FENCEFINAL FENCE
Passed
kVy
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
inspection Number: INSP -197
Inspection Date: 01/10/2006
Inspector: Grande, Claudio
Owner: WILLIAMS, MONA
Job Address: 89 102 Street NE
Project: <NONE>
Monday, January 9, 2006
Miami Shores Village, FL 33138-
Contractor: C & F DECORATING SERVICES INC
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Ph e: (305)795 -2204 Fax: (305)756 -8972
voiteei
Block:
Permit Number: FW -12-05 -1033
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number 1132060131690
Lot:
Page 2 of 2
Issue Date: 12/12/2005
Owner's Name: MONA WILLIAMS
Permit Type: Fence/Wall
Work Classification: Wire Fence
Job Address: 89 102 Street NE
Additional Information
Miami Shores Village, FL 33138-
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 12/01/2006
Contractor(s) Phone
C & F DECORATING SERVICES INC
Primary Contractor
Yes
Type of Construction: Wire Fence
Additional Info: CHAIN LINK FENCE
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 responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due Amount
CCF $1.80
Education Surcharge $0.60
Notary Fee $5.00
Permit Fee - Wire & Wood $220.00
Scanning Fee $6.00
Technology Fee $5.50
Total: $238.90
Building Department File Copy
licant Signature
Permit Status: APPROVED
Permit Number: FW -12 -05 -1033
Phone:
Parcel #: 1132060131690
Block: Lot:
Section: PB:
Total Square Feet: 270
Total Valuation: $ 2,000.00
Required Inspections
Final
Foundation
Invoice Number
FW - 12 - 05 - 23012
Total:
.DEC 14PAID
Amt Due
$238.90
Amt Paid
q o
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
' _, � , . � ii a Permit No . W 05 —
BUILDING �
PERMIT APPLICATIO ' DEC 01 na.i Master Permit No.
FBC 2001
Permit Type (circle): Building Electrical ,� `` Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) t\ D t k W 1 g /44 *hone # - 6o) 75)-- 5759
Owner's Address g 9 N G `0 - * 7
City /1 Nig M i 5 Ardtate 1 2 — 3 >3x Zip
Tenant/Lessee Name
Job Address (where the work is being done) gp 1/5 12d
City Miami Shores Village County Miami -Dade Zip 35/Y
Is Building Historically Designated YES
Architect/Engineer's Name (if applicable)
Submittal Fee $
Notary $ 5
Scanning $
Code Enforcement $
Training/Education Fee $
Total Fee Now Due $ Z-3 • C.
(Continued on opposite side)
Miami Shores Village
Building Department
NO
Phone #
Contractor's Company ame C 4 czna74- Phone #--) -
Contractor's Address
City 1 1A. I IA
Qualifier F/2 / L V
State
Zip
C o t2
70 /•K_t1
State Certificate or Registration No. Jq / Certificate of Competency No.
$ Value of Work For this Permit 2„(57:Z..
Phone #
Square Footage Of Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $ • CCF $
Technology Fee $
Type of Work: ❑Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: 4 # lA"/ ! 2 � GQ .S
CO /CC
Radon $ Zoning Bond $
Structural Plan Review. $
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. 1 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.
Signature .l•
fr W
Owner or Agent Contractor
The fore oing instrument was acknowledged befo /f e me this "` The foreeg�oing instrument was acknowledged before me this
day of 2045_, by Plitt kt ., LGG�1PL6 , day of►VC2)\,/ ,2006b blC. C.I) L _A 1
who is personally kn_g n to me or who has produced who is personally known to me or who has produced
Sign:
Print:
As identification and who did take an oath.
NOTARY PUBI -'- .
OVicial Seal
r to ° . CO iutt A,N
ri r �i1 C i �fp rt eS i iu e, ;Duo
My Commission\xpires:No. 79156
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc 05/13/03
as identificatio and who did take an oath.
NOTARY PU : I : OTARY P C - STATE OF FLORIDA
Sign: eny Hern
Print:
My Co ission Expires:
1 /o9
Engineer
/ , / OL Zoning
Plans Examiner
•
•
•
•'
•
•
•
11 i' V /iuini SkoreJ /Ear
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, 0 n w t 1 I 6 does hereby attest that the
(property owner) gyp_
attached survey, performed by Q C. ft (NO
(name of surveyor's company)
performed on
(
00 a—
te of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
itness(sign and print)
W'i 1(io`h.s
•
•
.•• • • ••
•• •
• .••• • • •
•••• ••.
• •
•• ••••
•
•
.. •
• • •
• •• • ••
• • •
• • •
• •
is an accurate representation of the existing conditions and
SWORN TO ANA SUBSCRIBED before me thi s
•
kAi kiLk
Affiant/Property owner
Th aw. w' ,
Witness(sign and print)
– 710 44 C i .; 1 l i c' S
4-1\ 4-1\ 3d day of � b.4.ryv�
d J
•. •meant ts''�J'� perstr� lix nown to me, produced as identification.
• •
tary
ilitici• e•I
FRICO CORR OLAN
otary Public, State of Florida
1y Comm. expires Feb 8, 2006
No. 79156
•
:_--' CHAIN LINK FENCE DESIGN DETAIL
N.T.S.
Notice to Properties
with Pools:
If the fence is to meet
the criteria as a pool
barrier, the fence shall
not be climbable and all
rails must be placed
facing the inside of the
property. Pedestrian
Dates shall have self -
closing and latching
devices installed at a
minimum of 54" above
ground. For further
details see Section 424
of FBC.
A
O
0
O
co
t—
O
0
rn
General Notes:
1. This table is applicable only to fences
with unrestricted airflow.
2. Fabric: 12-1/2 gage minimum.
3. Tension Bands: Use one less than the
height of the fence in feet evenly spaced.
4. Fabric ties: Must be minimum the same
gage of the fabric.
5. Fabric Tip Spacing pn, he Top Rail: Five
tie, between post, evenly spaded. •
6. Fabric Tie Spacing on Line Posts: One
test height'df fne fend igi fett,
ev fly spaced. •
7. Eteher•tep rail or.tga leJ1 ion wi e' P llbe
used.••• • •
8. Blaoes•must be used fat Terminal•Qost if
tap tension wire lc•vsped instetd.4.1'op
•
9. Ii 9rdpj jo follow re contour ojtie.le d,
the bottom of tht ferjr may. clear the
contour of the ground by up•to.t lads
w`ilhbue increasine.'tahle valuel to The
n - xt hi. r limit • •
ChamLmkFenceFDC
(ACCORDING TO THE F.B.C. SECTION 2224)
See
Table
Below
•
N
0
a
See
Table
Below
( >
Fence Height
Up to 4'
Over 4' to 5'
Over 5' to 6'
Over 6' to 8'
Over 8' to 10'
Over 10' to 12'
Over 12'
. X
10'- 0" o.c. Max.
Terminal Post
Size & Thick
2 -3/8" x 0.042
2 -3/8" x 0.042
2 -3/8" x 0.042
2 -3/8"
Terminal
Post
Footing
10" x 24"
10" x 24"
x 24"
x 0.110
2 -7/8" x 0.110
f1"J05103s C� cwnece
10" x 24 "\
12" x 40"
e Post '
ooting
0" x 36"
10" x 40"
2 -7/8" x 0.160 12" x 42" 2 -7/8" x 0.120 12" x 42"
Section 2224.1 FBC: Fences over 12' height shall be designed
according to the loads specified in Chapter 16 (HVHZ). •
•ti :K! 4i
SKETCH OF S U R VE �ROPRIY. h 9 Nf 102 ST, MIAMI SHORES, FLORIDA 33 128
•
(BOUNDARY SURVEY) • • , ••• ; • ; E LEGAL DESCRIPTION
• .......
SCALE: 1 " = 20' '
LOT 21
BLOCK 12
TIP
0W
(NO ID)
LOT
22 AND 23
• • • . . • • . • •
• . •
23.00
MAW
NE 102 ST
(75.00 TOTAL RAV)
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL. EMERGENT
REVISED ON 7/17/95 THE HERON DESCRIBED PROPERTY IS SITUATED
BASE FLOOD ELEVATION — COMMUNITY 120652 PANEL NUMBER
MANAGEMENT AGENCY
WITHIN ZONE X
093 SUFFIX
LEGAL NOTES
THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP.
ETUMINAI1ON OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINATE RECORDED
INSTRUMENTS, IF MIY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS,
LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASE?AENTS OF RECORD. LEGAL DESCRIPTIONS
PROVIDED BY CUENT. THE UABILTTY OF THIS SURVEY IS UNITED TO THE COST OF THE SURVEY.
UNDERGROUND ENCROACHMENTS, IF ANY, ARE NOT SHOWN. THIS FIRM HAS NOT ATTEMPTED TO
LOCATE FOOTING AND /OR FOUNDATIONS AND /OR UNDERGROUND IMPROVEMENTS OF
ANY NATURE. IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN. IF SHOWN,
ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1929. THE CLOSURE IN THE BOUNDARY SURVEY IS
ABOVE 1:10000. THIS SURVEY IS NOT INTENDED FOR NEITHER DESIGN NOR CONSTRUCTION PURPOSES.
FOR THOSE PURPOSES A TOPOGRAPHIC SURVEY IS REQUIRED.
SUBDIVISI6N 11 AEN Pl) PIA % Qe_V I SHORES SECTION ONE
ACCORDING TO THE • PLAT THERE AS RECORDED IN PLAT BOOK 10
OF THE P118LEQ ;1 GOkbS:OF • • • MIAMI -DADE CO
LEGEND AND ABBREVIATIONS
ONE STORY
RESIDENCE
N° 89
20.00
PAVEMENT
BLOCK 12
CERTIFIED TO:
JAMES B. WIWAMS AND MONA M. WILLIAMS
TRUST 11111 INSURANCE INC.
OLD REPUBUC NATIONAL TITLE INS, INC.
WELLS FARGO HOME MORTGAGE , INC
ITS SUCCESSORS AND /OR ASSIGNS
NOE AGUILAR
LAND SURVEYORS AND MAPPERS
1147 NW 136th AVENUE
MIAMI. FL 33182
PHONE:(305) 207 -7080 FAX:(305) 207 -7191
AT PAGE 70
o� 033 -
FIELD WORK
Dm 08/23/02
NOE AGUILAR
LAND SURVEYOR AND MAPPER No. 5571
STATE OF R.
NOT NAM WITHOUT THE IMMATURE MID THE CROW/. MIME SEAL OF A
TIMM U�� LW= suRverOR NID IMPPYII
ORDER No. 02 -0922
REVISIONS
DATE
A/C — NR CONOHIONNO PAD EN.C.
A ■ ARC DISTANCE F.H.
BID0. ■ BUMDIN9 F.I.P.
C.9. ■ CATCH BASIN F.R.
C.B.S. - CONCRETE BLOCK STRUCTURE LF.E
CH. ■ CHORD DISTANCE LP.
D„ • CLEAR (M)
C/A - CENTER UNE (R)
CONC. - CONCRETE
▪ DNCROPCHMENT
FRE HYDRANT
- FOUND IRON PPE
▪ FOUND REBAR
— LOWEST FLOOR ELEVATION
UGHT POLE
▪ MEASURED
RECORD
M/L
N.G.V.D.
OE
P.B.
P.CP.
P.G.
P.O.B.
N.T.S.
D
▪ MONUMENT UNE
NATIONAL GEODETIC VERTICAL DATUM
- OVERHEAD ELECTRIC UNE
▪ PLAT BOOK
-
PERMANENT CONTROL. POINT
▪ PAGE
▪ PONT OF BEGINNING
NOT TO SCALE
• DELTA
R - RADIUS
RID. - RADNL
RES. . RESIDENCE
R/W - RIGHT OF WAY
SEC. — SECTION
SJ.P. - SET IRON PPE :
STY - STORY
SWK - SIDEWALK
U.E - UILTTY EASEMENT
UP UTILTIY POLE
— CENTRAL ANGLE
WOOD FENCE
—X / — *INN UNK FENCE
® C.B.S. WALL
B/C BLDQT CORNER
r
JOB ADDRESS:
RS VG
APPLICANT:
ec
APf LICATION:
C c.A.: n
ZONING CRITIQUE SHEET
5
PERMIT # 033
DA COMMENTS , la %I 1 E Q V '1) d � L_ 6- s ; r L r. R -
() . , .7 ' AJ Ce -•tC. 0.,, .6, )- f. JJb'� P ono"
Yn rc ( (L f ef /i -rr y I, ... s D,W� t
o� s � ,
a Su (`J�P / 4I-) .6r€e.e4 $c a(e. i ` S ,J (/`-,, ✓+ � or - 'I / r
u. i.,,, n < i 0, -k ca rte. h.C�4 -\ , Go u LA — 1444.4
LID S re 9o,1';,< -
INITIALS
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n 1 �t jl enue
Permit No. P ,2004— g S •
Name xtrn8 . 1
Address '- N� - S f •
Company Winer •
c5D-3
Phone #
Inspection Date c • 10y I�
IRA; Ares+ , E' �r � � 1� �/ n I II rf
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1 /29/2004
Applicant: JAMES
Owner: WILLIAMS
JOB ADDRESS: 89
Contractor
Local Phone:
Parcel # 1132060131690
NE 102
Fees:
FEE2004 -913
FEE2004 -914
FEE2004 -915
FEE2004 -916
FEE2004 -917
FEE2004 -918
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$100.00
$0.60
$5.00
$0.20
$2.50
$3.00
$111.30
Total Fees: $11 .30
Total Receipts: $b.a
6/ 30
C t2-cot
Permit Status: APPROVED Permit Expiration: 7/24/2004 Construction Value: $100.00
Work: 5' WOOD FENCE
Signed: (INSPECTOR)
MI) n nnPI ,n r�ast
IJ id td Li ti
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)
Permit Number: BP2004 -88
WILLIAMS
JAMES
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 22 & 23
BY:
■
1 116•1 fr W V iJ Lb
Page 1 of 1
BLK 12 LOT SIZE
CA111 `V
I 7 r 7 04
BUJLDJN
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address ;? 9 / v
City /'I'1 ( X11 / Sho re3 State
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City State
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Scanning $ -- Radon $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrical
/C S
r-7
/o 0
Plumbing Mechanical
W ( //i k fl
m e o Phone # 3 0 5 7 51
Zip
Phone #
s'7 Ng /02 S
Type of Work: DAddition ['Alteration ['New
Describe Work As l P_ p1 C
County Miami -Dade Zip
NO y"
Qualifier
Zoning
Phone #
Permit No.
Master Permit No.
Zip
Phone #
33/3
Bond $
Structural Plan Review. $
Roofing
59 S2
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee LS-0k C ° Permit Fee $ /00 CCF $ 0 CO /CC
Notary $ Training/Education Fee $ 5 � (� 0 Technology Fee $ p l 5-0
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 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 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.
Signatur
0 431 , V J.1 -e L (A-gm
Owner or Agent Contractor
The foregoing instrument w s a• . owledged before this?. L The foregoing instrument was acknowledged before me this
day of 1 , day of , 20 _, by
who is personally known to or who has produced t L who is personally known to me or who has produced
\ O 4 -S ' , a-u1 Z i p -`
s identification and who did take an oath. as identification and who did take an oath.
NO ' ARY ' UBLIC:
Si
P
My Commission Expires:
Signature
NOTARY PUBLIC:
Sign:
Print:
My Conunission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 12/15/03
JAN 2 7 2004 Plans Examiner
Engineer
r, ✓�t , ;r . i `= Zoning
OWNER BUILDER DISCLOSURE STATEMENT
I - tPAUv� - 5 t ( 1 1.161/(4 S being the legal property owner, for the property
Located at: F a fir S it()tces 3 3
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 to *ork 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 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 ( )
Was acknowledged before me this2 6 ,c
ProducedF) D -
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
DISCLOSURE STATEMENT
initial of reviewing clerk. The foregoing instrument
_ day o r, 2C)
who is personally known to me or who has
Notary
as identification and who did take an oath.
'STATE OF FLORIDA)
COUNTY OF DADE)
attached survey, performed by
performed on
The undersigned Affiant, ak W. IA f 1I
gn S, does hereby attest that the
(property owner)
Yk)-
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this (p day of
1IllX'.1! acoq
Affiant is personally known to me,� produced -a 1. - H `i W - Zd Las i dentification.
name of surveyor's company)
, is an accurate representation of the existing conditions and
IP) 1 =
• . rp Angela M der
i COrnrni0n DD950040
0,„ Empires MObeMber 95, 2008
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LANNES and GARCIA, INC.
ENGINEERS - IAND SURVEN ORS - LAND PLANNERS
Odit e address: 4080 S.1% 84111 Avenue, Miami, Florida 33155
Mailing address: P.O. Box 561131, Miami, Florida 33156
DArE
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247
DRAWN BY
DRWG. NO
188-1322
This proper t y cle sc ri bed as:
s 22 and 2 3 , Block 1 2 ,
AN AMENDED PLAT OP MIAM1 SHORES SECTLUN NU. 1.
according to he Plat
thereof, DS recorded in
Plat, Book 1_0, Page 70
of the Public Records of
Dade county, Ftorida.
FkuUD 1 X
CorLitied To: Rosidential Nortyago !-;ervices, Inc. and/or
assigns and Atfitiated Tit]e Company.
NUT1:: Underground encroachmen if any, not fucated.
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pRop,„„ ( 3 ) : Will lams, J aloes 13. & iona Ni. , 139 N E . I U 2 ncl Street, Miami, L-'Ioi:
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,\N OF MIAMi SLIORES SECTION No. 1,
accorw nq u he Plat
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1 It 1(.)(J J , Page 70
of ii uhl i c Records el
CoLny. , 1 or ida
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Th: Residential Mortgage Services, inc. and/or
assigns anc, At 1 i 1 iated Title Company.
Tt ;E: encroachpen:s, if any, not located.
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P
E.ANNLES and C,AFICA, !NC
r \GIN:FE -- 1 AND - 1 AND P1 ANvIzs
dfiCart 4080 S (Vith Averwv, Miami, H,:
dd(ir, P.O. Bo., 561131, Miami, Florida
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')f\ C3IF S -1 1 1 DRAWN BY is''"t1;C:. NC:
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BY N.E. 102nd Street, Miami, Flor1da''
060.41.,,,armo,
Name and address of licensed contractor
Street and Number where work is to be done
STATE OF FLORIDA
COUNTY OF DADE.
New Building Remodeling
} SS.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t}ie building or other structure herein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the
State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
Owner's Name and Address ■ J 401 01 G .S 4-in 0 r Wit-14w
Registered Architect and/or Engineer
Location and legal description of lot to be built on: 1/ •3 e6' K3 /2 / �j,,
Lot � — Block t' a Subdivision m ( S/ i-t_C'-S Sec /
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
and for no other purpose.
F —
Addition Repairs No. of Stories
To be constructed of (h a l ,n / i el Kind of foundation Roof Covering
Q °
Estimated Total cost of improvements 5 /J 0 0 Amount of Permit S --- D• D 0
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's
Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar
compliance from all contractors or sub - contractors employed by him in the work to be performed er this permit; and will post or cquse to be posted for inspection
on the site of the work such public notice or notices as are required by the Act. The undersigne ees to employ only uch p ntractors. on work to be performed
under this permit. as are licensed by Miami Shores Village. Q,frii. (,1/ � Q�
Remarks (Signed) vrp� (A-) "�`a�c'-,')^—
Before me. the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known.
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.
Permit No.
Disapproved /) Date
(Signed)
Building Inspector
S ' 9 AR :7; / d a- S / - 4i 3 3/ 1e
Fe /lc -e y / —I ot Gryc (u;(
Date !/;/ Read. Sworn to and Subscribed before me.
Date 643 19 c
Ai No 13 / ` Street / 0 S
Notary Public. State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved late Disapproved Date
NOTE: A charge of S25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of 825.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
:This, property described as:
Lots and 23, Block 12,
AN AMENDED PLAT OF MIAMI SIIORES SECTION NO. 1,
according to the Plat
thereof, as recorded in
Plat Book 10, Page 70
of the Public Records of
Dade county, Florida.
FLOOD ZONE: X
Certified To: Residential Mortgage Services,
assigns and Affiliated Title Conipany.
NOTE: Underground encroachments, if any, not
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PROPERTY OF: Williams, James B. & Mona M.,
SURVEY
I hereby certif■ that the sur repre-
sented hereon meets the minimum
technical standards set forth by the
Board of land Surveyor pursuant to
Section 472.027. F la. Statutes. There are
no encroachments. overlaps. easement;
appearing on the Plat. other than Jr,
shown hereto.
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Fla Reg. Land Surves NO
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DRAWN BY
89 N.E. 102nd Street, Miami, Florida
LANNES and GARCIA, INC. •
ENGINEERS - LAND SURVEYORS - LAND PLANNERS
Office address: 4080 S.W. 84th Avenue, Miami, Florida 33155
Mailing address: P.O. Box 561131, Miami, Florida 33156
DRVVG. NO
188 -1.322