BP2004-672Date
Type Insp'n
Permit No.
Name
Addres
Co
any • 0 A1 . At
Phone # 3 O C. 1C(
6/-Th_ (J 7
� 1
Inspection Date
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Re- Insp'n Fee ❑
ors
Total Fee Now Due $
(Continued on opposite side)
BUILDING
PERMIT APPLICATION
FBC 2001
$ Value of Work For this Permit ms'sjoc7 00
( ct
Miami Shores Village
Building Department
0 F.E.2nd Avenue, Miami Shores, Florida 33138
l: (305) 795.2204 Fax: (305) 756.8972
Permit No.
Master Permit No.
Permit Type (circle 4Buildin Electrical Plumbing Mechanical Roofing
glen/
Owner's Name (Fee Simple Titleholder) 2. 31 a C 0 0 0 e•e+ Phone #
Owner's Address p 11-14:2, Nt • G O (ST
City H. S no 2, 4? State F • Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 4 2.I V ti . lot c.... pt WI' ' I. 02 CJ 1
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name M A 2. c 7 i L ' 1 Phone # 3 - 56' 1- S 004
Contractor's Address I'7 r) 1 as Ot M (4 L 4'5
a 'C$ ^
City M. 7
1 ` SState Ft F` Zip 33•4/
Qualifier 4 Q ?C.r1 Qr• c �7 N!•� " Cr
Architect/Engineer's Name (if applicable) Q 1s M M� Phone #305- 822 - 31 41
Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: ✓CQ 1e..cJ to Q► LAS •J N G1kt ADO 11'106
Square Footage Of Work: Z•�j'�• `�J
.. ( J, '4 * * * * * * * * * * * * * * * * * * * * * * ** * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ �, Permit Fee $ (/ CCF $ 1,, HC) CO /CC
Notary $ ��- Training/Education Fee $ aL ‘C) Technology Fee $
Scanning $ 9 Radon $ — Zoning L Bond $ '—
Code Enforcement $ Structural Plan Review. $ is , /C..—
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, t applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be d ered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of connnencement mus e posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absent- of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this The foregoing ' ment was ackno
day of 20 by day of , 2 , by
who is pe onally known to me or who has produced
who is personally known to me or who has produced
As identification and who did take an oath. ( s identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUB
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expire
****************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
APPLICATION APPROVED BY:
Chc 12/15/03
MAY 2 52004 $,,gl44- 51! -t Plans Examiner
Engineer
n
Signatur
•
Mabel Vargas
Expires: Jul 13, 2007
A0antie Bonding {b Inc
* * * * * * * * * * * * * * **
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Building Permit
Phone: 305- 795 -2204 Permit Number: BP2004 -672
Printed: 5/26/2004
Applicant: ROBIN CONNEARNEY
Owner: CONNEARNEY ROBIN
JOB ADDRESS: 1218 NE 101 ST
Contractor MARCO ALUMINUM
Local Phone: 305 - 861 -8004
Parcel # 1132050210020
Contractor's Address: 1743 NORMANDY DR
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 -5263 Building Fee $100.00
FEE2004 -5264 CCF $1.80
FEE2004 -5265 Notary Fee $5.00
FEE2004 -5266 Training and Education Fee $0.60
FEE2004 -5267 Technology Fee $2.50
FEE2004 -5268 Scanning Fee $9.00
Total Fees: $118.90
Total Fees: $ .so . •
• pi&
Total Receipts: $0.00
�4 0 1
Permit Status: APPROVED Permit Expiration: 11/15/2004 Construction Value: $2,400.00
Work: SCREEN WALLS ON NEW ADDITION
Signed:
(INSPECTOR)
JUN 01 PAID
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:
Z 6
BUILDING 1 ZONING DEPARTMENT"
SECTION
BY
DATE
ZONING" •
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
JOB ADDRESS
APPLICANT
PHONE ##
APPUCATLON r cJ
SHEET OF
MISCELLANEOUS
DATE
W � r S 5 creep c� e ( A C Cne c wc,Cf
t.J
CRITIQUE SHEET
i
COMMENTS
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
1. Subject to compliance with all Federal, State,
Coctttty,Ydlage totes and regulations. Village esssuree:
no responsibility for accuracy otlor results fro
these plans.
2. This copy of plans must be available of
tending site or no Inspection wtfl be conducted
INITIALS