DS-11-1377Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 167244 Permit Number: DS -7 -11 -1377
Scheduled Inspection Date: December 01, 2011
Inspector: Rodriguez, Jorge
Owner: CASTANEDA, DAVID & KARA
Job Address: 68 NW 97 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (786)281 -1825
Parcel Number 1131010330340
Building Department Comments
PAVER DRIVEWAY
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 162636. Sod disturbed areas.
NB
DRIVEWAY NOT READY FOR FINAL. JR
December 01, 2011
For Inspections please call: (305)762 -4949
Page 23 of 27
Miami Shores Village
Building Department
'10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
1 INSPECTION'S PHONE NUMBER: (305) 762.4949
B ILDING
513 VT W):21111
OCT 1 1 2011 N)
Permit No P 13-11
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: BUILDING ,PROOFING
OWNER: Name (Fee Simple Titleholder): f/ e- \Ps (-F- sA Phone #:°�G Q_7�. ®CL�
Address: (pQ' 0(„7) a S -
City: � 1. (� n �1 S State: L Zip: 35! S7 )
Tenant/Lessee Name: Phone #:
14-.�+ !..ids! %► -
Email:
t JOB ADDRESS: ( . 9 ( a 'ts( c �t
City: Miami Shores County: Miami Dade
Folio/Parcel #:
Zip: I5O
Is the Building Historically Designated: Yes
NO
Flood Zone:
• CONTRACTOR: Company Name: !lL�.%•,X Phone #: '5 725- Z
Address: (S
City: k( tv4{ Sk42 State: (_._.
Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
5c3
Value of Work for this Permit: $ 360 't 1 ct°isS Square/Linear Footage of Work: 1 is 1 9
Type of Work: Addition Iteration kRepair/Replace ODemolition
Description of Work: �
64A MEM 12111
11 112
ONew
ckv-A al-k5
Wa �1�u oka,,rvS 1�,. c\ a.�a --1
**** ******* **+ x****** * *+x*********m****** Fee :************ **** ** ******* * *** * * ******** * ***
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ 41'00
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, BOTLRRS, 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 inspec ich occurs sev 7) days after the building permit is issued. In the absence of such posted notice, the
inspection will of be approved a a reinspe ''t ion fee will be charged.
Signature Signature
Owner or Agent f Contractor
The foregoing instrument was acknowledged before me this L` The foregoing instrument was acknowledged before me this
day of It , 20 _it, by k�.id-i—A - CAM 414 a , day of , 20 _, by
who is personally known to me or who has produced F`l.m i C) who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY P
Sign:
Print:
,,t�''' i �'
�'ri,,, NOTARY PUBLIC:
�� ;:cam .�� .•4 '+'., ,I, . Sign:
'�° ���' y� = Print:
'\\ .1 .'14 �rr1i cD
'•.`, .\%`' aS'•:.� My Commission Expires:
s
- /- %,i,,,,, B J 3 n\�,f`\
My Commission Expires:
* *** x* �x�: x: �x�x�x�x�x�x�x�x�x**** �x�x�x +��x�x *�x>x�x>xx�**** *** ** * * ** * * ***a:*+x+x+ *** *** ******:x*** ** ** *********** * ******* * * *** * **
APPROVED BY /& --414( Plans Examiner f4 / 0 Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
1
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit NO. DS -7 -11 -1377
Issue Date: 8/22/2011
Expires:8 /22 12011
Folio Number:1131010330340
Owner's Name: DAVID & KARA CASTANEDA
Job Address: 68 97 Street
Miami Shores, FL 33150-
Owner's Phone: (786)281 -1825
Total Square Feet: 400
Total Job Valuation: $ 1,000.00
Contractor(s) Phone Primary Contractor
,
HOME OWNER
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 10/11/2011: Yes
Comments: 2 FT FLARES MAX
10/11/11
NEW PLAN OK
tA
BUILDING
PERMIT APPLICATION
FBC 20
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 No. T,S 1
Master Permit No.
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): CACkSplik Phone #: C'
Address:AS) (3LC Cn444
City: S E
State:
FL.
Tenant/Lessee Name: Phone #:
Email:
Zip:
JOB ADDRESS: tee oil-Hf1 S� .
City: Miami Shores County:
Miami Dade
Zip: 33150
Folio/Parcel #:
Is the Building Historically Designated: Yes NO i4" Flood Zone:
CONTRACTOR: Company Name: Phone #:
Address:
City: State: Zip:
Qualifier Name: Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
IIValue of Work f o r this Permit: $ i 1 . D Square/Linear Footage of Work:
Type of Work: Addition Alteration UNew ORepair/Replace
,,,,Description of Work:
.6,
ODemolition
l
04116. irk'
********* + a* ****** **** **+ x** x: **** *******Fees+x******* ** * *** ******* * * * ********+xa:** ***** ***
Submittal Fee $ Permit Fee $ /S6 d>1 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 11g--:�
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, BOIT FRS, 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
Owne _ t
The foregoing instrument was ackno led ed before me this
day of x,20 k ,by
who is personally known to me or who has produced t 0
As identification and wh�4jd Na1y9,pn oath.
. Ati.
' "/
NOTARY PUBLIC:
•• ° 4(.y •rte
Sign:
Print:
My Commission Expires:
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 _, by
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:
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ****************************** ******** ** * ** *** * ***** * * * ** **** / * ** ***** ***
APPROVED BY Plans Examiner /v� Zoning
Structural Review I Clerk
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
DATE: 7 )R\ 1
kJ ..c"
NAME: PA 6
ADDRESS:
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 understood the following disclosure statement, which entitles me to work 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 a licensed contractor. You have applied for a permit under an exception to the 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. You may also build or improve a
commercial building at a cost of $25,000.00 or less (The new form states 75,000). 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 complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire
an unlicensed person as a contractor. It is your responsibility to make sure the 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 - holdings tax and provide workers'
compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances,
buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder
permit under an exemption from the law. The exemption specifies that 1, as the owner of the property listed, may act as my own
contractor with certain restrictions even though I do not have a license.
2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the
construction and is not hiring a licensed contractor to assume responsibility.
3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself
from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own
name. 1 also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on
permits and contracts.
Initial
4. I understand that 1 may build or improve a one family or two - family residence or a farm outbuilding. I may also build or improve
a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may
not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved
myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially
improved it for sale or lease, which violates the exemption.
Initial
5. I understand that, as the owner- builder, I must provide direct, onsite supervision of the construction.
Initial
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or
residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or
municipal ordinance.
Initial 6 r
7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that
erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held
liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while
working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an
owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
Initial:
8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to
perform the work being done. Any person working on my building who is not licensed must work under my direct supervision
and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and
social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for
the employee. I understand that my failure to follow these may subject to serious financial risk.
9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable
laws and requirement that govem owner - builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.
Initial
10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the
United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the
Florida Construction Industry Licensing Board at 850.487.1395 or htt p:/ ww.mvfloridalicense.com /dbnr/ ro /cilb/iindex.h
Initial
11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
Initial
12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I
have provided on this disclosure.
Initial
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a
license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to
assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to
understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may
be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for
verifying whether the contractor is properly licensed and the status of the contractors workers compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and
returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the
notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when
the permit is issued.
Was acknowledged before me this WI day of , 20 , f
By /Va
V \/
Produced there License or
who was personally known to me or who has
10 3' a ident;� t
Me-STATE laudia V. Cubilias
j.conlaiistdoo #DD717923
so aeenrres: SEP. 23, 2 n
ammoco.
TARY
Mti
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 7952204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) RR (' M hereinafter referred to as the owner of
the following described property (address): hP, , . 5 S
Legal Description Lot U ' Bock 137 Subdivision f:`�%lCag? (S s C. (p
Folio #
Requests permission to install (describe work):
Within the public right of way of (address)
-v .0
C
IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows:
1. To maintain and repair, when necessary, the above - mentioned item(s) installed within the dedicated right of
way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County harmless from any
and all liability, which may rise by virtue of permitting the installation of these items within the public right of way.
1
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s)
to be removed and a lien being placed on the property and/or assessed against the Owner for all costs
incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land
and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until
such time as this obligations has been canceled by an affidavit filed in the Public Records of Dade County,
Florida by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this
SIGNED, SEALE
AND DELIVERE .1\ �.t ellresen/ of:
rrvcb
/ /' / /�`'���1111I1eil 1a lA \\\\\\\\\\
2
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[ ] New System
[ ] Repair
APPLICANT: David Cataneda
[X] Existing System
[ ] Abandonment
[ ] Holding Tank
[ ] Temporary
APP DOC # AP 1043643
PERMIT # : 13-SC-1363030
DATE PAID 08/05/2011
FEE PAID: 70.00
RECEIPT #:13 -PID- 1685145
[ ] Innovative
[]
AGENT: David Castaneda
MAILING ADDRESS: 68 NW 97 St Miami, FL 33175
TELEPHONE : 1 (954) 328 -7284
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY
A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE
APPLICANT'S REPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED
(MM /DD /YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
LOT: 9
SUBDIVISION:
PROPERTY ID #:
11- 3101 - 033 -0340
PROPERTY SIZE: 0.17
BLOCK: 9
PLATTED: 01/01/1939
ZONING:
ACRES WATER SUPPLY: [ ]PRIVATE
[ Y /) N
IS SEWER AVAILABLE AS PER 381.0065, FS?
PROPERTY ADDRESS: 68 NW 97 St Miami, FL 33150
I/M OR EQUIVALENT: [ Y I N
[ ]<= 2000GPD
[X] >2000GPD
DISTANCE TO SEWER: FT
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION:
[X] RESIDENTIAL [ ] COMMERCIAL
Type of No. of
Establishment Bedrooms
[ ] Floor /Equipment Drains [ ] Other (Specify)
SIGNATURE:
Building # Persons Total Design Flow
Area Ft Served For This Unit
2 1600
4
300
APPROVE
44V■Vdtti
PEW it
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E- 6.001, FAC
v 1.0.0
AP1043643 EID1363030
DATE: 08/05/2011
Page 1 of 4
4 ✓
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
Additional Notes and Comments:
County Notes Fields:
County Process #:
APP DOC #:
PERMIT NO.
DATE PAID:
FEE PAID:
RECEIPT #:
AP1043643
13 -SC- 1363030
08/05/2011
70.00
13- PID- 1685145
County Permit #:
Storage Box #:
Zone:
Permit Type:
County Status:
General Comment
This perm' granted • all a
edro Ospina
Engineer II
vers driveway only. Does not have any impact with the existing OSTDS.
v 1.0.0 AP1043643 EI01363030
,� "x h
LOT 10
"}.W , #j , BLOCK 130 s ` pih--.;
z .�
go G i- REMA/NDER OF LOT 9 U ,` > g
g. ®D (� BLOCK 130 O �` . .n
i C 6 .' "
q 9, �. — _ •0100 / ' 4 C-1- F. 115.00° (� &M)
RoPp X11 � g c A ! 254 �7sa
tl �c k
q I i ,V> MEM
$ tea. di 1 1 1 All 1
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7 a I CUOMO( s.. _w r o war I / . g' z ` . FA
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' 4 1 , , LI 1.11; p 11 1 i.i.
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_ m,$) c� L c
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r+� 7 '$�• FLAN7EJ+' c
a 97
1 1►4 _ a___:k $ _ MEW .Sir
r _ 1s. ,, dR 30.50' , . i
1 2.7 ti tit 4' CI. p p K ' _ i'. ;1.3 ,
Si O Q30ry0 ,
,:ii f
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"�-.' I ^, 3 . : db�
8 ? Miami Shores Village ag23
all
. - �; ATE
ZONING DEPT P �.�
to ���=�_ _��r.�.��
BLDG l EPT 1 ( i
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
25.00'
18* ASPHALT PAVEMENT
JUL 2 c; 2011
-0E-WAY (8Y PLAT)
arm-
W,P.P.
LOT7
BLOCK 1
a+a
C
1
(NOLO)
(m PT)
I Oath •20 a
TM it Mat,
SKETCH OF BOUNDARY SURVEY
68 N.W. 97th Street,
Paa"TM NAM Miami Shores Fl 33150
come oa. 120852 I ewe 0302 I mm Or Mk 09 -11 -09
•Lot —Lek
Permit No: 11 -1377
Job Name:
August 3, 2011
Miami Shores Viiiage
Building Department
Building Critique Sheet
1) Plans must be approved by HRS for the septic system.
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Plan review is not complete, when all items above are corrected, we will doa 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
Miami Shores Viiia e
9
Building Department
RECEIPT
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
PERMIT #: �' 477 , DATE: '---5:1
1, D,4/ID
❑ Contractor
'Owner
❑ Architect
Picked up 2 sets of plans and (other)
Address: £8 /V4./ ff %Sj--
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 Departme to ontiiue per itting process.
Acknowledged by:
PERMIT CLERK INITIAL:
j
RESUBMITTED DATE: 1 (0 1
PERMIT CLERK INITIAL: