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BP02-642Date Inspection Date Approved Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp'n Dr tux �O 11OhOo) (I� /� ; 1 / -,, rr Permit No. �� .2 ON _ �CJ''f Name 5O(u x Address 111 tL q D. 5+ Compan f2c (n 1Orci Phone # Laoi Type Insp'n Permit No. Nam Address Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Datb Inspection Date Approved Correction Re- Insp'n Fee Aro/I Aiwa. 4 S '(S -sr '6h-cloy 7 ❑ M >�t� Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 C Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) �\\'\ x Owner's Address 11 1 (-I ►•) E S 1 City YIkkCI tv�t �,�nc,'w State r Tenant/Lessee Name Job Address (where the work is being done) `M 3, City Miami Shores Village County Miami -Dade Is Building Historically Designated YES Contractor's Company Name,, F_ Contractor's Address U ' it' City , ,'1.'. ; State f ualifier �- ,_ $ Value of Work For this Permit Total Fee Now Due $ r� 7 j S (Continued on opposite side) NO X Code Enforcement $ Structural Plan Review. $ Architect/Engineer's Name (if applicable) Phone # Permit N Master Permit No. Phone # ( 3 OS Y 15 8 S 3 Zip Phone # Zip Phone # ? . Yt • :5-1(5 6 Zip ' 02. 4/00 00 _ Square Footage Of Work: ' 10 0 ,s9 'r' Type of Work: ❑Addition. ❑Alteration ['New xt Repair/Replace ❑ Demolition Describe Work: cuT ;Anal 1 Grte 1 lnA BAiC FO (j.wA . * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $S „iv Permit Fee $ �� ©` CCF $ 3 ~' CO /CC Notary $ 5 Training/Education Fee $ Technology Fee $ R/ Scanning $ ^ Radon $ Zoning t_._..__ Bond $ 3100 — 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 rei ' pection fee will be charged. / Signature . ��/ /�'�� S ignature wner or Agent NOTARY Sign: Print: T regoing instrument was . 40 owledged before me this ay of . 20 • __� `As identification and who did take an C\/)% . ri Commission ii0046 My Commission Expires: VeW Expires NovomtlCr i 6, 2000 APPLICATION APPROVED BY: Chc 12/15/03 (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Con actor The f. - go ng instrument was acknowledged before me this b day of ,20 Yj',bylOTheS who is personally"known to e or who as produced who is known to me or who has produced 4_,) 4 CV,LUCI as identification and who did take an oath. My Commission Expires: ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** MAY 1 8 1004 ,; DANIELLE PADUA 4 ? A* 400DetstM1931(110#93Ef t §824 •-�� EXPIRES: September 25, 2005 ~ P h ` Bonded Pau Notary Public Underwrtters Plans Examiner �/� J Engineer .�%t✓ / Zoning 25. Al liairbt4 TIJMAS J. KLLY,ii\IC.. afibittgr i W) stitivtvon sunvese 42 -0832.Z.." : (305) 4 119-A/88 LA OF SUNitY 01; LOt .7 SIAMMSION- 647- LORE _ - . Accomma t011it PLAT THERqoP AS titconoto 114 Plit t 11001( No POMO litcottoa or :. .. )240E . c4)114 . rionloA. atid----3:4 Pon: LocAtIoN SKetc ii A/4 vAin si GAO N 44 k o .. r4 1 11) th • 4-• I 0 tio RI e0 RI 4.0 I t r 0 04 SCALE •••711r." 44. . . AT PAGE No. ticw4 szlo z v6ge. ///G Al .E q1#57 1 A I /AA // SAVire '&74 3 •3/ 31 FMB NO. SAG-18-92 e_o c6-7 Aciee Coebv71; i ="4 9 it' 15 ar. .! . .1 • • • : Ofliiig roved Stock C C c.,11.4Z Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/26/2004 Applicant: AMY SALZVERG Owner: SALZVERG AMY JOB ADDRESS: 1116 NE 92 ST Contractor JAMES E. REYNOLDS Local Phone: 305 - 798 -5128 Parcel # 1132050270420 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -642 Contractor's Address: 14074 S. W. 46 TERACE Legal Description: BAY LURE PB 44 -63 LOT 3 Permit Status: APPROVED Permit Expiration: 11/9/2004 Construction Value: $2,400.00 Work: REMOVE ASPHALT AND INSTALL BRICK PAVERS Page 1 of 1 BLK 3 LOT SIZE 75.000 X 125 OR Fees: Description Amount FEE2004 -5022 Building Fee $110.00 FEE2004 -5023 CCF $3.00 FEE2004 -5024 Notary Fee $5.00 FEE2004 -5025 Training and Education Fee $1.00 FEE2004 -5026 Technology Fee $2.75 FEE2004 -5027 Scanning Fee $3.00 FEE2004 -5028 Builders Bond $300.00 Total Fees: $424.75 Total Fees: $424.75 s _oa fs- 1 Total Receipts: $0.00 3/`is t /Di ►5g5 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: 55c. BUILDING ELECTRICAL PLUMBING ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description 44114111kluk SHORES VILLAGE, FLORIDA ❑ � J DATE " � = '319 ❑ P E R MW'1' Na 6979 Contractor's r ❑ License No. i Work to be performed under this Permit—_ Lot B1 L Subdi- vision Building of i ding i L s — - Value of –� Amount of Protect $ 1 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed a , _, . V INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance' with all ordhces 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 as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employe,( CONTRACTOR OR BUILDER BY NTHORITY ABBOT 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. Owner's Name and Address ..k.G Registered Architect and /or Engineer Name and address of licensed contractor e .: �If Location and legal description of lot to be built on: Lot Block Subdivision �� > Street and Number where work is to be done +% State work to be done a,nd purpose of building (by floors) > J J14 Disapproved (Signed) ... - lr Building Inspector Date r Date -ate � , , 19 ./7 No. Street 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 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 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. �� 77, Remarks (Signed)_ __J_{,, ✓ , / /1i STATE OF FLORIDA, i . •7 COUNTY OF DADE. ss. /J 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 Date Read, Sworn to and Subscribed before me. V - and for no other purpose. Notary Public, State of Florida My Commission Expires PLANNING 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. Florida- Georgia Savannah - Orlando Valdosta - Lakeland Construction, Industrial and Logging Equipment FORM NO. FG -45 po 6 eo ri=7 cUa . Tractd& "Company /� /rr V 4 Jacksonville - Tampa Tallahassee - Miami INTERNATIONAL CRAWLER TRACTORS • WHEEL TRACTORS • DIESEL ENGINES