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816 NE 99 St (2)MIAMI SHORES VILLAGE BUILDING DEPARTMENT , 305- 795 -2204 Building Inspection Request/ Date 1l�o� Type Insp' n Permit No. ' P Oy--qo'L • Name Address Company Phone # glco NL c- oS = 6(09- 0120 Inspection Date - 1 1 C0 t + Approved Correction Re- Insp'n Fee [ 1c j v BUILDING PERMIT APPLICATION FBC 2001 Architect/Engineer' s Name (if applicapl_e) $ Value of Work For this Permit (Continued on opposite side) Building Total Fee Now Due $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing Mechanical Roofing 5'o 76-6-3 Permit Type (circle): Owner's Name (Fee Simple Titleholder) SrAciit f i /12 4 Owner's Address 0/ ' �- City 1 1'- i f h 61-e1 State A Zip 33 JJf1 Tenant/Lessee Name Phone # Job Address (where the work is being done) e City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name I4eV r4l 5 *iC �Ld�lone L lo `- f 8C) Contractor's Address City I- hOrY1I State —÷ Zip Qualifier Hexwil ?. \I; W) C V7 . 1 ti Permit No. C N D O" 1 9 09— Master Permit No. Phone # Phone # Square Footage Of Work: Type of Work: ❑Addition Alteratio>ji ❑New ❑ Repair/Replace ❑ Demolition Describe Work: h l ()V1' \AI . t f O . 4 G/4 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a60 Notary $ Training/Education Fee $ t d d Technology Fee $ Submittal Fee ip% / Permit Fee $ /(!lam CCF $ Scanning $ Radon $ — Bond $ Code Enforcement $ Structural Plan Review. $ ©© 1 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 On AN ATT 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 9ommencement must be posted at the job site for the first inspection which occurs seven (7) days after , the building pq mit is issued! In the, of such posted notice, the inspection will not be approved and a reinspection fee will be charger, • Signature Contractor The foregoing instrument was acknowledged before me thiso ) day oflbfa- , 20tA, by fp, fCk:S ( Q (4 Lf ? day of J Lire , 20C4, by -Owner or Agent The foregoing instrument was acknowledged before m thi who is personally known to the or who has produced . ' NOTAR LIC: Sign: if APPLICATION APPROVED BY: Chc 10/14/03 who is personally�known,to tit or who has produced ' As identification and who did take an oath. as idelntification and who did take an oath. i Co mmissloliDD308 " �:^ ssi 97 on xplres: #DD; ' Print: 1/ .�.sli,'7I'ii_ � �+�•,����' _ _ 1.E �r' �� � iy. L.a�u ,'. v` +C ' • ' I' }` '• , My Commission Expires: ii O i��po . My Commission Expires: pp n0? ,� Bonded �,,; .... „ " Atlantic Bondin rr% 1' (Certificate of Competency Holder) Bonded'lhrr ' .,,' ,. Wog, NOTARY P • RE Print: State Certificate or Registration No. Certificate of Competency No. ****** **************************************************** UL ° 2 MK Plans Examiner Engineer Zoning Page 2 of 2 ,.Id of Survey Abbreviations A (C) CL ENC FIP OH PB P11. UP T Arc Distance A/C / /alcufated CD Clear C/L Encroachment ETP Found Iran Pipe FIR Overhang Plat Book Properly line Utility Pole Tangent FLOOD ZONE; X FLOOD INFORMATION; Community Number: Panel Number: Suffix: F.I.R.M. Index Date: Base Elevation: PROPERTY OF: ORB PC POD Air Conditioning ik ad Catch Basin Center Line Electric Transformer Pad Found Iron Rod Official Records Books Point of Curvature Point of Beginning WM Water Meter LME Lake Maint. Easement BCR CBs CONC FD (M) OUL PCC POC A AE Dies ) All Clearances and /or encroachments shwon hereon are of apparent nature. Fence ownership by visual means. Legal ownership of fences not determined. ) The issue of this survey is only for the exclusive and specific use of those persons, parties or institutions shown in the certification. Any other intended use will require written approval from the certifying surveyor or firm. ) Code restrictions and title search are not reflected on this survey. 1) Underground utilities and encroachments, if any, not located. 1) The flood information shown hereon does not imply that the referenced property will or will not be free from flooding or damage and does not create liability on the part of the firm, any officer or employee thereof, for any damage that results from'reliance on said information. ) The lands depicted hereon were surveyed per the legal description and no claims as to ownership or matters of title are made or Implied. Bearings, if any shown based on CERTIFIED TO Rapid Title Services Company; Attorneys' Title Insurance Fund, Inc.; Sultz, Bradley, and ABN AMR() Mortgage Group, Inc., its successors and /or assigns. ► N T VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF FLORIDA ENSEO SURVEYOR AND MAPPER 120652 93 J 7 -17 -95 Not Available Bradley, 816 N.E. 99th Street, Miami Shores, Florida' 33138 A BOUNDARY SURVEY 1 hereby certify that the Surrey represented hereon meals the minimum technical standards set forth by the Board of Land Surveyors In chapter 010174 Florida AdminlatraUve Code pursuant to Section 4 027 Fla. Statutes. 'There ars no encroach me •overlaps. easements appearing on the 1 other than as shown hereto FL. P h. VEYOR Browerd County Records Concrete Block Structure Concrete round Measured Overhead Utility linos Point of Compound Curve Point oI Commencment Central Angle Anchor Easement • FIELD DATE (a 5-16 . uo BLDG C11 DE FII NGVD P PG PRC (reference) Building Chord Distance • 'Drainage Easement Fire Hydrant National Geodetic Vel licat Datum Plat PT O/S Offset SCALE Page Point of Reverse Curvature Point of Tongency R Radius RAD Radial R/W Right of Way SEC Section SCR Screened SIP Set Iron Pipe SWK Sidewalk Utility Easement UE WM WOOF Male LANNES AND GARCIA, INC. L.B. #2098 Surveyors- Mappers -Land Planners Ernesto E. Espinosa #2948 • Address: 359 Alcazar Ave, Coral Gables, FL 33134 (305) 666 -7909 (954) 523-8603 DRAWN BY DRAWING NO 120867 i } 1'0" 2'0" 2'0" 1'0" WOOD. FENCE Section 2328 FBC 6'0" Maximum 2x4 No. 3, So. Pine PT . Wood Rails Attached to Post With four 10d Nails (min.) 4x4 No. 2 , So. Pine PT Spaced as follows Fence height Post above grade Spacing 6' -0" 4' -0" O.C. 6 -0" 5' -0" O.C. 4 % -0" 6' -0" O.C. Wood Pickets 518" Min Thickness attached to each rail with Two 16 Ga. staples 1-3/4" long 10' Diameter Concrete filled hole Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2004 -902 Printed: 7/6/2004 Applicant: BRADLEY SULTZ Owner: SULTZ BRADLEY JOB ADDRESS: 816 NE 99 ST Contractor Local Phone: Parcel # 1132060142450 Building Permit Contractor's Address: Legal Description: MIAMI SHORES SEC 3 PB 10 - 37 LOT 10 & E1/2 OF LOT 11 Fees: Description Amount FEE2004 -6730 Building Fee $100.00 FEE2004 -6731 Training and Education Fee $0.20 FEE2004 -6732 Technology Fee $2.50 FEE2004 -6733 Scanning Fee $6.00 Total Fees: $108.70 Total Fees: $108. 000 Total Receipts: f0"...60 515,10 Permit Status: APPLIED Permit Expiration: 12/28/2004 Construction Value: $1,000.00 Work: INSTALL WOOD FENCE AND GATE Signed: (INSPECTOR) Page 1 of 1 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 72 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address x b / 6' kie: 99 S 4 - Tax Folio Legal Description Historically Designated: Yes /� I Owner/Lessee essee /Tenant I P^{ L , v 1 h`7 Master Permit # / �� lO ,C/ C _ Owner's Address PE % / 5 k Z -- Contracting Co. JV l ac, r1,1 et 6 GU , Address Qualifier L \ SS# - Uees2/.. oS State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING SIGN WORK DESCRIPTION C k , n / i/1 r.e, h,, l r 6. vk' I G r C, o r 5' j1g1C ke igkf Square Ft. Estimated Cost (value)( 7/ S! w WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I 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, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the wor ted. Notary s to My Commissi FEES: PERMIT 5 V RADON ture f Contractor or Owner - Builder Date Notary as to Contractor or Owner- Builder My Commission Expires: C.C.F. I � V NOTARY S / BOND APPROVED: , AC rn 0 Zoning V 7 Building i v �� electrical Mechanical Plumbing Structural Engineer TOTAL DUE Date Page 2 of 2 Legend 9f Survey Apbrevialions A Arc Distance (C) 14alculated CL Clear ENC Encroachment FIP Found Iron Pipe 011 PB P/1 UP T Notes Overhang Plat Book Properly Line Utility Pole Tangent FLOOD ZONE; Suffix: F.I.R.M. Index Date: Base Elevation: CERTIFIED TO: X A/C Air Conditioning Gad CB C/L ETP FIR Catch Basin Center Line Electric Translamer Pad Found Iran Rod ORB 011icial Records Books PC Point of Curvature POO Point of Beginning WM Water Meter LME Lake Maint. Easement FLOOD INFORMATION: Community Number: 120652 Panel Number: 93 J 7 -17 -95 Not Available BCR CBS CONC FD (M) OUL PCC POC A AE Broward County Records Concrete Block Structure Concrete Found Measured Overhead Utility linos Point of Compound Curve Point of Commencnnent Central Angle Anchor Easement Bearings, if any shown based on BLDG CI1 DE Building Chord Distance Drainage Easement Fit Fire Ilydranl National Geodetic Vertical Datum NGVU P PG PRC Plat PT 0/S 011sel Page Point of Reverse Curvature Point oI Tangency Rapid Title Services Company; Attorneys' Title Insurance Fund, Inc.; Sultz, Bradley, and ABN AMRO Mortgage Group, Inc., its successors and /or assigns. R Radius RAU Radial R/W Right of Way SEC Section SCR Screened SIP Set Iron Pipe SWK Sidewalk Utility Easement luE a) All Clearances and /or encroachments shwon hereon are of apparent nature. Fence ownership by visual means. Legal ownership of fences not determined. WM Water Meter b) The issue of this survey is only for the exclusive and specific use of those persons, parties or institutions shown in the certification. Any other intended use will require written approval from the certifying surveyor or firm. c) Code restrictions and title search are not reflected on this survey. d) Underground utilities and encroachments, if any, not located. e) The flood information shown hereon does not imply that the referenced property will or will not be free from flooding or damage and does not create liability on the part of the firm, any officer or employee thereof, for any damage that results from reliance on said information. f) The lands depicted hereon were surveyed per the legal description and no claims as to ownership or matters of title are made or implied. (reference) PROPERTY QF: Sultz , Bradley , 816 N.E. 99th Street, Miami Shores, . Florida' 33138 NOT VALID WITHOUT TIME SIGNATURE AND THE ORIGINAL RAISED SEAL OF FLORIDA LICENSED SURVEYOR AND MAPPER A BOUNDARY SURVEY I hereby certify That the Survey represented hereon meets the minimum technical standards set forth by the Board of Land Surveyors In chapter 61017.6 Florida Administrative Code pursuant to Section 472.027 Fla. Statutes. There ars no yscroach meets,' overlaps, easements appearing on the Plat, other than as shown hereto FL. PE.F.S RVEYOR AND MA r RNO. LANNES AND GARCIA, INC. L.B. #2098 Surveyors- Mappers -Land Planners Ernesto E. Espinosa #2946 . Address: 359 Alcazar Ave, Coral Gables, FL 33134 (305) 666 -7909 (954) 523 -6663 FIELD DATE I SCALE 5 -Ju I DRAWN BY DRAWING NO 120867