0.40
FEE2004 -5874 Technology Fee $2.50
FEE2004 -5875 Scanning Fee $3.00
FEE2004 -5876 Building Fee $100.00
Total Fees: $107.10
Total Fees:11E1_9
Total Receipts: $0.00
s It l�
Permit Status: APPROVED Permit Expiration: 11/30/2004 Construction Value: $2,000.00
Work: TEMPORARY CONSTRUCTION FENCE
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BUILDING
PERMIT APPLICATIO
FBC 2001
111
Permit Type (circle): Building
Owner's Name (Fee
Owner's Address
City Mete
Tenant/Lessee Name
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
RECEOVED
tii4 0 2004
Electrical
Master Permit No.
Plumbing Mechanical Roofing
ple'I i e o er 00e t1E05:e Phone # 305:- 891 - 19 5
H4co g.e. 2.4 A46400E
State r1.. Zip 9 1 t
Phone # PI
Job Address (where the work is being done) 110 11.k4 115' (Zrzslowa
c )
City Miami Shores Village County Miami Dade Zip
Is Building Historically Designated YES NO X
Contractor's Company Name $ Aoc40 CCt T . c r 0 rt1 (D . Phone # — Sc9 — . /y //
Contractor's Address ��F�- t��NOeo� II A+IE .
City eorr,,oti i #o !, State F( Zip 3313.1 Qualifier 1/oeejet.p l.. C..e.csr-A
Architect/Engineer's Name (if applicable) Na ,27,arz4j y tt Jl Phone # 3o5 / /OZ
$ Value of Work For this Permit
Type of Work: ['Addition ['Alteration �� r Rgpr lace ❑ Demolition
Describe Work: . ors = ;V P'S
� I API ♦ ±
* ** * * * * * * *,* * ** * * * * * * * * * * * ** F ees * * * * * * ** * * ** * * * * * ** ** * * * * * * * **
0a / �+
Submittal Fee $ SD • CC - Permit Fee $ 6 CCF $ l 1 (LI CO /CC
Notary $ Training/Education Fee $ ! (W Technology Fee $ a,5?)
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ i l ►
(Continued on opposite side)
zoc0
Permit No. S P oti " 76g
Square Footage Of Work: #Y 4 -
Scanning $ "� Radon $ -"'— Zoning Bond $
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 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��wiill sInot be approved and a reinspecction fee will be charged.
' 1 Uyic .ev,a_
Signature
The foregoing instrument was acknowledged before me this 3 The fore oing instrument was acknow • • ged b =fo e e this
day of'JUv► , 20 64, by fT--e di( £- U I IOCR. , day of 20CA by ,I ►II �i l �_
l
who is personally known to me or who has produced who is pets ally known to a or who has produced
As identification and who did take an oath. , as iden i • tion and who did take an oath.
NOT
Sign
Print: detrain&
dirReA er or U 64s soc. V P
uuwner or Agent
..1
Ects3*21,2007
Commission DD224537
Y PUB ) �
Sign: � IA 4 )1 a
13 ,,..es June 00
My Commission Expires: -- n--- Y ••....wnn NotaryAssn. My Conunission Expire
.t ^/ r �■
�t9e31a4c @4coYaY4e ** ** * IYSYOY* * st 9 e 9 rIY * *otlYaks YsY st Itdeak a@ nt*lY ** * Be9e8e * * aYIk*****
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
* * * * * * * * * * * * * * * * * * * * * * **** *** *** * * * * * * * * * * * * * * * * * *** * * * **** * ** * * * * * * _* ** * * * * * * * * * * * * * * ** * * **
J lJ IV * * Plans Examiner
APPLICATION APPROVED BY:
Cho 12/15/03
Engineer
Zoning