FW-13-966pER,„.FW 13-Ubb
CONTRACTOR: Al J<flZ) r Ll
SUBMITTAL DATE: 5-7--
O
.DDRES,l?,i �r; l�� s+
NAME: c
RESUBMITAL DATES:
PROJECT TYPE: LADOCAe.A,
STRUCTURAL
FIRE
I
IMPACT FEES
ELECTRICAL
HRSIDERM
PLUMBING
MECHANICAL
NOC
ip3
BUILDING
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
CEI a D
MAY 072013
FBC 20 ( 0
Permit No. jj�
PERMIT APPLICATION Master Permit No. r----LA-3 ' 3 a It0to
Permit Type: BUILDING
JOB ADDRESS: (3/ N E ) 13 S 4
City:
Folio/Parcel #:
Miami Shores
ROOFING
County: Miami Dade
II a136.o 9LFva.06
Zip: �7 3l
/
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): d7 Y iJR_ )412' Y� c4.1 -cat Phone#:
Address: / i, „ / d 0 5+ /
City: r ` .S State:
zip: 23 J es, (
Tenant/Lessee Name: Phone #:
Email:
CONTRACTOR: Company Name: ii ( z c e. C st-hit..x.4'1 - (Dvi
Address: o) J 5.1-6 /6> 9 '`Q r
City: ) s-S P
el State:
Qualifier Name: 4 . /u L -2.r-e_
State Certification or Registration #: c c v 0 R1 )
Phone #6 S P >Yc7
Phone#: 3`f 778 47 YQ
Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 7 ®® o
Type of Work: ❑Addition OAlteration -1
Description of Work: 0��`
Square/Linear Footage of Work:
URepair/Replace
UDemolition
Color thru tile:
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* ** **** * *** * ***** * ** * * ** **** * ***
Submittal Fee $ 0 67 O pI� Permit Fee $
�'l
Scanning Fee $ Radon Fee $
CCF $
CO /CC $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ c)
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 FLECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOTT 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 ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be appr and a reinspection fee will be charged.
Signature
Owner or Agent
The forego i trument was acknowledged befo
day of A., , 20/ 3 , by i:).4 S.11_
who is rsonally known to me or who has produced
As identification and who did take an oath.
e me this
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
IAA
MARIAACOSTA
s MY COMMISSION # EE 141764
EXPIRES: December 10, 201
4,441, Bonded Ttw • lc linden/dams
Signature
The foregoing instrum
day of
knowledged before me this
,20 ,by k Afrt
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:
* *** **** ** * **sk*******+k*** Ian **************************** ******* ** * * ************* *** ****
APPROVED BY ‘../ I ��
Plans Examiner
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
MYCbh�ACOSTA
0N #EE141164
EXPIRES:
December cOn, 2015
RtP` Bonded-0o
*eats * ** * * * *** * * *44
/13
��7 Zoning
Clerk
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 192705 Permit Number: FW -5 -13 -966
Scheduled Inspection Date: June 14, 2013
Inspector: Rodriguez, Jorge
Owner: CATALINA RUSSEK, JORGE
Job Address: 131 NE 110 Street
Miami Shores, FL 33161-
Project: <NONE>
Contractor: MCKENZIE CONSTRUCTION CORP
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number (571)355 -2239
Parcel Number 1121360040200
Phone: (305)245 -2700
Building Department Comments
NEW WOOD FENCE 5' HIGH
Infractio Passed Comments
INSPECTOR COMMENTS
False
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- 190855.
June 13, 2013
For Inspections please call: (305)762 -4949
Page 12 of 25
COUNTY - WIDE LAND SURVEYORS INC.
LAND SURVEYORS - PLANNERS
'P.O. BOX 823271 SOOTS FLORIDA, FL. 33082 -3271 (305) 772 -0766
15358 S.W. 140 St. Mid, FL 33196
LEGAL DESCRIPTION
Lot 21 in Block 1 of COLLEGE HEIGHTS, according to the plat thereof, as recorded
in Plat Book 42 at Page 8 of the Public Records of Miami Dade County, Florida.
SURVEYORS NOTES:
1). Legal description provided by client.
2). ONly record plat easements are shown.
3). Right of way information obtained from record plat.
'\)4
PER0T
Miami Shores Village
RECEIVED
MAY O 7 ' 13
BY:
LAS
rW 1%�-R�
WALL vJ /rave /
00\ �3
10
t oCkllohl Sala( N o7 1°;c, to
APPROVED
ZONING DEPT
BLDG DEPT
SUBJECT (0 CCMPUPNCE WITH ALL FEDERAL.
STATE ANO CCUIY+ f ril,LES AND REGULATIONS
BOUNDARY & IMPROVEMENTS SURVEY 131 N.E. 110 St. Miami Shores, Fl.
SURVEY FOR Jorge Hernandez & Catalina Russek
S tiGE-' C !_ p I•'. y_ sNOTE, "NOT VALID UNLESS SEALED WITH AN EMBOSSED
SUR':YORS SEAL.* HEREBY CERTIFY THAT TAR SURVEY REPRESENTED HEREON
COMPLIES WITH THE #INIMUE TECHNICAL, STANDARDS ADOPTED BY THE FLORIDA
BOARD OF SURVEYOR AND MAPPERS IN CHAPTER •5.7.17 FLORIDA
ADMINISTRATIVE CO :,, PUSSURANT TO SECTION 472.027, FLORIDA STATUTES.
JOSEPH L. MARTIN
PROFESSIONAL LAND SURVEYOR 804368
STATE OF FLORIDA
LB # 4680
REVISIONS
BY
DATE
q. OS'
Z.POF
d [, %LII( •
75'
Zia (,. &iU
dc no 57'
)7•s' Pvtil