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FW-10-181BUILDING PERMIT APPLICATION FBC 20 Per xit T pe BUILDING. . ROOFING Owner's Nanie (Fee Simple Titleholder) IA .- (A,11M, t f ivy Phone # Ob ner's Address • f flf 'f U04 L -st` Y . 113 0 t) . Z,-0( 1Q; , . City i State Zip s3)1 Tenant/Lessee Name ..:.: Phonne # Email Job Address (where the work is being done) 1 k 3 t 0 ... .14 115 T G4 F City Miami Shores Village County MianiiDade _ -- T Zip' FOLIO / PARCEL # Is Building Historically Designated , N0 Flood Zone Contractor's Company Name Contractor's Address ; t City. E?`• La. I �- Qualifier ^ W� Statem 0 ' 1 t or "4,11 � ' AO t Architect i peer's Name (if applicable) • - Value of Work For: tlth Pertidt $.•••• 0(2 . . Alteration Type of Work °Addition, Describe Work: Cod ne t 454 -4 nl L.�2 y 1 t BPI State l L Zip 3330 • "[ mi l• —t :#�: Phone # 5 - C0- Ol CC CZ e t 7 Certificate of CompeteneyNo. 7la -.gcib �___ - - mailt4 Phone # . • Square / Linear Footage. Of Work: (. "10 CF. 1 t C_ [� Demolition ri * *k* *fie** aide * ** ** *de **** * ** ******* **.***** ees* * *?i * * XF* 3f* a re; i* * * ** *,v***** * * * **** *x-;:** • Submittal Fee Permit Fee $ CCF $ : -. CO /C-C Technology Fee $ Bond $ Miami Shores Village Building Department 10050 N:E2ndAvenue, Miami Shores, Florida 33138 `. Tel: (305) 795.2204 Fax;. (305) 756.8972 INSPECTION'S PHONE NUMBER: ) 762.4949 Permit No, rt--ki '1C I Master Permit No. Notary $ .. Training /Education Fee. $. Scanning $ Radon $ DPBR $ Double Fee $ Violation date' Structural Review. $ Total Fee Now Due $ See. Reverse side - - Sign. Print: APPROVED BY 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 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating onstruction 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: Asa condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant trust 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 which occurs seven (7) days after the building permit' is issuer •Iii: the absence of s ch posted notice, the Signature . inspection will not be approv reinspection fee will be charged,, Owner or Agent pie foregoing instrument was acknowledged before me this d a y of 1, 20 1 E by Oa" 14 ;9 jFJp ' NOTARY PUBLIC: (Revised 07 /10 /07XRevised:06 /10/2009) who is personally knower to me or who has produced As identification and who did take an oath. Commission DD613542 Expires 11/1212010 Plans Examiner Engineer Zoning Clerk: checked Signatur Contractor The foregoing instrument was acknowledged before are this 3 � day of A q 5 g ' , 20 / t), by /74 L PM 457i-7-7;15 L7 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBL Sign: Zip Print: 6 bL 4 2 p. I �� h1 Z NOTARY PUBLIC -S TE OF FLORIDA spires: �� J Yao My Commission E�cpt '• "° Edwar Renzulli ao s�� Commission #DD803603 "'h...�..••�" Expires: AUG. 25, 2012 BONDED TRIM ATLANTICBONDDIG. ******************* * * * ** ** * * *9: *****************' ***** **:r*** ********** *9 *** Je3r*9edt5Q*3t &***k*atdrdr3ade**3r* **°.FYt+Y:t ** Inspection Number: INSP- 151229 Permit Number: FW -2 -10 -181 Scheduled Inspection Date: September 15, 2010 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: AMERICAN NETWORK CONSTRUCTION, LLC Building Department Comments FENCE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. September 14, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Concrete Precast Phone Number Parcel Number 1121360010160 Phone: (954)776 -9900 Inspector Comments CREATED AS REINSPECTION FOR INSP- 134830. NO PERMIT POSTED DID TALK TO MANAGER HE WILL BE THERE WEDNESDAY. JR JEFF YAU 786- 382 -4487 305 - 899 -3995 6/ For Inspections please call: (305)762 -4949 Page 16 of 19 XsP BUILDING PERMIT APPLICATION FBC 2004 Is Building Historically Designated YES Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NO Permit No. Pk) ID —KM Master Permit No. Permit Type (circle): Building (� Roofing Owner's Name (Fee Simple Titleholder) 64 tlgli1' fly r ly Phone # Owner's Address / / 3 6 O 1/9 %» 411 6 City /43-04*c 9 -5407e C' State FL Tenant/Lessee Name Zip 33I 6/ Phone # Job Address (where the work is being done) /l fo 0 /fie 2N b 14/ ? City Miami Shores Village FOLIO / PARCEL # County Miami -Dade Zip 3 7/6/ Contractor's Company Name Ail C2; Q0/ /U✓ak Phone # q c/ 716 - ` q Contractor's Address 4 7 9g iU to---ex lr `440 !^ ® l e e- 714 - 1 - 0 Li 4 1 5 '51' 10 " City /lt (fif✓QGX/� /1Cr State r( Zip 5 Qualifier R/J if % 4 *Q A ,4,:t Phone # State Certificate or Registration No. C G . 6 T / 7/ q Certificate of Competency No. 1'•1/f e44Rd/ 9 5 G . / ,2�// 5�z,/f Architect/Engineer's Name (if applicable) I A Phone # f f`/ sic/ 1' O MEV FEB 0 4 2016 BY- CA Value of Work For this Permit $ MO, O, be . CX.D Square / Linear Footage Of Work: / 3 4 Type of Work: ['Addition ['Alteration s New ❑ Repair/Replace ❑ Demolition Describe Work: -P=EG t3 4 ' L4 N 5C-it f r ra ✓' �. 44i •r Of r ,Ave g / fe Vc:f j Submittal Fee $ O.0 Permit Fee $ 1/186) CCCF $ (o)3 •C0 CO /CC Notary $ Training/Education ucation Fee $ Technology Fee $ 1 'Y l� ul J g.1' Scanning $ I C=0() Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ I � 4/?)-a)— Structural Review. $ Total Fee Now Due $ See Reverse side -* 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 will not be appr• . d a reinspection fee will be charged Signature Owner or Agent The foregoing instrument was acknowledged before me this .� day ofF y $461 ,20 j ,by read. e_ l aLU't'� , who is �mersonally known_to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: ,old hl+r Print: _ . , S *Ai . My Commission Expires: 4.. h, APPLICATION APPROVED BY: (Revised 07/10/07) at LINDA 6. MITTS Notary Public - State of Florida 2013 • DO 863031 At1o'. Signatur Con tractof The foregoing instrument was acknowledged before me this day of 4w( ,20 by ?a1P B41 Ita who is zso , to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: LU. :, MITTS — *` 4'% Notary Pubic • State of Florida — ) ` _ , bi►t� 2013 Commission # DD 863031 Lti ■ug t , ,,, , . Assn. d t , / u pyii Sign: Print My Commission s7t,UtUtUf1t141U **** @tU,4#t**** U4, 1teT1Y, Y7t; tirtYtYfY**tt1} fi*i41Y1T1ti' t4it*# 1tit1Y1t ft*lt*i` * f4 1t**** *** ** * / �Q Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT :TIME OF FIRST INSPECTION F ERMIT NO. Ft" i l H 6 TAX FOUO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real . property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement 1. Legal description of property and street/address: It 308 A/ e Awe) A ✓c' I&14 "4 h 1 t %314, ( 2. Description of improvement: t IA) Pewit" ,4irb t ANO StUt p 3. Owner(s) name and address: a b Z 00 e1/43 6 Sao hie d a - I p1 3 '/ - / Interest in property: Name and address of fee simple titleholder: 4. Con actor's n and address: • ij / ! 4A/ T7vDIe,k dads / siiy6dc1 4 10 !'O / ,e45 SO/ f 4.0t6 for / 33,61 COUNTY OF DADE 5. Surety: (Payment bond required by owner from contractor, if anyy HEREBY CERTIFY that this is tru «. py of the Name and address: ®rigingt � % OS office. °; day of Amount of bond $ S h. ,l and 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: ia/4 11 1111111111111111111111111 111111111111111111 CFH 201080170202 OR Bic 27213 Ps 20771 (iris) RECORDED 03/15/2010 11:05:35 HARVEY RUL'TH, CLERK, OF COURT MTAHI —MADE COUNTY, FLORIDA LAST PAGE er documents may be served as 8. In addition to himself, Owners designates the following n(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)0), Florida Statutes. Name and address: N 9. Expiration different ign ure of Owne Print Owner's Nam this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a ified) q#s,Ii Sworn to and subscribed before me this 3 day of F b•uwey Notary Public Print Notary's Named : v►'L1 S . Y1 1 S My commission expires: 64 L - ) 3 123.8132 PAGE 4 8/02 Prepared by % 20 A.viiw 9 Deere-0'7z v Address: 4 ff1si/ /'D.rrcr`ieW 4 Miehlb a-r Pu ske, t Lo -r H 06w c, KrE CAAAN LI N M, i&: I I I s I TO 14E r i s s-r m RE Pin ®t, ReP1- AO SEC:nolo