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1135 NE 100 St (4)11 JO GT1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu (ding Inspection Request Date( 18 Type Insp'n - Fan Permit No. F f o Name Address l 13S �� SI Company Phone # Inspection Date 0 Z Approved Correction ❑ Re- Insp'n Fee ❑ '510 wov 0 005 'MIAMI SHORES VILLA BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date (t 3305 Type Insp'n Fw a r� I t(� Permit No. 15720 _ r Name 1�blN11k vs- Q a Address kk n " hs Company W Vomas $ casilu l lm Phone# 5 I s9 - 2-o' Inspection Date ttViloJ Approved ❑ Correction Re- Insp'n Fee ❑ 7 (13 Gov P-i 1 /A) 5/29C1c;A) , Lge �c , � // / I, �YW IN / /mac U Ca v NOV 1 0 2005 MIAMI S VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 11106 Type Insp'n ( fide r ` Permit No 2-005 ,) T Name v��t Address ` tQV•sT p ..-.� --��-- Company'? (-� 5 - FoA e- if r0 il rim Phone # 4,n -6(4,-2_031 Inspection Date 1,110(05 Approved Correction Re- Insp'n Fee `)/42 A/0)1-(e MIAMI SHORES VILLAGE BUILDING DEPARTMENT el* 305- 795 -2204 Building Inspection Request Date 8 Inspection Date Approved Correction Re- Insp'n Fee 35 14 Type Insp'n Permit No. Name CC Address ' /SS Compan au O k PO5-cOiz- Phone # EDI 2z (2 sL bti0k 120c-ec-, .67 h 35 33 MIAMI SHORES VILLAGE kiI e BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date \`(i Type Insp'n ¥S t \ F(i -CL Permit No. ' PT '-*'o S - `S Name T kiPI \AJOkSyL Address 'V 1)t 16b Company Rot( . Co t i Phone # 1 3/ 1 6V 7- ] 1 6 V 7 M t Inspection Date U I R'05 Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT b, 305- 795 -2204 '10 Building Inspection Request Date Type Insp'n 0 I n U2 Permit No. BP GS 7;3 Name L ► [c) lJ� Address \ ` c,S Nq \ S+ Company Phone # Inspection Date 4 Approved Correction Re- Insp'n Fee Co° 6 - , 031 5 Parcel # PARC2003 -17 Legal Description: (INSPECTOR) Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -237 Printed: 9/22/2005 Applicant: THOMAS WENSJOE Owner: WENSJOE THOMAS JOB ADDRESS: 1135 ST NE 100 Permit Status: APPROVED Permit Expiration: 5/31/2006 Construction Value: $2,100.00 Work: WOOD FENCE WITH GATE Page 1 of 1 Contractor POPEYES FENCE & CONSTRUCTION CO Contractor's Address: 10801 NW 27 AVE B2 Local Phone: 305 - 688 -3977 Fees: Description Amount FEE2005 -3050 Building Fee $100.00 FEE2005 -3051 CCF $1.80 FEE2005 -3052 Training and Education Fee $0.60 FEE2005 -3053 Technology Fee $2.50 FEE2005 -3054 Scanning Fee $6.00 FEE2005 -12734 Building Fee $70.00 Total Fees: $180.90 Total Fees: $180.90 Total Receipts: $110.90 CCT 2 0 PAID �c i 42.9' Signed: - v In consid tion. . f the - ce 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 conforms ith theelas rawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done ¢ either myse Vn7vagent, servants or employes. Signe/ (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): wlding Electridlumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Th CINY1. lj \ b r (-e Phone # Owner's Address I I j N t b D 54 city (Y) I(inn 1 Sh r $ Tenant/Lessee Name Phone # Job Address (where the work is being done) /1 55 /00 5 I City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name � 0�2�.k2 Contractor's Address 1 c gj 0 t NI V) Z- —1 A-1 City On 104 m 1 State t= 1 Zip m- 1 l_9 Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit APUO • "o Type of Work: ❑Addition ❑Alteration ❑New Describe Work: r-P 16c ca-ke3 w scccl 31 r) &S71 - A (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 State P 1 Tel: (305) 795.2204 Fax: (305) 756.8972 Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ • Permit No. 0 r 05 -,J87 p er Permit No. ,POS 9S(.1 Zip 731 Phone # Square Footage Of Work: Zip ❑ Repair/Replace ❑ Demolition -de (?1V\ d t\jeu) Ct1I * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** t0 r �F Submittal Fee $ Permit Fee $ * 1 V CCF $ • Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ 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 approved and a reinspection fee will be charged. Signature o-1/r11,c4 My Commission Expires: Chc 10/14/03 APPLICATION APPROVED BY: Owner or Agent The foregoing instrument was acknowledged before me this _ day of ' i 200, by /eiro / s J who is : son. kn. tome or who has produced As identification and who did take an oath. NOTARY • ` m.- i0HHl.:5 Print: 414/4 /6 ft W I � :r MY COMMISSION # DD 221477 EXPIRES: June 9, 2007 . Bonded Thru Notary Public Underwriters M **************************** ** * * * * * * * * * * * * * * * * * * * * * * * * ** * ** Signa NOTARY PUBL Sign: Print: ************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) Contractor The foregoing in ent was acknowledged before me this day of 2005, by 49:2w..eaTerei , who is s onall wn to me or who has produced as identification and who did take an oath. 1 / Mil EXPIRES: June 9 2007 .A!„ttd' Bonded Thru Notary Public Underwriters ANA M. TORRES My Commission Exp State Certificate or Registration No. Certificate of Competency No. Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Type of Work: Describe Work: Notary $ - Scanning $ $ Value of Work For this Permit 6 Total Fee Now Due $ (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 ❑Addition / ' teration �, /� 11 0 la ■ 1 , Permit No. 20tMa'ter Permit No. mbing Electrical /oos] Owner's Name (Fee Simple Titleholder) Owner I 's Address _ City Ha h')i�U /eS State C/ Tenant/Lessee Name -r 0 l � W er Phone # " � � (� 417 1 ch Zip Phone # Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name 7w ` �'� Address � Phone # Contractor's d � C� City . 4 . State 1 1:2- \ Zip Qualifier C ( 1 V County Miami P . ' e Zip NO Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Mechanical Roofing ❑New ., ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $ ! CCF $ Training/Education Fee $ (2.60 Technology Fee $ oj 57) Radon 8 Bond $ 03 1 0=8 Code Enforcement $ - Structural Plan Review. $ /d/7 4 ill. ; ;' :,, - ANA M. TORRES t n11 1 m omission Exp ' ' •- EXPIRES: June 9, 2007 . % p ,. Bonded Thru Notary Public Underwriters 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 t occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not b approved and a reinspec 'on fee will be charged. Signatur The foregoing instrument was acknowledged before me this / '7 day of 'Feb • , 200 , by 4 poir S (/t4 who is p Fr ►r . My Commission Expires: Owner or Agent APPLICATION APPROVED BY: Chc 10/14/03 to me or who has produced As identification and who did take an oath. NOTARY LIC: �� Sign: C ■ Print: rocvra, m • ANA M TORRES *= MY COMMISSION # DD 221477 a. EXPIRES: June 9, 2007 a �' �; = Bonded Th u Notary Public Underwriters *** ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** S gna NOTARY PUBLIC: * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. Contractor The foregoing instrument was acknowledged before me this / 7 day of b• 200 by , who is p as identification and who did take an oath. Sign: Print: My C **** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** IZ 2 to me or who has produced Plans Examiner Engineer Zoning PERMIT NO. .^ ADDRESS: ' MIAMI SHORES BUILDING / ZON VILLAGE NG DEPARTMENT SECTION BY DATE . • ZONING ELECTRICAL . MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Gabled to compliance with nit Federal, State. Cormty,Vinage rates sad regulations. Wage asst ne% no responstbWtty for nccvrecy otlor mutts (coca these plans. 2. This copy of plans mutt be evalltbte ca twTtding site or no Inspection wtfl In conducted. .,,ru 1 1l.tut SHEET JOB ADDRESS J / 9 5 • /V /0 s/ APPLICANT PHONE# DATE APPLICATION SHEET OF MISCELLANEOUS ZUNING� COMMENTS INITIALS -112v/a5" GLV ,\R(-K0) Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -237 Printed: 3/9/2005 Applicant: THOMAS WENSJOE Owner: WENSJOE THOMAS JOB ADDRESS: 1135 ST NE 100 Contractor POPEYES FENCE & CONSTRUCTION CO Contractor's Address: 10801 NW 27 AVE B2 Local Phone: 305 - 688 - 3977 Parcel # PARC2003 - 17 Legal Description: Building Permit Fees: Description Amount FEE2005 -3050 Building Fee $100.00 FEE2005 -3051 CCF $1.80 FEE2005 -3052 Training and Education Fee $0.60 FEE2005 -3053 Technology Fee $2.50 FEE2005 -3054 Scanning Fee $6.00 Total Fees: $110.90 Total Fees: $110.90 Total Receipts: $110.90 Permit Status: APPROVED Permit Expiration: 8/17/2005 Construction Value: $2,100.00 Work: WOOD FENCE WITH 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: Miami.-Shores Village 10050 NE 2nd Avenue Printed: 10/20/2005 Applicant: THOMAS WENSJOE Owner: WENSJOE THOMAS JOB ADDRESS: 1135 ST NE 100 Parcel # PARC2003 -17 Legal Description: Signed: (INSPECTOR) Building Permit Phone: 305 - 795 -2204 Permit Number: BP2005 -237 Permit Status: APPROVED Permit Expiration: 5/31/2006 Construction Value: $2,100.00 Work: WOOD FENCE WITH GATE Page 1 of 1 Contractor POPEYES FENCE & CONSTRUCTION CO Contractor's Address: 10801 NW 27 AVE B2 Local Phone: 305 - 688 - 3977 Fees: Description Amount FEE2005 -3050 Building Fee $100.00 FEE2005 -3051 CCF $1.80 FEE2005 -3052 Training and Education Fee $0.60 FEE2005 -3053 Technology Fee $2.50 FEE2005 -3054 Scanning Fee $6.00 FEE2005 -12734 Building Fee $70.00 Total Fees: $180.90 Total Fees: $180.90 Total Receipts: $110.90 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 Printed: 8/30/2004 Applicant: CARLOS CRUZ Owner: CRUZ CARLOS JOB ADDRESS: 10504 NW 2 AVE Contractor Local Phone: Parcel # 1121360020010 Signed: (INSPECTOR) Building Permit Phone: 305 - 795 -2204 Permit Number: BP2004 -1158 Contractor's Address: Permit Status: APPROVED Permit Expiration: 2/19/2005 Construction Value: $2,000.00 Work: 5' WOOD FENCE Page 1 of 1 Legal Description: SHORELAND HGTS PB 43 -85 LOT 1 LOT SIZE 71.900 X 125 OR 19440 -4293 Fees: Description Amount FEE2004 -8753 Building Fee $150.00 FEE2004 -8754 CCF $1.20 FEE2004 -8755 Notary Fee $5.00 FEE2004 -8756 Training and Education Fee $0.40 FEE2004 -8757 Technology Fee $3.75 FEE2004 -8758 Scanning Fee $9.00 Total Fees: $169.35 Total Fees $169.35 Total Receipts $0 O0 .3 S 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 FENCE WALL AND HEDGE REQUIREMENTS Maximum height of fences walls and hedges, in any required front yard, 3 -1/2 feet except on Biscayne Boulevard where fences and walls are 5 feet and hedges are 7 feet Maximum height of hedges in any required side yard rear yard is 7 feet and maximum height of fences or wall in any required side rear yard is 5 feet. FRONT YARD FENCES All walls or fences in any front yard shall be constructed either or ornamental masonry or of ornamental metal, but not including any wire fence . All front fences must be approved by Planning and Zoning Board prior to issuance of a permit. SIDE OR REAR YARD FENCES Walls or fences in any side or rear yard, shall be constructed of chain link, wood, ornamental iron or aluminum, precast concrete, concrete block stucco, oxornamental masonry. The use of all other materials or attachments such as slats, fabric, reed screening, etc., is prohibited. Any fence, wall or hedge established adjacent to a rear plot line along an alley shall provide a clear space of at least forty (40) square feet in area long the alley line available for the placing of waste materials for removal. WOOD FENCE Permit application accompanied by two copies of survey and two copies of drawing indicating ways to install wooden fence. Location of fence should be highlighted on survey. Owner - builder permit may be issued. CHAIN LINK FENCE Permit application along with two copies of survey indicating location of fence. Owner - builder permit may be issued. MASONRY FENCE Permit application must be accompanied by two copies of drawings signed and sealed by a registered Engineer. ORNAMENTAL IRON Permit application must be accompanied by two sets of drawings depicting style of fence. 5'-O" MAX 2 -0" Owner's Side cncrete III III 111 111 WOOD FENCES 4 X 4" Wood post 2" X 4" Wood �a�1 1 "X6 "crl "X8" Wood pickets ' -0" 2915 Fences Wood Posts 4' -0" High or Less = 6' -0" O.C. 5' -0" High or Less = 5' -0" O.C. 2915.1 Wood fences, so located on a property that by zoning regulations they cannot be used as a wall of a building, shall be constructed to meet the following minirnum specifications. (a) Fences not exceeding 5 feet in height shall be constructed to meet the following minimum requirements: from nominal 4 inch by 4 inch by 8 feet -0 inch long posts spaced 5 fee. -0 inches on centers, having a fiber stress of 1200 p.s.i. in bending, and shall be embedded 2 feet -0 inches into a concrete footing 1 fcot -0 inches in diameter and 3 feet -0 inches deep. Other components shall be designed to comply with the provisiogs of this Chapter and Chapter 23. (b) Fences not exceeding 5 feet and 4 feet in height respectively shall be constructed as provided in paragraph 2915.1 (a) herein, except that the spacing of posts may be increased to 5 feet -0 inches and 6 feet -0 inches on centers for these heights. 0 ea Z 0 t f1P'1lr e 1 SR ..;H aF tBK/ SURVEY �o�9CJKE r t7 Pact.mmy LO12 wGi/ Cale I 7' 6 )_2_2()-72C‘ v IF 1Q LIP VT flP tp t.snme ,N,r**o 1 Zara 4 Comm ' was 1 N ► j % . 1 / 's -2! go ' -J t a it ft vAI .✓ /n 1 1o_• ".i L. .., fa lCA • r, ...p - • •••∎., •, 1NE n_IaZRRl scla Awn AI. /o 51 AA() -- aim i 4 y.'K1 c . , /gem Tt: /`t ...O.O , 1EG1LL 0E9GWlow LO t ao[a tuoat9alw 1[74C��4'.1 � 0013111., Ofd6 E U1 6> , tar-40•crve macs i T = - /DO ("to %arm e.AI Lcs c,Qz, - •CP .0773 JifCC 60 ,Ve;73o )7rt_6 Inmer7o.y'ZUTiw 1?p.Z 7. i..- .Qp 4.4i1401I. D..n.NYO„ EGp7RYf AXE' .,gw a owa02...R QIwDOrCANMF i0[. .,ofa:E M—"?? 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JS II� 1 � p - -- � - Ai (o "..a5' -1 ° i (• O.1 n tD S m Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/25/2005 Applicant: CARLOS Owner: CRUZ JOB ADDRESS: 10504 NW 2 Contractor Local Phone: Parcel # 1121360020010 Building Permit Permit Number: BP2004 -1158 CRUZ CARLOS AVE Contractor's Address: Permit Status: APPROVED Permit Expiration: 2/19/2006 Construction Value: $2,000.00 Work: 5' WOOD FENCE EXPIRED 06/15/05 Page 1 of 1 Legal Description: SHORELAND HGTS PB 43 -85 LOT 1 LOT SIZE 71.900 X 125 OR 19440 -4293 Fees: FEE2004 -8753 FEE2004 -8754 FEE2004 -8755 FEE2004 -8756 FEE2004 -8757 FEE2004 -8758 FEE2005 -11741 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Building Fee Total Fees: Amount $150.00 $1.20 $5.00 $0.40 $3.75 $9.00 $150.00AUG 2 5 PAID $319.35 Total Fees: $319.35 Total Receipts: $319.35 } Q� CNk Zp 16 re—ncrw0 ( ox(Y . 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 Building Department BUILDIN PERMIT FBC 2001 Permit Type (circle): Tenant/Lessee Name Contractor's Company Name Contractor's Address ECEOVE 406 2 3 X004 P-PLLEATI.O Building S Value of Work For this Permit Z Ooo. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 : (305) 795.2204 Fax: (305) 756.8972 Electrical Permit No. Master Permit No. C Yu Plumbing Owner's Name (Fee Simple Titleholder) ✓ �iw 2 Phone # Owner's Addy s /O O L ( I ' ) LV c9 - • ✓� Cit i State Zip 3 ( �1 lJ Phone # Job Address (where the work is being done) / ef: ! LL.' Z City Miami Shores Village County Miami-Dade Zip . 3 1 \ r -- C Is Building Historically Designated YES NO Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Q 0 Square Footage Of Work: M chanical Roofing �zr City State Zip Qualifier Type of Work: ❑Addition ❑Alteration 1 ❑New ❑ Repair/Replace ❑ Demolition Describe Work: 5 * * * * * * * * * * * * * * * * ** * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $5 o7i Permit Fee ! SQ CCF $ J t - 0 CO /CC Notary $S u „ 0 Training/Education Fee $ ■ 7 0 Technology Fee $ 3 ;IS, Scanning $ 9 ^ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ ' 1 (Continued on opposite side) „is Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) iC d 9e 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the re or ,4gf ement must be posted at the job site for the first inspection which occurs seven (7) days after the buildi uel In t absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature The f day Chc 05/13/03 Owner or Agent NOTARY PUBLIC Si APPLICATION APPROVED BY: NOTARY PUBLIC: Sign: r4 5 - /cy Signature Contractor g instrument was - . owledged Before me this 5 The foregoing instrument was acknowledged before me this , 20 © �'�, y �� _ . , day of , 20 , by nown to me or who has produced 1.,D 1 who is personally known to me or who has produced S ` entification and who take an oath. as identification and who did take an oath. Pr m t • - —.i,....., -:-- .....:il.'yt • My Commission Expire : ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Print: My Commission Expires: AU6252004 aptain bja mis$ on D0332006 June 27 2008 *******************************************************) ft**************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, (property owner) attached survey, performed by (name of surveyor's company) performed on , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) hereby attest that the SWORN TO AND SUBSCRIBED before me this day o Affiant is personally known to me;' produced f 2 )]2,C6D D- S S ‘sidentification. (� o D0150040 'Whir ExpiresNuvanbariZ,2008