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BP-05-384Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/4/2005 Applicant: LEON ROLLE Owner: ROLLE LEON JOB ADDRESS: 590 NE 96 ST Contractor Local Phone: Parcel # 1132060140660 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -384 Contractor's Address: Permit Status: APPROVED Permit Expiration: 9/14/2005 Construction Value: Work: REPAIR MASONRY WALL $500.00 Page 1 of 1 Legal Description: 6 53 42 MIAMI SHORES SEC 2 PB 10 -37 LOT 1 & 2 BLK 54 LOT SIZE Fees: Description Amount FEE2005 -4163 Building Fee $100.00 FEE2005-4164 CCF $0.60 FEE2005 -4183 Notary Fee $5.00 FEE2005 -4184 Training and Education Fee $0.20 FEE2005 -4185 Technology Fee $2.50 FEE2005 -4186 Scanning Fee $3.00 FEE2005 -4188 Submittal Fee ($50.00) Total Fees: $61.30 Total Fees: $61.30 Total Receipts: $0.00 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: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circl Owner's Name (Fee Simple Titleholder) Owner's Address S/ d /V' L' ?to 11 Jij t 1 Cih : ► rtn •Ikk U State Tenant /Lessee Name Phone # Job Address (where the work is being done) Cite Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name t (A/ )%D. Contractor's Address City Qualifier i State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # S Value of Work For this Permit Type of Work: ❑Addition ❑Alteration Describe Work: Scanning 8 Radon 8 IVJId:1111 11U1 eN V 11li1 L Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Zip f Electrical Plum ing Mechanical Roofing State Zip Total Fee Now Due. 8 (( iintipI!' f)1t opf)OSi t ". sidf° r j'p6JJur -or r y � yin► MAR 1 p1, 76 ❑New Lu9 Code Enforcement Structural Plan Review. Permit No. ,;0o5 Mit er Permit No. Phone # 30 7-C `!. Phone # Zip Zoning Square Footage Of Work: /V 7 l f J f ff [fit pair/Replace ❑ Demolition * *,� * * * * * * * * * *,* * * *** ** * ** *** *F ** **** * * * * * * * * * *,* *** ** * * **, ** Submittal Fee S a' Permit Fee a CCF 8 6 CO /CC N otary 8 Training /Education Fee 8 ®6 Technology Fee S g �p Bond S b Bonding Company's Name (if applicable) Af. - 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 roust 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 creinspection fee will be charged. Cho 05/13/03 ?Y-00 60/As NOTARY P My Commission Expires: APPLICATION APPROVED BY: Signature Owner or Agent Contractor The fore:oi g instrument was ackn wledged before e this tK The foregoing instrument was acknowledged before me this day of / I l eA.... 20 OS �� day of , 20 _, by who is per orally known to me or who has produced RL Dt._ who is personally known to me or who has produced 'tification and who did take an oath. as identification and who did take an oath. ; t 4P) G YP / / $� _. `� - l ommts$lon r� 20� IRA — �`_���w' /� •oe` ' Bonded Th'I l�. �'_'•�' p ```� : tlantic Bonding Co., print: Sign: PI * ** * * * * ** * * * * * * * ** *it** * * * * ** ,* ** PUBLIC: My Commission Expires: ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ****************************************** ************ #* ********* ******************* * ** * ******** M R 2 4 2115 Plans Examiner Engineer Zoning • I kfri-f-fAcA 4, /et. VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE .STATEMENT being the legal property owner, for the property (� � - e Zvi/ Located at: U /�/ .8 ° 7 rk DISCLOSURE STATEMENT Legally described as ' 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 *brk as my own contractor, I further understand that I as the owner rnust appear in person to complete all applications. State law requires construction to be clone 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 $25,000.00 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 FZ.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. TEie foregoing instrument Was acknowledged before is r O day of By Produced or who has id take an oath. BUILDING PERMIT APPLICATION FBC 2001 State Certificate or Registratio Architect/Engineer's Name (if Value of Work For this Permi Type of Work: Describe Work: Totat Fee Now 1)uc S ['Addition gefut E' onti f nosU". siti ir11aii.0 ►Jiiui Lao r 111G�ry Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ❑Alteration [New 7 16dur`a Ll9 1 ****************************Fees****************************** Submittal Fee $ G a v Permit Fee 5 J CCF 5 Notary 5 Training/Education Fee 5 of R Scanning 5 Radon 5 Zoning Code Enforcement Structural Plan Review. Permit No. % 't 5 — ) er Permit No. Permit Type (circl .I : Building Electrical ®® �� Plum � mg Mechanical Roofing /1 Owner's Name (Fee Simple Titleholder) ILO L L& Phone # 3Oi - 7_7 ' (1- Owner's Address �/ /V- 6, f /7` frit"d'tt )— City .0 i fir» t di/ di/1)N Li State Zip Tenant /Lessee Name Phone # Job Address (where the work is being done) ‘ N `� ' �� 3 7 , City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name 0 (A1)%(), Contractor's Address City State Zip Phone # repair/Replace ['Demolition Technology Fee $ 6 CO/CC Bond 8 orgrilmenmrs 1IWa3d DNId3AO0 3AI1031OUd HAM ONI011f19 d0 30Vd NO OEM NO a3ldalaN1 Sd ONINDVB 01 N31SVI a0 1i3N31SVd HJJM dYld N33fiOSIA a0 NOLLV!l13N3d i _-1 .. NIW 1 u84 3GYIN 38 11IM NOI133dSNI ON X10 SGOH13W DNIMO11OI 3H1 10 3NO A8 eor 3H1 dO 1NOah 3H1 NO a3Ad1dSla 38 1SfW aHd3 IIINU3d SIH1 troffilIMMO �� ub x u7i NM vZ4 30031 '0$ ONDIOV9 3ALL33101Jd ..84 X 2Z4'NIW u8X u4 MIAMI SHORES VILLAGE BUILDING PERMIT "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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." NO INSPECTION WILL BE MADE UNLESS PERMIT CARD IS DISPLAYED AND APPROVED PLANS ARE READILY AVAILABLE STRUCTURAL ECTIONTYPE Slab Columns / Poured Cells Tie 2nd Floor Slab 2nd Floor Co -,2nd Floor Tit "Truss; F ru'ss Store Fron 7Buc atilt `Floor Sheatiti Storm Shutter:' Pool Steel INSPECTION RECORD WORK MUST BE COMPLETED PRIOR TO REQUESTING INSPECTIONS 24 HOUR NOTICE FOR ALL INSPECTIONS Work is allowed Monday through Saturday 7:30 A.Br. to 6:00 P.M. No work is allowed on Sunda s or Holidays PLUMBING L F<Tan • C3 Gas-Fin lnterce Pr s Fire Sprinkler Final • • MECHANICAL Pres Slab; condensate Slab Jean -Aire • • Rou Exhaust Fan Hoodiloug Pool Heat Pu mpe Fireplace Vent Vacu Vac ,Equipment Anchor Suppression nTi Tuct Detecto Venti ELECTRICAL Temporary P Foote Grou la ery B. Alarm Prev intercom Pre ;PhonePrewire : Alain' Fin TV Firral ii 0 Intercom Final Phone Final 30 Day Temp Power G u ndi FINAL FOR INSPECTIONS CALL 305 - 795 -2204 INSPECTION REQUESTS ARE ACCEPTED DURING THE HOURS OF 8:30 AM TO 3:30 PM FOR INSPECTIONS THE FOLLOWING BUSINESS DAY. CERTIFICATE OF OCCUPANCY MUST BE SECURED BEFORE THIS BUILDING CAN BE USED FOR ANY PURPOSE DO NOT REMOVE THIS CARD BEFORE COMPLETION OFFICE PHONE NUMBER: 305 - 795 -2204