BP-05-787Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/13/2005
Applicant: GLENDA ISAIAS
Owner: ISAIAS GLENDA
JOB ADDRESS: 250 NE 97 ST
Contractor
Local Phone:
Parcel # 1132060134010
Signed:
(INSPECTOR)
Building Permit
Permit Number: BP2005 -787
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 11/23/2005 Construction Value: $590.00
Work: WOODEN DECK IN THE BACKYARD
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 6 BLK 30 LOT SIZE 50.000 X
Fees: Description Amount
FEE2005 -9540 Building Fee $125.00
FEE2005 -9541 CCF $0.60
FEE2005 -9542 Notary Fee $5.00
FEE2005 -9543 Training and Education Fee $0.20
FEE2005 -9544 Technology Fee $3.20
FEE2005 -9545 Scanning Fee $3.00
FEE2005 -9546 Submittal Fee ($50.00)
Total Fees: $87.00
Total Fees: $87.00
Total Receipts: $0.00
JUL 13 PAID
c. 64 wac44'
In consideration of the issuance to me of this permit, I agree to perrorm 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:
7.■%14
MIAMI SHORES VILLAGE" �d
5
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date a) 1 105
Type Insp'n Fi �a ` C C
Permit No. SPCD - 181
Name G.
Address aED u E 97 r .
Company X x X X
Phone # ( ) 528 — e8 9 a
Inspection Date 4') 2 ) Os
Approved ❑
Correction
Re- Insp'n Fee ❑
Inspection Date S
Approved
Correction
Re- Insp'n Fee
3u9
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 8 1 05
Type Insp'n -Pta'f-'I U
Permit No. J3 -9'81
Name 15c AC
Address q-70 NE 92 ST
Company PQlC 1
1 prc
Phone # C3os) q 86- Z-54-4
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle)
Owner's Name (Fee Simple Titleholder)
Owner's Address Z5 0 / e
City M t 0 Y'i I S hVKSState •
Tenant/Lessee Name
Is Building Historically Designated YES
Contractor's Company Name O (Y 'e(
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit 5 9' lJ • OD
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Te1:(305) 795.2204 Fax: 305 756.8972
J J 9
aster Permit No.
•
Job Address (where the work is being done) F- l�E
City Miami Shores Village County Miami -Dade
NO
Phone #
Phone #
Permit No.kb 'OS — 183 -
Elec ' ca Plumbing Mechanical Roofing
J CY)dD1 IOSPhone # (3o5 5Ze ' 6899
Zip 3313 8 .
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Phone #
Zip
t
Square Footage Of Work:
Type of Work: Addition ['Alteration ❑New ❑
Describe Work: WOO d Cj'cc jc r JoC I x4 C r d
BI - I Fes' ° YoYm+ - Der p Ic '/z r
C_k ZC'. 5 ****************************F
Submittal Fee $ 00 Permit Fee $ �' •
Repair/Replace ❑ Demolition
CCF $ 0. 6O CO /CC
Notary $ J5- G Training/Education Fee $ O .20 Technology Fee $
Scanning $ C=o Radon $ Zoning Bond $
Code Enforcement $
Total Fee Now Due $ 13 7. CO
(Continued on opposite side)
Structural Plan Review. $
--- E3-Loo--
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 : °"'fled copy of the recorded notice of commencement must be posted at the job site
for the first inspe '.'n which occurs s en (7, d•» s after the building permit is issued. In the absence of such posted notice, the
inspection will of b • ..roved and a rein is fee will beparged
NOTARY PUBLI
Sign:
Print:
My Commissi n Expires:
APPLICATION APPROVED BY:
Chc 05/13/03
Signature
Contractor
kno�vl dged befo me thi The foregoing instrument was acknowledged before me this
by of , 20 —, by
who i p: sonally o to e or who has produced who is personally known to me or who has produced
entification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * ** . * * * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
I �
I Ie � t 1 c S being the legal property owner, for the property
Located at: z) 4E. 94 ST
Legally described as Lo+ 13) 0c- K 30 akcliviSion I ► m i CC 1
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Flo rida, F.S. 489.103(7),,nd 1 have read and understand the following disclosure
Statement, which entitles me to' Vork as my own contractor, 1 further understand that 1 as the owner
anust 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. r 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 Iicensing
ordinances. Any person working on your building who is not Icensed 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 ( ) initial of reviewing clerk. Tlie foregoing instrument
Was acknowledged before me this 7
By
Produced
t,
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE .STATEMENT
Owner
DISCLOSURE STATEMENT
day of V t 20_5
who is ' sonally known z • me or who has
• as identification : , d w 0 o did take an oath.
pviaNt
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4
Miami Shores Village
Building Department
Permit No.
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Job Name_ S,6, LA-$