FENCEDate
Type Insp'n
Permit No.
Name
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Address
Company C Cl lwl.e—A
Phone # 3o 5D ?, O r 6 a .
For Inspector:
12e t:f,2—::,17ne & Date
Approved
Time
0
a PAY TO
MEMO
Miami Shores Village
10050 NE 2nd Avenue
wilding Permit
Phone: 305 - 795 -2204 Permit Number: BP2002 -790
Printed: 4/19/02
Applicant: W EDWARD MCINTYRE
Owner: MCINTYRE W EDWARD
JOB ADDRESS: 1076 NE 98 ST
Contractor
Local Phone:
Parcel # 1132050180340
Contractor's Address:
Legal Description: REV PL MIAMI SHORES SEC 8
Fees: Description Amount
FEE2002 -2266 Building Permit Application Fee $60.00
FEE2002 -2267 CCF $0.60
Total Fees: $60.60
Total Fees: $60.60
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 10/15/02 Construction Value: $1,000.00
Work: INSTALL A 5' PRIVACY FENCE (SIDE & BACK YARD) W/ 2 SELF LATCHING GATE
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
the equipment or device described in the application herefor in strict compliance with all
63 -96510 e with .any plans, drawings, statements or specifications that may have been submitted to
660 7 4 7 is not done in compliance with such ordinances or if the plans are changed without
actor or builder named above assumes the responsibility for a thorough knowledge of the
✓ings or in the statements or specifications and that he assumes responsibility for work done
W. EDWARD McINTYRE
1076 NE 98 ST. PH. 305- 758 -8782
MIAMI, FL 33138
114A ER OF
DOLLARS u
Northern Trust Bank of Florida N.A.
Miami, Florida
':066D09650l: LO 1 20 48 2 5 711' 074?
1012048257
DATE i f ' ! • J Z
I$ LO -
Page 1 of 1
PB 43 -69 LOT 17
BY:
r in compliance with all ordinances and regulations pertaining thereto and in strict conformity
ores Village. In accepting this permit I assume responisibility for all work done by either
BY:
BLK 180 LOT
5'-O" MAX
2'-O I
Owner's Side
Concrete
-- lI-o"--
4" X 4" Wood post
1 "X6 "orl "X8"
Wood pickets
WOOD FENCES
Wood Posts
2" X 4" Wood Pail 4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
5I-0II
2915 Fences
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 minimum 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 bendinct, 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
provisions 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.
r
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3601 S.W. TH. 8T. SUITE 206
MIAMI.FLORIDA 33136.
TELEPHONE ).:(308) 220 -3171.
FAX NO. i) 564 -
U
ti
'PROPERTY .ADDRESS: 1076 NE .9$. ST' MIAMI, FL 33138
4FOR: EDWARD MCINTYRE
LOCATION SKETCH
• ••• • •
• •
111121 Ittlic�illrx • • • BURVEW NO –/
NO. I Z 7
LAND SUi1VEYOI1: CORAL f ^',FLORIDA.33134. SHEET NO. / OF 2'
■
SURVEY OF LOT. 17 'IN BLOCK 180 ED OF " REVIS PLAT OF ri�AMS SHORb'S TI(; N •
ACCORDING TO THE PLAT THER AS'AECORDED IN PLAT BC(1C 43 :A'I A C ' '69 W :TIDE
,PUBLIC RECORDS OF MAIMI - 'DADE COUNYTY;'FLORIDA :. •
A/E_'6 77` s7.
•• • • • •• "'"4 ••
• .1-0- .•_• • ' • •
Said x" ' , &k i' :
ti
- .. M /i9Mi 5p_ -Lr4
8@ @8E
A /Cm AIR CONDITIONER PAD.
A /Sm ALUMINUM SHED.
ASPH.- ASPHALT.
B- BEARING.
BLDG. - BUILDING.
B.M.m BENCH MARK.
C.B.- CATCH BASIN.
C.B.S. - CONCRETE BLOCK
STRUCTURE.
C.m CURVE.
CH.m CHORD DISTANCE.
CL.m CLEAR.
C. CHAIN LINK FENCE.
CH.B." CHORD BEARING.
CBW- CONCRETE BLOCK WALL.
CONC.. CONCRETE.
C.S.m CONCRETE SLAB.
DRIVE.m DRIVEWAY.
DIET.. DISTANCE.
o - DEGREES.
D. ■ DEGREES OF CURVE.
E.T.P. - ELECTRIC TRANS-
FORMER PAO.
ENCR.- ENCROACHMENT.
E.m EAST.
ELEV.m ELEVATION.
F.H. m FIRE HYDRANT.
F.I.P.- FOUND IRON PIPE.
F.R.- FOUND RE -BAR.
F.F.E.m FINISHED FLOOR
ELEVATION.
FR.- FRAME.
F.B.m FIELD BOOK.
FT.- FEET.
is/ ,Q LL �y
YIBIIQNS 8IQ
F.N. -FOUND NAIL.
F.D.H. -FOUND DRILL HOLE.
Hm HIGH (HEIGHT).
L.P. -LIGHT POLE.
L.m ARC.
L.C.- LENGTH OF CURVE.
L.F.E.- LOWEST FLOOR
ELEVATION.
MINUTES.
M.m MEASURED DISTANCE
MON.. MONUMENT.
M /L.- MONUMENT LINE.
NGVO. NATIONAL GEODETIC
VERTICAL DATUM.
N- NORTH.
N.T.S.. NOT TO SCALE.
N - NO. - NUMBER.
0 /S... OFFSET.
OH.- OVERHEAD.
OVH.- OVERHANG.
O.R.B.. OFFICIAL RECORD)
BOOK.
PAV.. PAVEMENT.
PL." PLANTER.
P /L." PROPERTY LINE.
P.C.C. -POINT OF COMPOUND
CURVE.
PC.. POINT OF CURVE.
PT.- POINT OF TANGENCY.
POC.m POINT OF COMMEN -, .
CEMENT.
POB. -POINT OF BEGINNING.
P.R.C.- POINT OF REVERSE
CURVE.
FNIP.- FLORIDA NATIONAL P.P... POWER POLE.
INSURANCE PROGRAM.
LEGAL NOIES IO OCCOMPBNY SKEICI LJF SURVEY SSUBVEY fl
N E 8 N I N Sl.
P.B.m PLAT BOOK.
PG. -PAGE.
P- POINT.
PWY-FARKWAY.
PRO- PERMANENT REFE-
RENCE MONUMENT.
P.L.S. - PROFESSIONAL
LAND SURVEYOR.
R.. RECORDEO DISTANCE.
RR.. RAILROAD.
RES.. RESIDENCE.
R /W.- RIGHT -OF -WAY.
RAD.-RADIUS OR RADIAL.
R.P.■ RADIUS POINT.
ROE. RANGE.
SEC.- SECTION.
STY. - STORY.
SWK.■ SIDEWALK.
S.I.P. ■ SET IRON PIPE
NO. 2334.
S. ■ SOUTH.
SP. SCREENED PORCH.
" - SECONDS.
T.� TANGENT.
TWP.- TOWNSHIP.
U.E. UTILITY EASEMENT
UTIL.- UTILITY.
U.P.. UTILITY POLE.
W.M.10WATER METER.
W.F.....'Y000 FENCE.
CENTRAL ANGLE.
W.� WEST.
t ∎ CENTER LINE.
ANGLE.
DEDICATIONS, LIMITAT IDNS,RESTRICTIONS,RESERVATIONS OR EASEMENTS OF RECORD.
LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY.
SKETCH OF SURVEY MEANS A DRAWING ANO /OR A GRAPHIC REPRESENTATION OF THE
SVRVEY WORK PERFORMED IN THE F:ELD,COULD BE DRAWN AT A SHOWN SCALE AND /OR NOT
TO SCALE.
THE LIABILITY OF THE SURVEY 1S LIMITED 10 THE COST OF THE SURVEY.
THE TERM "ENCROACHMENT" MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS.
ARCHITECTS SHALL VERIFY ZONING REGULATIONS,RESTRICTIONS AND SETBACKS AND THEY
WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANE WITH THE CORRECT INFORMATION i
THEIR APPROVAL FOR AUTHORISATION TO AUTHORITIES IN A NEW CONSTRUCTION.
UNLESS OTHERWISE NOTED,THI 'FIRM HAS NOT ATTEMPTED TO LOCATE FOOTINGS AND /OR
FOUNDATIONS.
THE FNIP FLOOD MAPS HAVE DESIGNATED) THE HEREIN DESCRIBED LAND TO BE
SITUATED IN Zt)Hi
10.001
i
EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE 70 DETERMINE // - � i , ' �� 1 �
R CORDED INSTRUMENTS, IF ANY,AFFE(:TING THE PRJPERTY THIS SIIRVrY I3 El1BJ:: TO C!
UY:
GEORGE IBARRA (DATE OF FIELD WORK).
PROFESSIONAL LAUD SURVEYOR N]. 2534.
STATE OF FLORIDA.(VALIO COPIES OF THIS
SURVEY WILL BEAR THE EMBOSSED SEAL OF THE
ATTESTING LANO SURVEYOR).
REVISED) ON 1/31/02 FOR ELEVATION
SITUATED IN ZONE: AE COMMUNITY /PANEL /SUFFIX: _ 125093- 0093 -J
' DATE. OF FIR, : ' '07/17/1995 ' BASE FLOOD 'ET�;VATrON : I3 'Fr .
CERTIFIED TO: EDWARD I. XJ }(RE
• •••
$QBYEYQBu I'NQIE$i 1.IF SHOWN, BEARINGS ARE
REFERRED TO AN ASSUMED MERIDIAN,BY SAID
PLAT IN THE DESCRIPTION OF THE
PROPERTY. NOT,
THEN BEARINGS ARE REFERREO TO DADE COUNTY
TOWNSHIP MAPS.
2.IF SHOWN,ELEVATIONS ARE REFERRED TO
&MAL E 12221
3.THIS "SKETCH OF SURVEY" REPRESENTS A
LAND SURVEY,ALSO REFERRED
AS A BOUNDARY SURVEY.
4.THE CLOSURE IN THE BOUNDARY SURVEY IS
ABOVE 1: 7500 FT.
I HEREBY CERTIFY:THAT THIS "SKETCH OF
SURVEY" OF THE PROPERTY DESCRIBED
HEREON,AS RECENTLY SURVEYED AND DRAWN
UNDER MY SUPERVISION,COMPLIES WITH THE
MINIMUM TECHNICAL STANDARDS AOOPTF_O RY •
THE FLORIDA STATE BOARD OF PROFESSIONAL
LAND SURVEYORS PURSUANT TO SECTION
472.027 OF THE FLORIDA STATUTES AND ALSO
CHAPTER 21 HH -6 OF THE FLORIDA
AOMINISTRA1IVE CODE.
Ar _ LESNQ IY w000 L FENCE .
r _ CHAIN LINK FENCE.
C.B.S. WALL(C.B.W.).
0.00 X EXISTING ELEVATIONS.
PROPOSED ELEVATIONS.
i
y2 (/, , z.
Ii I
i
SURVEY NO
3601 B . V . 8711. B T . SUITE 206 ( �'
11IAHl,FLORIDA 33136. 111121 1tt.l�C I111'k+ t «.
TELEPHONE NO.i(306) 220 -3171. P.0.80% 11U. 144057 /
FA NO. '(3O5) 654 -7822. LAND SUIIVEY.ORS CORAL QAOLEB.FWMU0A•33184. SMEEi•NO. OF. e
• • •• • • • • • •• ••
• • • • • • • • • • •
• • • ••• •
• ' ..
8.30' '$
75 ' ride
4
9. o) � 5 70' Vic
/7•90/
o`
No
3 25.O i
SKETCH OF SURVEY •
fI P/
X
N .
ea/VC • V.
9.
c1 5 'N
Zoning
Approved
4s NeK t i
• SCAI E: 1" • 20'
• • • ••• • •
• • • •• • • •••
• • • •• • •
••••• • • • • • •
•
• • • • • • • • ••
• • • ••• • • • •••
•• • • • •• ••• ••
• • •
• •
• •
•
•• • • • • • ••• ••
PCANr7,Z
d 'on./
pi o cesW.
c
,0N
' o A
\ 07 /8
o?
We, the undersigned, have no objection to our neighbor at 1076 N.E. 98th Street erecting a
wooden privacy fence next to the existing chain link fence separating our properties, regardless of
whether the posts are on the inside or the outside of the wooden fence.
4 ),LIAJLJ
Signature ! 0 4 e et 8* St •
)31 OiLicte,
Printed Name
Date
Witness
(j4l Er f`
Printed Name
y IC
Date
V/ 4/d.z
(0L
Printed Name
Date
gi
1 4- it
SECTION
B �'
D E
y ���
Zoning
C�2►
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
'/
`� 1 2
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.) $
Inspector State Educational Fund $
State DCA (Radon) $
Code Enforcement Fine
Zoning Review
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
, L 0
$
(sq.ft. = x/1000
x ¢.60)
(¢.005 /sq.ft.)
(¢.01 / sq.ft.)
REVIEWED AND PREPARED BY:
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
ISSUING OFFICIAL
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
AJC Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 204- Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water heater New
MECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY.
TYPE
Generator
QTY.
TYPE
Refrigeration, Tons
QTY.
A/C Central, Tons
Cooling Tower .
Heating Strips, each
Vent Hood, Cost
AJC Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural •
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
•
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
CONTRACTOR
Ni am• 4 Qf
Name Name
Home Telephone 2 0 5- ' ., .r lg -- if ---$ Z
License No.
Fax (,1S`I
Address
Repair
Telephone
Fax
Qualifier Name
Demolish
PROPERTY OWNER
:ess (. - C O A . „ N+ re_, 1 c rG
10 WE Q le •
ilAA A-#v ■ R 33/28
Home Telephone 2 0 5- ' ., .r lg -- if ---$ Z
Business Telephone ot 5 I L/ `t _ — 13 2 1
Fax (,1S`I
I 5 s-- - 1.(34
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'I Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Job Address:
Complete the attached permit application which must he signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted
along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
g o1 G IvE c (S..
Address
Apt.
Folio Number
Lot
Subdivision PB
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
/1,4 -4 A-vt4
City
Master Permit No.
Subsidiary Permit No. 6 P ' OO o2 ' (
Description of Work I &S S + p✓i 4•u*1
t Ioui, y a..) w/ 2 .IXtf - icatit 3
Block
PG Zoning Linear Feet 2.C4`
Square Feet Units Floors
Value of Work 4 (OD 0 Bldg Value
Tax Assessed/Appraised Value
Flood Zone
PERMIT APPLICATION
a_ 33/32
State Zip
Base Floor Elev.
ENGINEER
(A
Name
License No.
Address
Telephone
Fax
Page 2
IA'IPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE QF FLORI r „ OUNTY OF MIAMI -DADE
Signature of Owner
Print Name , f �!
Sworn to and subscribed before me this / "mi dday of
aooa-
Signature of No ublic - State of
t •
rich NOTARYSEAL
LAURA G KELLY
NOTARY PUBL IC STATE OF FLORIDA
COMMISSION NO. CC929364
MY COMMISSION EXP. APR. 18
SEAL:
Signature of Contractor / Qualifier
Signature of Notary Public - State of Florida
SEAL:
PERMIT APPLICATION
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Print Name
Sworn to and subscribed before me this day of
Personally known OR, Produced Identification Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced: