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FW-7-7261Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERIVHT APPLICATION FBC 2004 Permit Type (circle) Building Eli Owner's Name (Fee Simple Titleholder) Owner's Address !°1//= //7 Permit No. Master Permit No. , -Rik, FE B_ 14 2007 E EIV B Y. ap Ging Mechanical Roofing Phone # �,3 C2,S- 7j -1? -1&a0 Ci tyd r y fjsP7 State OrL Zip Tenant/Lessee Name - Phone # �qO-r ZJ -'? - /d oZ 0 Job Address (where the work. is being done) City Miami Shores Village County . Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name DJ/Ze—,--/ ��'�p Phone # Contractor's Address City f=4 Qualifier Name Zip -3 8 1 -3 Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Value_of Work For this Permit $ ��®® Type of Work: Describe Work: ❑Alteration Phone # Squar /Linear Footage Of Work:)(_06 �^r ll1 6 LIN �ew ❑ Repair/Replace _ _ ❑ Demolition LrIA ® (,- vS �e -- ©0r? dY1 Submittal Fee $ Permit Fee $ 00 CCF $110 CO/CC Notary $ Training/Education Fee $ .LtQ Technology Fee $ Scanning $ r Radon $ DPBR $ Bond $ Code Enforcement $ Structural Review. $ Zoning $ Double Fee $ Total Fee Now Due $ 2-11 See Reverse side -). jzE 1 6 PAID C� Bonding Company's Name (if applicable) _ Bonding Comp nyF'ss gkddress City -e State Martgagi,gr �er's;(if applicable) Mortrgage I.nclirr'sdrdiss 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 MPROVEMENTS 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 gent Signature.m. Contractor The foregoing instrument was acknowledgebefore me this The, foregonig instrument was acknowledged before me this day of /-,3 20 R7, by " 6,� day of 20 p_Z by who is personally known to me or who has produced who is personally known to me or who has produced I -Ni l As identification and who did take an oath. Z 0 L as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: "V ROBIN HM w rOMMISSION # DD 162273 L 1R �- ROBIN HEIR Sign �j ,y�,, '� PI Sign; ie M`r COMMISSION # DD 162273 RES eatobg 31, 200 - Print: ° %i 1 I Print: f x Ra NOWY PL lHMenvtfl�s My Commission Expires: -My Commission Expires: APPLICATION APPROVED BY: (Revised. 02/08/06) 11 Plans Examiner Engineer Zoning .�z , pp �v d � • • 0000 s • 0000•• i •• • • •• 0000•• 0000•• � • � • • 00• 00 0 0000 1 0.00 • 0.00 • tAj` j`Au�, •'fir • 0000 • 0000 • • •' 0000 0000•• • sow i� (O ea Wa G� d JRc"Cl0. l• 1 4x4' M �p 4`6 0am- 4z/- IT 77-31 • t � a I I <7O' � I I o ^• i . 0 40, ."M &0 C20 4. d � i •_ V' � .i J a�.SI J S � 1 C 6 ( bin & i e d •./ - }`'aw r s=� f,• •> r"'a y. k =3x*c 1 9 L� t t ?.' `� i}%f fif# 4 fit, i qr7 1, Flo ,- a t 9 Oso _ i �..-:_ r e. d'CORNER- • • r < < •-�=-�ti ur - ,• Q•, Jam•/ �y t ` ./� ,z o• •• Y i v P c .+�: L75• rs' �d.yz �P Property of: Irasema Cabeza, 1481 N.E. 104th. a",.Miami F1. 33138. .. v�RR't5"..:; J �"�AIRV1� .�`' ,.,:-�,,�,.�, LEGAL DESCRIPTION: LOT �0 �� LOCK B r`.1 - yY -d s.. •Y a 43'�`s,`�`� d •''+S �,x c — ;� yam' _ , <. s, 5 �,$ OF - /1/E� f , �fiy BAR/C SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK AT PAGE 7Z .' OF THE PUBLIC RECORDS OF aag&_ COUNTY, FLORIDA. NOT VALID UNLESS MaOSSED WITH LEGEND S.P.G= SET 1/2" PIN & CAP LB4789 SUFtlti: YDH'S SEAL S.PCP= SET PERMANENT CONTROL POINT LB4789 (i- CENTERLINE, P/L=PROPERTY LINE, 0/L=ONLINE I HEREBY CERTIFY Thal the survey represented i hereon Mesta Rio nunimumtedmicalrequirements • • • • • • • • • • • • ,,■•. • • • ••�e.�I UE)ANIAL & ASSOC. INC. M.H.= MANHOLE, WM= WATER METER, PP= POWER POLE adopted by the STATE of FLORIDA Board of sand + ee •e: F.C.= FENCE CORNER. R= RECORD, M= MEASURED Surveyors pursuant to Section 412.027 Florida Land Surveyors • Planners CHAIN LINK OR WIRE FENCE= • w M Statute:. WOOD FENCE= ��'� a wl- Elevations based on There are no encroachments. overlaps. easements j • • ... 1.517 S W 8th Lane MASONRY WALL= - CBM CONCRETE= ... •:. appe•rlrp on Hua plat or visible easements other j lhanasshown hereon, - 000 • • ••• •Miamy�,Ib•�r�Qia33184 (305) 220-0800 r . : • .: + :::. ..• ... Elev.= ,NGV Datum. .'� ~`/ • • : : e e : e r•&R: (305) 1VOTES: UNLESS OTHERWISE SHOWN, THE FOLLOWING NOTES, APPLY. 1) Record • e .220-.9259 - REVISED: and measured calls are in substantial agreement. 2) Bearings, if shown are based on Plat data. 3) The lands shown hereon were not abstracted for Easements or other recorded emcumbrances not shown on the plat and the same, if LOOD ZONE, • • • .�,� any may not be shown on this sketch. 4) Underground portions of Footings, Foundations or other improvements were not Jeffry H. HIIIigoS •• . • • located. 5) Elevations are based on National Geodetic Datum. 6) Fence Ties are to the Centerline of the fence. 7) Wall Registered Land Surveyor No. 4488 A s LE; -•e* DWN. BY: JOB No. e Ties to the face of the Wall. State of Florida •;••; e -2 7 2,