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FENCEMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 bV7 Bui ng Request gy Date d t ` Q ctz Type Insp' n � `'�2' D Permit No. iP n / 4- a' Name v `A&.■ , 1 Address Company Phone # Or? NE q — 0) Ins ection Date '" Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ! b� /C-D5 Type Insp n o I P i- c Permit No. °5 '� I Name Jac 1 Address r 1 L:3 H.E. clot ,S - r Company "LE) rr- Phone # C30-5 l 30 Z - a' 1 Inspection Date O ` c /c Approved Correction Re -Insp' n Fee d I�,�f2in c OA) <1 /it)s acrics I3 Mt S St,c' ¢x¢ As 1 /4) d e& e2 4 Good S ;&Q 614e-e_ gar2s 3 ( BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circl Owner's Address Total Fee Now Due $ (Continued on opposite side) Owner's Name (Fee Simple Titleholder) Electrical Plumbing ,JA Q' (t(,q- NE`' +-k crf City f (u( S(4.645 State . Zip ° S1 Tenant /Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village is Building Historically Designated YES l i a es v ilia e Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305 75 RECEIVED FE3 0 2 Zv er T' i Pei'i l4 NE q -Kt Comity Miami-Dade Phone # Zil) ©e- ec haiiical Roo ik g s 7 Contractor's Company Name OW nee Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect /.Engineer's Name (if applicable) Phone # Value of Work For this Permit ' jPJ© Square Footage Of Wnrlr: /TO L / Type of Work: ❑Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: ek 4 vt �� atA:r s- Omit- - e. 4 ref 1 ae (.0414. t,rpdl.42 -re-4n {G f ** * * * * * * * * * * * * * * * * * * * *** F ees * * * * * * * ** * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 5D1 Per itit'Fee 0 t - 1/56 CCF $ 4166 CO /CC ----` Notary $ Training/Education Fee $ et 20 Technology Fee $ 5 Scanning $, Code Enforcement $ Radon $ Zoning t Bond $ - Struc>1 Plan Review. $ 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 lints( be posted al 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. The fo, day o ho is personally to has produced As identification and who did take an oath. NOTARY PUBLI °CR PUBLI Si * a!: Qmmi s on t ll m��� ` 87 Print: i ! - ' $P4' "'' �' Bo q � My Commission Expires: � V c8► C wIS+►cCommission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 0 ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 09205 Plans Examiner Engineer Zoning 9 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/22/2005 Applicant: JOEL PEREZ Owner: PEREZ JOEL JOB ADDRESS: 1167 NE 99 ST Contractor Local Phone: Parcel # 1132050180080 Signed: Building Permit Permit Number: BP2005 -142 Contractor's Address: Legal Description: REV PL MIAMI SHORES SEC 8 Permit Status: APPROVED Permit Expiration: 7/30/2005 Construction Value: $500.00 Work: REPLACE CHAIN LINK FENCE WITH WOOD FENCE (INSPECTOR) Page 1 of 1 PB 43-69 LOT 19 Fees: Description Amount FEE2005 -2328 Building Fee $150.00 FEE2005 -2329 CCF $0.60 FEE2005 -2330 Training and Education Fee $0.20 FEE2005 -2331 Technology Fee $3.75 FEE2005 -2332 Scanning Fee $9.00 FEE2005 -2333 Submittal Fee ($50.00) Total Fees: $113.55 Total Fees: $113.55 Total Receipts: $0.00 tu PAD 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: BLK 178 LOT • VILLAGE OF MIAMI SHORES I Jd'd 1 et Located at: 116,1. OE 69-tt SF - / M ta-wtl skrre. 5 33 $' Legally described as <« -tt (1- 3 a0C-DI g -Oo gd 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),And I have read and understand the following disclosure Statement, which entitles me td 1rork as my own contractor, I further understand that I as the owner must 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. You may also build or improve a commercial building at a cost of 525,000.00 or Iess. 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 a By Prod who is personally known to OWNER BUILDER DISCLOSURE STATEMENT owledged b Owner BUILDING DEPARTMENT being the legal property owner, for the property DISCLOSURE STATEMENT initial of reviewing clerk. Tlie foregoing instrument re me this 31• day of 200 e or who has and who did take an oath. y . H. Gonell Commission #DD323870 Expires: May 26, 2008 Bonded Thai Atlantic Bonding Co., Inc. 'teree:si 0 '411,A 0. a 0 0 tes04.1 oonoldercsOon of the Ismtm 1;a° theroto and ifi arid eel permit 1 ammo ze APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Q• \lelZo , 14141 i e U. Date Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor 4 24(f r - e/V G e D t Location and legal description of lot to be built on Lot Street and Number where work is to be done__ // 6__ 47E .. / _ _9 State work to be done and purpose of building (by floors) � Disapproved •• --,, (Signed) 1N.,_ Date Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Block /7 S Subdivision z► e V and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 4, a ' 0 Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup element, and has complied with the provisions thereof, and will require similar compliance from all contra .tors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such • .cont o s, to be perfo nder this permit, as axe licensed by Miami Shores Village. '� Remarks (Signed) Y.� ,., 2300 Nw 6 2 T Z4 /-P/vC. e PLANNING BOARD DATE y • 1 C STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ZL 1 Date 1 +p-d," VP Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.