BP-03-1991Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/29 /2003
Applicant: GARY
Owner: LEVINSON
JOB ADDRESS: 660
Contractor
Local Phone:
Parcel # 1132060171980
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2003 -1991
LEVINSON
GARY
GRAND CONC
Contractor's Address:
Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 5 LESS E5FT AND ALL LOT 6 BLK 102
Fees: Description Amount
FEE2003 -8671 Building Fee $160.00
FEE2003 -8672 CCF $0.60
FEE2003 -8673 Training and Education Fee $0.20
FEE2003 -8674 Technology Fee $4.00
FEE2003 -8675 Scanning Fee $3.00
Total Fees: $167.80
Total Fees: $167.80
Total Receipts: $0.00
- 3c
Permit Status: APPROVED Permit Expiration: 6/26/2004 Construction Value: $1,000.00
Work: 4' FENCE FOR POOL
DEC 31 PAID
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:
8/3/2006
To: Current Owner
660 GRAND CONCOURSE
Miami Shores Village, FL 33138-
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 • Fax; (305)756 -8972
Permit: BP2003 -1991
Address:660 GRAND CONCOURSE Miami Shores Village FL33138-
Date Expired: 6/26/2004
Dear Sir or Madam
In order for us to serve you better, we need to keep our files up to date. Our records
indicate that the above reference Permit has expired.
The Building Department has determined that the work applied for has been completed
with out the required inspections and it has been more than 180 days since your last
approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida
Building Code. You are required to renew your permit and schedule all required
inspections.
In the event you do not comply with the requirements herein, the Building Department
will file a complaint with Miami -Dade County Building Code Compliance Office for
possible disciplinary action against your licensed contractor And/or if permit was
obtained by the home owner the requirements of the Unsafe Structure Code of Miami
Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed
unsafe and a permit shall be obtained to demolish the structure or bring the building in to
compliance with applicable codes as provided herein."
Please contact the Building Department, immediately upon receipt of this letter.
Sincerely,
Mabel as
Administrative Assistant
B
1
uli4NOPL
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Master Permit No.
Electrical Plumbing Mechanical
Roofmg
Owner's Name (Fee Simple Titleholder) &c y Lt' 4 UCir1 Phone # 7 Z - 67( 17 6 7
7 6''
Owner's �-
t
City Id ( ;r` tare Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) bb tJ_(--/PanD /x-CJUf2
City Miami Shores Village
Is Building Historically Designated YES NO
Scanning $ 3
Total Fee Now Due $
(Continued on opposite side)
$ Value of Work For this Permit 1 , 0 0 0
County Miami -Dade Zip 36/
Contractor's Address , .. • • • • – . • - -, _ - - • F •
State Zip
Qualifier
Architect/Engineer's Name (if applicable) Phone #
Type of Work: ❑Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: 41 t `fEnC
****************************F
Submittal Fee $ Permit Fee $ MD CCF $ 1(911
Notary $ Training/Education Fee $ , da, Technology Fee $
Radon $ Bond $
Code Enforcement $ " •—' Structural Plan Review. $
0-0
_..one # ,
Square Footage Of Work:
- -
ECEIVED
DES 2 2 i00
Permit No. 31
•
' ' ✓ 1 • •
/Co C. -6
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 • ' einspection fee will be charged.
Signature Signature
, f
er or Agent Contractor
wledged efor; me this t9t' The foregoing instrument was acknowledged before me this
day of , 20 _, by
. who is pew onally known to m a or who has produced who is personally known to me or who has produced
as identification and who did take an oath.
The fore doing., instrument was ac
day of , 20 ftby
My Commission Expires
chc 10/14/03
As identification and who did take an oath.
NOTARY �= ; Oil rp NOTARY PUBLIC:
;ilk
Sign: iv/ �' .� .. I .r. Miaam n Pellurano
Sign:
1 . MAW' mmission DD129952 Print:
Expires June 30 2008
Print.
My Commission Expires:
* * * * * * * * * * * * * * * * * * * *?. * * * ** * * * * * ** * *** **** ** ************,*****,*********,*****,**,** * * * *,* *,* * * * * * * * ** ** * * * * *** ** **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
adeg
5'-O'
2'-O"
Owner's Side
• <
d
1
4
4 •
P' X6" or I" X6"
Wood pickets
111
El I" 1E1 �
=III= 1 1 II • _ 11 1`111
1 =1 11 =i 1 -111 = 11 =1 1=
11= -111 111
WOOD FENCES •
■•
•
2915 Fences
Wood Posts
4' -0° High or Less = 6' -0° O.C.
5' -0° High or Less = 5' -0° O.C.
2915.1 Wood fences,. so located on a property
that by zoning regulations they cannot be used
as a wall of a building, shall be constructed to
meet the following minimum specifications.
(a) Fences not exceeding 5 feet in
height shall be constructed to meet
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts spaced 5 fee: -0 inches on
centers, having a fiber stress of
1200 p.s.i. In bending, and shall be
- embedded 2 feet -0 inches into a
concrete footing 1 fcot -0 inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply with the
provisiogs of this Chapter and
Chapter 23.
(b) Fences not exceeding 5 feet and 4
feet in height respectively shall be
constructed as provided in
paragraph 2915.1 (a) herein,
except that the spacing of posts
may be increased to 5 feet-0
Inches and 6 feet-0 inches on
• . centers .for these _ heights.
CC
_J
1—
0
1—
_
8
L.P.
FO.
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°
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Fo.1i2
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r ur urc V C. T
1 20
A N D CONCOURSE _
PARKWAY
ts= 3 . A-102.56 R= 1849:79 • 5 SWK•
4' 4 4
Ito
232' cf
16.80'
45.30'
TWO 51
- 7 RES: 1\1. 660
335 it
1 -.141 ,t9"/
0 /
4 :" CH.L.F.
67 ASP1-1. PAVEM t1•17
36.60
„. •
15 A L. L-• E Y
• . 0)
. A
16u •••
13
30.70'
i 4 6. -
.tr)
ci
18.20
GATE
W
54 95.'35' T? = T719.79'
1493
A
5'
F1).
DM •
0 4 c-141.-fmco. 3.33 e
TM 4-117 3 f
/ 333 t ENC
ow
- 19 A51 RE-BAR.
1.5' cow. CURE/GUTTER .
c- 0.1C.
Op 10 a. Bo' ioro
l'1.W At* mop.
OWNER BUILDER DISCLOSURE STATEMENT
I Go' �`-� LPAAA f c./1 being the legal property owner, for the property
Located at: (-4 f) C Cusr.. Cwt- 'H'''elm s k r F
Legally described as Lo 1- ► (eV S ff of t f S� t e to etc (O2 t f kif (bc k , j /5
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 ta Work as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
Owner
t,
Owner
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
DISCLOSURE STATEMENT
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. r You may also build or improve a
commercial building at a cost of $25,000.00 or less. The budding 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 _ day of � 20 tot
By 684Pfi f-- LLUInQo
Produced
who is personally known to me or who has
- as identification and who did take an oath.
�n r Miriam A Pellerano
. aP - a M Commission DD129952
«,�d� Expires June 3o, 2006
ED
NOY 2 6 20U3
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building) Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) 6AP #?64N tell/A/660\1=#
Owner's Address 6(0 6 el R'1IO )WCDO2fi V
City mi PrOi 613&66 State 9L Zip
Tenant Name Phone #
Job Address (where the work is being done) 666 t JD 040n0,00,2-6e
City Miami Shores Village
Miami Shores Village
Building Department
(0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
County Miami Dade
Is Building Historically Designated YES NO
ZiP
Permit No.
Master Permit No. 8 P 1603 I S5y
30� 702-
Contractor's Company Name Ur 6 Ft • Phase # `7 ft-4- 7
contractor's Address 1377 / Al , 6 p is LI• '7 a3- DC'S
City MA-016 StateL' zip
Q „aut ergo Ag1L A. Pe /le - - NO
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit / t; 0 19 Square Footage Of Work: 6 9 p o l V/ q
Type of Worlc ❑Addition ❑Alteration ew / heck,.
❑ Repair /Replace ❑ Demolition
Describe Worlc /Vat) /Vat) i A 5 {1) / 1 / 4-0
Fees /�
Submittal Fee $ Permit Fee $ :7 O CCF $ gat
Notary $ ' Train' Fee $ 3 --- Technology Fee $ 1 , 7 5
Scanning $ 9 Radon $ 4.3 a Bond $ 36
Code Enforcement $ Structural Plan Review. $ Caid
Total Fee Now Due $ 9/1 6"
(Continued an opposite side)
Co C -®
/■i/
Saturday, November 22, 2003 5:08 PM Blue Water Pools of S.FI, 954- 723 -0954
Bonding Company's Name (if applicable)
Bonding Company's Milton
City
State
Mortgage Leudcr's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby mode to obtain a permit to do the work and installations as fndieated. I certify that no work or installation has
commenced pries to the issuance of a permit and that all work will be performed to meet the standards of all laws revile**
construction in this jurisdiction. I underniand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, BEATERS, TANKS and AIR CONDITIONERS, ETC.....
OWNER'S AMDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable lam regulating ems/motion 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 YOIJ INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDZR OR AN ATTORNEY DEfORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice w Applicant: As a cars i zw, to the Issuance of a building permit 'fl4 a, eatimated WINO Avcoeding S2500, the fpplicainf must
promise io good filth that a copy of the notice of commencement and construction licit law brochure will be delivered to the person
whose properly is srtbja?t to allocionent ,Also, a certified copy of the retorted notice of commencement must be pasted at the job site
for the first urspectiou which occurs seven raps after the building permit Is issued. In the absence of such posted notice, the
inspection will not be approved anda rein .. bon ..-e"—:. will be charged
Signature Signature
or Agent
The foregoing instrument was
day of IVOO 2O0s, by
Chu 10/14106
of ioation and who did take an oath.
My Commission Expires:
State Certificate or Registration No
Zip _
RRY A. WELLONS NOTARY PUBLIC
C - STATE OF FLORIDA
EXPIRES 10/28/2006
ev nubv , nn., ,-ekaotosAnyi
Contractor
before roe this 65 The foregoing ii 'lov t yaw aals,.ovriedg' d before mo this �S
as identifualion and who did take an oath.
p.05
day of tJ f PJ 0, by /2 t4 Et 19.1WI f6
who is personally 'mown t o me or who has produced Zia Zia 'vide is ply !mown to me or who has produced
)
NOL4 F tie
Mgt): t/
Print:
' °�- Dolores Imbert
Sign: * � ° *� •MMJ a DD099888 EXPIRES
June 14, 2006
TNAII TAf1Y Rip IN INC
My Commitision Expires: Li• t o ® (p
****.***E0 114 AAa sot *Inn **4** *ilr7 ***********•a•R R!*s*****2, e, ul +ei*******tRRY+tP * *** *** & **Rtl ********* 11411*f ****l **
(Certificate of Competency Holder)
Certificate of Competency No u I' l / q 6194E6/
******** * ****** **$ +*$ ** ** **** **s'se * ***** *ties* **** *** ***Me see VW! s*4 * *I.F* V**** ******* *0O **+4 *4444. *4
APPLICATION APPROVED BY: ! DEC 2 9 2003 17// /o3 Pbt E,
Engineer
7..oning
Miami Shores Village
R JEC E VE h Building Department
1019 2 6 2003 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
B ' _� ` ommo_ _���
PERMIT APPLICATION
FBC 2001
City /� lAfr) �' td2 State
Tenant/Lessee Name
Job Address (where the work is being done) 66'0 &R C / Q6
City Miami Shores Village County Miami Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name 4V e UdG1 6. "e"(.• = Phoie # Q4 - ;‘28-1141/
Contractor's Address /3 , 6f ener) OnL) 2'z
City %6 ) state Zip SSSO
Architeet/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit / GOO Square Footage Of Work:
Type of Work ❑Addition /,� ❑Alteration ❑New
Describe Work POD/ l-% p/ Al{,
F e �
Submittal Fee $ Permit Fee $ 1 CCF $ 1 , 0
Notary $ TraiminglEdoeation Fee $ D Technology Fee $ 3, IS
Total Fee Now Due $ LS-3
(Continued en opposite side)
Permit No. PL ZOOS - 3/5-
Master Permit No. /5P Zoo 3' / gsy
Zip
Phone #
❑ Repair/Replace ❑ Demolition
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Saturday, November 22, 2003 5;08 PM
Signature
The foregoing instrument was a
day of 20C by
Print: 0_
State Certificate or Registration No.
***** *** * * **** ** * * * * * * * * * * **
APPLICATION APPROVED BY:
the 10114f03
** *
Blue Water Pools of S.FI. 954-723-0954
' I
Banding Company's Name (if applicable)
B ,nd+ng Company' Addrone
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State _ Zip
Application is hereby made to obtain a pit 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
canstruotian in this jurisdiction. I %nulerstand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEAVERS, TANKS and AIR CONDITIONERS,
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all wort: 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 w Applicant: As u condition to the Issuance of a building permit with an estimated valur� exceeding 52500, the applicant mast
promise in good faint that a copy of the notice of commencement aid construction lien law brochure will be delivered to the person
whose property is,:subje i to attachment Afro, a certified copy of the recorded notice of commencement muss be pasted at the job site
for the first inspection which occurs seven (7) days otter the buikdng permit is issued In the absence of such posted notice. the
inspection will not be approved and a: s: pectionfe wil ., charged.
a
Contractor
p.06
4 wlcdge fore me this 016 The foregoing instrument vats aolmowledged before me this a
d le jpuB1ti' , day of ` • '0 Q by COQ � ti P Up_ra. J
v r
who is persamally known to me or who has produced �D(.-# who is personally known tome or who has produced
60 - / - "v As Lion and who did take an oath as identification and who did take en oath.
NOTARY PUBLIC:
Sign:
NOTARY PUBLIC:
TERRY A. WELLONS
• STATE OF FLORIDA ao
MMISSION id'Int�'
EXPIRES 10/28/2006
soma) THRU 1. 888- 1188
u rn.
MYCO
My Cnnm fission Expires: My Commission B Aires: • ��� 1 'ai U r
;•; '•' r_ Im
NCE, INC ii MMIS I
***** ***** ** * * * * * *** *** *fR**** * * ** ** ltd **** l************** * ** * ** * * * *** * * *R�9i•'****aft*** ,9 � , itanrIta/Imma � i �e 88 EXPIRES
1:4r, 0°e•• BONDED RO
(+Carte of Cow Holder)
Certificate of Competency No. 0..- `Y6 ¥ &I
**************** * * * * * * * * * * * * *** * *a ** *t* ** * * * * ** *sew * * ** * * * *a *aa *a * * *a
g r i Plan$$ et
Sign:
Print: 1Y,1Urt 9 —.d-4r e
Engpreer
FBI
4Th TUB
UNIT
•
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
IDET
LIGFff OUTLETS
CENTRAL HEATING
!SMASHER
RECEPTACLES
A/C (WIND)
ISPOSAL
SERV ICE TEhPORARY
A/C (CENTRAL)
3INKING FOUNTAIN
SERVICE SIZE IN AWS
DUCT WORK
LOOK DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
REASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
NTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
AVATCRY
OVEN
ABOVE GROUND TANKS
AUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
LOTHES WASHER
MOTORS 0- 1 FP
STEAM BO ILERS
;HOW
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
;INK, POT /3 COMP.
MOTORS OVER 3- 5 If
MECHANICAL VENTILATION
;INK, RESIDENCE
MOTORS OVER 5- 8 If
TRANSPORTING ASSEMBLIES
;INK, SLOP
MOTORS OVER 8- 10 If
ELEVATORS/ESCALATORS
'EMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS.
IRINAL
MOTORS OVER 25-100 FP
COOLING TOWERS
iATER CLOSET
MOTORS OVER 100 FP
VIOLATION
'NOIRECT-WASTES
A/C WINDOW
RE INSPECTION
LATER SUPPLY TO:
AIR CONDITIONERS
WC UNIT
STRIP HEATER
F IRE SPRINKLER
GENERATORS TRANSFORMERS
'HEATER -NEW INST.
i
GENERATORS TRANSFORMERS
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
•
SW(WING POOL
2.-,
OUTLETS COINERCIAL
WATER SERVICE
SI TUBES
;EWER CONNECTIONS
SIGN TRANSFORMERS
ITILITY -SEWER
SIGN TIME CLOCK
IT IL I TY -WATER
_
F I X'TIJRES
;EPTIC TANK
ANTENNA
1ELAY
TELEVISION OUTLETS
JRAINFIELD, 4' TILE/RES.
VIOLATION
'I.W & ABANDON SEPTIC TANK
RE INSPECT ION
0AKAGE NT CU. FT.
:ATCH BASIN
.
)1 SCHARGE WELL
DOMESTIC WELL
4REA DRAIN
100F INLET i
SOLAR WATER HEATER ',
=1RE STANDPIPE
'OOL PIPING
?
...AWN SPRINKLER SYSTEM
.
3AS RANGE
_
METER SET (GAS)
3AS PIPING
• k
AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION
• BY
. DATE ..-
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBUO WORKS
STRUCTURAL
BUILDING OFFICIAL
,
I. Subject to compliance with is Federal, State.
County.YGiage totes sod regulations. Mtge assumes
no responsibility for away oflor results frock
or
2. This copy of plans must be ayaliabie on
building site at no inspection will be conducted.
JOB ADDRESS
APPLICANT L ' /5t1. J
PHONE #
DATE
8
/3/4-11
G (ZU . 6Pao CMG ° Krs e
CRITIQUE SHEET
Z.)_o
APPLICATION
SHEET OF
MISCELANEOUS
ZONING ' COMMENTS
7,h col-vs
�Qu
C r y e . / b0£ c c
C 1 s T , JJ� P/c6 /S oNLY 3
SELF - CLOSING/ SELF - LOCKING
GAT = REOLUFIEn
FENCE: 4' HIGH (MIN.)
LE
I IF NEIGHBORS REMOVE FENC
T REPLACE
WITH A 4' FENCE
OWmFR'S PROPERTY
•
Su or r T7 . 5t 1/6 Y oi-L 6 i
A ti R Iromi_(' ik
� (i, \ t; t
1 1
5 /& (0 4E) sv aZ Do`
ix/Dice 6 i S 4 /D 5 Y .
(3o3
INITIALS
Miami Shores Village
Building Department
PerMit No:
• - Job
BUILDING CRITIQUE SHEET
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel:t3O5) 795.2204
Fax: (305) 756.8972
•
PERMIT NO
STATE OF FLORIDA:
COUNTY OF MIAMI -DARE:
THE UNDERSIGNED hereby Oise notics that Improvements wto be made to certain real
ptoperty, and In accordance with Chapter 713, Aida Statutes, the following Information
is provided In this Notice of Commencement.
2. Descrip ion of improvement: Ale 11) / L) / mfr) //16
4. Contractor's name and address:
/ - 'Y?
Signature of
NOTICE OF COMMENCEMENT
A UtMOED COPY BAffir BE POST E° ON IBE JOB SITE AT TUN OF PRAT II Pis WJ
Notary Pubil
Print Notary's Nam
My commission expires:
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TERRY A. wE LONS
NOTARY PLOW • STATE OF FLORIDA
COMMISSION # DD161728
EXPIRES 10/26/2006
NON= TFFiu 74IBB•NOTARYI
TAX FOLIO NO.
111101111111111111N111
CFN 20I03R0895047
OR Bit 21873 Pe 4448; (1pe)
RECORDED 12/04/2003 15:14:19
HARVEY RUVIW, CLERK OF COURT
MIAIMI -DADE COUNTY, FLORIDA
LAST PAGE
Interest In property:
Name and address of fee simple fltlaholder.
5. Surety: (Payment bond requlred by owner from contt - or if any)
Name and address: /[l 79
Amount of bond $ )) HERESY CERTIFY that this is a tr opy of the
8. Lender's name and address: ,401ginal filed . his oi'fic - •';
.x rc •
•
of
F DADE
7. Persons within the state of Florida designated by Owner upon ; w(iom,, l n • ,, _ �j 6 be
r I � D.C.
provided by Section 713.13(1Xe)7., Florida Statutes.
Name and address: 142
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of G•,�- noement (the expiration date Is 1 year from the date'of recording unless a
different date Is specified) �
Pf2y 1.eU,n G Prepared by
Print O
Sworn to and subscribed before me this dirty of A/00 • , 20
•
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