FW-14-676Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
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B DING
PERMIT APPLICATION
Permit Type:
JOB ADDRESS:
BUILDING
c���:'
APR 0 2014
BY:
FBC 20 k,0
Permit No.
Master Permit No.
ROOFING
City: Miami Shores Count;
Folio/Parcel#:
Is the Building Historically Designated: Yes
OWNER: Name fee Simple Titleholder):
City:
NO Flood Zone:
State:(—, Zip:
TenantlLessee Name: Phone#:
Email:
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#:
Value of Work for this Permit: $ Square/Linear Footage of Work: 4rik,
Type of Work: ❑Addition qAlteration _ )*ew ❑Repair/Replace ❑Demolition
Description of Work:
Color thru tile:
Submittal Fee $ Permit Fee $ CCF
Scanning Fee $
1-)n da
CO/CC $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW D�
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
0
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
/ Owner or AgenU
The foregoing instrument was
as acknowledged before
efore me this
dayof �UA!d,by-3JSA-4—
who
is personally known to me or who has produced
As identification an4�vJ"�1t��, oath.
''i
NOTARY PUBLIC:
Sign. –
Print:
My Commission Expires:
APPROVED BY
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.
Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
/I/ Zoning
Clerk
�us a n
I(5 �j\A
M;n
Shadow Box
o Vertical Picket
o Board on Board
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Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
4x4 Post Spacing
Fences <= S' high posts spaced at Yon center maximum
Fences <= 4' high posts spaced at 6"on center maximum
Fence must not exceed 5' in height
PWI 1x pickets fastened
with two corrosion
resistant fasteners per
connection
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2x4As�itsntal 0000
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pressamatreated •
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woodmembers• •
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4x4 pressure treated ,.,
(em
bedded Tinto
zoncre footing 10"
ameteI x 2'deep
ALL wood must be pressure treated I
All fasteners must be corrosion resistant L
No less than two fasteners in any connection
mr
4z)mm
'loam
0.3'
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LAND SURVEYORS
CODE, CHAPTER 472.027 FLORIDA STATUTES.
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NOT VAUD WITHOUT THE SIGNATURE AND RAISED SEAL OF THE
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LAND SURVEYORS
CODE, CHAPTER 472.027 FLORIDA STATUTES.
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NOT VAUD WITHOUT THE SIGNATURE AND RAISED SEAL OF THE
620 ILE 126th STREET NOKH int, RMMA 33161
REGISTERED LAND SURVEYOR SHOWN HEREON.
PHONE 305-891-7340 FAX 305-893-0325
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R. TOUSSAINT dASSOCIATES, INC.
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FLORIDA, UNDER 5�FF10 �tNITRA
SEmi&
LAND SURVEYORS
CODE, CHAPTER 472.027 FLORIDA STATUTES.
FLORIDA CERTIFICATE OF AUTHORIZAMN LB --273
NOT VAUD WITHOUT THE SIGNATURE AND RAISED SEAL OF THE
620 ILE 126th STREET NOKH int, RMMA 33161
REGISTERED LAND SURVEYOR SHOWN HEREON.
PHONE 305-891-7340 FAX 305-893-0325
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�C4 NX 99th STREET N
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N SEMON 1 'I1(8'. 53 S. RGE 41 E.
SCALE: 18=100'
dd 4.yAf. utstL;Kll' l 1UN:
L T 5 AND THE EAST 5 FEET OF LOT f. BLOCK 5, OF 'NAVARRO',
►.� CORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 12 AT
AGE _59, OF THE PUBLIC RECORDS OF MIAMI -DARE COUNTY, FLORIDA.
-' LYING IN . THE VILLAGE OF MIAMI SHORES.
SURVEYOR'S CERTIFICATION:
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WE HEREBY CERTIFY THAT THIS SKETCH OF SURVEY IS TRUE
AND CORRECT TO THE BEST OF OUR KNOWLEDGE AND BEEF
OF SURVEY
AS RECENTLY SURVEYEDLATTED UNDER OUR RECTIONSKETCH
SES
AND THAT THIS SURVEY WITH THE MINIMUM
TECHNICALOR SURVEYINGTE
R. TOUSSAINT dASSOCIATES, INC.
U�L7
FLORIDA, UNDER 5�FF10 �tNITRA
SEmi&
LAND SURVEYORS
CODE, CHAPTER 472.027 FLORIDA STATUTES.
FLORIDA CERTIFICATE OF AUTHORIZAMN LB --273
NOT VAUD WITHOUT THE SIGNATURE AND RAISED SEAL OF THE
620 ILE 126th STREET NOKH int, RMMA 33161
REGISTERED LAND SURVEYOR SHOWN HEREON.
PHONE 305-891-7340 FAX 305-893-0325
A.R. TOUSSAINT & ASSOCIATES, INC.
0 1 o' 20` 40' 60'
SCALE: 1 INCH = 20 FEET
PRO.
ALBERT R. TOUSSAINT
REGISTERED ENGINEER NO. 8939
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