The URL can be used to link to this page

EL-06-67Jpervv. w BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) bI41> Owner's Address 8149 U E. 11,_ ' Cit Pi QmI SIP State Tenant/Lessee Name Job Address (where the work is being done) $ Value of Work For this Permit Code Enforcement $ Total Fee Now Due $ J / 1 W (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: r F15}�RS 220_4 56.8972 t � ' r ' R Is Building Historically Designated YES NO Architect/Engineer's Name (if applicable) Phone # )16ic E 5cr Permit No. EL �4 J aster Permit No. 3? Z 1C - 1212_ State Certificate or Registration No. — lSiltl1 LD' i (p Certificate of Competency No. Structural Plan Review. $ Plumbing Mechanical G Roofing R1 Phone # 3 Qs� 3 10-' 11 e( k Zip Phone # City Miami Shores Village County Miami -Dade Zip Contractor's Company Name VO $' , 'Z '4L_ Phone # Contractor's Address 3i I S Ulu tliodk 'aT City 1 AVM ets .S State Qualifier 4.,a.I4 ib, `attoup fa4 Zip 4c�p - SS . 1 Square Footage Of Work: Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replace -� �•,�, ` ❑ Demolition —! _'_ Describe Work: '_ • J��- •V1[,•� Q.� C„izb R,(k-TZ.,,c 1 bb AND . ****************************F *** * * * * ** * * * * * * ** ** * ** F * *, * ** * * * * * * * * * * **** * ** * * * * * ** Submittal Fee $ Permit Fee $ /" ' li'' CCF $ C • EC CO /CC Notary $ - Training/Education Fee $ CD. zO Technology Fee $ 2 Scanning $ 3 (3D Radon $ Zoning 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 w - 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 Contractor The foregoing instrument was acknowledged before me this c=1? c=1? The foregoing instrument was acknowledged me this q' day ot.)4 l , 20C Eby h�/I. S LU A./4. Z._ day of JA'LI , 20 cl who is personally known to me or who has produced who is personally known to me or who has produced l b As identification and who did take an oath. NOTARY Sign: Print: My Co * * * * ** **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Chc 05/13/03 P : IC: 1 1VOTgR ' i len _ „t .frazir rr en ll ar " r * * * * * * * * * * * * * ** APPLICATION APPROVED BY? ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** I NOTARY PUBL Sign: Print My Co as identification and who did take an oath. "o 'ARY FIJBLIC rotor l rapt :a•n•m ssion Expires: OF FLORIDA ernande ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** / 2 1L 0 Plans Examiner Engineer Zoning Inspection Date: 01/18/2006 Inspector: Devaney, Michael Owner: BARAK, BARRY AND HELEN Job Address: 899 92 Street NE Project: <NONE> Tuesday, January 17, 2006 Miami Shores Village, FL Contractor: SANDERS ELECTRIC INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)7,6 -8972 Block: Phone Number Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Temp for Construction Parcel Number 1132060050020 Lot: Phone: 305 -624 -1003 Page 2 of 2 Passed Inspector Comments g 7 0 l �� , z2'7' j ai ‘ .0d / r r e1 a /dNt''T 9PAvtc ( h✓ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 01/18/2006 Inspector: Devaney, Michael Owner: BARAK, BARRY AND HELEN Job Address: 899 92 Street NE Project: <NONE> Tuesday, January 17, 2006 Miami Shores Village, FL Contractor: SANDERS ELECTRIC INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)7,6 -8972 Block: Phone Number Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Temp for Construction Parcel Number 1132060050020 Lot: Phone: 305 -624 -1003 Page 2 of 2