1050 NE 96 St (8)MIAMI SHORES„VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bu ding Inspection Request
Date
Insp'd� +1 rw Fer)lJ"Q
Permit No.
Name 0.0 mp
Address )05 0 NF, 9 G 54-
Company NOW C O[ 3 (JC 1
Phone # ,
Inspection Date
Approved
Correction
Re- Insp'n Fee
7
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): .Ruilding Electrical Plumbing Mechanical Roofing
�
Owner's Name (Fee Simple Titleholder) ��G1t-� 4 i4 C4," r 1 P Phone # 313( .� g- i' - J /' 1 ) ti
Owner's Address ( ( I.r) 5 1 (p •
City 914 gOtOJi —=e State Pl.
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 1 J 13 '1 (6 k
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name
Contrac is Address 1,.‘
City IT0 kiVeht
Qualifier ) 34 CAW
Submittal Fee $
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of W rk: ® Additi i n -UAlteration ❑New
Describe Work: S I4
O Afrt c_
Training/Education Fee $
County Miami -Dade
NO
QC.O 15 0-41.1) uf'tzo `a�► -c�
State f` Zip 33Qksv
rt
* * * * * * * * * * * * * ** *F *m ** * ** * **
NSn- osaou pa tcQ
Permit No. P,04. e • 1 -
Master Permit No.
Zip
Zip
(14't -
//�� Q
Phone # 'Z (Y 94-1.
Square Footage Of Work: .1
❑ R /// epair/Repla
$
* ** * * * * ** *
CO /CC
❑ Demolition
Notary $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Technology Fee $
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: 1 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 rnust 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 Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 , by , day of , 20 , by
who is personally known to me or who has produced 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.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
Plans Examiner
Engineer
Zoning
I
County Escrow Fee
Education/Training Fee $
$ Value of Work For this Permit
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
r _ ; Tel: (305) 795.2204
Fax: (305) 756.8972
i , : ri_ t m C I ri BUILDING �nn� Permit No.` 0' 3 0 \
PERMIT APPLICATION t\ S ri Master Permit No. I
FBC 2001
Permit Type (circle): Buildin Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) .4) ffl■J 4 . CA' in Y" Phone # &1 J' -s1 18
Owner's Address aro kit.- (9/ 3'r
City N 14144 1 6 t State rL . Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) iO,63 iJ 1 9 W Si -
Cit Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO L.---
Contractor's Company Name 4QV GPa(/144 L/f t 1 i ��G Phone # 9 1 . q 4/ -Aga
Contr ctor's Address � 1 6 • G' + �'i'
City 4 'Pvt) P ia ,-A/At State ' Zip r Q 6'1/
Qualifier AV) M 4 V ,1
Architect/Engineer's Name (if applicable) - Phone #
Architect/Engineer's Address
City State Zip
Code Enforcement $ �' Bond $
Minus Plans Check Fee $ 5O — ' 4 Total Fee Now Due $
Zip
Square Footage Of Work: '2.47 LF
Number of: Bays Stories Families Bedrooms
Type of Work: ❑Addition ['Alteration ❑New 12 Repair/Replace
Describe Work: d I6N EA)/3,40
* * * * * * * * ** * * * * * * * * * * * * * * * * ** F ees , * * * * * * * * * * * * * ** * * * * * * * * * * * * **
Permit Fee $ - ICJ Notary $
Tech $ Scanning $ 3 Radon $
truct9
Baths
❑ Demolition
(Continued on opposite side)
.
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a r fee will be charged.
Signature
chc7nro3
NOTARY PUBL
Sign:
Print:
APPLICATION APPROVED BY:
Owner or Agent
The foregoing instrument was acknowledged before me this
day of 4J rig. , 20 t' , by 4$)V C
who is personally known to me or who has produced
As identification and who did take an oath.
Joel Broder
Cb m m i ssion #uw us00
• ' E xp i res: Feb 21 2008
Bonded Thr
My Commission Expires: 4111 Mantic tic Bonding Co., Ina
/�
/ (Certificate of Competency Holder)
State Certificate or Registration No. et, 0 05 356 O Certificate of Competency No.
*************! h;****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** I� ********************* * * * ** * * * * * * * * * * * * * * * * * * * * * * * * **
(O c % v
Signature
Contractor
The foregoing instrument was acknowledged before me this..
day of 16 , 200 y , by 41 161/ ar)
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
.��tnY� �. Joel Broder
` ,,,�� = Commission #DD280300
b 6LC/' ='a: •'' Expires: F , 2008
Bonded eb Thru
Atlantic Bonding 2 Co., Ina
Sign:
Print:
My Commission Expires:
JUN 1 6 2004
Plans Examiner
Engineer
Zoning
'STATE OF FLORIDA)
COUNTY OF DADE) nn
The undersigned Affiant, 44 li
(property owner)
attached survey, performed by
(name of surveyor's company)
performed on , is an accurate representation of the existing conditions and
(date of 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 a$; applicable to this or other permits..
Further, Affiant sayeth naught.
Witness(sign and print)
LI day of iv YC
o 3roder 2
Affiant is personally lmown to me, produced ��4�'''•l' $ n n # DD 2 8entification.
Cotam
Expir e s: F 21,
,, • antic Bo ndtn8
SWORN TO AND SUBSCRIBED before me this
N
does hereby attest that the
A i' • t/Property o ewh r
6.-et 04 WeJ
Witness(sign and print)
5'-O" MAX
2' -O"
Owner's Side
71I
r I'-O"
2 X 4" Wood pail
4 ' X 4" Wood post
I" X6" or I" X6"
Wand pickets
Concrete
WOOD FENCES
Concurred
2915 Fences
Wood Posts
4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
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
provisiogs 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.
05/19/2004 14:13 305 530 0053
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CARLTON FIELDS/MIAMI
SKETCH OF SURVEY
SCALE: P' a!,)
51
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7 1'
• '! r
Zonin._;
Approved
5' w
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/17/2004 Page 1 of 1
Applicant: JOHN CAMP
Owner: CAMP JOHN
JOB ADDRESS: 1050 NE 96 ST
Contractor NOW CONSTRUCTION SERVICES Contractor's Address: 2334 S. E. 14 ST.
Local Phone: 954 942 - 2988
Parcel # 1132060143520
Building Permit
Permit Number: BP2004 -812
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 9 & ALL LOT 10 BLK 81
Fees: Description Amount
FEE2004 -6242 Building Fee $240.00
FEE2004 -6243 CCF $1.80
FEE2004 -6244 Trainin and Friar ucation Fee $0.60
FEE2004 -6245 Technology Fee $6.00
FEE2004 -6246 Scanning Fee $3.00
Total Fees: $251.40
Permit Status: APPROVED Permit Expiration: 12/7/2004 Construction Value: $2,400.00
Work: INSTALL WOOD FENCE 5'
Signed: (INSPECTOR)
Total Fees: $2 0 4 0
Total Receipts
°
,
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:
s)(■