334 NE 101 St (12)MIAMI SHORES VILLAGE
N BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Correction
Re- Insp'n Fee
Date
Type Insp'n
Permit No. P ®5 S� g I
Name
Address
Company
Phone #
Inlpection Date
Tenant /Lessee Name
C'ontractor's Address
City
Qualifier
Submittal Fee $
Notary $
Scanning $
Code Enforcement $
Total Fee Now Due $
BUILDING
PERMIT APPLICATION
FBC 2001
Permit: Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address ? 3 1 101 S 't.--
City
0-le9 State P/
City Miami Shores Village
Is Building Historically Designated YES
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
•
Type of Work: ❑Addition
Describe Work:
(Continued on opposite side)
lvilami mores v silage
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33131
Tel: (305) 795.2204 Fax: (305) 756.8972
.lob Address (where the work is being done) 3 3 ci yi' f e l
( I1)oD °
_ ❑A M lteraation
Electrical
County Miami -Dade
NO
Contractor's Company Nam1
Structural Plan Review. $
Permit No.
Master Perihit No.
Plumbing Mechanical Roofing
Phone #
State Certificate or Registration No. Certificate of Competency No.
Slate Zip
❑New
Zip J►3�
Phone #
Square Footage Of Work:
Phone # c-19.
Phone #
Zip
Radon $ Zoning
epair/Replace
Bond $
Pos-ISI
333 f3
d.�
i
•
❑ Demolition
** * * * * * * * * * * * * * * * * * * * * * * * *** F ees * * * * * * * * * * * * * * * * * * *** * ** * * * ***
Permit Fee $ pS p �' CCF $ U 6 0 CO /CC Training/Education Fee $ ®! �l 0 Technology Fee $ i 6 3
Bonding Company's Name (if applicable)
Bonding Company's Address
4
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
constniction in this jurisdiction. i understand that a separate pennit 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 constniction and zoning.
"WARNING TO OWNER: YOIJR 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 01?
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 note approved and areinspection fee will be charged.
/ r
Signature � `> �L Uzi'
Owner or` Agent _ Contractor
X20
who is personally known to me or
1
6-0
r.
of •'o
Ex
* * * ***
I • re
The fore
day of
NOT
Si
Print:
Cl.: 05/13/03
ing instniment was ackn
o i t
emu 0j. 1' i
Signature
dged before me this _ The foregoing instrument was acknowledged before me this
day of , 20 , by
io has produced who is personally known to me or who has produced
lficatim d p did take an oath. as identification and who did lake an oath.
* * * * * * * * * * * * * * * * * * * * * * * ** * * ** * * * **
APPLICATION APPROVED BY:
NOTARY PUBLIC:
finny H. Gonell Sign:
•n' r)323870
re Ma 26, 2008 Print:
ed Thru
My Commission Exp res: �' �'j " f) t;r Bonding t'o. lnc My Commission Expires:
********************************* * * * * * * * * * * * * * * * * * * * * * ** * * * * * *i:
********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** „t „T ******************* * * * * * * * * * * * * * * * * * * * * ** * *** ** **+
FE8095
Plans Examiner
Engineer
Zoning
•
OWNER BUILDER DISCLOSURE STATEMENT
Located at:
(12' v col G4—
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),rd I have read and understand the following disclosure
Statement, which entitles me to. *ark 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 ( )
Produced
ledged before me this _ dao
t ,
Owner
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
being the legal property owner, for the property
DISCLOSURE STATEMENT
initial of reviewing clerk. The foregoin: ' strument
ho has
as identification and who did take an oath.
Ginny.H. Goneli
P 's Commission #DD323870
26 2408
a` $X p lr B o nded y Thni
��; F• "P` Atlantic Bonding Co., Inc.
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2005 -181
Printed: 2/24/2005
Applicant: DALLAS BROWN
Owner: BROWN DALLAS
JOB ADDRESS: 334 NE 101 ST
Contractor
Local Phone:
Parcel # 1132060135300
Permit Status: APPROVED Permit Expiration: 8/3/2005 Construction Value: $1,000.00
Work: WOOD FENCE
Signed: (INSPECTOR)
Building Permit
Contractor's Address:
Signed: (Contractor or Builder) BY:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 8 & W1/2 OF LOT 7 BLK 39 LOT SIZE
Fees: Description Amount
FEE2005 -2479 Building Fee $225.00
FEE2005 -2480 CCF $0.60
FEE2005 -2481 Training and Education Fee $0.20
FEE2005 -2482 Technology Fee $5.63
FEE2005 -2483 Scanning Fee $3.00
Total Fees: $234.43
Total Fees: $234.43
Total Receipts: $0.00
No°
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.
5'-0" MAX
2'-0
Owner's Side
a
4
•
4
2" X 4" Wood fall
1" X6" or I" X6"
Wood Pickets
c true
4 • °
a •
I.
_ 111
1 =11 =1 I I =11 1
=
11=111=1 1 1 I I I
WOOD FENCES
� 1I
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
provisioqs 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.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 11 - I; - / , L Job Address ;3 Ai / V e_ f (,) 1 ,S j , Tax Folio
Legal Description / Ara: I1- bt/, % 1, i7 / 7 Historically Designated: Yes No
B Loc.K -3q itilia►M; tJ
Owner/Lessee / Tenant 1- U i .5 G ct, e. l2 Ra Master Permit # YE(. ® g
Owner's Address 3 3 / Ale_ Jo I sT Phone 75 630
Contracting Co. 'i I l t R; p p Address 9' / 5 /V Gd .34 t9 i-_._,
Qualifier - Pi/ /
�
Phone E'3 G; / /9/
State # Municipal # Competency # 9557 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION G/ L C pica / 7 7 �l 1ia L S /Yl
Square Ft. ) '7 7 '0 v a S ' t qT
Estimated Cost (value' - Sl I cte
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.
Signa ture �kn n
signature of o er and/or Co
o President Date
otary as to Owner and/or Condo President Date
My Commission Expires: a
APPROVED:
Zoning
Mechanical
Building
ignature of Contractor or Owner -Bui • e ' Date
o
Notary as to Contractor or Owner- Builder Date
My Commission Expires:
FEES: PERMIT 6 'D. RADON C.C.F. 1. NOTARY 6: BOND L ao. °l°
Electrical
TOTAL DUE
Plumbing Engineering