FENCEJob Address (where the work is being done)
7 c-/ o
Contractor's Company Name
Contractor's Address
State Certificate or Registration No.
$ Value of Work For this Permit
Type of Work: ❑Addition
Describe Work: C / /c.)
Submittal Fee $
Notary $
Scanning $
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
io ko
moo
lahl
pdal B olo)
6a-1, rt (717
i rivyki
i1 44-rt4 ES State 1Z
Tenant/Lessee Name
Is Building Historically Designated YES NO
/1— 3ao5 o a -Co a
Wahah reef) t c�
/0`70 ALE
Zip
Phone #
City Miami Shores Village County Miami -Dad Zip
Phone #
City A /4 12 State Zip
Qualifier : ' E G _ 75a --
Architect/Engineer's Name (if applicable) Phone #
/0 — '
Training/Education Fee $ r a 0
Radon $ Zoning
Structural Plan Review. $
qs
1,0/U1'c (2&/ 7/? 7 1
Vp 34 -DUD
0. epaoDV- (537
1o.
46 nical Roofing
0 5) 7sk - osR/
O/J
soy) 29 - X7 /5
Certificate of Comp-tency No. a C 0 3 6 7 DO 9q5
Square Footage Of Work: 79
teration ❑New ❑ Repair/Replace ❑ Demolition
14 k_ *F ' /14r. t *t66cT-
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $
CCF $ 46 0 CO /CC
Technology Fee $ Z5
Bond $
60/1 1
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.
The for oing instrument w s ac
day of
who is person . known to me o`ro I produced
As identification and who did take an oath.
,,,, G H 1 PUBL
✓„ � ` •� Co �� iss�on J #DD32387
Sign: /..?f� / s: May
Print: � ��= ij�!�rF` , BondedT h 6 200 Pr
My Commission Expires:
NOTARY
************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
Owner or Agent
wledged before me this
Signaturet
Contractor
The foregoing instrument was acknowledged before me thuscP5
day of
who
as identification and who did take an oath.
• g Co., Inc.
sal,the /��j
io has produced
My Commission Expires:
ai 3 0 2004
P ' , Ginny H. Gonell
`f "_ Commission #DD323870
008
Bonded Thru
1 Inc.
SY
******************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * a *lo ** * * * * **
*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
0
co
ASPH =
C.L =
CONC =
FD =
IP =
LB =
OVHD =
LS =
WM =
81.16'
in
r7
7
LEGEND:
6
5
r 5' EASEMEN
ASPHALT
CHAIN LINK (FENCE)
CONCRETE
FOUND
IRON PIPE
LAND SURVEYOR BUSINESS
OVERHEAD
PROPERTY LINE
REGISTERED LAND SURVEYOR No.
WATER METER
GI 12 , `1 1-L4c. G/3'f eS
N.E. 95th
4
9 10
75.0'
N.E. 94th
SKETCH OF SURVEY
A. R. TOUSSAINT & ASSOCIATES, INC.
LAND SURVEYORS
FLORIDA CERTIFICATE OF AUTHORIZATION NO. LB -273
620 N.E. 126 ST. NORTH MIAMI, FLORIDA 33161
ORDER No. 13615 DATE: NOV. 4, 2004
F8: 506 PG. 31 SCALE: 1" = 20'
LOCATION MAP
SCALE: 1"= 100'
STREET
11
75.0'
STREET
81.16'
2.50 =—f �--
� I
---2 .50
2 '
_
N
f
12
184.61'
134.16'
in
ALBERT R. TOUSSAINT
REGISTERED ENGINEER NO. 8939
REGI3TEr2ED LAND SURVEYOR NO. 907
STATE CF FLORIDA
3 0 '
izLy
� I
3
LEGAL DESCRIPTION:
SURVEY OF LOT 3, "KIRBY'S ADDITION TO MIAMI SHORES ".
ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT
PLAT BOOK 41 AT PAGE 44 OF THE PUBLIC RECORDS
OF DADE COUNTY, FLORIDA.
SURVEYOR'S CERTIFICATION:
WE HEREBY CERTIFY THAT THIS SURVEY IS TRUE AND CORRECT
TO THE BEST OF OUR KNOWLEDGE AND BELIEF AS RECENTLY
SURVEYED AND PLATTED UNDER OUR DIRECTION AND THAT THIS
SURVEY COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS
FOR LAND SURVEYING IN THE STATE OF FLORIDA, UNDER
CHAPTER 61G17 -6 FLORIDA ADMINISTRATIVE CODE, CHAPTER
472.07 FLORIDA STATUTES.
NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF
THE REGISTERED LAND SURVEYOR SHOWN HEREON.
A.R. TOUSSAINT & ASSOCIATES, INC.
PRES.
r
FD.
I.P.
l0
1■1
1NT E
- op
tri
CN
(LL T ,
0.00' WA
Ezz4
--10.
w •
Z ) ...•-10.15 . — 5 °'
CONC.
STEPS•
z
LJ
0.60' 3
CL W M .
FEN
3ArdEol
r-t9tAo t‘ ov -oDaD
95t
asp
DRIVEWAY
'•••• • • . . • •
ELEC.
METER
81.16'
Lo
• (..)
STREE
W. M.
4 C.L. FENCE
WD. FENCE
SET I.P.
CAP
10
in IS
I rj I
(
fki
1/G
4' C.L.
FENCE
—0.20' CL
I D. NAIL
CCINC.FOOTER
TUB IN
1A) A)
/WNW 5 titt - 5 - 3i3q
° 0 5 (
ViL1460
APPEDV:D BY
DATE
1
-..............._-_1
1
\ ----
1
1 0 3 0 irk
,...1,-1.k.,...Tle. -:/.. ''. faal.....,..1.11,...•/IVVUTM..,.....e.er.■•■••—.1.
SUJECT • '0 COMi'ILV:C.,E vli 1.LL tE*2:Et;:.L.
STATE P.Vd) COLVI'il RULES AND REGUA i Ili .. '3
(3P oct( 1537
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING 1 ZONING DEPARTMENT
SECTION
BY
DATE
ZONING'
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to coacpllance with aft Federal Slat
County, Village rules and regulations. Village assucn
no responsibility for accuracy otlor results fro
these plans.
2. This copy of plans must be available c
building alte or no Inspection will be conducte
CRITIQUE SHEET
JOB ADDRESS / ! c /
APPLICANT
PHONE #1': ,,r�rr ,,
APPUCATION V�a l 4 ` r
� Ak I
SHEET OF
MISCELLANEOUS
DATE ZONING • COMMENTS
itif/CY 5 - 1 ° I (E 5-- r
O r r/4 r (
C'�
Lj
1
� 1
INITIALS
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/1/2004
Applicant: JANENE
Owner: CHURCH
JOB ADDRESS: 1070 NE 95
Contractor GUARANTEED FENCE CORP.
Local Phone:
Parcel # 1132050120030
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2004 -1537
CHURCH
JANENE
ST
Contractor's Address:
Legal Description: KIRBYS ADD TO MIAMI SHORES
Permit Status: APPROVED Permit Expiration: 5/22/2005 Construction Value: $800.00
Work: CHAIN LINK FENCE
BY:
Page 1 of 1
PB 41-44 LOT 3 LOT SIZE 81.100 X
Fees:
FEE2004 -12027
FEE2004 -12028
FEE2004 -12029
FEE2004 -12030
FEE2004 -12031
FEE2004 -12032
FEE2004 -12033
Description
Building Fee
CCF
Notary Fee
Scanning Fee
Training and Education Fee
Submittal Fee
Technology Fee
Total Fees:
Amount
$100.00
$0.60
$5.00
$6.00
$0.20
($50.00)
$2.50
$64.30
Total Fees: $64.30
Total Receipts: $0.00
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.
Type Insp
Name ea
Address (0 70 NE cis S
Company
Phone #
Inspection Date
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Budding Inspection Request