899 NE 99 St (5)Date il�'
Type Insp'n � / /7 .Sl�.t��1 6
Permit No. 6, — 6 8
Name GC)*21l4
Address 89 °1 ,/E 99 Sr
Company 4144e0:, /"-(2`"""--1`."`—'
Phone # 805-- 90 3'9 9
/.2reVc.)
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
cf .
41
Da
Type Insp'
Permit No.
Na e
Address
Compa
Phone #
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
B 'Wing Inspection Request
Inspection Date
Thos.'gD_S'KJ
Re- Insp'n Fee ❑
k 1-;
JAY ' " 200+
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle)
Owner's Name (Fee Simple Titleholder)
Owner's Address «c a
City' Ist. State Ct. (1
Tenant/Lessee Name
Job Address (where the work is being done) 3 `"l I L: . 61 ‘. CL C ,J l
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name 1A 12., L N t, M 1 N J
Contractor's Address 1111-1 .} t� u 01
City VI 1 �. k, • C 0 State �L � Zip 1 t 1
Qualifier M. CL Ll • S W`- J L 1.
L A M Phone # (7 `�' - 2 2 - " 2 D 1 4 (
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit G `z
Type of Work: ['Addition ['Alteration IONew ❑ Repair/Replace
Describe Work: I.0 ' Y LL t 1 O
Submittal Fee $ i�lJ
Notary $ °•Me■—
Scanning $
Code Enforcement $
Total Fee Now Due $ ,( , ' 1,
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrical Plumbing
Permit No.
Master Permit No.
Mechanical Roofing
Lite '! icz ;A L LEI Q LL L` .4 phone # - - 64 oB
00.
Zip
Phone #
Square Footage Of Work: 262- .sue'2 u c
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Phone# - ooq
❑ Demolition
Permit Fee $ J95 CCF $ j a1' ,, coicc
ge
Training/Education Fee $ Technology Fee $
Radon $ Zoning Bond $
Structural Plan Review. $ S0.00
p (00 .00, C K I��
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 seured 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."
The foregoing in
day of
who is
Chc 12/15/03
ally known
Signature
NOTARY LIC: ,J
Sign: 6_��4/
Print: t6 ///t//,
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Owner or Agent
/
ment was acknowledged before me this - The foregoi
200 , by - 105 - /t4'// '"C f day of
me or who has produced
As identification and who did take an oath.
:r MY COMMISSION N 00043367
EXPIRES: November 19, 2015
*' * * PAWN t lNNk klP* *
onally k
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $ /0, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will .e delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencemen ust be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is •issued i the absence of such posted notic the
inspection will not be roved and a reinspection fee will be charged.
Signature ---
who is pe
NOTARY PUBLIC:
Sign:
Print:
My Commission Expir
* * * * * * * * * * * * * * * * * * * * * * * *Www
Contractor
ment was acknow dgedibefo r
,20_,by
cif
to me or who has produced
/9'
me,this :2i
dentification and who did take an oath.
Sion i D231qR<.
'u: 3
24"A'
N
V4******
* * * * **
n tnn;
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
****************************************************************************** * * * * * * * * * * * ** * * * * * * * * * * * * * * * **
(45/12 k.7 L . Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Printed: 5/26/2004
Applicant: JOSHUA WALLACK
Owner: WALLACK JOSHUA
JOB ADDRESS: 899 NE 99 ST
Contractor MARCO ALUMINUM
Local Phone: 305 - 861 -8004
Parcel # 1132060340170
Signed: (INSPECTOR)
Building Permit
Phone: 305 - 795 -2204 Permit Number: BP2004 -684
Contractor's Address: 1743 NORMANDY DR
Page 1 of 1
Legal Description: 5 -6 53 42 MIAMI SHORES SEC 8 PB 14 -33 LOT 23 & E1/2 OF LOT 22 BLK 169 LOT
Fees: Description Amount
FEE2004 -5274 Building Fee $195.00
FEE2004 -5275 CCF $4.20
FEE2004 -5276 Notary Fee $5.00
FEE2004 -5277 Training and Education Fee $1.40
FEE2004 -5278 Technology Fee $4.88
FEE2004 -5279 Scanning Fee $6.00
FEE2004 -5280 Builders Bond $300.00
Total Fees: $516.48
Total Fees: $5
Total Receip 0. 0
9v
JUN 0 1 PAID!
Permit Status: APPLIED Permit Expiration: 11/17/2004 Construction Value: $6,500.00
Work: INSTALL SCREEN PATIO
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:
PERMIT NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
2. Description of improvement:
Amount of bond $
6. Lender's name and address:
4`1
Signatu e' f Owner
Print Ovfner's Name
Sworn to and subscrib
differe
ow I I■G yr \rVIVIIIIGIV VGIVIG1tl 1
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
Notary Public
Print Notary's Na
My commission expires:
123.01 -52 PAGE 4 8/02
1 111111111111 1 111 11111 11111 11111 11111 1111 1111
TAX FOLIO NO. CFN 200480421631
OR Bk 22348 Ps 4715; (ips)
RECORDED 05/28/2004 11:58:47
HARVEY RUVIH► CLERK OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: S -t \ ST
k s fr I silt"? ES, ft
3. Owner(s) name and address: S' , ff 4 9, /1/•0 `l /.
Interest in property: C•4/ ��'d Q� •��a/�C�IG�
Name and address of fee simple titleholder:
4. Contractor's name and address: /W€6.=:2
5. Surety: (Payment bond required by owner from contract
T T�E,�, FLORIDA, CO N PY O DADE
�I bERTIFY thatthi. i a a.•
Name and address: original Ned this . fr pyofthe
By
WITNESS my hen!
�
HARVEY RUVI;
ATM ■1111111h.
it
7. Persons within the state of Florida designated by Owner upon whom noti . es or other documents may be served as
provided by Section 713.13(1)(a)7 Florida_Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expira on date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
to is = lied)
)/91/
ore me this '`? day of /77 , 20 a#
Prepared by
Address: I CZei
/ 3 X.d 7
3340
Owners Name and Address
Registered Architect and /or Engineer rt - �Ar - S , ..,�
Name and address of licensed contractor
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Chairman
Member
Member
OE MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approyal 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.
p
Date.. -
RV d S
CL A��SS
Location and legal description of lot to be built on: C
lock t Subdivision / - S
Lot
Street and Number where work is to be done ,� �-- I -L �. .._...._ __ — ....._
State work to be done and purpose of building (by floors) 4 e "T. LC Ni - C - L . /2 L•' ..__..._
d - )C...._9. -D 6 4 , `� - --�1 ` L— k 1- 1 l
and for no other purpose.
New Bui!ding Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 7SF ¢- 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 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 pennit; 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 subcpntractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks
( Signed )...._.......
'_... °. Street._ d .. • _•
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.. _.._.f _d._?_r Date ' -� -� Read, Sworn to and Subscribed before me.
Disapproved D
(Signed) -
Building Insp. tor .My Commission Expires
Notary Public, State of Florida
9
PLANNING BOARD DATE
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 hecn 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.