DECKDate
Type Insp'n
Permit No.
Name
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VWLAGE a\
BUILDING DEPARTMENT \5
305- 795 -2204
Bui ding Inspection Request
17:n`
MIAMI SHORES Vt1 :,ACE
BUILDING DEPARTMENT \\,5
305- 795 -2204
Building Inspection Request
Date l(/
Type Insp'n k n �� / ".�. � A./v. . ?
Permit No. V J /) h 3 5 6
Name ( )9_,QA Q n
Address J �� . - 9 4
Company 'C'ykN'a-k
Phone #
Inspection Date ( ( J / / /•t) "(
Approved
Correction
Re- Insp'n Fee ❑
MIAMI SHORES V1,LAGE
BUILDING DEPARTMENT \p
305- 795 -2204
Building Inspection Request
Date 2. I
Type Insp'n h ` Deci
Permit No. BP 2_O - 3%
Name -,
Address 2 � SA—
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
Date
.
I F.1
Permit No. S( 7 Cr) 1 5
3ype Insp'n
Name
Address
Company
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES V
BUILDING DEPARTMENT
305- 795 -2294
Building Inspection Request
Phone #
Inspection Date / Z�
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
Signature
O. n Agent Contractor
The foregoing instrument was acknowledged before me this ) j The foregoing instrument was acknowledged before me this
da'of \ 200 ? , by , day of , 20 _ , by
who is personally knowtto me or who has produced F L who is personally known to me or who has produced
Yp 6 off- 4036 • tj _C � rAs identification and who did take an oath. as identification and who did take an oath.
NOT V Y : LIC:
Sign
Print:
My Commission Expires:
Chc 12/15/03
W RV'
APPLICATION APPROVED BY:
i--on D07500
2008
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** * * * * ** * * * * * * * * * * * * * * * * * * **
Sign:
Print:
My Commission Expires:
Plans Examiner
Engineer
Zoning
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Contractor's Company Name
Contractor's Address
$ Value of Work For this Permit a ( 00
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
Master Permit No.
Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) J Q fsfile 4- VQ nvI L cC e c t 7 Phone # 2 /7 SZ ^ 3 J
Owner's Address a- 9 N Q S r I
City 1\0 1 A vVl ( .cltioW S State Zip - 1 R d
Tenant/Lessee Name Phone #
Job Address (where the work is being done) S2 ICY
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
riP r 1 ( ` del Phone #
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) Phone #
Permit No.
Square Footage Of Work: 9
Type of Work: kAddition ❑Alteration I ❑New ID Repair/Replace ❑ Demolition
Describe Work: rk4"C \ FcD, D- (?Q,l�
1.31
Submittal Fee $,O, nD Permit Fee $ /e® ��qq,, CCF $ � o CO /CC
Notary $,5' � 0 s7 Training/Education Fee $ C�! en Technology Fee $ Re.
Scanning $ 3 Radon $ /j. Zoning �' Bond $
Code Enforcement $ Structural Plan Review. $
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
a � b
Zip
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/7/2004
Applicant: JAMES MERRY
Owner: MERRY JAMES
JOB ADDRESS: 879 NE 97 ST
Contractor
Local Phone:
Parcel # 1132060142640
Building Permit
Permit Number: BP2004 -356
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 9/12/2004 Construction Value: $2,700.00
Work: EXTEND POOL DECK
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 22 & W1/2 OF LOT 23 BLK 73
Fees: Description Amount
FEE2004 -3565 Building Fee $100.00
FEE2004 -3566 CCF $1.80
FEE2004 -3567 Notary Fee $5.00
FEE2004 -3568 Training and Education Fee $0.60
FEE2004 -3579 Technology Fee $2.50
FEE2004 -3580 Scanning Fee $3.00
FEE2004 -3581 Builders Bond $300.00
Total Fees: $412.90
Total Fees: $410
Total Receipts: $0.00 r
•APR 0 8 PAID
Signed: (INSPECTOR)
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: