806 NE 92 St (5)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request FEB 2 4 EC
Dat
Type Insp' }�
Permit No. a 1" 0 q1
Name
Address Cf 6 /r . e‘cir,,c4-
Phone #
Company
3 0s‘7-5 1 '' 7 0
Inspection Date
Approved
Correction
r ❑
Re- Insp'n Fee
MIAMI SHORES VILLAG 22r
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date6
Type Insp'n \1 \
Permit No. oc Y4 9
Name c-iorrt n
Address UOb ga-54
Company (2)(Q
Phone #
Inspection Date P-10 l
Approved
Correction
Re- Insp'n Fee
i _'_A
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1/21 /2004
Applicant: JEAN
Owner: GAUDINI
JOB ADDRESS: 806 NE 92
Contractor
Local Phone:
Parcel # 1132060050200
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2004 -47
GAUDINI
JEAN
ST
Contractor's Address:
Page 1 of 1
Legal Description: GOLDEN GATE PARK ADDN PB 6 -130 LOT 12 &13
Permit Status: APPROVED Permit Expiration: 7/12/2004 Construction Value: $450.00
Work: INSTALL ALUMINUM FENCE MAX HEIGH 5 FEET W /DOUBLE GATES TO ENCLOSE B.YARD
BY:
BLK 2 LOT SIZE 102.500
Fees:
FEE2004 -627
FEE2004 -628
FEE2004 -629
FEE2004 -630
FEE2004 -631
FEE2004 -632
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$100.00
$0.60
$5.00
$0.20
$2.50
$3.00
$111.30
Total Fees: $111.3
Total Receipts: `
J)-- 6TTO
JAI 2 LPAID
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.
OWNER BUILDER DISCLOSURE STATEMENT
hEfN SAO /N
Located at: cf' 0 ( 0 z-
By
Produced N G
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
being the legal property owner, for the property
9og 57 -
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 to rork 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 $25,000.00 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 licensing
ordinances. Any person working on your building who is not licensed 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.
N,�)1
Proof of ownership provided (c) ial of reviewing clerk. The foregoing instrument
Was acknowledged before me this / L. day of J dam, , 20 O It
who is personally known to me or who has
as identification and who did take an oath.
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ORDrR NO. 4149
Revised this 19th day of October, 1972, to show Final Survey. F.T. • 112, n. 57
NOTE
LOT DINA ENis Hc\\/N ON LocAT IAN
MAP ASE PE2 PLAT I rz 6. P. 130
cb N, ,
PLA
tl E;,O.ZU M
G 4 PLAT � - ■\_As
L�CATI oN MAT= :.
SCALE in = is c
SKETCH OF SURVEY
SURVEY of Lots 12 and 13, Block 2, of "GOLDEN GATE PARK ADDITION ", according to the
Plat thereof recorded in Plat Book 6 at Page 130 of the Public Records of Dade
County, Florida.
ORDER No. 3654 DATE: February 7th, 1972
F.B. 132, pge. 8 & 9
SCALE: As shown
WE HEREBY CERTIFY: that the attached SKETCH OF SURVEY of the above described
property is true and correct to the best of our knowledge and belief as recently
surveyed and platted under our direction.
A.R. TOUSSAINT & ASSOCIATES, INC.
LAND SURVEYORS
620 N.E. 126 Street, North Miami, Florida
By •
Howard C. Gamble
Registered Land Surveyor No. 1683
State of Florida
25
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BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Buildin
Owner's Name (Fee Simple i e older)
Owner's Address ko 6
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. BP a 007-v7
Master Permit No.
Electrical Plumbing Mechanical Roofing
K» U A / /1/ Phone # 3 "$ - 7 3 - 99C
City 14/ /f1 /yi / fl/GilI -S State ! L . Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) e'D (� //Y`L 2Yt 5/
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name OW /V t7 /Z //i/TFLL /HC / iA/L-
City State
Phone #
County Miami -Dade Zip
NO
gar — 7I Y- Y26 2
Contractor's Address
Zip
Qua lifier
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 4/,,; ® � &
Type of Work: XAddition ❑Alteration
Describe Work: /N ST /91-G. /= /1 /G' TO
(4 1 //1/114 rtMCL )
Submittal Fee Q •ermit Fee $ ( /(A.' CCF $
Notary $ t'""' Training/Education Fee $ (9,A0
Scanning $
Code Enforcement $ •
Total Fee Now Due $
(Continued on opposite side)
* * # * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
O /6e
Radon $
Structural Plan Review. $
0 -JAN 2 2 PAID
Square Footage Of Work: 5 t.�i 7 4,,'i94 fti F
❑New ❑ Repair/Replace ❑ Demolition
t 'JF 04- C/T
- (/&L/ 6) /4 fi y t7/7 , v'
S /� /� z G' 6. o
Technology Fee $
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 reinspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before me this
day of -Pi^ ,20
who is personally known I1 to me or who has produced
As identification and who did take an oath.
NOTAR' ••
Sign: �'
Prin
My Commission Expires:.
Chc 10/14/03
APPLICATION APPROVED BY:
vv .,
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
************************************************************* k************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
1
The foregoing instrument was acknowledged before me this
, day of , 20 by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Signature
My Commission Expires:
JAN 1 2004
Contractor
Plans Examiner
Engineer
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date C ® '7 Job Address g0 6 4/,1* Tax Folio
Legal Description _/, O G Historically Designated: Yes No •
Owner/Lessee / Tenant A L fi2J ,D 6ti v / /t/ / Master Permit #
Owner's Address V O /C A/, 57 . Phonj ?OS ) — y9 U 2
Contracting Co. 1,-./(/(°/9 S 7 i' f O 4f2)5(i P/4/0 Address fa '7 /(/• Z . / 0 2 ,7
Qualifier SS# �) Phone(3O> j` y' y90 9
i i (e?
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
O E4
WORK DESCRIPTION r; 4 T' At 44464 r .e CyVe21:2)
L ° Estimated Cost (value)
-Atinorek-- 172 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
C.C.F.
S
Notary as to Contractor or Owner- Builder Date
My Commission Expires:
ature of Contractor or Owner- Builder Date
NOTARY BOND
APPROVED:
Zoning Building ) i' (417 Electrical
Mechanical Plumbing Engineering
, 1 - 41 (\\
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ORDF R NO 4149
Revised this 19th day of October, 1972, to show Final Survey. F.T. 132, o. 57
Z
NOT
LOT OIMENS SF 1 ON LOCAT (0N
€ •
MAP A PLANT I , 17 6. 6 P. 130;
N. G16.7 ' PLAT
SURVEY of Lots 12 and 13, Block 2, of "GOLDEN GATE PARK ADDITION", according to the
Plat thereof recorded in Plat Book 6 at Page 130 of the Public Records of Dade
County, Florida.
ORDER No. 3654 DATE: February 7th, 1972
F.B. 132, pge. 8 & 9
WE HEREBY CERTIFY: that the attached SKETCH OF SURVEY of the above described
property is true and correct to the best of our knowledge and belief as recently
surveyed and platted under our direction.
LACATI0N MAP
scAL. io
SKETCH OF SURVEY
SCALE: As shown
A.R. TOUSSAINT & ASSOCIATES, INC.
LAND SURVEYORS
620 N.E. 126 Street, North Miami, Florida
Howard C. Gamble
Registered Land Surveyor No. 1683
State of Florida
By •
C • V Pres.