366 NE 99 St (8)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT ra'
305- 795 -2204 \ �'
1 ) ( 5 i SBuildin Inspection Re. ue
Dat
Type Insp'n _.1 1
Permit No. j I - "l
t
�
Name � C t tC,
Address (0 I v M
Company g,/tf %
Phone # 1 3 0 c �s _ c76) (/
Inspection Date
Correction
Re- Insp'n Fee
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building a(o, Electrical Plumbing Mechanical Rooting
Owner's Name (Fee Simple Ti 4 f\ciorA Phone # 30% 0 ( 1
Owner's Address (0 G • N
City 1' & t, G JI1 State Zip (
Tenant/Lessee Name Phone # 30s VI l - 00 G-
Job Address (where the work is being done) 10 • 1 0 J •M MI— .
City Miami Shores Village
Is Building Historically Designated YES NO
Contractor's Company Name 4aokskAkAr Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit I ! 1 Ca •
Type of Work: Addition ['Alteration ONew EJ Repair/Replace ❑ Demo
Describe Work: -�. P
.. RR� 1 . .
.0
Nginrrivr-NA....iii, , . OP P. i- ____ ---- —
Ionian now —0- lie A
T%M .' - TA • • _... I T ': tM�..,; I1 = .. li[ . 1. ie
Permit Fee 3
Notary $°— Training/Education Fee $
Scanning $ Radon $
Fee $ c ; oo
Code Enforcement $^
Total Fee Now Due $
(Continued on opposite side)
3 ,
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
County Miami -Dade Zip 3 /_ (3 $ .
1
Permit No.
Master Permit No.
Structural Plan Review. $
Certificate of Competency No.
Square Footage Of Work:
CCF $
Technology Fee
Zoning Bond $
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 • . , • • and a reinspection fee will be charged.
dAid.
mow-
...._
0 . • gent Contractor
The foregoingt'nstrument was acknowledged before me this \ G The foregoing instrument was acknowledged before me this
day of IC) V , 200g, b �Q (�,� flO u l ,Uday of , 20 _ , by
who is personall, nown to me or who has proddi ced who is personally known to me or who has produced
Signature
As identification and who did t e as identification and who did take an oath.
a
NOTARY P : C ,;,ei`YP4a`, commission DD23 RNOTARY PUBLIC:
Sign: Sign:
Print: ' Print:
My Commission Expires
APPLICATION APPROVED BY:
Chc 05/13/03
Signature
* * * * * * * * * * * * * * * * * * * * ** * ** ************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
My Commission Expires:
****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** J, ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
7 2 Plans Examiner
Engineer
Zoning
.4
Located at:
. OWNER BUILDER DISCLOSURE STATEMENT
1'1j..i being the legal roperty owner, for the property
Legally described as ,
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 cork 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
irnprove 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 $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.
By
Proof of ownership provided ( )
Was ' ' ed before me this 1
. ACIU9
Produced
Owner
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
DISCLOSURE STATEMENT
initial of reviewing clerk. The foregoing instrument
day of _,L_, 20
who is personally known to me or who has
as identification and who did take an oath.
Building Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2004 -1523
Printed: 3/10/2005
Applicant: GLADYS YAMIR ABREU
Owner: ABREU GLADYS YAMIR
JOB ADDRESS: 366 NE 99 ST
Contractor
Local Phone:
Parcel # 1132060135560
Contractor's Address:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3 & 4 BLK 41 LOT SIZE 100.000
Fees: Description Amount
FEE2005 -2970 CCF $1.20
FEE2005 -2971 Notary Fee $5.00
FEE2005 -2972 Training and Education Fee $0.40
FEE2005 -2974 Scanning Fee $6.00
FEE2005 -2975 Submittal Fee ($50.00)
FEE2005 -3115 Building Fee $125.00
FEE2005 -3116 Technology Fee $3.13
Total Fees: $90.73
Total Fees: $90.73
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 5/18/2005 Construction Value: $1,250.00
Work: GRANITE COUNTER TOPS AND DRYWALL IN BATHROOM
Page 1 of 1
R o pq/
0
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:
22°'
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: 1 5) 795.2204
F . ' . (305) 756.8972
A/A zawormirkwir
irscA4 Auk 1 MEM •
AA,,mfaIMM.MIFIAVIS
•
Permit No.
Job Na
BUILDING CRITIQUE SH " T
09-1E013
/PoL.:41-i
)(? ,*zei
-J
Se
75/ ' (1Qfr'
t‘.0c4.
g)0 )'2,C X 7(6 ,Z(
/ 1 4 3 x
00
7roo? 54.
•
(■)
F (30r) 30 r w-f)6
��Y (30r) 666 03 X73
pfc /(iJa_
a �
)99