DRIVEWAYApplication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the
State of Florida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
Owner's Name and Address sA/ -16)67- C • 7 7 / 11 4/ 1-,923
Registered Architect and/or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot 7 Block ✓ Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
/0 Go a ,pR(f/E y
and for no other purpose.
New Building
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Data / 1 1/1 - RCI T 8 19 9 0
No. /G 6 Street NE 9S 7fi -C7
M (4M 1 S71 oREs ey// 1/ foe / 3 fJ1
Remodeling Addition ✓ Repairs No of Stories
To be constructed of CO/)C-7z E 7 E Kind of foundation Ro f Covering
Estimated Total cost of improvements $ $ 6 DOD •OD Amount of Permit $ ,7
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's
Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof. and will require similar
compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection
on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontract on work to be performed
under this permit. as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
to me well known.
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoin application, and that he did sign the same. and that all facts therein by him stated are true.
Permit No.
I
Da
GG
Date
Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved 1 ate Disapproved Date
NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
Notary Public. State of Florida
I •
)00.0n
5•
PANRIk\i‘toVi
G
PLOT ,PLAN
SCALE:1" 25
N E. 95m- ST
*
•
MIAMI SHORES VILLAGE
i4 J,3UILDING DEPARTMENT
305- 795 -2204
Buil•ing Inspection Request
Type Insp'n
Permit No. PQ C J _
rflc V
Address 1 (00 Ng— q 5 s)—
Company v pro
Name
Phone #
Date
Inspection Date
Correction
Re- Insp'n Fee
Z41
0
r,
• s '
BUILDING
PERMIT APPLIC
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical
Owner's Name (Fee Simple Titleho • -r, yNA.K.J 70.'' 0 Phone #
9S ST
City \yv,o, rwt S kmy\SLN State FL Zip
Owner's Address 16 0 1J =
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name TA-.I PP.O Phone #
Contractor's Address 3 ( ( *'3 C I,
City PAA4_A 1 State tz— Zip "3 1 i '7
Qualifier 12.-4-0 U 1 . SUN !Jc Z
State Certificate or Registration No. Certificate of Competency No. e i i5 co �T o
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 7'' 1 J 0 60. b0
Type of Work: EAddition ❑Alteration New ❑ Repair/Replace ❑ Demolition
Describe Work: I E,-mcNe' ER�S`1 -C^� •tJ�I V fN D
Submittal Fee $
Notary $ ��•
Scanning $
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Radon , S
/(a )
- 119. 10
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
TION
Permit Fee $
Training/Education Fee $
3
Structural Plan Review. $
Permit No. 5PO5 -0
Master Permit No.
Phone #
Square Footage Of Work:
Zoning
Roofing
1 - 93‘-t1
>• .
* * * **** **************F
* * * * * * * * * * * * * * * * ** Fees* ** * *,, *** * * * * * * * * * * * * * * * * * * * ** 6eic 82pict
SC %L K !
CCF $ 4 1, 00 CO /CC 469
Technology Fee $ 7So
Bond $ '?e)e)
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.
Signature .,4,r .44 3
Owner or Agent
The foregoing instrument was acknowle ged before me this 0.4
day of /97€1, , 20 Ot; , by e c�L,
v
who is personally known to me or who has produced j,YA " j,3Zb who is personally known to me or who has produced
The foregoing instrument was acknowledged before me this
day of ,20 ,b y ,/ jl�, / /Q/y
NOTARY PUB
Sign:
Print:
My Commission
****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
cation and who did take an oath. as identifica
12, 2 - A " , on jb t 1
itTo My Commission Exp ° � BXpi 22,
* * togswev; 8ase.********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** vt4 * *Marv* .
NOTARY PUBLIC:
Sign:
Print:
o did take an oath.
* * * * * **
Co., Inc.
***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
IM -°9
Plans Examiner
Engineer
Ca' . ,i ! ,- . GI Zoning
•
N "
ve
160 N.L
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mire
Tata. t.
. oci PRO f � fa. . 8
Not v;lld un(us,t embossed
wltb Surveyut's Si ca.
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f i /fir •
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L.0T' 7'
lay
i '1n •
95th St
A ii0tiNDARY }. .'SUavEy
I e rQt' rn rtfy that the survey 1Rmt•
tenl?d hereon marts the minimum
rechn) cal standards set 10'01 by the
Boyd of Land Surve pursuant to
')v-r ;' Un 471 2/ F erinates. p he are
3r
.;gericto • 1100 01000 ,I, •hfa 'or` rho-
j•,n ttot0
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fi L / A bi{0ya elrpt NV.
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panoad
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t_ i 1: i , .?(.3 To :
^' and M Title
Servic;, inc.
Commollw(�a i t h
Land Title
Insurance
Cc;mpan•y and.
rc.; Le tor. t.yag
Corporation,
i t.s successor
01 oI. ,. 5.I(31If3. .
ami Shores , I' lc %r.l `(.a •
. NNES and GARCIA. INC.
1 FRS - LAND SURVEYORS - L.AN[) PLANNERS
r , at i t 1; ess- 4080 S.W. 84th Avenue, Miami, Florida 33155
,01dre« P.O. Brix 561131. N4iamt. f•ipridd 13156
Contractor PAVERPRO
Local Phone: 305 - 220 -1531
Parcel # 1132060132830
Signed: (INSPECTOR)
Building Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -643
Printed: 5/25/2005
Applicant: SAMUEL TAMAYO
Owner: TAMAYO SAMUEL
JOB ADDRESS: 160 NE 95 ST
Contractor's Address: 3431 SW 143 PL
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 6 & 7 BLK 21 LOT SIZE 100.000
Fees: Description Amount
FEE2005 -6658 Building Fee $300.00
FEE2005 -6659 CCF $4.20
FEE2005 -6660 Training and Education Fee $1.40
FEE2005 -6661 Technology Fee $7.50
FEE2005 -6662 Scanning Fee $6.00
FEE2005 -6663 Builders Bond $300.00
FEE2005 -6664 Code Enforcement Fine $100.00
Total Fees: $719.10
Total Fees: $719.10
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 10/29/2005 Construction Value: $7,000.00
Work: REMOVE EXISTING DRIVEWAY AND INSTALL BRICK PAVER
0 8 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: