EL-09-1602Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
87 92 Street
Miami Shores, FL 33138-
1132060130290
Block: Lot:
KEVIN & SARAH BYNDLOSS
Owner Information
KEVIN & SARAH BYNDLOSS
87 92 Street
MIAMI SHORES FL 33138 -2811
Valuation:
Total Sq Feet:
$ 1,000.00
0
Contractor(s) Phone CeII Phone
F&F CONSTRUCTION SERVICES INC (954)454-1948 (305)525 -1427
Type of Work: Service Drop
Additional Info:
Classification: Residential
Fees Due
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Submittal Fee
Submittal Reversal Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$160.00
$3.00
$50.00
($50.00)
$4.00
$167.80
Address
Building Department Copy
Authorized Signature: Owner / Applicant / Contractor / Agent
Phone
Invoice # Total Amt Paid Amt Due
EL -9-09 -36000 $ 167.80 $ 50.00
EL -9-09 -36000 $ 167.80 $ 167.80 $ 0.00
Cell
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: 1 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. Futhermore, I authorize the above -named contractor to do the work stated.
October 07, 2009
Date
October 07, 2009 1
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder)
Owner's Address
City State Zip
Tenant/Lessee Name
Email
Job Address (where the work is being done)
Nal
z
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name A V vb f L p one 3 j 4 # � "' �� 4z77 Contractor's Address 2 ✓ ( / 6 2
r �. l a
City 0 / 1 4 C & ili// State Zip 331P - 1 _ Q
Qualifier Name AV moA/y [�(/ Pa 7 Phone # 3 �a 1 s ` ` 7/
State Certificate or Registration No. (C e,.:C 3 00 la 9 Certificate of Competency No.
Contact Phone E -mail
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ /648D
Type of Work: , t �on
T
yp ['Addition ['Alteration
Describe Work: 1N , LA—) ( 1'\
iru
Submittal Fee $__Se, Permit Fee $ /■• CCF $ 6 (.Q 0
Notary $
Scanning $ 6
Double Fee $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No. EL 0 7 1e1 0 • 2 -
Master Permit No. `wG9
Training/Educatji
Radon $
Square / Linear Footage Of Work:
ENew Repair/Replace ['Demolition
?r. 't-w.
t ncco-tov, F
Fee $ 2 U
DPBR $
S Phone# 3 o4- +35— 7 4.
Phone #
IP. L.
CO /CC $
Violation date:
Structural Review. $ Total Fee Now Due $ 1 I ' S O
Technology Fee $
Bond $
See Reverse side =-->
Bonding Company's Name (if applicable) -VCC
Bonding Company's Address ►,�, t. t t '/
City State
AN
Sy'
i l Q
oD
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
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 Alit 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 WITII 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 re- inspection fee will be charged.
Signature
Owner or Agent
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:
My Commission Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
Engineer
Contr
The foregoing instrument was acknowledged before me thisZ
day of , 20 D by
who is personally known to me or who has produced
as identification and who did take an oath.
My Commission Expires:
F e 1.uRA FAR; FY
* MY COMMISSION 6 DD 646761
EXPIRES: March 16, 2011
BadedTtua Budget Nobly Services
"Plans Examiner Zoning
Clerk checked