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374 NE 92 St (6)• BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department 0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) ./ V6OEL. E. P.VV -= Phone # (3 ) 41 79 ° 9,-s Owner's Address 3 7L B/E' 92.. AiA Sj % • City /AM T2 ES State fL Zip 3 :3,3' Tenant/Lessee Name Phone # Job Address (where the work is being done) 3 744 NE '2 „Sr. City Miami Shores Village County Miami -Dade Permit N P O l 1 1 11 F7 Master Permit No. Zip 33/3 F Is Building Historically Designated YES NO ✓ Contractor's Company Name S U P o t s 7 4 f I P 6 11. t T E , -LAIe-, Phone # (34 0 2ZO a //6,3 Contractor's Address 520/ 5 )Vt /3 54 C T City /t l MO/ State FL- Zip 33/75 Qualifier State Certificate or Registration No. Ce EVe.0Z- Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Total Fee Now Due $ l 3 (Continued on opposite side) 3, 'a Square Footage Of Work: / 2 S Type of Work: ❑ Addition ❑AAlteration ❑New ❑ Repair/Replace [1 Demolition Describe Work: eiZeA i 6 DiZfvk/4q i2e f�u� SOS ®2 67 r M OE 3S' L C a 7 4-L cn-' 71c S&. F Phone # Submittal Fee $50 .1)47) / Permit Fee $ L CCF $ � t CO /CC ..<•■■•' Notary $ Training/Education Fee $ O 6 ( Technology Fee $ tWe 5 ' 0 Scanning $ 3 Radon $ ©C 7 '3 Zoning — Bond $ 300 °— Code Enforcement $ e• Structural Plan Review. $ �� * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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 thi 204 who is person ly known to me or wl o has produced ,=•L DL identification and who did take an oath. day NOT Sign: P My Commission Expires: Chc 05/13/03 *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Signature Contractor The foregoing instrument was � / M acknowledged before me this �5 day of of , 20 01 1, by a)Ok ,r) C) who is personally : o n to me or who has produced 2-7Q-9-' s identification and who did take an oath. NOTARY PUBL Sign: Print: My Corn <di 1,e b, ission Expires: AU6 2 7 2004 i, abel Vargas DD �rr rr At antic .o - . ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO.UC O — 11 7 TAX FOLIO 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. Le aI descriptio of property and street/address: i�1(otE ALAIL.y RE5IDo JCE N E ca,JD Sr M IA t Srtvvt.Es FL 3 313 2. Description of improvement: D 21V actor ! 3. Owner(s) name and address: SAt& J L_ E. Pats S 31 IJ E '2 No CT M %ana( Stj tc s, FL 33138 Interest in property: PRIM W ail (ZJS i1,E1JL..E Name and address of fee simple titleholder: 4. Contractor's name and address: '5UPE .STAMP COWA CIE S201 314 13 +r * Cr. mow FL 5. Surety: (Payment bond required by owner from contractor if '' E c'r FL OR`•DA, COUNTY OF DADE Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different. a is specified) Signat j of Owner Print Owner's Name (9( Sworn to and subscri. .efore me this I 1 I •-I day of Notary Public Print Notary's Name My commission expi S. 123.01 -52 PAGE 4 8/02 ��a``� AtIA21t• :� nding03.,Inc. ' r.:,t ;'r':.EPri."Yi;76t hi i i fruUr-- /o!00 "�nn --f- W p Qav A D20_ ,200 111111111111111111111111111111111111111111111 GF14 2004..80803802 OR Bk 22654 Fs 3387; (fps) RECORDED 09/14/2004 13:33:55 HARVEY RUVINv CLERK OF COURT MIAMI -DADE COUNTY' FLORIDA LAST PAGE repared by M 1 &G1. POIQS A 374 6 1iAt S"t, . MIMu S►itiREs, FI.. 33J3$ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/30/2004 Building Permit Permit Number: BP2004 -1176 Applicant: MIGUEUJENNIFER PONS Owner: PONS MIGUEUJENNIFER JOB ADDRESS: 374 NE 92 ST Contractor SUPER STAMPED CONCRETE Contractor's Address: 5204 S. W. 134 CT. Local Phone: 305 - 220 -1163 Parcel # 1132060136430 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 4 LESS W15FT & LOT 3 BLK Fees: Description Amount FEE2004 -8770 Building Fee $100.00 FEE2004 -8771 CCF $1.80 FEE2004 -8772 Notary Fee $5.00 FEE2004 -8773 Training and Education Fee $0.60 FEE2004 -8774 Technology Fee $2.50 FEE2004 -8775 Scanning Fee $3.00 FEE2004 -8776 Radon $0.73 FEE2004 -8777 Builders Bond $300.00 Total Fees: $413.63 Total Fees: $413.63 Total Receipts: $0.00 „ V Permit Status: APPROVED Permit Expiration: 2/22/2005 Construction Value: $3,000.00 Work: DRIVEWAY AT REAR OF HOUSE Signed: (INSPECTOR) 20 Page 1 of 1 SEP Signed: g (Contractor or Builder) BY: 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Date Type Insp'n Permit No. Name Address MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 1 5P 04 Re- Insp'n Fee 3 4 S�- "r Company�`' Phone # Inspection Date q O Type Insp'n Permit No. Name Address Company Phone # Date Inspection Date Approve r / Correction Re- Insp'n Fee MIAMI SHORES VILLAGE �Uv BUILDING DEPARTMENT �O 305- 795 -2204 Building Inspection Request Ht 690 -€ PoAfs sF). SuP2 rz. �l�C c(17.1 (A /074/e