FENCE PERMIT•
Type of Work: ❑Addition ❑Alteration
�
Describe Work: )DC)` Y \ ( as:
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
TeIt73Q5)R795,:22()4;Faxa. 35) 756.8972
„�,
BUILDING \! A 7'� fl nl APP` Permit No
PERMIT APPLICATION ,.......,_� Master Permit No.
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) �C.4.tz /A ri / /45 vPhone # ..?as 742 - 79 �//
Owner's Address 9'4 / 0Z-- - /7) / tr S�2 e e7
City A.41, r vze State / . Zip ,?,3 / 3,2 — ,2 3 / 9
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 7/, , i / S36 e eA
City Miami Shores Village County ' Miami -Dade Zip 3 3 /-3� —.23/9
Is Building Historically Designated YES (NO
Contractor's Company Name s e<;'Y\1,- , � en ce- Phone
3o5)a 02 - it-1
Contra tor's Address .0 . � P))( i051 S(in
City M kCe YN\ State 1', Zip ,_,:571(7 5
Qualifier c \U(),(60 \ta\dez.
Architect/Engineer's Name (if applicable) Phone #
Z ' L - / J
$ Value of Work For this Permit • Square Footage Of Work: �
New
r.
❑ Repair/Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
..........,
Submittal Fee $ Permit Fee $ /5( ago / / -q CCF $ /
Notary $ Training/Education Fee $ 6 Technology Fee $ 3 7
Scanning $ 6'.--- Radon $ Bond $
Code Enforcement $ e) .r Structural Plan Review. $ ~
Total Fee Now Due $ /61071
Bonding Company's Name (if applicable) . f
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City .
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 be approved and a reinspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before a this L1 " The foregoing instrument was acknowledged before me this 1
day of i. I .L } 20 D J , by W f 1't Ck ✓,'t � �l. y
� , ( W , day of P.-IL , 20 '"' by 1 U 0.4 who who is per onall known to me or who has produced who is personally known to me or who has produced
—
as identification and whq -did take an oath.
NOTARY PUBLIC:
Sandra
Sign: ) � � • , e 0D304188
Print: Mp m . ( e s March 25, 2008
....... ***** My Commission Expires: 1.'( -` H Z`5/ - c o os ******** ......................
(Certificate of Competency Holder)
Certificate of Competency No.
k *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
As identification and who did take an oath.
NOTARY PUBLIC • , ‘14/14 M: " e aldez
Sign: • , ' C �t. DDI31St1
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Print: •z• 2006
•.�•; °� Bond
f'o f fir`'
nuan a non • g W., Tnc.
My Commission Expires:
State Certificate or Registration No.
APPLICATION APPROVED BY:
:hc 10/14/03
State
Signature
yA
*01
Writ 1 Plans Examiner
Engineer
Zoning
WOOD FENCE
Section 2328 FBC
S`0" Maximum
2x4 No. 3, So. Pine PT
Wood Rails Attached to Post
With four 10d Nails (min.)
Post
Spacing
4' -0" O.C.
6' -0" O.C.
Wood Pickets 518" Min Thickness
attached to each rail with
Two 16 Ga. staples 1 -314" long
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Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -525
Printed: 5/5/2005
Applicant: WILLIAM & CECILIA HOLLOMAN
Owner: HOLLOMAN WILLIAM & CECILIA
JOB ADDRESS: 90 NE 101 ST
Contractor ARTEMISA FENCE
Local Phone: 305 - 221 - 0214
Parcel # 1132060131320
Fees: Description Amount
FEE2005 -5520 Building Fee $150.00
FEE2005 -5521 CCF $1.80
FEE2005 -5522 Training and Education Fee $0.60
FEE2005 -5523 Technology Fee $3.75
FEE2005 -5524 Scanning Fee $6.00
Total Fees: $162.15
Total Fees: $162.15
Total Receipts: $0.00
`7
Permit Status: APPROVED Permit Expiration: 10/10/2005 Construction Value: $2,400.00
Work: WOOD FENCE
Signed:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & E2OFT OF LOT 2 BLK 10 LOT SIZE
(INSPECTOR)
Building Permit
Contractor's Address: PO BOX 651560
Page 1 of 1
•
0
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: