RF-08-0617RAFAEL PALMEIRO
1300 NE 102 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
GULF ATLANTIC INDUSTRIES OF AM[ 305 -937 -0500
Type of Work: Hurricane Mitigation
Additional Info:
Classification: Residential
Fees Due
Amount
CCF
$1.80
Education Surcharge
$0.60
Permit Fee - Repairs
$100.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$107.90
Valuation: $ 2,500.00
i
Total Sq Feet: 0
Total Amt Paid
I Amt Due
$ 0.00 $ 0.00
Payment Type:
rk4 I I 4 snip
Available Inspections:
Inspection Type:
Final
PE Certification Letter
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.
April 14, 2008
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
Monday, April 14, 2008
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
P �-
�� 21 'eloo
BY :- ..... m.......
Permit No.
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical oofmg
Owner's Name (Fee Simple Titleholder) Rfl (4E L PA _19,9)410 Phone #
Owner's Address 13 00 fU i /DA 3y-
17
City A1 7,401 % S &05 State /C-1 Zip A ?IJ A
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 13LIO /f)46 10.2 57r-
city Miami Shores Village County Miami -Dade Zip 3 —3 45 9'
Is Building Historically Designated YES NO,
Contractor's Company Name c 4Z8?T ✓ Z-4 -OL99icl1 Phone # iCkT 9 3 7 — ®.5' 00
Contractor's Address bev40. 51s®0 210
City fn' ,ter V State /' �� Zip
Qualifier _� ►/
State Certificate or Registration No C° 6 C O/F2 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone
$ Value of Work For this Permit
Type of Work- ElAddition
Describe Work• 4 gel j
DAlteration []New
/ ?eA`/Z /F.a ®, � e
Square Footage Of Work:
0 AD
Repair/Replace
❑ Demolition
Submittal Fee $ Permit Fee $ D 0 CCF $ �- // CO /CC.
Notary S Training/Education Fee $ Technology Fee $ L itso
Scanning $ Radon $ Zoning Bond $
Code Enforcement
Total Fee Now Due $0]'9
(Continued on opposite side)
Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 n e approved and a reinspection fee will be charged
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of rAt(— 20&'Y, by
who is personally known to me or who has produced
Contracto=0reme The foregoing instrument was acknowl
day of Jai 20® by ,.>3X' 09 Zo t�iG.
who ' personally to me or who has produced
As identification and who did take an oath, as ide ation and who did take an oath.
NOTARY PUB NOTARY PUBLIC:
Sign: __.... Sign:
RICH
Print: RICHARD KOCH
Print: NoWy Public, State of Florida
iftVy nub(o, bUte o .on No.070500
My Commission Expires: tfy l om � :x 702 a, 20" My Commission Expires:
APPLICATION APPROVED BY:
Plans Examiner
Engineer
chc 05113103 '
Zoning
Miami -Dade My Home
Mn
Page 1 of 1
Property Information
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Summary Details:
Folio No.:
1400 SINGLE FAMILY
Property:
1300 NE 102 ST
Mailing
RAFAEL�C PALMEIRO
ddress:
SINGLE FAMILY
Beds/Baths:
400 WILDROSE CT
loors:
ARLINGTON TX
Livin Units:
6006-
Property Information:
Sale Information:
Sale O /R: 16329 -2247
We Date: /1994
ale Amount: 1$178,500
Assessment Information:
ear:
1400 SINGLE FAMILY
Primary Zone:
RESIDENCE
LUC:
0001 RESIDENTIAL -
uildin Value:
SINGLE FAMILY
Beds/Baths:
/2
loors:
1
Livin Units:
1
di S Foota e:
,384
Lot Size:
11,300 SQ FT
Year Built:
1954
634,30
SHORES BAY PK
Legal
ESTS PB 55 -83 LOT 6
Description:
LK 2 LOT SIZE 100.000
113 OR 16329 -2247
4941
Sale Information:
Sale O /R: 16329 -2247
We Date: /1994
ale Amount: 1$178,500
Assessment Information:
ear:
2007
2006
and Value:
$409,640
09,64
uildin Value:
$309,703
224,66
arket Value:
$719,343
634,30
ssessed Value:
$719,343
34,30
otal Exem tions:
$0
$0
axable Value:
$719,343
634,30
woamonai mTOrmation:
Mere io see ,m<,
iii phi "(y:
Community Development District
Community Redevelopment Area
Empowerment Zone
Enterprise Zone
Land Use
Urban Development Boundary
�
6
Digital Orthophotography - 2007 0 _-- 112 ft
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