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FENCELector e Inspection Date: 06/19/2006 Inspector: Grande, Claudio Owner: SCHNEIDER, PHILLIP Job Address: 989 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Friday, June 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wire Fence Parcel Number 1132060143140 Lot: Page 1 of 2 Passed ` , . Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Lector e Inspection Date: 06/19/2006 Inspector: Grande, Claudio Owner: SCHNEIDER, PHILLIP Job Address: 989 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Friday, June 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wire Fence Parcel Number 1132060143140 Lot: Page 1 of 2 Notary $ BUILDING PERMIT APPLICATION FBC 2001 C Tenant/Lessee Name Submittal Fee $ "-SO • C Permit Fee $ Total Fee Now Due (Continued on opposite side) Training/Education Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue Miam }. es, Florida 33138 :00 756.8972 Electrical�,I�_ cc to Y. ®eg Plumbing o Mechanical Roofing � Phone # 305 — 7' W Permit Type (circle). Owner's Name (Fee Simple Titleholder) Own is Address � g q ) L G5 City loom\ ,)110005 State '1. Zip 3 3 13 d p Job Address (where the work is being done) 1.g q NE- E- q 5 *N 5kc e- I City Miami Shores Village County Miami -Dade Zip 3 3 1 3? Is Building Historically Designated YES NO X Contractor's Company Name • Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 4 100 S quare Footage Of Work: Type of Work: ❑Addition EAlteration New ❑ Repair/Replace ❑ Demolition Describe Work: � h sfialli n Ql ( St t ' co dN K� CJ � � 1"4 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * *m * * * * * * * * * * * * * ** * * ** CCF $ CO /CC 5 SO Permit No. X75 - 1 (0O6 Master Permit No. Phone # Scanniq 6.00 Radon $ Zoning Bond $ Code Enfol� cement Structural Plan Review. tj o5- I�� Technology Fee $ 5.5 U 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 � 111111P farm , ter Owner sr Agent Contractor The foregoing instrument was acknowledged before me this I7 The foregoing instrument was acknowledged before me this day of tO , 20 C6, by /CO/C rb& 7 , day of , 20 _, by who is personally known to me or o has ed fL A- 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. NOT ''Y „ ** c. 1 * IOTOU ' Notary Public, StateO1 roticta My comm. expires March 29, 2009 No. DD 412467 Sign: Print: .7 ) vl W My Commissi\ Expires 3 * * * * * * * * * * * * * * * * * * * * * * * ** *** * * * * * * ** * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 Signature NOTARY PUBLIC: Sign: Print: My Commission Expires: ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning OWNER BUILDER DISCLOSURE STATEMENT S c,i - vviour being the legal property owner, for the property Located at: "l g q E vt S S . N\i Ctv'A t , f\CWS 3 3 ‘16 ""lt >h Sec :3;)"5N 1_04- �� c - Legally described as 11- 3 a 0 - D t-k - 3 \ k 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),,Ind I have read and understand the following disclosure Statement, which entitles me to work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. 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. Proof of ownership provided ( ) Was acknowledged before me this \\'? C-t xh W t �e- r wIfo is personally known to me or who has Produced �2 h VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT DISCLOSURE STATEMENT initial of reviewing clerk. The foregoing instrument * t day of ). -, 20 D S as identification and who did take an oath. HAMID RAMZAN Notary Public, State of Florida My comm. expires May No. DD 430192 tk Pl./Rik) - ASPI ; 2.0N / 10' ASPHALT PAW:MD..1' 2 90='00-!•00 00;700' 4 ' I 4 . 1.0 4' 3. . -=-- ' WALK PPE' TrIS LJ 0 1 1 .5' 1 1 8. 10T 26 BLOCK 76 • , . • ti ' • •• OeEN • Oi ., [XI • • 24.4' ALLEY Mal - OF - wAY 25.8' ONC STORY PCSIDCNCE 24' PARK Y • 7 • s.eqop oo W ..74 69' R(13111 (Y. WAY 20' ASPHALT PAVEMENT o 40 (30 C 7 0 ct5 1 6.9 NE .95th STREET Ou•i/.0. 2 'S - SMAL t .2 0 SP& C . k 9' Lee- W ,O.Q'wfi SN&C a LOT 27 BLOCK 76 'Li - rs . 11 PC • N. 90'00'00 - C. 'ti vi Lt. PT • /7- / NO ID 1 / Lc, CURVE TABLE 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, attached survey, performed by performed on j 0 i 0 survey) 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 or other permits.. Further, Affiant sayeth naught. Affiant is VAAL � � � r k. Moen, Wi ess(sign and print) personally known to me, rcole (property owr Al- Icitn (name o f • NAIAD RAMZAN Notary Public. State of Florida My comm. No. DD 430192 (.90 5 ) I) urveyor's company) roduced , does hereby attest that the is an accurate representation of the existing conditions and SWORN TO AND SUBSCRIBED before me this day da of 0 ve `' -- as identification. se os- tbob Issue Date: 12/1/2005 Owner's Name: PHILLIP SCHNEIDER Permit Type: Fence/Wall Work Classification: Wire Fence Job Address: 989 95 Street NE Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/01/2006 Contractor(s) Phone Primary Contractor Type of Construction: Other Additional Info: IRON FENCE 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: 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Permit Fee - Wire & Wood Scanning Fee Submittal Fee Technology Fee Total: Amount $2.40 $0.80 $225.00 $3.00 ($50.00) $2.50 $183.70 Building Department File Copy Applicant Signature Invoice Number Amt Due FW - 12 - 0 - 1134 $183.70 Total: , LJED 15 PAID Permit Status: APPROVED Permit Number: FW -12 -05 -1057 Phone: Parcel #: 1132060143140 Block: Lot: Section: PB: Total Square Feet: 225 Total Valuation: $ 4,000.00 Required Inspections Final Foundation Amt Paid $50.00 $50.00 ( - 10 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.