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1201 NE 98 St (6)nea' a. Claussen 1 Y.". 98th Street GENERAL CONTRACTOR Same BUILDING PERMIT NO. 99 ZONE DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: NEW CONSTRUCTION REPAIRS ALTERATION ADDITION OWNER'S NAME JOB LOCATION (ST. OR AVE.) REQUIREMENTS CU. FT. SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD PUBMITTED TO VILLAGE COUNCIL TYPE CBS 6 -22 -55 DATE APPROVED STORIES l LOT 10 less 1 320 1 REJECTED PLAN CUBE PRESENT ADDRESS ADDRESS 28,113 1r � J CERTIFICATE OF OCCUPANCY NO. 24.0 c+ ISSUED 1� ~ . BY BLOCK 2 PERMIT FEE S 24.00 ROOF CONSTRUCTION DESCR.PTION REFERRED TO COUNCIL TO CJ. FT. Earlton Shores PHONE NO. NO. INTERIOR CONSTRUCTION tile hardwood floors and terrazzo f1. DESCRIPTION glaat 3 bdrm. -2 baths - living room- dini room - kitchen- patio - garage REMARKS BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE LICENSE NO. SUBDIVISION BUILDER'S BOND 1814 REASONS DATE 20,000 EST. COST $ PHONE NO. LICENSE NO. DATE INSPEuQIONS DATE / PERMIT NO. ,. -�- • DATE ' '' RE- INSPECT BY RE-INSPECT BY FOUNDATION PC) I1 N ��.. - 1 , w I , a /WSN• RSV i■ g P BEAMS & LINTELS FRAMING $ RANGE CONN. S MOTORS S FIXTURES FINAL $ INSPECTIONS DATE�_ CLEAN -UP 1/ ;! +�� /z RERE-INSPECT BY TEMP. SERVICE // (q^ _ Gc g - SS PLUMBING PERMITS & INSPECTIONS CONTRACTOR T --f -= - /_ �" PHONE PERMIT NO. a37? -- I DATE g ( ?- 1.yl FEE S I • )� NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK % ~ i' p''^ 44- Q Z3 ? $ SEWER $ SOLAR HEATER $ GAS FIXTURES & FINAL f', '\''-'� $ w - ' =,/� ' = $ INSPECTIONS BY RE- INSPECT BY RE- INSPECT BY ROUGHING `' DATE 4 °Z, -S 1 GAS SEWER "'' S 1k. SEPTIC TANK SOLAR HEATER FIXTURES �' / • _ ' X6°55 r CONTRACTOR - PHONE / PERMIT NO. ,. -�- • DATE ' '' f FEE S % -, NEW BLDG. 1 ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE '; a $ H. W. HEATER CONN. $ RANGE CONN. S MOTORS S FIXTURES S $ INSPECTIONS DATE�_ BY RE- INSPECT BY RERE-INSPECT BY TEMP. SERVICE // (q^ _ Gc g - SS Yom+" --.• G`W"SS ROUGHING H. W. HEATER CONN 'Z '.// RANGE CONN. , ' i ,: ) o �F, FIXTURES & FINAL f', '\''-'� ' ,� w - ' =,/� ' = / 2/A BUILDING INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 263 9S Miami Shores Village, Florida, Owner, Agent or of Building bA --d -� �� ) ��� Lot A b ')'N ,' ') /j Bloch > > Subdivision , ' A •� %� ; t� % , - � Street Address \. \ <i' . o (0, c' )C)>_ c ' Approved use by occupancy Remarks. This Certificate of Occupancy is issued to the above named y > for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. • J) > ) BUILDING DIVISION Et..-0A 27, ' z / //3 (.5515 kV" 20 C' C Y cLs ;rr 1 - - ‘ ) 43 1 itt Zoksrt 5 ° 71L2 ../7 67,t Z 26 566 erY z oso.7 gc; 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 2,ogress of the work. ate \14 4'C . , 19 Owner's Name and Address ._.. /- ....��. Street and Number where work is to be done Estimated Total cost of improvements $Lc° Zone Cubage required .. .. ... Distance to next nearest building Maximum live load to be borne by each floor NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Registered Architect and /or Engineer �i Name and address of licensed contractor. Location and legal description of lot to be built on: Lot. k. Block - .. � �, 0 r !t I) n , 1 ' State work to be done and purpose of building (by floors) Chairman Member Member ....... Council Approved Date No Street G o_. 0 PLANNING BOARD DATE and for no other purpose. New Building ,(....%.- i Remodeling Addition epairs No. of Stories To be constructed of.. ----. Kind of iof, Cgveri g. `� ('') Amount of Pe C� �J Plan Cubage !, _ f� 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 pennit 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 Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such suhggntra :oi} work to be performed under this permit, as are licensed by Miami Shores Village. / Remarks (Signed) c" Q STATE OF FLORIDA, COUNTY OF DADE. J 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 Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Webs ite: Permits: BP2002 -1375 BP2004 -1258 BP2005 -596 EL2005 -132 PL2005 -133 MC2005 -53 EL2005 -163 BP2005 -892 EL2005 -195 Applicant ENRIQUE J GARCIA ENRIQUE J GARCIA ENRIQUE J GARCIA ENRIQUE J GARCIA ENRIQUE J GARCIA ENRIQUE J GARCIA SOLIMAR MARKARIAN ENRIQUE J GARCIA ENRIQUE J GARCIA Email: Z'oveA, Status CLOSED CLOSED APPROVED APPROVED CLOSED CLOSED CLOSED APPROVED APPROVED Filing Date 8/7/2002 9/16/2004 4/26/2005 4/26/2005 4/26/2005 4/26/2005 5/19/2005 6/13/2005 6/13/2005 Miami Shores Village 0 10050 NE 2nd Avenue Status: Miami Shores, FL 33138 Parcel Record Parcel #: 1132050090220 Address: 1201 98 ST NE GIS X Coordinate: GIS Y Coordinate: On Hold? ❑ Legal Description: Directions to Parcel: Owners: Name: Address: Phone Numbers: Day: Internet: Website: Name: Address: Phone Numbers: Day: Internet: Pagel of 2 Printed: 12/19/2005 Taxation #: 1132050090220 Zoning: Addition: EARLETON SHORES Area: 1259412 SQ FT Block: Lot(s): Section: Township: Range: EARLETON SHORES PB 43 -80 LOT 10 LESS E20FT BLK 2 LOT SIZE IRREGULAR OR 18021 -3924 1197 1 MARGIE HARVEY (DC 16434 -1484) ROBERT FARMER STEPHEN CLIFFORD &W DEBORAH & KATHRYN CLIFFORD OR 16434 -1477 TO 83 0794 4 ENRIQUE J GARCIA 1201 NE 98 ST MIAMI SHORES, FL 33138 -2562 Evening: INES HEGEDUS 1201 NE 98 ST MIAMI SHORES, FL 33138 -2562 Fax: Email: Evening: Fax: Purchase Date: Purchase Price: Sale Date: Current Owner? El Status: Cellular: Purchase Date: Purchase Price: Sale Date: Current Owner? Status: Q Cellular: Permit Number: State of Florida Description of improvement Owner(s) name and address: Interest in property: Name and address of fee simple titleholder Contractor's name and address: Name and address: Amount of Bond: $ Lender's name and address: - Personally Known, or Produced Identification Oath taken NOTICE OF COMMENCEMENT 6i tr'11 4 c / 2 i j GGA-. Surety: (Payment bond required by owner from contractor if any) -Lt 4 / R /i i/ t- . / : s.5.1 , 5 1 5 ?E �`A / = 14 �Y ; [ / - / P p+ - / ! n s� .-9 /v N Af /AM f&�r�. '(/AI-T j /'/ . •; Z / Apr) (Signature of Owner) 1 l 8319Q MN 11111 ItQ1 1011 CFA 2005R04-98 OR Bk 23378 Ps 1101i (1ps)' RECORDED 05/17/2005 09 :05 :27 HARVEY RUM, CLERK OF COURT MIAMI —DADE COUNTYr FLORIDA LAST PAGE Notice of Commencement must be filed if the job valuation of $ 2,500.00 and/or more in labor and material. Please file at 22 NW 1st Street, 1st Floor, Miami, Florida (305) 275 -1155 Tax Folio Number: it County of Dade The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statute, the following information is provided / in this Notice of Commencement. Legal description of propgrty and street address: - (X. 6 5 E1 12C. ii/Z" 111A111 Persons with the State of Florida designed by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statute: Name and address: In addition to himself/herself. Owner designates the following permit(s) to receive a copy of a Lienor's Notice as provided in Section 713.13(1)(b), Florida Statute: Name and address: Expiration date of Notice of Commencement: (the expirations date is one (1) year from the date of recording unless a differe . ale is sp : ed } Print Owner's Name. • 1 y S„-1' ehf c-- &2�ir( Prepared by: � .r'� � �� Sworn to and subscribed be ore me thi ' Address: .-. R te' AVM/ / A t E day of AMA ,20 - ..1 - I A/11 I j 8.. %:: 2 `; ( � .� Notary Public: /' Print Notary's Name: 1, 5- f / I Oath not taken Commission Expires: _ Wry ao w t o Expires September 20. 200E CONTRACIZIZSE & DATE twAaPtati2AAV DUILDING DEPARTMENT 10050 N.C. SECOND AVENUE MIAMI SHORES. rLORIOA 33138-2382 TELEPHONE 1305) 795.2204 FAX (3051 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT _ (We) acknowledge t at a new swimming pool, spa or hot tub will be constructed or istalled at plE .1W Miami Shores,. F1., and hereby affirm that one of to following methods will be used to meet the requirements of Chapter 515, Florida tatutes. (tease initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved salty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with mechanisms placed no lower than 54" above the floor or deck; understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and /or up to 60 days in jail as established in Chapter 775, F.S. ATURE & DATE (- . { &.4 W h - ',O,g /Ft- 0 , u• ; AME . ( PLEASE PRINT) 1 / ° Oscar Samar Date r• Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the pro erty described as s 1 . , %�.. , located at LI , �i/ � � �� , �'� In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owne Note: This certification is to be submitted with a swimming pool permit application in duplicate. 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ' , �. Signature Owner o Agent The foregoing instrument was acknowledged before me tlus day of AP¢-1 k , 20 Cc, by ,it/b2 kif &L%vt`O /A /k, Orars knowJ3_to l e or who has produced As identifi'cat(bn and who did take an oath. NOTARY PUBLIC: / APPLICATION APPROVED BY Chc 05/13/03 if 13 205 NOTARY PUBLIC: �, � Sign: Sign: , r f� /, i i� f s {_/ Print: t � ��L� ;� �� M q,,,,,nb.bn Du MVO Print: �r�t` ��d � � p � Comm My Commission Expires: a w Expires September 26, 2008 My Commission Expires: ';� an � 1 81110n 00J57003571180 res �, a� *************************************************************************** ** * ** * * * * * * * * * * * ** * ** **�4,F�i *S le, * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. T/( **************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a( - 3/,4$- Contractor The foregoing instrument was acknowledged before me this j day of AP I t - , 20 , by f , /,4Eb t' 'G'GF A, ) ywho is personallylawn to me or who has produced as identification aiS0 who did take an oath. Oar gam 4 /7-‘ ®� S his[ Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building-" Electrical City ki /1( 7 t Z- State F • Tenant/Lessee Name Total Fee Now Due $ (Continued on opposite side) State Certificate or Registration No.4ri- / i ' � ' i S Value of Work For this Permit )`", 22 ' Type of Work: ❑Ad ❑Alteration // Describe Work: (' ��1, Jj Y //t!/ f f/v't ' Pc C 6, Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Name (Fee Simple Titleholder) 3. L'yV- /1 Owner's Address 1 ' � � /L![ ( l ' l %l New Certificate of Competency No. Permit No. ster Permit No. — 6 - 1 S� Plumbing Mechanical Phone # ✓-'C� 5 2cr Zip ���� Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip 1 Y Is Building Historically Designated YES NO Phone # .5 > Contractor's Company Nanie �� C i =P-- • Contractor's Address '/ A• - /f/4,(/ City / [( r l State F/_ • Zip Qualifier /7t : :/- I P 1 / / ^� r AA) c� Architect/Engineer's Name (if applicable) Phone # pa2/ Square Footage Of Work: L J 3 a ❑ Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ . CCF $ / p � t CO /CC 50 ' Notary $ Training/Education Fee $ / Technology Fee $ /5i Scanning $ . Radon $ 9, rcl, Zoning Bond $ � Code Enforcement $ Structural Plan Review. $ 0`, Roofing Work: POOL AND SPA 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: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/1/2005 Applicant: ENRIQUE GARCIA Owner: GARCIA ENRIQUE JOB ADDRESS: 1201 NE 98 ST Contractor Local Phone: 305/573 - 6269 Parcel # 1132050090220 Building Permit Permit Number: BP2005 -596 BLUE WATER POOLS OF SOUTH FLORIDA Contractor's Address: 3400 N. MIAMI AVE Legal Description: EARLETON SHORES PB 43 - 80 LOT 10 LESS E2OFT BLK 2 LOT SIZE Fees: Description Amount FEE2005 -5480 Structural Fee $50.00 FEE2005 -6925 Building Fee $600.00 FEE2005 -6926 CCF $12.00 FEE2005 -6927 CO /CC $50.00 FEE2005 -6928 Training and Education Fee $4.00 FEE2005 -6929 Technology Fee $15.00 FEE2005 -6930 Scanning Fee $15.00 FEE2005 -6931 Radon $13.22 FEE2005 -6932 Builders Bond $300.00 FEE2005 -6933 Submittal Fee ($250.00) Total Fees: $809.22 Total Fees: $809.22 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 10/23/2005 Construction Value: $20,000.00 Signed: (INSPECTOR) Page 1 of 2 •csdlo 1 PM 6 0 6L 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: FINAL POOL 1 1 Passed r Ins ec r C omments p to Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -3336 Inspection Date: 12/20/2005 Inspector: Grande, Claudio Owner: GARCIA, ENRIQUE Job Address: 1201 98 Street NE Project: <NONE> Contractor: Building Department Comments Monday, December 19, 2005 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Ph/ e: (305)795 -2204 Fax: (305)756 -8972 c1- Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Block: Permit Number: BPP -12 -05 -596 Phone Number Parcel Number 1132050090220 Lot: Page 2 of 2 Inspection Number: INSP -3333 Inspection Date: 12/20/2005 Inspector: Grande, Claudio Owner: GARCIA, ENRIQUE Job Address: 1201 98 Street NE Project: Contractor: Buildin De • artment Cor FINAL POOL FENCE Passed Failed Correction Needed Re- Inspectif Fee ($75) No Additional Inspect re- inspection fee is p Monday, Deceml Miami Shores Village, FL 33138- <NONE> MIAMI SHORES VILLAGE BUILDING DEPARTMENT 30 5 - 795 -2204 Bu Iding Inspection Request Date l 1 Type Insp'n PPI �. � Permit No. X10 Name Address Compa Phone # Inspection Date ° Approved 9 Correction 0 Re- Insp'n Fee Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 avo Permit Number: BPP -12-05 -596 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Fence Work Classification: New Phone Number Parcel Number 1132050090220 Lot: - . - kipc9 A-s Page 2 of 2 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 RECD PAYING TWICE FOR IMPROVEMENTS TO YOUR CONSULT WITH YOUR LENDER OR AN Al COMMENCEMENT." , Notice to Applicant: As a condition to the issuance of a buil promise in good faith that a copy of the notice of commence; whose property is subject to attachment. Also, a certified col for the first inspection which occurs seven (7) days after t, inspection will not be approved and a reinspection fee will be Signature NOTARY PUBLIC: Sign: d'nt The foregoing instrument was acknowledged before me tlu day of AP/2 - , 20 Or, by X s personallykns�w n to me or-wyo has produced As ntifi c who did take 41 Oscar Ur C ) My .,omrm. Print: 7��_ a R xpire se My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 - ""u( =EME NT MAY RESULT IN YOUR "RTAIN FINANCING, 'reE OF • - Miami Shores Village BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Job Address (where the work is being done) Contractor's Address 1 Y VI.- Gf � �� �� � i State Certificate or Registration No. , J77 t $ Value of Work For this Permit ,/ =, Describe Work: (Continued on opposite side) Total Fee Now Due $ 1 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Contractor's Company Name G- ' (k kT/A ( „alli . OF NA/ / Permit Type (circle): Building (Electrical T, Plumbing Mechanical Roofing �� / Owner's Name (Fee Simple Titleholder) ,�C`2'�LG � C���GI� Phone # Owner's Address /% /Ill 76 r / City [Y, / /-1/ .l (. /-t." State l / . Zip l Phone # City Miami Shores Village County Mi i-Dad Zip Is Building Historically Designated YES NO City /f( L/14 ('�'r -�� /tK I State R • Zip Qualifier = 1, /. /'���'L Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 50, Permit Fee $ 'AZ,.) a Notary — Training/Education Fee $ 0 a ('12 Scanning $ ,7 Radon $ Code Enforcement $ Structural Plan Review. $ Zoning Bond $ Permit No. e 3 ermit No. 3 ® Phone # A9 Cs 5 ( 5 7 Type of Work: ['Addition ❑Alteration ew ❑ Repair/Replace ❑ Demolition r- 1/(/ 1 / I CCF $ 0 -c,99 CO /CC Technology Fee $ . r' CCLVUJ - C7u`t FEE2005 -6942 FEE2005 -6943 FEE2005 -6944 FEE2005 -6945 `1 0 CD CD n 0 ti Technology Fee Training and Education Fee Scanning Fee Submittal Fee Total Fees: Q z C - CD CD CD $5.63 $0.40 $3.00 ($50.00) $185.23 ro as 5 cn CD 0 z 0 0 0 Permit Status: APPROVED Permit Expiration: 10/23/2005 Construction Value: $1,400.00 Work: ELECTRICAL FOR POOL MASTER BP2005 -596 i , w d ® � Page 1 of 1 o O V , .. 1.3 O © PCJ C El z0 0rri • ; 10 LESS E2OFT . . It Total Fees: $185.23 Total Receipts: $0.00 BLK 2 LOT SIZE "d :d1 o " PAID Check 1 oq i 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: