FENCEBUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): (Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple
Owner's Address \ ', C T) _ '-■ v,--.46
4. ' , ''''‘' , .„ -
'''` v.• -ate,, N:1 ' `r, State s-- Zip o
Tenant/Lessee Name Phone #
Job Address (where the work is being done) `��— a5■4\,e'.
City Miami Shores Village County Miami-Dade
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address
Architect/Engineer's Name (if applicable)
S Value of Work For this Permit . )
Submittal Fee S
Notary S5 Fee $
Scanning S ` •" Radon $
Code Enforcement 5
Total Fee Now Due 5
(Continued on opposite side)
f
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Type of Work: ❑Addition ❑Alteration New
Describe Work: E_ >`: c w —4.) _�,- w� es,A` F. '.� , �c_ A c. F ,..,,,, �r \, a c-_. A <-
/ ,;
Permit Fee $
apt
li
********F
* ** * * * * * ** * * * ** * * * * ** ** **
Structural Plan Review. $
Phone #
Permit No. II )r '� '.4 LI .?
Master Permit No.
Phone #
Zip
Square Footage Of Work: 1 1 i Y`:> 1"
❑ Repair/Replace
CCF $ tr` V CO /CC
Technology Fee $ ! .5
Zoning Bond $ ""'
0 °75 1‘7 Roe)
❑ Demolition
f
Bonding Company's Name (if applicable)
Bonding Company's Address
City State MIAMI SHORES VILLAGE
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Application is hereby made to obtain a permit to do the work and
commenced prior to the issuance of a permit and that all wort
construction in this jurisdiction. I understand that a separate permi
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS a
OWNER'S AFFIDAVIT: I certify that all the foregoing informa
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD
PAYING TWICE FOR IMPROVEMENTS TO YOUR P1
CONSULT WITH YOUR LENDER OR AN ATT
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building
promise in good faith that a copy of the notice of commencemen,
whose property is subject to attachment. Also, a certified copy of
for the first inspection which occurs seven (7) days after the bi
inspection will not be approved and a reinspectionfy will be char
Owner or Agent
Signature
NOTARY P : IC:
Sign:
Print:
APPLICATION APPROVED BY:
Chc 05/13/03
The foregoing instrument was acknowledged before me this ,,t
day of , 20 (A, by it
who is personally k' .Wn to me or who has produced
As identification and who did take an oath.
My Commission Expires:
**************************.$***
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
BUILDING DEPARTMENT
305 - 7)5:2204
Buil ing Inspection Request
,642
Plans Examiner
Engineer
Zoning
************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. i * *************** * * * * * * * * * * * * * * * * * * * * * * * *, * * * * **
NOV 0 9 2004
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE STATEMENT
being the legal property owner, for the property
Located at:�� ���` �z� - M\ �.c��
Legally described as c- VX �---.M \r\
Do hereby petition the Village o iar i Shores to/act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7),And 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
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
m
improve a one - family or two-family residence or a far 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 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 5
By WI bud f v
Produced l ° •
t,
Owner
Owner
initial of reviewing clerk. The foregoing instrument
_ day of 6 fl , 200q
who is personally known to me or who has
as identification s d ho did take an oath.
argas
DD231984
!.3, 2007
., . ; ded Thru
' 'li Ftio,. • Atlantic Bonding Co., Inc.
Affiant is personally known to me, produced
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, �\ �� \.`����� , does hereby attest that the
(property owner)
attached survey, performed by --- c- cltNc_ } NC___
(name of surveyor's company)
performed on CP11 1 i■L‘ , 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 as applicable to this or other permits..
Further, Affiant sayeth naught.
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this � day oWA 6 OO\_J1
as identification.
ai gas
sion #DD231984
Expires: Sul 13, 2007
',;,t0 Atlantic Bonding Co Inc
5'-O" MAX
2' -0"
Owner's Side
11
2" X 4" Wood Ball
1" X6" cr I" X8"
Wood pickets
aic ete
II Err
I I
WOOD FENCES
3' -0I I
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.
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
\ TAX FOLIO NO.
STATE OF FLORIDA: -41 w.--\
COUNTY OF MIAMI -DADE:
PERMIT NO.
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: \cN
2. Description of improvement:
Name and address of fee simple titleholder:
Amount of bond $
6. Lender's name and address:
3. Owner(s) name and address: '\c \\ � C � �'c \c...c
Interest in property:
4. Contractor's name and address:
SVA E 0.7 FLC :uA, COQ V (4 l xaa
5. Surety: (Payment bond required by owner from contfgimsttf yt;,auests�,t,: copYoffi
Name and address: �$� C'. , 0 /
IOW A
3C
111111111111111111111111111111111111111111111
CF-N 2OO4R.1O33 53 5
OR Bk 22840 Ps 0066; (1Ps)
RECORDED 11/19/2004 15 =44204
HARVEY RUVINp CLERK OF COURT
MIAMI -DADE COUNTYp FLORIDA
LAST PAGE
7. Persons within the state of Florida designated by Owner upon who ..tices or ether documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different . - ,= is : •ecifie
ature of Owner ,( ��,
Print Owner's Name 'C\ � 'C� •v� ANA
before r e4ti •� �• %.1ItA831Kvk
lE OY
Notary Public
Print Nota '_ e
My commission expires:
123.01 -52 PAGE 4 8/02
Prepared by
, 20
Address: 5,37 S t() / w °l r
Pednbroke P,l.�.es 'Ft c),9 /
ISH
1,
u 1/1 uuti
:ME:03:44 :04 PM
:CEIPT:621526
' BY:JAVIER
-uTY CLERK
Jr 1
n.
'EM -01 NCO 03:44:04 PM
FILE:2004103358t, Br
RECORDING FEE
POSTAGE FEE
COPIES ?7
CERTIFICATION Total 12.87
OUNT DUE: $12.8/
REDIT CARD: $12.87
TAL PAID: $12.87
SA # xxxx -4854
JRES A OuuENDu
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305-795 -2204
Printed: 11 /16/2004
Applicant: KELLIE
Owner:
JOB ADDRESS: 828
Contractor
Local Phone:
Parcel # 1132060142740
NE 97
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2004 -1445
BUTLER
ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 11 & E25FT OF LOT 12
Fees:
FEE2004 -11388
FEE2004 -11389
FEE2004 -11390
FEE2004 -11391
FEE2004 -11392
FEE2004 -11393
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$354.00
$1.80
$5.00
$0.60
$8.85
$6.00
$376.25
Total Fees: $376.25
Total Receipts: $ O�QO
Permit Status: APPROVED Permit Expiration: 5/2/2005 Construction Value: $3,000.00
Work: WOODEN FENCE 3 1/2 FRONT 5 FT SIDE AND BACK
BLK 74
,„ 4mog
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: