BP-05-1326Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/13/2005
Applicant:
Owner: STOBS DONALD
JOB ADDRESS: 9505 NE 5 AVE
Building Permit
Permit Number: BP2005 -1326
Contractor ARROW ASPHALT & ENGINERING INC Contractor's Address: 14799 NW 117 AVE
Local Phone: 305 - 556 - 5702
Parcel # 1132060140710
Signed: (INSPECTOR)
Page 1 of 1
Permit Status: APPROVED Permit Expiration: 3/12/2006 Construction Value: $1,350.00
Work: REMOVE EXISTING PARKING PAD ON PARKWAY ON 5TH AVE AND EXPAND APRROX 200 SQ FT PER ATTACHED SKETCH
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 13 & 14 BLK 54 LOT SIZE 100.000 X
Fees: Description Amount
FEE2005 -12322 Building Fee $125.00
FEE2005 -12323 CCF $1.20
FEE2005 -12324 Training and Education Fee $0.40
FEE2005 -12325 Technology Fee $3.20
FEE2005 -12326 Scanning Fee $3.00
FEE2005 -12327 Builders Bond $300.00
Total Fees: $432.80
Total Fees: $432.80
Total Receipts: $0.00
SEP27PIdk
c- i 4`x 2.
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:
4411 NOV 0 1 2005
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 1aAtt
Type Insp'n ThN(I/WO -' fOlM �.
Permit No.V2LD5 131.E
Name 06' 0
n 15 S
Address ' 51k
Compan tw klurr & 1 1
Phone # 1511 4
Inspection Date It ot1o5
Approved
Correction
Re- Insp'n Fee
A
BUILDING
PERMIT APPLICATION
FBC 2001
State f (
$ Value of Work For this Permit
Type of Worl ' «a []Alteration
, ,;o,2 • ..P Ji,�i 4,x:3 s p`•
- 0 • Describe Wo it . ^: P4 9. ;iii r4a 4 .a i .
a,1=3A is ri 2 r41°Z. , t ''r'rstft.%H
K.6-1•44 as. kr_ toe'• pAc(G4i.S4 Pr4.
Submittal Fee $
mPe -!ey z » s, 6 Pe r, 774e4 re-d
****************************F
Permit Fee $
Notary $ - Training/Education Fee $
Total Fee Now Due $ 432.50
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305)-7912204 Fax: (305) 756.8972
Ma '' er Permit No.
❑New
0.40
Permit Type (circle): Building Electrical Plumbing
Owner's Name (Fee Simple Titleholder)1pyl 4 ( (J. .S1 (ft'. Phone #
Owner's Address 5 0 S W .6. 5•T t+ Ave
C4011 ( _Cho, r S
Tenant/Lessee Name
c.A.9 ?14e1' Kw.a
Zip
Phone #
Code Enforcement $ Structural Plan Review. $
Permit No.2 — L32.C7
Mechanical
3313X.
Roofing
305 757 - 79 9V
Job Address (where the work is being done) 9 5 05" 1\/-t . r TIN A e.
City Miami Shores Villa e County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name 4YVOVJ 1s2hk(` 1' £ , kiln, e Phone # 30 " 6
Contractor's Address f 179q AI ( //7 ■fre
City Ft & ( eat State / Zip 3.30/e
Qualifier M i C. �l A. e (- t1, rt -1-t
Zip 3 3 / 3P
State Certificate or Registration No. Certificate of Competency No. e 1 7 2. (2 C.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work: A9fa). ASS 5 F
,14 RF s p,air/KOlapp, a ❑ Demolitio n
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ 1 • 2.0 CO /CC
Technology Fee $ 3 . 20
Scanning $ 3 . 0c.) Radon $ Zoning Bond $ 3O° • O0
I 1 Z3a7
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 approved and a reinspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before me this
day of (4h e_ , 20 0'' 5 , by
who is per • nall, known to me or w
NOT
Sign:
Print:
My C
* * **
1:,)
ti c -• an
' _ %LICE r
• . E esI0or2420 $ •
om ��. • ` . e } Commission # DD303454
Asi
APPLICATION APPROVED BY:
Chc 05/13/03
s produced
who did take an oath.
Signature
Contractor
The foregoing instrument was acknowledged before me this (3A
day of a n e 20 b`a , by
who is personally o to me or who has • oduced
* * * * * * * * * * * * * * * * * * * * * * **
.-"ptorped, i gie Avoire
1.
9470
********•*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
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