9950 NE 4 Ave Rd (10)b
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
P 0 3 -1/1
- v /u- /0/ ¶t
c,c9-A/0
RECEOVE
PEIMIT APPLICATION FOR MIAMI SHORES V LLA
0050 N.E. 2nd,Avemme • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • F .''05-7 6 ->SH7 3
3 l) Lj d I `� V � 0 1 Tax Foli – – – •
Date Job Address —
Legal Description Historically Designated: Yes No
X � Owner /Lessee/Tenet L /' °" ( 1 Q n Oe Master Permit # B r j � 1 ')/ )
J
Owner's Address b50 r" l 01 S4 Phone (aa-G) 74-J ' (Y 9 E 7.
Contracting Co. Address
Qualifier SS# Phone
State #
Municipal #
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one):
F ORK DESCRIPTION:
No . as to O
My Commissi on F`xpires
BUILDING
0
ELECTRICAL
Square Ft.
p rg 118v7R4f
Competency #
mom, 4- ft
PLUMBING
d Cost (value)
/9 oo J 0
Ins. Co.
MECHANICAL
ROOFING
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required
for all disciplines.
OWNERS AFFIDAVI : I "ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction d zoning. Furthermore, I authorize the above named contractor to do the work stated.
2 v
X I nature
Signature f o er and/or Condo President ► to Signature of Contractor or Owner Builder
g 2.—. 0C3 474, S3- 4 0
a M Beck = /
A ♦...1 I. J /. �� .... I.' .•:� S
Notary as to Contractor or Owner Builder Date
My Commission Expires
ig
FEES: PERMIT ( 00 RADON C.C.F NOTARY BOND
APPROVED: TOTAL DUE jJ • CO
Zoning Building ' Electrical UU
Date
Mechanical Plumbing Structural Engineer
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ATIONHSYS TITLB INSURAUCE TURD, ITTC_
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.i+4'kar...4fe r°rlvms �e�rdG+d SS 1 • N lie sod. .el.rbral S ii osier des o n!. der b ib.11 yaia8o odes
,$lair. Aire bum .. •R$ra.,a 61* Ikisd CmyUe SAW Mara 6.I 1* .J arc kei k. 1 qii bats . tl k aaid..d11•i d ekric d ink
THIS PBDPE.RTZ DESCRIBED AS: LOTS 1, 2 h120.2, BLO[E 45, ''lIANI
MOSES SECTION f ACCOBDXN6 TO 488 1'U T THt:REOP, AS SEmADED
.PLAT BOOS I5, PAGe 1(, OT TSB. PUSI.TC Ma l= of DAVE
COMITY, PLOBIDA_
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PROPERTY ADDRESS:Sj5a NE toles 'srg.EeT HIAH1 sHOR Ft-x:4
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NOT VM.D
UNLESS
S EALED WfTH
BCE EMBOSS
sFJJ. OF
CERTIFYING
SURVEYOR
Pldbei *ram?
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Alvarez, Alguesvlves & Associates, Inc.
Proeesslanal Land Surveyors
8230 Cora! Way. Smite 8, Miami FL 33'55
(305)3E5 -0385 Mace
j3O5j3 -CE23 Fca
(0298-2706
1 oa .rr_ c_ Irate..
• • • - • . . . , • . „ "..- . ,
-7— The Sunshine State
uca
0632-876-53-425-0
VICTOR RAUL ORTEGON
NO NE 101 ST
MIAMI, R. 33138-0000
MN DATE SEX MT. REST. ENDORSE.
11-2543 M 6-10
ISSUED EKPIRES OUPIXATE
OT-09-02 11-26-08 00-00-00
WIFE MYER
1010207020007
Operation or • moles ■atticie constibates wizard to any sobriety test required by law
Miami Shores Village
10050 NE 2nd Avenue
_ - � Phone: 305 - 795 -2204
Printed: 5/5/2003
Applicant: VICTOR
Owner: ORTEGON
JOB ADDRESS: 550
Contractor
Local Phone:
Parcel # 1132060171160
In consideration of the issuance to me of this permit, I agree to perform the work co
conformity with the ' • • ra • , statements or specifications submitted to the pro
done by either myse , my agent .ery . nts or employes.
Signed:
NE 101
Building Permit
Permit Number: BP2003 -711
ORTEGON
VICTOR
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 4 PB 15 - 14 LOTS 1 - 2 - 3
Fees:
FEE2003 -2636
FEE2003 -2637
FEE2003 -2638
Description
Building Permit Application Fee
CCF
Notary Fee
Total Fees:
1
1
Af
$;, 1.0
$66.20
Total F s: $613=20
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 11/1/2003 Construction Value: $1,900.00
Work: IRON FENCE AROUND ALLEY
(INSPECTOR)
(Contractor or E
VICTOR R. ORTEGON
AMANDA M. MCGOVERN
550 NE 101ST STREET
MIAMI, FL 33138
Pay to the
Order of
For
Page 1 of 1
R A L T A R
11 A N N
41.44 Send. JJfJ!
ouec petie.e.se ..�
I:2670904SSI: 0030073 L Silk'
BLK 95 LOT SIZE SITE VALUE
MONO:
Tops
Tops
c:14
�(
/f
8
P
Tops
Tops Stand.
'
a
:lamps
on Bands
=
ti t�
.....
I
Cil
e
f'+v w;
—
,
on Bars
a Bands
Ends 1
es I
es I
1
T"''
rs I
rs Stand 1
O ,
'
_
Rod Assem i
c
A 4 F -
`i<
f
e
#
daS
2
I Clamps 1
1
e Scroll �
I
Scroll
tail
i
#9 Gauge
#11 Gauge
,
(ire_
Barbs Up
Ground Contour
Airline -a
•
Near
Salesman
Subdivision
STRI
Term
Term
Line
Line
End
Tens
Tens
Brac
Rail 1
Slee
Hing
CIOS
CIOS
Drop
Scrol
Nam
Plain
Top 1
Wire
Wire
Tie V
Remarks:
i
i� FENCE
CRIJWN
I•
Company Incorporated No.
''CROWN YOUR HOME WITH A CROWN CHAIN LINK FENCE"
2501 NORTHWEST 79th ST. • MIAMI, FLORIDA • TELEPHONE 89 -2578
1 FORT LAUDERDALE JA 30800 t HOMESTEAD 438
HOLLYWOOD 2 -1752 /J� f� / EL% # V �
_(
Customer's Na ,4"14 i � /" v
Address 3'21t}.6/
"' �' L "" /v/ ��• / /v! / ��G�
0Rty j �s'� ice► �+ C o pleted
M AI aie A
� i &,4 f6 Lot
DIAGRAM
Knuckle Top ❑ Level Top ❑
Date Set °'" Foreman- 11 Gauge Wire Wire
Date Strung _ Foreman 9 Gauge
WEST PALM BEACH 3 -9494
Phone
Zone
Cash 3 F H A
Block Alt 9
SETTINGS:
Terminal Posts
Line Posts
Braces
Brace Bands
Ril Ends
ATE SIZES:
(1)
(2)
(3)
(4)
WOOD:
Dubois
Dubois
Cypress Stockade
BAGGING
DATE
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance .of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
. t
Owner's Name and Address / 0 �' j �® P ° r � No G?
Registered Architect and /or Engineer /1 /a. d f' I a �• �.
State work to be done and purpose gf building (by floors)
Disapproved
A Building Inspector
Chairman
Member
Member .....
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A rc- inapooion fee of $1.00 will be charged
materials and /or workmanship.
c9 z` •
li
cc-7 -7
Date.-- 0:
Date..._ � ° ,19 '7 1
/O/
Name and address of licensed contractor r' R5 f ,
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
A n, 0
PLANI)YING BOARD DATE
t),
Street /V - 4
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
�. • — _ ec - o Oc-
Estimated Total cost of improvements $ (' Amount of Permit $. --
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the wilding and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors,or sub - contractor einployed by him
in the work to be performed tinder this permit; and will post or cause to be posted for inspection owflie site of the ..r such public notice
,, wool performed under this
permit, as are licensed by Miami Shores Village. Remarks ( SignP �__` j' M1 ^� �-- ,
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No.___13 ° 3 Date
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
Disapproved Date___
(Signed) -- (et'
c_
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application. is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
4 y
Date._._ . , 19
Owner's Name and Address.__ ` " 111 t' • 04—It f" 0 No Street N� / 0 / � T
j� 44--/2. /s
Registered Architect and /or Engineer
Name and address of licensed contractor !� IfJG �_t✓4L
Location and legal description of lot to be built on:
Lot P ' L f 3 Block L Subdivision
Street and Number where work is to be done V 't''
State work to be done and purpose of building ( floors) 7_y t 77"-1-2)-(—
/i/Ve 1)1 c 4 644 / s✓Y £ - t z. S' C/ S� ✓G.
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
42.t/4-044 1 ' ,Z. 4:— )• to 'eel G
III S
(0 1 S' S <
�` 7). Ccs�
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ �. Amount of Permit $
Zone cubage required .Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks____ (Signed)
STATE OF FLORIDA, I
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
- ___ -- to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No.__L' _a Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLA BOARD DATE
Chairman Member
Member _____ Member
Member ._. Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
3
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State: of Florida. all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kepi at building during progress of the work.__
j� Date
Owner's Name and Address )e� %cal ec — ;e, - I - � No. � Street
Registered Architect and /or Engineer._
Name and address of licensed contractor. _ e_4 - -BR- lejej 4 P-^ f'' t
Location and legal description of lot to be uilt on
Lot / - a.- ._ Block.. - 76_ Subdivisio
Street and Number where work is to be done 6 6 e% —A7 .5'
State work to be done and pu f building (by floors)
New Building
Chairman
Zone cubage required
Distance to next nearest building
Maximum live load to be borne by each floor
PLANNING BOARD
Remodeling__ Addition Repairs .. ___ __.. _ _. No. of Stories
To be constructed of Kind of foundation. Roof Covering
`` a
Estimated T:.tal cost of improvements $___ .,['0 . 3 Amount of Permit $
_Plan Cubage
Size of Building Lot ________
19
and for no other purpose.
1 hereby s bmit all the plan d specifications for said building. All notices with reference to the building and its construction may
be sent to. c.g.,e ' J!j'�� . 4✓
The undersigned applicant for this building permit does hereby certify That he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the woik to be ptrformed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit. as are licensed by Miami Shores Village.
Remarks__ .. _ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally s p-
peared
.to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the abov: de,c abed construction, tLat hr has carefully read the foregoing application, and that he did sign the same, and that all :facts
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Com:nission Expires_
Member
Member ____
Member ._ ...__ . Member
Council Approved. Date Disapproved
Member
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is ma.ie necessary by improper notice for inspection or faulty
materials and /or workmanship.
Date