477 NE 92 St (16)10050 N.E.2nd Avenue, Miami Shore , Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 c)J
BUILDING Permit No. of •
PERMIT APPLICATION Master Permit No. )IJS f7v
FBC 2001
Permit Type (circle): Building Electrical - , P1mn!ing Mechanical Roofing
705 - 15 / Its
Owner's Name (Fee Simple Titleholder) I # cll Z f75 — (56
Owner's Address L 11 t4 52
City t'' 114441 State ft_
Tenant/Lessee Name
Miami Shores Village
Building Department
zip 371 .z 8
Phone# /■ /i4
Job Address (where the work is being done) I + 11 7 2
City Miami Shores Village County MiamyDade Zip ' f 3(iP
Is Building Historically Designated YES NO
Contractor's Company Name : Phone #
Contractor's Address 4, - r •
City _,' State Zip
Qualifier
r� c'
State Certificate or Registration No. Certificate of Competency No.
Describe Work:
Total Fee Now Due $
(Continued on opposite side)
Architect/Engineer's Name (if applicable) Phone #
u 03
$ Value of Work For this Permit Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration NI New ❑ Repair/Replace ❑ Demolition
* * * * * * * * * * * * * * * * *. * * * * * * ** *Fees * *y * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ 50. Oa Permit Fee $
Notary $ .3 —� Training/Education F = '• U Technology Fee $
Scanning $ Radon $ Zoning
Code Enforcement $ Structural Plan Review. $
CCF $ . (J CO /CC
Bond $
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 reinspe n fee - .11 be charged.
Signature J)
Chc 05/13/03
Owner or Agent
The foregoing instrument was ' no
acknowledged bbefor .Ine this .i. The foregoing instrument was acknowledged before me thus,'
day of , 20 0Sby d !! O 1 t i Q' : - 4 ft/ day of 1. , 200.5, by m(queL (Qymc
1
is per r.n. k wn to me or who has produced who is personally known to me or who has produced
* * * * * * * * * * * * * * * * * * * * * * * * * **
As identification and who did take an oath.
Sign:
Print:
NOTARY P
Sign: D
Print:
My Commission Expires:
identification and who did take an oath.
NOTARY PUBLI
r • , My Commission Expires:
onded hru
onmission
+ onded Tnru
' 1anuc Bonding (c, i/
!****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, * * **
APPLICATION APPROVED BY: /� % _ `" ® Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/4/2005
Applicant: DIETER RUDIN
Owner: RUDIN DIETER
JOB ADDRESS: 477 NE 92 ST
Plumbing Permit
Permit Number: PL2005 -47
Contractor GATOR POOL AND SPA CONSTRUCTION Contractor's Address: 14869 SOUTH DIXIE HWY #1
Local Phone: 786 - 412 - 5281
Parcel # 1132060140270
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 21 & 22 & W15FT OF LOT 23
Fees: Description Amount
FEE2005 -4230 Building Fee $160.00
FEE2005 -4231 CCF $0.60
FEE2005 -4232 Notary Fee $5.00
FEE2005 -4233 Technology Fee $4.00
FEE2005 -4234 Training and Education Fee $0.20
FEE2005 -4235 Submittal Fee ($50.00)
Total Fees: $119.80
Total Fees: $119.80
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 8/2/2005 Construction Value: $1,000.00
Work: PLUMBING FOR MASTER BP05 -170 POOL
Page 1 of 1
APR 11 PAID
Signed: (INSPECTOR)
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:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/4/2005
Applicant: DIETER
Owner: RUDIN
JOB ADDRESS: 477 NE 92
Contractor
Local Phone:
Parcel # 1132060140270
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -318
RUDIN
DIETER
ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 21 & 22 & W15FT OF LOT 23
Fees:
FEE2005 -4204
FEE2005 -4205
FEE2005 -4206
FEE2005 -4207
FEE2005 -4209
FEE2005 -4210
FEE2005 -4213
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Submittal Fee
Total Fees:
Amount
$300.00
$1.20
$5.00
$0.40
$7.50
$9.00
($50.00)
$273.10
Total Fees: $273.10
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 9/3/2005 Construction Value: $2,000.00
Work: FENCE CHAIN LINK AND ALUMINUM
APR 0 6 PAID
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:
PERMIT NO. -
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT"
SECTION
BY
DATE
ZONING •
/
ELECTRICAL
MECHANI
PLU NG
F E
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
_
1. Subject to compliance with elf Federal, State,
Count Village rotes end regutattons. Village assumes
no responslbllIty for accuracy oflor resutts from
these plans.
2. This copy of plans must b• available on
bolding site or no inspection VII be conducted.
JOB ADDRESS 7 7 PE
APPLICANT
PHONE #
APPUCATION
SHEET OF
MISCELLANEOUS
7•
DATE ZUNI�I%I
— CacleZ o virsice
- to AA,
CRITIQUE SHEET
COMMENTS INITIALS
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6 OA /iv 5 LTV
5582 N W. 7T11 STREET, SUITE 202
MIAMI, FLOHIDA 33126
TELEPHONE (305) 2203171
FAX (305) 554.7822
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477 N
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'u ,t is urui or, Sur. SURVEY NO ? 9 - /65
SKETCH OF SURVEY Scale 1
LAND SURVEYORS SHEET NO._._ OF 4
6
26
8
Located at: j i -E
Proof of ownership provided ( )
t ,
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE STATEMENT
beting the legal property owner, for the property
Legally described as ,
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7),And I have read and understand the following disclosure
Statement, which entitles me td ak ork as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction yourself. You may build or
improve a one - family or two-family residence or a farm out - building. You may also build or improve a
commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the
construction is completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that people employed by you have licenses required by state law and by county or municipal Iicensing
ordinances. Any person working on your building who is not Icensed must work under your supervision
and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
initial of re wing clerk. The foregoing instrument
a s+
Was ac wledged before me this 7 day of r ( , 20 OS.
.„
Y Cr Ci cionol\ot
Produced
i2 C,0 cI I li io is personally known to me or who has
as identificat •n . d who did take an oath.
Notary