BP2004-1190BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
ct
Total Fee Now Due $ 3S 1
(Continued on opposite side)
$ Value of Work For this Permit 2 300f
Submittal Fee $ .C)v Permit Fee $
N otary $ Training/Education Fee $ (CO
. 5
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) '?ob),J 1 • 6AI/4 4.N6y Phone # (3 ? 7 �/ '/ o t
Owner's Address 10 / S A) e . jot S1 . `I
City State Zip 3 ;313 e,
Tenant/Lessee Name Phone #
Job Address (where the work is being done) /A / ) _ /or St
City Miami Shores Village County Miami -Dade Zip 33138
Is Building Historically Designated YES NO
Contractor's Company Name eOn)t 4€4 1 a.'6; � (V' (A .
Contractor's Address /f 3S �J /�SfiA/4 2•. •
City h'.' SP,,, /.JA State L.
Qualifier WA- � r-C ( $
State Certificate or Registration No. 66' t. DG U /q) Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Type of Work: ❑ El Alteration New ❑ Repair/Replace ❑ Demolition
Describe Work: C', A.i -4-E , ✓ 1,t) 601+4
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Electrical Plumbing Mechanical Roofing
Scanning $ 3 . ^ Radon $ Zoning
Code Enforcement $ ` Structural Plan Review. $
Master Permit No.
Square Footage Of Work: w ST.
CCF $
Phone # P( '„/J4'
Zip 331(0c,
Technology Fee $
RECEIVED
AUG 2 7 2004
CO /CC
Permit No. UM ) QcD
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 attac gent. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first on which 0, curs seven (7) days after the building permit is issued. In the absence of such posted notice, the
insp on will not he ppro In a reinspection fee will be charged.
e
r or Agent
The foregoing instrument'wa acknowledged before me tl s 10
day of 4A--)6 . , 20 L'rl , •y
Signatur
who is personally known to me or who has produced
NOTARY PUBLIC:
Sign: !r {r tr/•r
Print: H I C l 1
My Commission Exp
Chc 05 /13/03
As identification and who did take an oath.
i i _
Ri _
AUA
f 4 U4 7144
xo RES: August 2, 2005
Tres rhru Budget Notary Serve..
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
**************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
n
NOTARY PU
Sign.
Print
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of 4)6, , 2ooct , by
who is personally known to me or who has produced . ,L
as identification and who did take an oath.
********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
SEP -12004
Plans Examiner
Engineer
Zoning
w*,
R= 192.00'
L =0.40'
A=00'07'10"
FIP. 1
No I.D.
O
0
0
L()
• ROYAL POINT
LAND SURVEYORS
4.7'
6175 NW 153rd STREET SUITE 103
MIAMI LAKE FL. 33014
PHONE: 305 -822 -6062 * FAX: 305 - 827 -9669
0
LC)
Lri
x x
HO HO
BOUNDARY SURVEY
SCALE: 1" = 20'
'15k 4 6 4 . 11- M -n»rQ -N3) nod L
w
0
Z
0
U
7.15'
0
15.55' u
CONC.
15.45' c
1 0
15.35'
LEGEND
N.E. 101st STREET
20' PAVEMENT 100' R /W.
15.45'
ADDITION
UNDER CONSTRUCTION
X x x
— OH — Overhead Wire Line
— // — Wood Fence
--- x — Chain Link Fence
Q Iron Fence
.
+ = Existing Elevations
=Catch Basin
® =Water Meter
rn, =Power Pole
23.7' PARKWAY
15' SIDEWALK
99.60'
PORCH
0
(V
cd
10.40'
— 1 4.70'
1ln
1,— ADDITION
IUNDER CONSTRUCTION
I 15.10'
—J
34.25'
L()
r7
1 —STORY
Res. # 1218
F.F. =10.7'
HO HO — HO — HO HO — HO
100.00'
LOT 4, BLOCK 1
(PB 45 AT Pg 8)
Zoning
Approved
3 1/5 - o . VA LEY. GUTTER
428 SF
DRAIN FIELD (0 _ _ —
N)
F.N. =Found Nail
FIR. =Found Iron Reber
FIP. =Found Iron Pipe /Pin
F.N &D =Found Nail & Disc
SIP /R =Set Iron Pin /Reber
Conc. = Concrete
U.E. = Utility Easement
D.E. = Drainage Easement
D.M.E. = Drainage Maintenance
Easement
HO
O
ee".v. /1,( We_
14.95'
o
c ; A/C
M
ADDITION
UNDER CONSTRUCTION
x
R= Radius
A =Arc
A =Delto
T= Tangent
F. D.H.
Page 2 of 2
Miami Shores Village
10050 NE 2nd Avenue
Building Permit
Phone: 305 - 795 -2204 Permit Number: BP2004 -1190
Printed: 9/2/2004
Applicant: ROBIN CONNEARNEY
Owner: CONNEARNEY ROBIN
JOB ADDRESS: 1218 NE 101 ST
Contractor BAY CONTRACTING CORP.
Local Phone: 305 - 883 - 0571
Parcel # 1132050210020
Signed:
(INSPECTOR)
Contractor's Address: 689 WEST 26TH ST.
Permit Status: APPROVED Permit Expiration: 2/23/2005 Construction Value: $2,300.00
Work: CONCRETE DRIVEWAY WITH FIBER MESH AND SIDEWALK
Page 1 of 1
Legal Description: MIAMI SHORES SEC 8 AMD PB 42-40 N100FT LOT 5 BLK 184 A LOT SIZE
Fees: Description Amount
FEE2004 -8902 Building Fee $100.00
FEE2004 -8903 CCF $1.80
FEE2004 -8904 Training and Education Fee $0.60
FEE2004 -8905 Technology Fee $2.50
FEE2004 -8906 Scanning Fee $3.00
FEE2004 -8907 Builders Bond $300.00
Total Fees: $407.90
Total Fees: $407.90
Total Receipts: S 'U.00
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:
Inspection Date
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buil ing nspection Request
Date
Type Insp'n 7 \v -2. It� 119n1l
+4- 4
Permit No. fp, ?-so/) 9 0
Name �� /�t
0 R -1 /1 4
Address A (; : r
Company iA ` '
Phone # o 3 00 ° d
17 1 0& ee_
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/2/2004
Building Permit
Permit Number: BP2004 -1190
Applicant: ROBIN CONNEARNEY
Owner: CONNEARNEY ROBIN
JOB ADDRESS: 1218 NE 101 ST
Contractor BAY CONTRACTING CORP.
Local Phone: 305 - 883 - 0571
Parcel # 1132050210020
Contractor's Address: 689 WEST 26TH ST.
Page 1 of 1
Permit Status: APPROVED Permit Expiration: 2/23/2005 Construction Value: $2,300.00
Work: CONCRETE DRIVEWAY WITH FIBER MESH AND SIDEWALK
Legal Description: MIAMI SHORES SEC 8 AMD PB 42-40 N100FT LOT 5 BLK 184 A LOT SIZE
Fees: Description Amount
FEE2004 -8902 Building Fee $100.00
FEE2004 -8903 CCF $1.80
FEE2004 -8904 Training and Education Fee $0.60
FEE2004 -8905 Technology Fee $2.50
FEE2004 -8906 Scanning Fee $3.00
FEE2004 -8907 Builders Bond $300.00
Total Fees: $407.90
Total Fees: $407.90
Total Receipts: 10.00
357: c b
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: