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DS-09-1964Inspection Number: INSP- 130279 Permit Number: DS -11 -09 -1964 Scheduled Inspection Date: November 29, 2010 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Owner: BOUTIN, PAUL Work Classification: New Job Address: 410 NE 102 Street Miami Shores, FL 33138 -2453 Inspector: Bruhn, Norman Project: <NONE> Contractor: Coreno Inc Building Department Comments EXISTING WALKWAYS HAVE BEEN DEMOLISHED TO INTALL NEW DRAINFIELD ON THE BACK OF THE HOUSE. NEW WALKWAY TO BE INSTALLED ON THE PERIMETER OF THE NEW DRAINFIELD. permit renewed 11/23/10 Passe Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments e`C November 24, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Phone Number Parcel Number 1132060170610 Page 3 of 21 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): Address: z l/li N E 10g- / 22e -. City: '7(i 144 S y Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 State: r° Tenant/Lessee me: Phone #: Email: /94 (1 �q I��G cam( //p ij : / c. i JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO L/ State Certification or Registration #: C G -D S % y Certificate of Competency #: Value of Work for this Permit: $ S Type of Work: ❑Address Description of Work: DAlteration 0 Submittal Fee $ Permit Fee $ /© Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Permit No. 7),S 0 r /9( Master Permit No. Phone #: Flood Zone: Zip: 33137 _ CONTRACTOR: Company Name: CZ Ai /lJ d � _ t Phone #: Z� Address: .4 A/4 City: . 7444/44/1.4 . 744 24 VL{ . 6 h State: Zip: 3 3/ ?? Qualifier Name: Ai...W ko -er. " Phone #: / 24- Contact Phone #:JU 7J/ b29j Email Address: DESIGNER: Architect/Engineer: Phone #: Square/Linear Footage of Work: / 7 f gi= ❑New ❑Repair/Replace ❑Demolition TOTAL FEE NOW DUE $ I 'fiej Rmazims COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ 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 and a reinspection fee will be charged. Owner or Agent The foreg in i strument as ac day of 20 1 ()by NOTAR PUBLIC: Sign: 4 / Print: My Commission Expires: APPROVED BY (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) re me ( this .!If /7.2 } Plans Examiner Signatures 41.41 The foreg day of ment was ackno 20 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. NOTARY PUBLIC: Sign: Print: My Commission Expires: Contractor Sc „ 1e' �� yM nOs " Ertl "E� C,� ° ry;�y�1 1 •O °urrrt• •♦ * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ;' „ **************** vk*aY9tie9tFr4r9t**vtvk*4r' It9e***9r9e**9r***** ** *** *A as identification and who did take an oath. Zoning Structural Review Clerk COMPLAINTANT: Miami Shores Village, Florida VS. VIOLATOR: BOUTIN, PAUL; Mailing Address 410 NE 102 ST MIAMI SHORES, FL 33138 -2453 1 Notice of Violation: You are hearby notified that an inspection of the following property: Location Address 410 NE 102 Street Miami Shores, FL 33138 -2453 1132060170610 6 53 42 PB 15 -14 AMD PL OF MIAMI SHORES SEC 4 LOT 11 & W1/2 LOT 10 BLK 91 LOT SIZE 75.000 X 115 OR 17481 -2912 1296 1 disclosed that you are in violation of the following section(s) of the Miami Shores Village, Florida, Code of Ordinances: Violation Code # Sec. 6 -4(a). [Unauthorized Construction/Expired Permit(s)] Sec. 6 -1. [Adoption of technical code(Florida Building Code)] Description Sec. 64. Permits — Application generally. (a) Required No person shall erect or construct or proceed with the erection or construct ion of any building or structure, nor add to, enlarge, move, improve, alto, convert, extend or demolish any building Or structure, or any group of buildings ardor structures under one or joint ownership whether on one or more lots or tracts of lad or cause the same to be done where the cost of the work is 5100.00 or more in value; and on any remodeling or alteration job of any value; without first obtaining a permit thereto from the building department. (Code 1971, § 5-3; Ord No. 48685, § 4, 9.3-85) Sec. 8-1. Adoption of technical codes. The document marked, designated and known as the "South Florida Building Code.' which is made a part hereof by reference, is hereby adopted as a minimum standard for the purposes expressed therein and shall be known as the 'Building Code of Miami Stores Vlliage, and thls document shati be as fully affective as though every word, phrase, sentence or section of the South Florida Building Code were fully incorporated herein, except as modified or added to in sections of this chapter which fotiow. (Code 1971, § 601) Case Detail: CASE -11 -10 -7928 Report Printed: 11/9/2010 NOTICE OF VIOLATION Miami Shores Village Code Enforcement 10050 N.E. Second Avenue Miami Shores, Florida 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 758 -8972 Parcel No. t Case Nu �lbbr: CASE -11 -10 -7928 lase Ty : Ordinance Violation Date Ca a Established: 11/09/2010 Ocimplia ce Deadline:12/0112010 Phone Legal Description Page 1 of 2 for the following reasons: EXPIRED PERMIT: DS -11-09 -1964. REMEDY: RENEW PERMIT, COMPLETE INSPECTION PROCESS AND CLOSE. You are directed to correct the above violation by 12/01/2010 and notify the Miami Shores Village Code Compliance office once the necessary corrective actions have been completed and the vi lation has been corrected. In order to correct the violation, you must undertake and accomplish the remedy in full. If the above - described violation is not corrected and approved by the Miami Shores Code Compliance Office by the deadline set forth (or if it is corrected but recurs), you are required to appear before the Miami Shores Village Code Enforcement Boad at Village Hall, Village Council Chambers 10050 N.E. Second Ave., Miami Shores Village, FI, at _. 6:00 p.m. on 12/02/2010. If the violation is corrected and then recurs or if the violation is not corrected by the deadline set forth above, the case may be presented to the Code Enforcement Board even if the violation has been corrected prior to the board hearing. If the property is not in compliance by the date set forth by the Code Enforcement Board, you will be required to appear on the first Thursday of the following month at 6:00 p.m. in the Village Council Chambers, which will be the Penalty Hearing Date. You are advised to bring to the Enforcement Hearing any witnesses and documentary evidence that you want the Miami Shores Village Code Enforcement Board to consider on your behalf. Furthermore, you are advised that in the event that you decide to appeal any decision reached by the board with respect to any matter considered at the Enforcement Hearing, you will need a record of the proceeding and you will need to ensure that a verbatim record is made of the testimony and evidence presented at the hearing. At the hearing you have the right to be represented by an attorney at your own expense to present evidence and witnesses, and to cross examine witnesses. Failure To Appear Failure to appear will result in this matter being heard in your absence. If you are found not to be in compliance with the code and you fail to correct the violation, the Code Enforcement Board can impose fines against you of up to$250.00 per day per violation, in addition to assessing against you the costs of the enforcement action. If you fail to appear as scheduled to contest the citation, you will be deemed to have waived your right to contest the violation and an order may be entered against you imposing a fine which would become a Lien against your property. If you have any questions, contact Anthony Flores immediately at (305) 795 -2207. Case Detail: CASE -11 -10 -7928 Report Printed: 11 /9/2010 MIAMI SHORES CODE ENFORCEMENT Anthony Flores Page 2 of 2 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING. a�r� Owner's Name (Fee Simple Titleholder) AOL g ® 7' A' Phone # J 9' Owner's Address ��� /J /6p -- ;P Ci State F47-74 Tenant/Lessee Nam 4, Email Contractor's Address 1 / Ale /( , - c-5-4Lev, City / .' 1 _ ./ State P i Qualifier Name ! A _/ State Certificate or Registration No.A<e^ 6 /a 9o°� Cf 'Contact Phone -70 75 e l —b ' E - mail Architect/Engineer's Name (if applicable) Company Name Value of Work For this Permit $ Type of Work: ['Addition Describe Work: Submittal Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit Fee $ Zip Phone # "14. Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES NO Permit No.00 0 - .I G' (0 L Master Permit No. County Miami -Dade Zip 33/57 3 /3L /DC CCF $ V./ Flood Zone Phone # 3e C - 7: 9 _6 2 96 Certificate of Competency No. ://19 Phone # /= � // _. ! L� `/� Gi _ ! 1 ../ i 111 A_ . - v - y Square /Linear Footage Of Work: ew ❑ Repair/Replace * * * * * * * * * * * * * * * * * * * ** : * * * * * * * *** ** ** **F **** ** * * * * * * * * * ***** * * * * ** **** * * * * ** * **** ** CO /CC $ Notary $ Training/Education Fee $ O ao Scanning $ (QjC Radon $ DPBR $ Violation date: Struc u -' eview. $ Total Fee Now Due $ 9Q' Technology Fee $ 0') Bond $ See Reverse side --> Bonding Company's Name (if applicable) f�. Bonding Company's Address �l' City State Zip Mortgage Lender's Name (if applicable) //4 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 afier 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. Signature Sign: Print: Owner or Agent g instrument was ackn9w . ged befog, me this 06/ , by The forego day of /l who is As identification and who did take an oath. as identification and who did take an oath. ersonally know to me or who has produced wh rs personally NOTARY PUBLIC: 0‘,:: °1 4 9 /4 STEPHANE DROLET * MY COMMISSION # DD 88579 EXPIRES: October 22, 2012 .g +4. `Oe aaaes inn! widget aotaySevkaa My Commission Expires: * * * * * * * * * * * ** * ** *x * * * * * * * * ** * ** jam*************** x************* x****, a******** * * *x * * ** * *** * * ** * * * * * *x * * * * * *** APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) J % ire Plans Examiner Engineer The foregoing instrument was acknowledged before m ,this,�� � , day of .p,; , 20O , by me or - who has produced NOTARY PUBLIC: OO t►�; Pu�4c STEPHANE DROLET MY COMMISSION ik DD 828579 :q, EXPIRES: OOber 22, 2012 Sign: 'tionSr d1AaBud�tNo�9e^uc°Q Print y - "° My Commission Expires: Clerk checked Permit No: 09 / yfy Job Name: /2 , 2009 Building Critique Sheet ok/e /Y4Vi h' „le".zpc / Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 M iami Shores Viilage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 FLORIDA DEPARTMENT y kt ITEAT-41 In Rivera, RN, MSN, PhD, Administrator L HEALTH/OSTDS AND WELL PROGRAMSrt T eji; re ei 11805 SW 26 STREET MIAPAI, FLORIDA 33175 'ELEPHONE: 786-315-2444 Fax # 786-315-2090 //SS/J/1. /0 t STAMPING DROP-OFF FORM re'r Ahrg 3/// / Please complete the following information if you are leaving your official set of plans for the Department approval stamps: Please attach the approval letter you received from the Department stating that a permit is granted. Drop off of plans will only be accepted for projects that have already been reviewed and approved. OSTDS Permit No • A -P1' 1 /5)•• / County Process No Plans dropped ff .. AM Delivered by: 622,0..8 The customer is responsible for checking his/her plans before leaving the OSTDS Program Office Plans received by:... Comments:... Stamped by: NOTE: FOR OFFICE USE ONLY TO BE COMPLETED BY INTAKE PERSONNEL (SUPPORT STAFF) Plans picked up on — •tLv 11 <r- RM Date - 9- 2- - RINT) Telephone3 759-02n (PLEASE PRINT) Ana M. Viamonte Ros, MD, MPH State Surgeon General THE CUSTOMER COPY OF THE DROP-OFF FORM MUST BE PROVIDED TO PICK UP THE STAMPED OFFICIAL SET OF PLANS. Miami-Dade County Health Department/OSTDS Program 11805 SW 26 Street, Miami, Florida 33175 TEL (786) 315-2444 Website: www,dadehealttiont 11C - eesTee , 1 CI" 4 4, oQtA4k... LEDGEN 0 CI OUCH e- IMMO o SET 5 fir • WOOD .0 4> CON ® PER OVED . CA) PT 13 R L9de CK'D L50.04 AhL . ` N.. Nolit IV 3'311 L .c&A)e.Rert Sib AIL H AS CEEv Demo Li 5 Mb Fog T114 Pew DAWFIFID • MT #: • ADDENDUM F.B./PG. O • ino'fi7R 0.25 T /0 ( t. Lj 2 MINNINN■10. FI /p7.9 ELEVATIONS BASED ON N.G.VD. AND SHOWN THUS FLOOD ELEVATION INFORMATION: COMMUNITY le025i DATE OF FIRM-s7 BASE FLOOD EL FIRM ZONE X * LOWEST FLOOR EL N A. PANE' 009 HIGHEST ADJ. GRADE NA. SUFFIX (7 LOT SQUARE FOOTAGE: 8 6e51 SCALE: / SHEET 2 OF 2 SHEETS NE T52S MIAMI SI1U / 1 GOLF CO RSE r I T '/S AND / /.�—�- IMWItY /CLUB 1 (PRIVATE)./., i c 11.01 _�Sjo_ „_4-gulMS • _ / '' CENT @ P ARK / 4570 N.E. 4th Avenue Ft. Lauderdale, FL 33334 BOUNDARY SURVEY LOT 11, TOGETHER WITH THE WEST ONE— HALF(W') OF LOT 1G, BLOCK 91, 'AMENDED PLAT OF MIAMI SHORES SECTION NO. 4 ", ACCORDING TO PLAT THEREOF, AS RECORDED IN PLAT BOOK RECORDS OF DADE COUNTY, FLORIDA. ABBREVIATIONS: ADJ AC AE BBC BM BUT BCR BBB K7 CET CE CAM CH COL CONC CBS C&G COR DCR DB DE - ADJACENT -AR CONDITIONER SLAB - ANCHOR EASEMENT - BARBECUE PIT - BENCHMARK -BLOCK - BROWARD COUNTY RECORDS - BIALDINGSET BACK - CALCULATED -CALCI.L 5D FIELD TRAVERSE -CANAL EASEMENT -CANAL MAINTENANCE - CENTER LINE -CHORD -COWMN - CONCRETE - CONCRETE BLOCKSTUCCO - CONCRETE CURB & GUTTER - CORNER -DADE COUNTYRECOROS -DEED BOOK -DRAINAGE EASEMENT 4/- ALLISON ASSOCIATES, INC. Professional Land Surveyors DU&ME - DRAINAGE, URUIY& MAINTENANCE EASEMENT DH -DRILL HOLE ESMT - EASEMENT E,P -EDGE OF PAVEMENT EN -EDGE OF WATER EL - ELEVATION FF - - FINISH FLOOR a FRONT DOOR FE - FLOODPLNN EASEMENT END - FOUND GF - GARAGE FLOOR HIW - HEADWALL TINY - INVERT IP -IRON PIPE INC -IRON PIPE IN CONCRETE IP&C -IRON PIPE & CAP IA SIGN ROD IR&C -IRON ROD & CAP LME -WLE MAINTENANCE EASON:NT LAE -LIMITED ACCESS EASEMENT IF - LOWEST FLOOR MAIM' - MAINTENANCE ADDRESS: 410 N.E. 102ND STREET, MIAMI SHORES, FL. CERTIFIED TO: CARPENTER GROUP TITLE INSURANCE AGENCY COMMONWEALTH LAND TITLE INSURANCE CORPORATION PAUL BOUTIN DESJARDINS FEDERAL SAVINGS AND LOAN, ITS SUCCESSORS AND /OR ASSIGNS NOTES: ® LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS, OWNERSHIP AND/OR RIGHTS- OF -WAYOF RECORD. ® UNDERGROUND OR INTERIOR IMPROVEMENTS ARE NOT LOCATED EXCEPT AS NOTED. ® THE BOUNDARY LINES SHOWN HEREON ARE BASED ON THE LEGAL DESCRIPTION FURNISHED BY THE CLIENt NO SEARCH OF THE PUBLIC RECORDS HAS BEEN MADE BY ROBERT L. ALUSON TO VERIFY SUCH. Q BUILDING TIES ARE 90' OR RADIAL TO THE PROPERTY LINE. ® ALL EASEMENTS SHOWN ARE PER RECORD PLAT UNLESS OTHERWISE NOTED. © BEARINGS BASED ON RECORD PLAT. 1 HE C JOB NO: 96 2'9 FILE NO: D /5-/4 15, PAGE 14, TAE - MAINTENANCE EASEMENT (M) - MEASURED NN -NAIL & DAL NGVD -MAMMAL GEODETIC VERTICAL DAUM NR -NON RADLAL NA -NOT ARPU ABLE NIC - NOTINCWDED NTS -NOT TO SCALE Orb - OFF SET ORB - OFFKOALRECORDS BOOK Q .ON UNE OPT - OPTIONAL PG -PAGE OCR -PALM BEACH COUNTY RECORD PAW - PAVEMENT PCP - PERMANENT CONTROL POINT PRM - PERMANENT REFERENCE MONUMENT 0') • -PLAT PB -PLAT BOOK i 33138 ROBERT L. ALLISON PROFESSIONAL LAND SURVEYOR FLORIDA REGISTRATION No. 4278 REPRODUCTIONS OF THIS SKETCH ARE NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYORS SEAL Phone (954) 771 -2231. Fax () 771 -0522 OF THE PCC PC PI PRC PT R RGE RP OD RES RAY REE SEC SAY SIY TOS TWP ANR UE UEA U&ME THE FUBLIC CERTIFY THAT THE SURVEY SHOWN HEREON COMPLIES MINIMUM TECHNICAL STANDARDS FOR SURVEYS AS IN CHAPTER 61G17, FLORIDA ADMINISTRATION CODE. E B. /PG: c3//2 SHEET 1 OF 2 SHEETS - P-X c.# COMPO4,+W ' CUM/CURE -POINT OF C EDIATUI E PONNC GF INIERSEC ION - 0O1r1T OF REVERSE CURVATURE -POINT OF TANGENCY - PROPERTYLNE -RANGE -RADIUS POINT -. - RECORD - RESIDENCE -RIGHT OF WAY - ROOF ENCROACHMENT ,EASEMENT -SECTION SIDEWALK -STORY TOP OF BANK TOWNSHIP - UNREADABLE -11RLITYEASEMENT -WRAY EASEMENT ACCESS - UTWTY& MAINTENANCE EASEMENT i lig 1 0 ROCESS NO. X2010027125 10 NE 202 ST IAMI SHORES., FL 33138 REVIEW FEE TYPE CODE DOH H006 EXISTING MIAMI-DADE COUNTY MISCELLANEOUS RECEIPT 12/10/2009 UNIT FEE DESC AMOUNT 01 70.00 70.00 12/ /2009 12:45 YDENIS 27091210009 TCPM939J CENTRAL 714'211.4. , 4 _hant ID: 530314459 a ID: 0010540000530314459003 43(xxzzzzz9920 TERCARD Entry Method: '. lung cal: $ Agar Code: 1 , Darvrd: Online DG BUILDII U DEPT 11805 SW 26TH ST RM 149 MIAMI. FL. 33176 -2464 786- 315 -2381 Sale AMISCAPL BUILDING DEPARTMENT 12/10/2009 ADD MISCELLANEOUS APPLICATION 12:37:56 APPLICATION DATE 12/10/2009 PROCESS NO. OTHER DEPT. APPLICATION # OR BLDG DEPT. PERMIT # /ADDRESS: AP945281 CONTACT NAME PAL BOUTIN SUB TOTAL ADDRESS 410 NE 102 T CITY MIAMI SHORES SALES FEE UNIT TYPE CODE UNITS DESC DOH H006 '`1 EACH EXISTING SYSTEM PF1 = UPDATE NEXT SCREEN NEXT KEY MISC APPLICATION`iCCLPTED...ENTER NEXT KEY TO CONTINUE STATE FL ZIP 33138 PHONE COUNTY AGENCY USER ID YALI22 FEE DESCRIPTION BNZM1142 PAGE 1 YALI22 X2010027125 PAID FEE IND 70.00 ?3- 9A'14 $70.00 PF9 = MOD MISC APL Acknowledged by: PERMIT CLERK INITIAL: ` RESUBMITTED DATE: PERMIT CLERK INITIAL: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: DS - boy DATE: 12) O b 1, e- a iq E 1J o 1',1L C f l}L / 0Li ti3O Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) SU62-\1 g 2 � Address: L k l7 1\1l f5.Z From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process