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BP-05-1001Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 7/8/2005 Applicant: BERNADETTE Owner: MARCELIN JOB ADDRESS: 65 Contractor Local Phone: Parcel # 1121360070430 NW 107 Building Permit Permit Number: BP2005 -1001 MARCELIN BERNADETTE ST Contractor's Address: Legal Description: DUNNINGS MIAMI SHORES EXT NO 3 Page 1 of 1 PB 42 -33 LOT 11 BLK Fees: Description Amount FEE2005 -9350 Building Fee $240.00 FEE2005 -9351 CCF $1.20 FEE2005 -9352 Training and Education Fee $0.40 FEE2005 -9353 Technology Fee $6.00 FEE2005 -9354 Scanning Fee $3.00 FEE2005 -9355 Notary Fee $5.00 Total Fees: $255.60 Total Fees: $255.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 1/1/2006 Construction Value: $1,900.00 Work: NEW WOOD FENCE 'JUL 0 8 PAID Signed: (INSPECTOR) 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: BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Contractor's Company Name Contractor's Address Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ❑Addition ['Alteration Describe Work: H kA.J On Total Fee Now Due $ 2-Z (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): (Building\ Electri al U Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) V,MA�pO �� �� Phone # Eo � Z� 3 Owner's Address 06 1•3 i/J 94 City Vi % /-41.4 State L Job Address (where the work is being done) CPS- \® City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. ****************************F ** aY ,t,+,rx*** ** ** * * *x*** * ** ** ** ** Submittal Fee $ Permit Fee $ 24 -"'"°.----, CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ td. ew Permit No Master Permit No. Zip - \Le t� Phone # Phone # Phone # Square Footage Of Work: Z` e./ 1 5 joo Repair/Replace ❑ Demolition 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved a reinspection fee will be charged Signature The foregoing day of who NOTARY Sign: Print: * * * * * * * * * * * * * * * * * * * ** Chc 05/13/03 gent Contrae this _ The foregoing instrument was acknowledged before me this 4dayof ,20 to me or who has produced �J_° `..4 , who is personally known to me or who has produced As identi$e}pj and who dic take an oath. as identification and who did take an oath. Expo 23i9g4 x l' .:Ju 3,2 07 trument was acknowledged pfo 0d,b APPLICATION APPROVED BY: My Co ission Expires: * * * * ** * ********** * * * * * * * * * * * ** „n otikot My Commission Expires: **************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** Signature NOTARY PUBLIC: Sign: Print: *** * * * * * * * * * * * * * ** * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 7 cs� Plans Examiner Engineer Zoning PAGE v's\ Br+ OF � � 1 • X13 bpi 14 'OS OV INNO Old Sp S��104 00 , - Vl 126N 'RDA 0 .492 Copyright G 2005 A9 Surv1ors. c.. • 2 6 Fmn Mon Igoe • •• • • • ••• • • • • • l •••• • • • • • • 12 1 10 •• •• URVEYC➢KS QNDr Y w.P s� nSbber 6674 Licen Nu Ho r 4: (954) 777 --.7 FAx (954) 777 -2707 a_ W. `DAKLANfPK. BLVD. • SUITE 108 • LAUDERHILL, FL 33313 8 Ej_GEND 0 122. 48tH) ZZ•89 Cpl ABBREVIATIONS: AL - ARC LENGTH Q. • CENTER LINE CF - CEc FROM FIELD MEASURE CIR - CEC FROM RECORD Pao DB - DEED Boat DE - DRAINAGE FAOR.RM 9ME - DRAINAGE MAINTENANCE FAREn0Nr c4 • - CENTRALANaF EASE - EASEMENT F.F. - Fu00000 FLOOR FND • FOUND FPL - FLORIDA POWER & LIGHT L - LEGAL !M) / ZZ•44CP) CE LINE SITE P00 POC PRC PT RAN RP SBR UE W/C W/A4 1176660 Enp >" 0 3 m $ 9 k 9 . ) M M OHC • Powell CAME ORB - PC PCC PCP PK • PL.A=CURV e PopF64 igE NC 1 -p REVERSE CURVATURE P. •Y TAN WAV /''� - Sf9 Mew BEnEFrBS+yIP1CR CoTm7E?i . ETEPI W rri Loo N gLpFK co RNER 11245 ?w e /Rom ROC C URVATURE OINT t J al 37.50 9 18 8 7 36 V 105 V (04 TER 104 S w W 1. S IS BASED UPON RECORDED INFORMATION AS PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY THIS OFFICE. 2 UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPTAS.SPECIFICALLY SHOWN. 2 ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM 1929 Kam 4. FENCE TIES ARE NOTCENTERLWE OF FENCE 5. IN SOME CASES. GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE MEASURED RELATIONSHIPS-DIMENSIONS SHALL HAVE PRECEDENCE OVER SCALED POSRIONS. 6. ALL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE.. 7. DATE OF ORIGINAL FIELD WORK Il /f4/ 18S 8. UNLESS OTHERWISE SPECIFIED. THIS SURVEY IS NOT TO BE USED FOR CONSTRUCTION PURPOSES. ,INVOICE # 0523866 PROPERTY ADDRESS: 65 NW 107 STREET, MIAMI SHORES, FL. 33168 ,LEGAL DESCRIPTION :: LOT 11, BLOCK 211 OF "DUNNING'S MIAMI SHORES EXTENSION NO. 3" ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 42, PAGE 33 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. CERTIFICATIONS SHANNON BOWLING A -1 TITLE & ESCROW, INC. LAWYERS TITLE INSURANCE CORPORATION AMERICA'S WHOLESALE LENDER, AMERICA HOME KEY, INC., ITS SUCCESSORS AND /OR ASSIGNS ,FLOOD ZONE INFO: COMMUNITY # 120652 LOWEST FINISH FL: N/A PANEL & SUFFIX 0093 J GARAGE EL: N/A FLOOD ZONE X N/A DATE OF FIRM 3/2/94 REVISION SCHEDULE: SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS, AS 8Er FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER S1 G17 -8 OF THE FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES. SIGNED: BOUNDARY DATE: / William Michael Carr, Professional Surveyor & Mapper Florida Registration No. 5092 (not valid without the signature and original seal of the Florida Licensed Surveyor and Mapper shown above) V 1 I AVJ-1I. V MQ NU t■t=? being the legal property owner, for the property Located at: ('DS N 1r1 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),And I have read and understand the following disclosure Statement, which entitles me td lkrork as my own contractor, 1 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 licensed 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. Tlie foregoing instrument Was acknowledged before me this 5 day of �U Ly , 20 0 S By /\YM3 NU(Q? Produced � . t, er Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT DISCLOSURE STATEMENT who is personally known to me or who has as identifi, tion • d who did take an oath • • ,. COI sion 23144 ; Expires: Ju 3, 2'177 • �F ..OF .. 'e ended l'hru FA O .� anuc Bonding Co • • • • • •• • • • • • • • • • • • • • • • • • • • • ••• • • • • ••• • • ••• • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • JOB ADDRESS: APPLICANT: APPLICATION: DAT ZONING CRITIQUE SHEET PERMIT # COMMENTS INITIALS FFR9r:F. WALL.'. NErIGES INSTALLED ON ALLEY MUST ALLOW 40 SQ. FT. FOR III CANS TREE TRIMMINGS, ETC. 41°5 Cepice