FENCEDate
Type Insp'n
Permit No.
Name
Address 575 t C..
Company
Phone# 8 (40 b �/
3-/)
Inspection Date
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT -�
Bui dir�,g Inspection Request
305- 795 -2204
Re- Insp'n Fee ❑
.1
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address 7S ,kI
City /j / czKvb Sho 6aS - State
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City
Qualifier
State Certificate or Registration No.
Submittal Fee $
Notary $ Training /Education Fee $
Scanning $ Radon $ —�
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue Miami, 33138
Tel: (395)7'9,5 Fax: (305)_75 §.8972
1
Shei la_ L0i7ez
54%
t I6 e v o •, B PPs- 5�ci
Permit No.
_ s = - Mister Permit No.
Electrical Plumbing Mechanical rr Roofing Phone # 305 �� �" �3 /l � ' 757. ida
Structural Plan Review. $
Zip
County Miami -Dade
NO X
Phone #
Phone #
Zip
State Zip
Certificate of Competency No.
Architect /Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 4 I. 000 • ®U Square Footage Of Work:
Type of Work: ❑Addition ]Alteration n �^ ❑New n p � ❑ Repair/Replace II] Demolition
Describe Work: P� plG0Q U' l n LIa I {: r0 l J� uu nd 1 a /�
o �ar 1 1e .
* * * * * * * * * * * * * * * * * * * * * *� * * * *,r* F ees * * * * * * * * * * * * * *. * * *. * * * * * / * * * * **
Permit Fee $ / 6 CCF $ � (4 0 CO O/ /CC
Technology Fee $ 4
0
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. 1 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
COMM ENCEMENT."
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 ven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not . approved • -. a reinspection fee will be charged.
The foregoing in ru
day off��JIIIJ`'1
r or Agent
as ac Towle
Signature
who is personally known to me or who has produced
NOTARY P
Sign:
Print:
My Commission Expires:
** *le **** ********************************* * **** * ********* * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * **
APPLICATION APPROVED BY:
chc 05/13/03
ged before me this
QO
Signature
Contractor
.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. as identification and who did take an oath.
0 Mabel V Cga' OTARY PUBLIC:
Y P �4
� : Commission q:, .2z l ng, Sign:
Expires: ut - , .
. 4 : Bonded f !lru Print:
oc s
Atlantic Bonding Co., I n
My Commission Expires:
************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
>r,
Zoning
q
I
Sheila Lo
dat: c
Located
of ownership provided ( )
Was acknowledged before me this c90 day of
By
Produced
Owner
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE STATEMENT
being the legal property owner, for the property
9 1 L
Legally described as, L i • 22 vI I A 6 -t 24 3/0,k £ l M i Gl p't/1 r 91Orry 5e&i. 2-
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),,nd I have read and understand the following disclosure
Statement, which entitles me td irork 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 525,000.00 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.
initial of reviewing clerk. Tlie foregoing instrument
who is personally known to me or who has
as identific and who did take an oath.
a e1 V irgas
° . Commission 41)D231Q 4
Expires: Jul 13, 2007
•
9 F�� o� Bonded Thru •
At Inn, lc n(I op ('o In
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant,
attached survey, performed by
L iVe;2, (prope owner)
C C6A
t2f ®
performed on is an accurate representation of the existing conditions and
date o ey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this s • er permits..
Further, Affiant sayeth naught.
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me thiso() day of
Affiant is personally known to me, produced
(name of surveyor's company)
, does hereby attest that the
1 YrLarrVMAr eti
as identification.
abet Vargas
mmission #DD23198
Expires: Jul 13, 2007
oc iA`` Bonded Thru
' Atlantic BondingCo., In
5'-O" MAX
Owner's Side
�1f
WOOD FENCES
4" X 4" Wood post
2" X 4" Wood pad 4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
1" X6" or1" XE3"
Wood pickets
Concrete
III III --- - III I 1 11 I I I I
1 - 1 11 - 1 l 1 - I 11
2915 Fences
Wood Posts
2915.1 Wood fences, so located on a property
that by zoning regulations they cannot be used
as a wall of a building, shall be constructed to
meet the following minirnum specifications.
(a) Fences not exceeding 5 feet in
height shall be constructed to meet
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts spaced 5 fee' -0 inches on
centers, having a fiber stress of
1200 p.s.i. in bending, and shall be
embedded 2 feet -0 inches into a
concrete footing 1 fcot -0 inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply with the
provisioqs of this Chapter and
Chapter 23.
(b) Fences not exceeding 5 feet and 4
feet in height respectively shall be
constructed as provided in
paragraph 2915.1 (a) herein,
except that the spacing of posts
may be increased to 5 feet -0
inches and 6 feet -0 inches on
centers for these heights.
901E1ISIONS INC.
Land Surveying Services
EI . N aslant; MAW, PL 33138
d0® Net 0212428 . _ .
stein orb JarAfg.
P ro 1/2'
emmemOlOmei
L D$IPT1Mda MAR SHORES
LaY, 22,w to Or n DAR; Sd 8USDIVI8WW:__BEGnoN No. 2
6tA4
ordge t0 DtIa 37 OP:...6igAMWADE COWgTI, MOP"
18' Asphalt MLET
MOO' 4' . RND.l.P.1?
(NO 02)
18.00'
ONE IVORY
RESIDENCE
ST5 C98
21.90'
tt
12.60'
J
20ASp
5 STREET
TNIEPROPE rfT8 .lIIA4Ia ON ANNI A06 cosoYulg LAT mix
MONETTOIS NOTES;
1) The awn CFTII PRIa/ERT 11 MOWN A M AGCORMNCE ram THE
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SPIN INDS '_,':.. MEW ADSTTIACf®PoRfA9aleMeoRCTNOR
1 imam ON TWE PIAt Mlo THE WE If ANY MAY
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ARE TO TM CDtRR WC arm we_
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a no P OMY,NOTTO65 LIOED FOR
OCNOTRUO'110N PURPOODO.
mite A .. comm:120212 JANE(: 1 8 BUFPIX J DATEZI?' ranee, IA
110TH ALL I ODUTIO H OIP AIE MUD TO TIM Mt KAM OF
ON tut =not LMO7_ MIOPPIRTY
EAVOIENTIRDLATIONOT QYU CI ND
WARM VOW esesugeens, nye O➢
OFFICE:
y 3 ysm WF.RT 24711 AVENUE
HIALEAH. FLORIDA 33016
PHONE: (305) 512-422S
FAR: toe) stm9ta
LOT 22 ; W 25' LOT73
i 0
CFRTINED ID:
SNELIA LOPEZ
ABM AMR" MORTGAGE GROUP INC, ITS SUCCESSORS
AN /OR ASS
KJYTTTLR 6a
FIRST AMERICAN Y,rE MURANCECOMPANY,
AAarleva'NON&
eW1I 8106.48. CBS. Canada Nod Nrwivrt OLP• Clem Ldd caw.
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na A Softer Pee. Pe. p�p�q R t• DOW ae
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Eaaad+md. SONG Sow. arb, RAM■ n e( Wel. Des Ondmd 8 E
C.t OO( f L , 0. Clam*, TYPe AV Mowed, R.
DIm.,
ENCR•enmoeeMOA, �era Aep1.I,wDeNI4
Sa 8d, PPE. ANbhibaElertAon,dB• O( PIP P� P,
OMP. Ovahee h...IMr, WAhrw Wake Mew
.
111 .? .. Olr... ?.
1111= WW1 pp w.AT THE ATT�{I�ETO OA 0041 AMY OFTHE
AIi It�A1N r sod a0SE YINNV%1
T6C,dG�t6n3Fa gga
nefl y Ra � � AOCI tylv all
JOSE Le $ANPJEL
RCUIBTEAEO LAND SURVEYCR
STATE OF FLORMA
i
Applicant: GUSTAVO & SHEILA
Owner: LOPEZ
JOB ADDRESS: 575 NE 95
Contractor
Local Phone:
Parcel # 1132060140760
Ai r r pit
ST
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2OO5 56
Printed: 4/29/2005
LOPEZ
GUSTAVO & SHEILA
Contractor's Address:
Legal Description: MIAMI SHORES SEC 2 PB 10 - 37 LOT 22 & W1/2 OF 23 BLK 54 LOT SIZE 75.000
Fees: Description Amount
FEE2005 -5325 Building Fee $100.00
FEE2005 -5326 CCF $0.60
FEE2005 -5327 Training and Education Fee $0.20
FEE2005 -5328 Technology Fee $2.50
FEE2005 -5329 Scanning Fee $6.00
FEE2005 -5330 Notary Fee $5.00
Total Fees: $114.30
Total Fees: $114.30
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 10/17/2005 Construction Value: $1,000.00
Work: REPLACE FENCE FROM CHAIN LINK TO A WOOD
Signed: (INSPECTOR)
Page 1 of 1
'2
/947,
5 '71.
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:
r
Mrs. Cornelia Lismann, 575 11' 95th Street, Liami Shores, ilorida.
Fence for rear enclosure only. Link vrire fence galvanized.
r ft. high - 2 inch mesh, ITo. 9 gaage. To be erected by day labor.
20' double gate for driveway into alley; 2 walk gates 3?;' nido; intermediate
posts 1 5/8r'; top rail 1 3/8° s „I. , 6 Lou;
4