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FW-10-16NEW CONCRETE AND METAL FENCE ON THE BACK OF THE PROPERTY Pass4W jo ,42 Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: October 12, 2010 Inspector: Bruhn, Norman Owner: MAYER, SIMONE Job Address: 620 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: KEITH JOHNSTON CONSTRUCTION Building Department Comments October 12, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 132625 Permit Number: FfW- 1 -10 -16 J For Inspections please call: (305)762 -4949 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wire Fence Phone Number Parcel Number 1132060172130 Phone (305)370 -5731 Page 1 of 1 BUILDING PERMIT APPLICATION FBC 20 Type of Work: Describe Work: Structural Review. $ Permit Type BUILDING Owner's Name (Fee Simple Titleholder) D i ✓►°\ 0 / D E_ 9---t E /L Phone # SO. — '5 '124'1 0 4 Owner's Address C t ./€.. 101 t-k I F Cit M e S14C) t.S State FL__ Zip 33/3g Tenant/Lessee Name Phone # 3 o5 02 15 gg 7 g Email .S I m Gro ro H L c_ Job Address (where the work is being done) C 20 NE_ / ©I ST City Miami Shores Villaee County Miami -Dade Zip 33136 FOLIO / PARCEL # Is Building Historically Designated YES NO_ X Contractor's Company Name ' €;+ eiliedratItone # ' OS 3 -7 - Contractor's Address i!7 Se-ti 4 n r O. 1- 2 • 4 Cit �� eiD�6 �J� State Zip 33625 Qualifier Name VFW Cie # 7711.) Phone # 3°15 3 54-3 State Certificate or Registration No. CGC /v27,2 Certificate of Competenc y No. Contact Phone E -mail 1C.P..i / 9,44.044e 0 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 1 Square / Linear Footage Of Wor : 1 0 1-P ['Addition ['Alteration ['New ❑ Repair/Replace F -- M €44-/ Radon $ Miami Shores Village s T.roicEvici Building Department 0 s Zoo 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �Y�.��...�,��.� Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No FIAA 0 - 1(0 Master Permit No. A'C /9 Flood Zone ❑ Demolition li to 4139'! 47,10 w p ]e2�4tPddz tfa�a� �t � * * * * **** * * * * * * * * * * * ** 3e * * *k *:k *Ye * * * *%k �trm - * * * ** * * �° Submittal Fee $ �� Pe�i`if Fed $ /6 G� CCF $ ?' OCR CO /CC $ Notary $ j Training/Education Fee $ 1 ' Technology Fee $ ' Scanning $ ou ble Fee '$ DPBR $ Bond $ Violation date: Total Fee Now Due $ 74> CO See Reverse side -+ 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 aet- approved and a reinspection fee will be charged. Signature NOTARY PUBLIC: S. rint: My Commission Expires: APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) Owner or Agent Contractor The foregoing instrument was acknowledged before me this / 6 The foregoing instrument was acknowledged before me this 14 day of b ' r; 20 4 , by 7l iN► o iv IQ & r 2- , day of &e___, /( , 20 j , by �� /4.``tg l°x'`t'1) w . is personally known to i e or who has produced w is personally kn 'to me or who has produced as identification and who did take an oath. As identification and who did take an oath. MAYOA 1. PEREZ Notary Public r State of Florida My Comm. Expires Nov 19, 2012 Commbaton 9 00 839988 Bonded Through National Notary Assn. J At Plans Examiner Engineer NOTARY PUBLIC: � % 1, , ' AVDA L. PEREZ Q�0 4'� P . �+� Notary Public - State of Florida 4 My Comm. Expires Nov 19. 201 , * *ZPIR Ati;iaA9MMA * 4 * * * * * * * * * ** , Bonded tiona' 4m ry �;•, Clerk checked