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374 NE 100 St (5)Issue Date: 3/9/2006 Owner's Name: PATRICIA DOUKAS Permit Type: Fence/Wall Work Classification: Iron /Ornamental Job Address: 374 100 Street NE Additional Information Miami Shores Village, FL 33138 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 02/21/2007 Contractor(s) HOME OWNER Phone Primary Contractor Yes Comments: REPLACING EXISTING WOODEN AND CHAIN LINMK FENCES WITH ALUMINUM GATES Type of Construction: Other Additional Info: ALUMINUM GATES Classification: Residential 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Fees Due CCF Education Surcharge Notary Fee Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $3.60 $1.20 $5.00 $100.00 $6.00 $2.50 $118.30 Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: FW- 2- 06-430 Phone: (305)757 -8550 1132060135420 Lot: PB: Total Square Feet: 0 Total Valuation: $ 6,000.00 Required Inspections Invoice Number FW - 3 - 06 - 24071 Total: MAR 13 PAID Amt Due $118.30 Amt Paid I (2:i ' 0 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. 'Inspection Number: INSP -32836 Permit Number: FW- 2- 06-430 Inspection Date: 11/21/2006 Inspector: Grande, Claudio Owner: Job Address: Project: <NONE> DOUKAS, PATRICIA 374 100 Street NE Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Monday, November 20, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 NOV 2 2 2 0 Permit Type: Fence/Wall Inspection Type: Final 6 Work Classification: Iron /Ornamental Block: Phone Number (305)757 -8550 Parcel Number 1132060135420 Lot: Page 2 of 2 Passed g6t t * Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INSP -32836 Permit Number: FW- 2- 06-430 Inspection Date: 11/21/2006 Inspector: Grande, Claudio Owner: Job Address: Project: <NONE> DOUKAS, PATRICIA 374 100 Street NE Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Monday, November 20, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 NOV 2 2 2 0 Permit Type: Fence/Wall Inspection Type: Final 6 Work Classification: Iron /Ornamental Block: Phone Number (305)757 -8550 Parcel Number 1132060135420 Lot: Page 2 of 2 O- qD Rear gate not as per approved permit, need a revision of permit. Front gates exceed the maximun height allowed of 5'. East gate is 6'10 high and west gate is 5'3" high. Passed Inspector Comments Failed ,- Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 11/06/2006 Inspector: Grande, Claudio Owner: DOUKAS, PATRICIA Job Address: 374 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Monday, November 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP -31448 Permit Number: FW- 2- 06-430 NOV 07ZOO Block: Permit Type: Fence/Wall Inspection Type: Final Work Classification: Iron /Ornamental Phone Number (305)757 -8550 Parcel Number 1132060135420 Lot: Page 1 of 2 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 3: . 3 °I k3G • BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Build Electrical p o-incf , cA. Owner's Address 37 y NE /0 St City/ 4 141 i SJldres Owner's Name (Fee Simple Titleholder) Tenant/Lessee Name Job Address (where the work is being done) 37y N - /00 S7 City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name )1O d -eg Contractor's Address City Qualifier Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition ['Alteration Describe Work: • / [ G CAU MI State Total Fee Now Due $ 1 I V (Continued on opposite side) Miami Shores Village Building Department rL Tel: x,1700,0 305 795.22 Fax: (305) 756.8972 FE 1 LJUI N 4y ! v Master Permit No. County Miami -Dade NO [New Plumbing Uk/S Phone # Zip 33/ Phone # Phone # Permit No:PV r 4-1 / 4 -� State Zip State Certificate or Registration No. Certificate of Competency No. Phone # Mechanical Roofing oS- 7577-S - 318- OS. Cc' 1 r Zip Square Footage Of Work: 30 Repair/Replace cc1 * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Demolition Submittal Fee $ Permit Fee $ /OOP> • CCF $ 3 • GO • CO /CC Notary $ E7 • Training/Education Fee $ I - 20 Technology Fee $ 2 •C`50 Scanning $ CCD Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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 he approved and a reinspection fee will be charged. Signature NOTAR Sign: Print: My Commi Chc 05/13/03 UBLI ion Exp APPLICATION APPROVED BY: Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of T 20C(..._ ) -) , 20 by 1 (-- J-)C_ ii - l'O---t 4-,� day of , 20 by who is personally 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. as identification and who did take an oath. ;1e 'IARY PUBLIC -STA Signature 'LORIDANOTARY PUBLIC: ernandez (ding Go., hr. Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** ****************************************•*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * s *** * ** ** ** ** ** * *** * ** ** ** * *** * ** ** ** * *** * ** ** ** * *** * ** ** ** ** ** * **, * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** i /a, Contractor Plans Examiner Engineer Zoning S1 10 rei 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, atrlc1ra_ L) puFoS (property owner) Affiant is personally known to me, produced , does hereby attest that the 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. trtirr f ,rte' - Affiant/Property owner Witness(sign and print) Witness(sign and print) � SWORN TO AND SUBSCRIBED before me this z1 day oTT� 4.11 Waft U NOTARY PUBLIC-St. . FLORIDA 46 Yorlen He ande Commis on ' : ) D476455 Expires: SEP. 27, 2009 Bonded Thru Atlantic Bonding Co., Inc. 1 id aification. OWNER BUILDER DISCLOSURE .STATEMENT aft )cict- NOULS Located at: Legally described as . Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),,nd I have read and understand the following disclosure Statement, which entitles me to I ork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The .exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not Icensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument Was acknowledged before me this 2 day of , 20O. By 2 Ik MC—)K S who is personally known to me or who has Produced • LD • • . as identification and who did e an oath. • VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT being the legal property owner, for the property DISCLOSURE STATEMENT Shares FL 33/3R NOTARY Pt W C -s^ ,Th' r.,i l:LOII/DA Yorleny Hernandez Commission. r DD476455 n n a T. Expires: SEP 27, 2009 •ed , . .....Atlantic Bonding Co., Inc. 1•■•••—•• ••••••• •••••■•••••• ... • --.• • •••••••■••••• ..., —,, .•••• ••••■•• .•••• . , • •• •••• •,..• ••••••••■•••• •.• ............•••• ,....••••••••••• • .■••••••••••• •••■• ..., ...., .. j • ••'.....•- I li ! i • 0 • ,,, 1 • I VD • • • • • • • • • D • • • 1 • • • •:.}. I : :0 :•: • if • • ..,0 • • D• Do • •-••••••••• •-••• 7:::=.2. • • • .1 ffr • .. . -....- • , t 4 i I • • i • • • • • o p • V •• 1 te. .; • ., • ,•.., ............... .....— 1 ,"; 1 • F. • • • , • • ' • , , , %. .41 1 1 • of Alb • 011 . • • • • • 1 • 0 6 0 • 6 1 41 1 '• ' 0 0 411 M ID . I I • •• . • - ' - ' -a"..." ''''''''' ' ' • 1 : • h \./ . 0 e • 01 0 I • ot: j:... .......''''...-.... -"'"".... .......,11. I • • • • • : • : 0 : : • : 7 ...a • *ID 4_0 • • • • • • • 10 • • •• •• • • • • • • • • • • • • 0000 • • • • • ii•1• • • • • • • •• :• • • ••ii • • . 0000 ' t% • • • ,.•• •• > • • • • • • Nrl4 ~NM m. 4. • •• •• • • • • %•••., • • • • •00• • •00• • • • • • • • • • • • • .00000 • • • • 0 • • . • '• • •4%••• ' �� 106 0 0 • • • •s• • • •3 •M • • • • • • • • • • • • • • •• be "'. •••....n....,............. `.. .. .•••.+••••••..�..:.. C.\ • • •••• • • • • •••• • • • • • • • • • • • • • •• • • • • • •••• •••• • • • • • • •••• •••• •••• • • • • • •• •• •• • • • • • • • • • • • • •••• • • • • •••• • • • • •• • •••• • • • • • Date Legal Description Historically Designated: Yes No Owner/Lessee / Tenant / Y/ /a/// / d ?1 fr,4 5 Master Permit # 1 4 5 ? b 7 Ovmer's Additss 37* /1/Z /00 ct Phone -30.5 • s7 -93'SO Au, AA PM Contracting Co. 4C// o 7.7 60 VS I P U (I in Address SO per 1' O ,p* ie• 4/1$141 State # C 7 c oa'4) Municipal # Architect/Engineer 9)1 7JT 2 / � (/�{ /$d Bonding Company Mortgagor Permit Type (circle one PERMIT APPLICATION I FOR MIAMI SHORES VILLAGE Job Address / 4 / �/ F- � 00 5 ` Tax Folio WORK DESCRIPTION A/a //— ieP /arP ELECTRICAL PLUMBING / MECHANICAL ROOFING PAVING FENCE SIGN / T a f' o t 6 ;I ,,L afr P. / 71t-g/' i 0 P dry w ?// -1 714 CA 1, Square Ft. Estimated Cost (value) At& /Q Q c4 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 work stated. AML signs . a President Date FEES PERMIT CID �,. Pte- g - � otary to Owner door Condo President • Date My Com s . es. f /AgR . s . Ro ♦ "M UMBER !i„ , CC797277 �f 4, MY COMPASSION f� O DEC. 17,2002 RADON SS# a‘aW4/11 Competency # Address Address Address Phone — 3 Or (96 - 5-3S` Ins. Co. qr or Owner -But der Date L � P -/0 - cr. Notary as s Contractor ate My Conunission Expire:: .. h LADY'S J VILLAR NOTARY PUBLIC STATE OF FLORIDA CO MMISSi0N NO. CCT14103 .Aly1M Cftil FY .MAR. 1,2002 S arm C.C.F. 60 NOTARY o" BOND TOTAL DUE , • O APPROVED: Zoning Building 4 f Electrical Mechanical Plumbing Structural Engineer ,**, *ips p_ ;KV ist` 14 4 , 4 9t s -ifi e r< p.,,%44,14c4 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval 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 here'n specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. � f l Date.. Owner's Name and Addre Registered Architect and /or Engineer..... Name and address of licensed contractor Location and legal delription lot to be blt on: Lot....5t Block be sent to therein by him stated are true. Permit No. < - _ =__.t Date Disapproved 7 1Date (Signed) MIAMI SHORES VI LLAG E s Building Inspector Street and Number whey work is to be done State work to be doh at�- pu�uilding (by floors), New Building ( emodcling To be constructed of ���J Kind of foundation. Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor 7— ._ - ...... �� ._..._ ._..._.__..._.... ,18. E N 7, Street.' Su vision (7 7 Z - Z 0 ® sue - --- I .� . , <.• -• „• . „- „„,,. -. . .. .,,,.,,.,_. -42r.er-e/garl,. f and for no other purpose. A ition Repairs No. o tortes ...... ....... - -C..._ Roof Covering... Amount of Permit $.. Plan Cubage Size of Building Lot I hereby submit alltans d sp ' 'c '.ns for sat building. All n with reference to the building and its construction may The undersigned applicant for this building permit does h reby ccrt' "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 a ntra tors or sub ntractors employe by him in the work to be performed under this permit; and will post or cause to be posted f. to he site •f the ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such u. • s , on w• to be erformed •er this permit, as are licensed by Miami Shores Village. Remarks peared (Signed • ect' ntr STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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 saute, and that all facts ead, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My Commission Expires PLANNIN lt OARD DATE Chairman Member Member 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 been obtained from the Planning A re-inspection fee of $1.00 will be charged wh4n stick re- inspection is made necessary by improper notice for inspectitm or faulty materials and/or workmanship.