FW-13-708Miami Shores Villa e
e g
v 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
BUILDING
PERMIT APPLICATION
Permit Type: BUILDING
JOB ADDRESS: 571 NW 112 STREET
City: Miami Shores County:
Folio/Parcel#: I I — Z�1 �-; to
Is the Building Historically Designated: Yes
C 20
Permit No.
Master Permit No.
ROOFING
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): .beDe_!5, �heice Phone#:
City: fHl State: - Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address:`°
6 Y-
365_03 & i
City: f-1 #-11 -State: Zip: 3.3/ �
Qualifier Name: 1?, X614 ndt2 (; o—k I n -d' Phone#: -E 0 �nap z
State Certification or Registration #: am / "Z / & 0 Certificate of Competency #:
Contact Phone#: �rd� J Email Address: ZM � A 2 ,C;,191 •
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ 49 t56 0 Q Square/Linear Footage of Work: 219�j LF -
Type of Work: ❑Addition p ❑Alteration ANew ❑Repair/Replace ❑Demolition
Description of Work: wooed /-�?ndc
Color thru tile:
Submittal Fee $ Permit Fee $ EMCCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
04
TOTAL FEE NOW DUE $T
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�rs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approve a reinspection fee will be charged.
Owner or
The foregoing instrument was ackiVowled ed before me this
day of .20 L3 by ,
who is personally known to me or who has produced
NOT.
Sign:
Print:
My Commission
APPROVED BY
As identification and who did take an oath.
Nary PW tto 8tft aM Floeda
Made E Novo
My COMMUlan roEXPkU se a a1819�
Signature
Centrac or
The foregoing ins ent was acknowlleed�ged� before me this
day ofd' 20�, by � -f
who is personally known to me or who has produced
Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
identification and who did take an oath.
NOT Y PUBLIC:
Si e / &
Print: `tom
My Commission E irg ry public $tato of Fonda
Maria E Nova
d� my o mmi"Im EE $31066
q, p EVIrn 0Dt03/2018
Clerk
NOTICE OF COMMENCEMENT CFH 2013R� 321051
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPEC-no W F ,81' 2859 r F's Li4,: 3 s (Ips)
RECORDED "/24/2013 11902'2
HARVEY RUVINP CLERK OF COURT
PERMIT NO. I ' �t�� TAX FOLIO NO. ��� �/ " ( / _ .AATIF,AAEE COUNTY r FLORIDA
STATE OF FLORUA, COUNTY OF LADE
STATE OF FLORIDA: I HERE13 Y CERTIFY Mat M" ocopy of*dMay
0� ��«''�y��
COUNTY OF MIAMI-DADE:
origins f ie� fly
AD
THE UNDERSIGNED hereby gives notice that improvements will be m is
Fonrjft
property, and in accordance with Chapter 713, Florida Statutes, the foil ngin orm
is provided in this Notice of Commencement.
1. Legal description of property and street / address: .7
-11P I
2. Description of improvement:
K3
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and add .,/,
5. Surety: (Payment bond required by owner from contractor, if any)
Name and Address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes.
Name and Address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and Address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different daW&�mecified)
,
Print Owner's Name cbe o Prepared by ` � d� i
14
C�v"r C,✓
Sworn to and subscribed befor"Ilme this day of- , 20.
g
Notary Public:
Print Notary's Name:
My commission expires: s 0 ^4^4,
Notary PuMic State or FkWWS
Maria E Novo
64
�, ° My Comm"W EE 931968
?ppp pE,*w0910312016
Address:
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APR 9 g13
. WOOD FENCE DESIGN DETAIL
N.T.S. (ACCORDING TC1 THI: F.B.C. SECTION 2328)
c
c
Pro -Fab Wood Pence Panels:
Pre -assembled wood fence panels sold In
hardware stores are not covered by this
detall, Applicant must obtain the Nodce
of Acceptance Product Approval from the
store, submit It for permit and build the
fence according, ta*that document.
ALL NAILS AND
,ONNECTIONS SHALL BE
GALVANIZED
t"X4" No. 3 WOOD RAILS (3)
MINIMUM ATTACHED TO
NOOD POST WITH MINIMUM
4)10D NAILS.
I" X 4" X 8' P.T. No. 2 Grade
)r Better WOOD POST.
Fence Height Post
Above Grade B acing
1 n _s
4'-0" 61.O'I
i/S" WOOD PICKET MIN. DRESSED
'HICKNESS. ATTACH EACH
PICKET TO RAILS WITH (2) 6d
3ALV. NAIL OR #10 CALV. SCREW.
0" DIAMETER
'ONCRETE FOOTING
Notice to Pro ernes with Pools:
If the fe ce is to meet the criteria as a pool
barrier, the fence shag not be climbable and
all calls must be placed facing the Inside of the
property. Pedestrian gates shall have self-
closing
elfclosing and latching devices Installed at a
minimum of W above ground. For further
details see Section 424 of IBC.
410TICE: A MANDATORY FOOTING INSPECTION IS
REQUIREI.. PRIOR TO POURING CONCRETE.
tY �od'r ;ra•:F$C 04/02RI.0
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PERW 96.231
THIS IS NOT A BILL — DO NOT PAY
RECEIPT NO. 30-29
4294 CC N0: 000019160
BUSINESS NAME / LOCATI
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BUSINESS AS A CONTRACTOR
UNITED IRON WORk
As SPIMPlED HEREON.
3270 NW 38 ST .
OWNER :FERNANOO
COL MA
SEE BACK OF RECIIPT
FOR
SPECIALTY BUILDING CONTRACTOR
A LIST OF NON—P
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-
MUNICIPALITIES
Receipt holder must
DO NOT FORWARD
register in the city
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UNITED IRON WORK
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3270 NW 38 SST
PAYMENrlIMMVED
MIAMI FL 33142
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NO 291
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THIS CERTIFICATE IS ISSUED AS A MATTER Of INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR tIEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
RZPRE30NTATWI:OR PItOD(,IGER, AND THE Grz#MFWATE HOLDER.
IMPORTANT: It the certftate holder Is an AD Df jiOW INSURED. the policy(ft) must be endomo. if SUBROGATION IS WAIVED, subject to
the teras and conditions of the policy, certain pofcles may require an endorsement. A statement on this certlflcate does not confer rights to the
09"Meate holder M neu or ouch endommn o .
�UQ1R Naee> A Pablo M Conde -
A&A Underwriters, Inc.°HNo.Milli 306-220-7447 Fnx Na: 305-0-0-4821- _
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REVISION NUMBER;THIS IS TO CERTIFY THAT THE POLICIES OF INSU CE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENIj, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI$
CERTIFICATE MAY BE ISSUED OR MAY P$RTAIN, E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS 01 -SUCH YULI(;It5. LI 1 I'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
GENERAL UUIMUTY
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DESCRPTIONOFOPERATIONS ILOCATIONS IMR#CL,BS (AUNh
Miami Shores Village
10050 NE 2nd Avenue
Miami Shores FL, 33138
ACORD 25 (2010/05) The AI
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$MOULD ANY OF THE AC17YL• NF.: IRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W
ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZIM ASPRI539NTATIVE
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