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BP-04-1372Miami Shores Village,,�R Building Department uu`�� --° 10050 N.E.2nd Avenue, Miami Shores, Florida 3313 OCT '.� 24 Tel: (305) 795.2204 Fag: (305) 756.8972 _ BUILDING PERMIT APPLI TION FBC 2001 Permit Type (circle : Building Electrical Owner's Name (Fee Simple Titleholder) 6rlpr y e. & Owner's Address ^44 S t, Permit No. 610,900q -1,37 a Master Permit No. Plumbing Mechanical Roofing Phone# es.4 City f;4..y%. State Fc- Zip 33 / 3 b� Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip 3 31 3 Is Building Historically Designated YES NO X Contractor's Company Name Phone # Contractor's Address ,.c City Qualifier. Architect/Engineer's Name (if applicable) State Zip $ Value of Work For this PermitSDo Phone # Square Footage Of Work: (2 -1 L F Type of Work: ❑Addition Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: tc_ ?,t I�c.� c �'�►,i �e CA c� Submittal Fee $� Permit Fee $ � CCF $ �. 6 CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ '- Code Enforcement $ �^ Structural Plan Review. $ Total Fee Now Due $ 4q/ q9 C. (Continued on opposite side) 23 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 not be approved and a reinspection fee will be charged. Signature Signature 455" or Agen Contractor The foregoing instrument was acknowledged before me this / The foregoing instrument was acknowledged before me this day of p C ry 20 by J (90 t� , day of , 20 _, by who is personally known to me or )kf has produced) who is personally known to me or who has produced yAs0identifica on and who did take an oath. as identification and who did take an oath. NOTARY PUB_�: NOTARY PUBLIC: Sign: Print: My Commissio Exp' es: ^ ' *= Expires: May 26, 2008 My Commission Expires: k *:t *R * ** * 71+r �� *:F *lr���iP%k:Y, UBnUG[SOIK71n�•O�Y��jk 9t ie *�t 9c Ye 9t 9e 9e is �t �k 9: 9e �i �Y �t �F9c �Y:F9e *s4 *�Y �Y �e �t �Y *�c:F 9c� *fie ie �Y *�Y �t �Y �Y 9c �kkkk *�Y �F �t:Fk H (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: Ghe 12/15/03 Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date -Time Type Insp'n Permit No, #..2�_)z�c)z) Name „ e1.c w A Company Phone # For Inspector: i Z Y7 k a C Name & Date Approved ❑ pzj I —a—, 1-24m. -2�z, Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu i ding Inspection Request Dat ►) Type Insp' n Permit No. No. 4"" i : � t Name --� Address Company�'� Phone # Inspection Date oZ Approved Correction ❑ Re- Insp'n Fee ❑ Correction ❑ Re- Insp'n Fee ❑ VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE .STATEMENT I being the legal property owner, for the property Located at: Legally described as 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),sgnd I have read and understand the following disclosure : Statement, which entitles me to' Vork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. 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 const! uction yourself. You may build or impmve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. 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 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 FZ.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. III foregoing instrument Was acknowledged before me this day of , 20 BY who is personally known to me or who has as identification and who did take an oath:` Produced Notary Backyard Fence Details Godfrey Residence 1481 NE 10e Street Miami Shores, FL 33138 (305) 586 -5092 cell 1) Install a 4 foot Aluminum Fence across the backyard (safety rail for kids) 2) The fence will be installed parallel to the existing sea wall 3) Post (2x2) to support the fence will be installed every 5 feet 4) Post holes will be dug at least 2 feet deep and 1 foot round 5) Post holes will be filled with cement 6) 3 gates ( 4x4) will be installed to provide access to cannel 0/19/0 .BOUNDARY SURVEY IVew Ask WATEWAY VOOD 1 7.5a' N8g•50'S4'E IN WATER •tONC.�' EAST I/2 LOT IS - Ial BLOCK 1 �l LINE LOT LOT 17� BLOCK 1 LOT 18 BLOCK 1 3 t0 0 e� a • 0 a Z f as Ot v c) F.I.P. I (140 LR) A/C 0 1 i 6' IRON F. � ct 1 80' 2.0s' •� • z GRASS a .ASPHALT �''� N LIRIVEVAY- C-9-S. ONE STURY RESIDENCE 1481 GRASS A:-I: a ME TAI_ F. i C13NCr —c a �, • • , -r A 4 ..• a .. CON . ZoniAg �APprov_ed GRASS o l _ PmL Y ENGINE cu 50' CBS 3RCH RICK CQLUFIR' STEP 6' I'• X 1.45' V. GRASS BRICK GRASS DRIEVAY ' GRASS LILT I BLOCK 3 • w P 0 • 0 0 z n tL v a tt} cu f F.I.P. of /8' om 14) 127,50' MR) N89`50'54'E OWL 0''� RSPHALT • F. 15.100' PARKWAY .ASP14ALT c 01 �-+ c (NO a /'.BASIS OF HEARING NOT VALID UNLESS EMBOSSED WITH SURVEYOR'S SEAL REVISED: to art �- &am NE 102 S TRr EE T ASPN. -PAVE. -- gym' EMFNLIP•B30NcPIPEEPK.ON ;MA +CUrnA�CONOfTIONgR PI10,P gRiy CQRNEf1, yqj{ ".D ' $ C4CLPJ�R. RB•RESAR. Ui•LIfA.*p p'wwGM 4IIAx E•CRAWAGH FASSMEN{, CfL•CENTpR LOVF. Q•pIAMTMp.= SLAB. R•ASCOROED, FNCR•ENCROACipdENtc WMAL N- AWASUPZ0. v000oa- oPPWP4P.POwERPOLZ=QMe s- ssrfee•rwsHPtooa aoRAwAC�e�ASxr -wage ELEVATION BASED ON LOC. SURVEYOR'S N�TFC CBM# ELV. ; TITLE WILL HAVE TO BE MADE TO DETERM NE RECORDED INSTRUMENTS,2IFANY AFFECTING EXAMINATION TO THE ABSTRACT OF NO UNDERGROUND IMPROVEMENTS WERE LOCATED. A) ELEVATIONS ARE REFERRED TO NATIONAL GEODETIC ECTING THIS PROPERTY. 3),-- . VERTICAL DATUM OF 1929. 5) THERE MAY BE ADOMONAL RESTRICTIONS NOT SHOWN IN THIS SURVEY THAT MAY BE FOUND IN PUBLIC RECORDS OF MIAMI_DADE COUNTY. 8) LEGAL DESCRIPTION PROVIDED BY CLIENT 7} UNLESS OTHERWISE NOTED RECORDED OR MEASURED DATA ARE INSUBSTANTIAL AGREEMENTS. 8) BEFORE ANY CONSTRUCTION THE SET BACKS MUST BE CHECKED. 9) THIS SURVEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSES ONLY, EXCLUSIVELY FOR THE USE BY THOSE TO WHOM R IS CERTIFIED. THIS SURVEY IS THIS OBE USED FOR CONSTRUCTION PERMITTING, DESIGN OR OTHER USE WITHOUTTHEWRITTEN CONSENT OF THIS COMPANY. 10) BEARINGS WHEN SHOWNARE REFERAEO TOANASSUMED VALUE OF SAID PB ' ,PAGE CL_ Q A tt • ,r• oc POOL 7.00, ' 13.4Q' � •`�• TERRACE TILE A/C 0 1 i 6' IRON F. � ct 1 80' 2.0s' •� • z GRASS a .ASPHALT �''� N LIRIVEVAY- C-9-S. ONE STURY RESIDENCE 1481 GRASS A:-I: a ME TAI_ F. i C13NCr —c a �, • • , -r A 4 ..• a .. CON . ZoniAg �APprov_ed GRASS o l _ PmL Y ENGINE cu 50' CBS 3RCH RICK CQLUFIR' STEP 6' I'• X 1.45' V. GRASS BRICK GRASS DRIEVAY ' GRASS LILT I BLOCK 3 • w P 0 • 0 0 z n tL v a tt} cu f F.I.P. of /8' om 14) 127,50' MR) N89`50'54'E OWL 0''� RSPHALT • F. 15.100' PARKWAY .ASP14ALT c 01 �-+ c (NO a /'.BASIS OF HEARING NOT VALID UNLESS EMBOSSED WITH SURVEYOR'S SEAL REVISED: to art �- &am NE 102 S TRr EE T ASPN. -PAVE. -- gym' EMFNLIP•B30NcPIPEEPK.ON ;MA +CUrnA�CONOfTIONgR PI10,P gRiy CQRNEf1, yqj{ ".D ' $ C4CLPJ�R. RB•RESAR. Ui•LIfA.*p p'wwGM 4IIAx E•CRAWAGH FASSMEN{, CfL•CENTpR LOVF. Q•pIAMTMp.= SLAB. R•ASCOROED, FNCR•ENCROACipdENtc WMAL N- AWASUPZ0. v000oa- oPPWP4P.POwERPOLZ=QMe s- ssrfee•rwsHPtooa aoRAwAC�e�ASxr -wage ELEVATION BASED ON LOC. SURVEYOR'S N�TFC CBM# ELV. ; TITLE WILL HAVE TO BE MADE TO DETERM NE RECORDED INSTRUMENTS,2IFANY AFFECTING EXAMINATION TO THE ABSTRACT OF NO UNDERGROUND IMPROVEMENTS WERE LOCATED. A) ELEVATIONS ARE REFERRED TO NATIONAL GEODETIC ECTING THIS PROPERTY. 3),-- . VERTICAL DATUM OF 1929. 5) THERE MAY BE ADOMONAL RESTRICTIONS NOT SHOWN IN THIS SURVEY THAT MAY BE FOUND IN PUBLIC RECORDS OF MIAMI_DADE COUNTY. 8) LEGAL DESCRIPTION PROVIDED BY CLIENT 7} UNLESS OTHERWISE NOTED RECORDED OR MEASURED DATA ARE INSUBSTANTIAL AGREEMENTS. 8) BEFORE ANY CONSTRUCTION THE SET BACKS MUST BE CHECKED. 9) THIS SURVEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSES ONLY, EXCLUSIVELY FOR THE USE BY THOSE TO WHOM R IS CERTIFIED. THIS SURVEY IS THIS OBE USED FOR CONSTRUCTION PERMITTING, DESIGN OR OTHER USE WITHOUTTHEWRITTEN CONSENT OF THIS COMPANY. 10) BEARINGS WHEN SHOWNARE REFERAEO TOANASSUMED VALUE OF SAID PB ' ,PAGE CL_ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /26/2004 Applicant: GEORGE/KAREN Owner: GODFREY JOB ADDRESS: 1481 NE 102 Contractor Local Phone: Parcel # 1132050240130 Building Permit Permit Number: BP2004 -1372 Page 1 of 1 GODFREY GEORGE/KAREN ST Contractor's Address: Legal Description: MIAMI SHORES BAY PK ESTS AMD PB 56-86 LOT 17 & E1/2 OF LOT 18 Fees: Description Amount FEE2004 -10548 Building Fee $127.00 FEE2004 -10554 CCF $0.60 FEE2004 -10555 Notary Fee $5.00 FEE2004 -10556 Training and Education Fee $0.20 FEE2004 -10557 Technology Fee $3.18 FEE2004 -10558 Scanning Fee $6.00 Total Fees: $141.98 Permit Status: APPROVED Permit Expiration: Work: BACKYARD FENCE Signed: 4/16/2005 Construction Value: $500.00 (INSPECTOR) Total Fees: $141.98 Total Receipts: $0. 0 T 26MID 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 responisibiliity for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /26/2004 Applicant: GEORGE/KAREN Owner: GODFREY JOB ADDRESS: 1481 NE 102 Contractor Local Phone: Parcel # 1132050240130 Building Permit Permit Number: BP2004 -1372 Page 1 of 1 GODFREY GEORGEIKAREN ST Contractor's Address: Legal Description: MIAMI SHORES BAY PK ESTS AMD PB 56-86 LOT 17 & E1/2 OF LOT 18 Fees: Description Amount FEE2004 -10548 Building Fee $127.00 FEE2004 -10554 CCF $0.60 FEE2004 -10555 Notary Fee $5.00 FEE2004 -10556 Training and Education Fee $0.20 FEE2004 -10557 Technology Fee $3.18 FEE2004 -10558 Scanning Fee $6.00 Total Fees: $141.98 Permit Status: APPROVED Permit Expiration: Work: BACKYARD FENCE 4/16/2005 Construction Value: $500.00 Signed: (INSPECTOR) Total Fees: $141.98 Total Receipts: $0.00 5� 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: