FW-07-1581BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle):
Contractor's Address
Type of Work:
Describe Work:
DAddition
b
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
I -1 nefa MsFinan rl Phone# ' 205 4a55 7
Owner's Name (Fee Simpl
Owner's Address 44' 9
City �IClrl�- Tenant/Lessee Name Phone #
k.) . r
State Zip 3 3 /3
Job Address (where the work is being done) c J�l'lf1
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name l &E12 EZ 17 C'V J n .
City VII t ant I, State 6° ( — zip 35/
Qualifier Name A r n t GIB. T) bP i Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $
2rteration
Square / Linear Footage Of Work:
Permit No. J Vv 01-1561
Phone # 7 o 25
DNew ❑ Repair/Replace , ❑ Demolition
****** * * * * * * * * * * * * * * * * * * * * ** * * * * * * * *** F
Submittal Fee $ Permit Fee $ S %
Notary $ Training/Education F = $
Scanning $ Rado
Bond $ Code Orcement $
Structural Review. $ _ _AN 2 3 22O
MIAMI SHORES VILLAGE
CCF $ CO /CC
Technology Fee $
Zoning $
Double Fee $
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 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.
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 07 /10/07)
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this to The foregoing instrument was acknowledged before me this
day of , 20 43_, by (INCXI Vivo , day of , 20 _, by
who is personally known to me or who has produced Frringil UL who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: /1 NOTARY PUBLIC:
Contractor
Sign:
Print:
My Commission Expires:
********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** : * * * * * * * ** ** * * ***** ** :**** * ***
Plans Examiner
Engineer
Zoning
o is l )
q
tk - b% /0't 1
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle):
Owner's Name (Fee Simple Tit e older)
Owner's Address Ilk 9 /OF
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Address
r ..
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ FtPir
Type of Work: ❑Addition
Describe Work:
Submittal Fee $ Permit Fee $
Notary $ 5 °00
Scanning $
Training/Education Fee $
Radon $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. t 51k
Master Permit No.
k ' _ Roofing
% ! 19° aie d.J Phone # "205;
93 Ye e
Cit merniaiores State / Zip 35/3
Tenant/Lessee Name Phone #
Contractor's Company Name .9./de.,,./ 4 % ;32 /.. ,; r 7 Phone #
City ®s7.a ---
Qualifier Name
State Certificate or Registration No. Certificate of Competency No. '
DAlteration
lid 9/0E 9a S, e -C
County Miami -Dade Zip
NO
Zip
Phone #
Phone #
7:e cvs
Square / Linear Footage Of Work:
['New ❑ Repair/Replace
**** *** ** ** ** *,t*** **** * * *** * * ** **** *F , ** f.******a* ** ** * * * * * ** *** * * * * *** * * * * * *** **
CCF $ i (® CO /CC
/1 1 (0
1 2,0
DPBR $
Bond $ Code Enforcement $ Double Fee $
33/3S"
Technology Fee $ 2. r
.61/3
40 fif.
❑ Demolition
Zoning $
Structural Review. $ Total Fee Now Due $
See Re '' erne 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 aneet 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
Signature
Sign:
Print:
Owner or Agent
The foregoing instrument was acknowledged before me this 27
day of ` �Jo)f , 2001 , by Llr Lee Utyjsl�lb
who is personally known to me or who has produced fl. r JW3 L(,.
As identification and who did take an oath.
NOTARY PUBLIC:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
sa: , •y d0dfhruN
gon
who is
Contractor
The foregoing instrument was acknowledged before me this ZI
day of _ L... 20 6/ by Q PIbC7
NOTARY PUBLIC:
Sign:
Print
My Commission Expires:
to me or who has produced
as identification and who did take an oath.
,
•
. . .: air ** ** * * ** * ** * * **** * * *** ** * *** ** * * *** ** * *** ** *tir,r* sY r* *Ye ***** * * ***,r ***fir***
7A0A
� ,
lira/
Plans Examiner
Engineer
Zoning
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I . kE . L.Y, INC.
x°` 1 LAND SURVEYOR
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Owner's Side
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2" X 4" Wood dad
In X 6 a- I" X8"
ood pickets
ate
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WOOD FENCES •
2915 Fences
Wood Posts
4' -0" High or Less = 6' -0° O.C.
5' -0" High or Less = 5' -0" O.C.
2915.1 Wood fences,, so located on .a property
that by zoning regulations they cannot be used
as a wall of a building, shall be constructed to
meet the following minimum specifications.
(a) Fences not exceeding 5 feet in
height shall be constructed to
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts spaced 5 fee: -0 inches on
centers, having a fiber stress .of
1200 p.s.i. In bending, and shall be
embedded 2 feet -0 inches into a
concrete footing 1 foot -0 inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply with the
provisiogs of this Chapter and
Chapter 23.
(b) Fences not exceeding 5 feet and 4
feet in height respectively 'shall be
constructed as provided in
paragraph 2915.1 (a) herein,
except that the spacing of posts
may be increased to 5 feet -0
inches and 6 . feet -0 inches on
. centers.for these heights.
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3.'ECT TO CONP* IANC4TH Al L. FEDE", L
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SURVEYOR
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SG LILA TONS
A?'..'D REG ULATIONS
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