BP-05-1239Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/25/2005
Applicant: DAVID SEAN
Owner: KINCHEN
JOB ADDRESS: 558
Contractor
Local Phone:
Parcel # 1132060140680
NE 96
Building Permit
Permit Number: BP2005 -1239
KINCHEN
DAVID SEAN
ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 W1/2 OF LOT 4 & ALL OF LOT 5
Fees:
FEE2005 -11500
FEE2005 -11727
FEE2005 -11728
FEE2005 -11729
FEE2005 -11730
FEE2005 -11731
FEE2005 -11732
FEE2005 -11733
Description
Structural Fee
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Builders Bond
Total Fees:
Amount
$50.00
$100.00
$1.20
$5.00
$0.40
$2.50
$3.00
$300.00
$462.10
Total Fees: $462.10
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 2/15 /2006 Construction Value: $2,000.00
Work: PAVERS IN BACK YARD & PIZZA OVEN W/ COUNTER
Signed: (INSPECTOR)
AUG 2 9 PAID
�7�tC�rT
&P'-'
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 1 assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BLK
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Surve:
77741 4
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle).
Owner's Name (Fee Simple Titleholder)
Electrical
Owner's Address
City 9 `i State
Tenant/Lessee Name
28tktast
aps aea sae as aia sea Op SO
alernsommeat
Plumbing
Permit No. 3R35— 12.3q
r Permit No.
o. - - -o
Mechanical Roofing
NC—\° Phone # —� °50CA0
Sr
Zip
s3s
Phone #
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
A
County Miami -Dade
NO�
Contractor's Company Name
Contractor's Address
City
Qualifier
Zip 3'31
3) \ Li Phone #
State
Zip
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Gou -A' V - J s 1Shone # 91/454 .4. 09 00
$ Value of Work For this Permit
Square Footage Of Work:
Type of Work: ['Addition ['Alteration 1 ANew ❑ Repair/Replace ❑ Demolition
S�\ - —S � (rC_ {4L f , Z T (, c� J (0 / Describe Work:
** ** ** *** * * * * * * * * * * ** * ** * * **F * * * * ** * **
Submittal Fee $ # Permit Fee $ l / ..
Notary $ 3- ye Training/Education Fee $ CD • 40
Scanning $ 3. CD
Code Enforcement $
Radon $
Total Fee Now Due $ . Q2, , 10
Zoning
Structural Plan Review. $
(Continued on opposite side)
* * * * * * * * * * * * * * * * * **
CCF $ 1 • ZD CO /CC
Technology Fee $ Z- •
Bond $
1 1 -133
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
inspect'• - ,_,,ill not be a' sroved an, a reinspection fee will be charged.
Signature
Signature
Owner or Agent Contractor
The foreg ing ins i ent was acknowledged before me this ). 5 The foregoing instrument was acknowledged before me this
day of %t� r1, 20665 , by day of , 20 , by
d 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:
who is personally known to me or who has produced
LIt/ i '6,e .c2, As identification and who did take an oath.
NOTARY PUBL
Sign:
•
Print: 777 1,4' W /tee/
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * **
* * * * * * * * * * * * * * * * * * * * * **
;fix * * *,
MY COMMISSION # DD 414358
EXPIRES: April 4, 2009
®oatl®dTh,u N. r Pub4c U ' ers
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
6/x'45 $4Z4 1 Plans Examiner
Engineer
Zoning
APPLICATION APPROVED BY:
Chc 05/13/03