FW-15-3772►z�(2ois
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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
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
Q6 ILDING ❑ ELECTRIC ❑ ROOFING
FEB 20 2015
FBC 201'
Master Permit No.A�:--�'
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: _%/D v�' /0 AA Vhf
City: :Miami Shores County: Miami Dade Zip: 3Y1�l
Folio/Parcel#: �✓G�� O Is the Building Historically Designated: Yes NO
Occupancy Type: Load: //Construction Type: Flood Zone: BFE: FFFE:
OWNER: Name (Fee Simple Titleholder): /,40,10-
oZ Phone#:
Address: ff
City: AIIA14/
Tenant/Lessee Name:
CONTRACTO74',V,4—
Company Name:
Address: fJf
State: /— el ' Zip:g�M //
City: State:
Qualifier Name: Phone#:
State Certification or Registration #:
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
,7�� Z�'- �-'� � ® V
Address: City: State: �^ _ Zip:
Value of Work for this Permit: $5v, Square/Linear Footage of Work: Zip:
'0
Type of Work: ❑ Adddiition/. ❑ Alteration ` ❑ ,New` / [Repair/Replace / j❑ Demmolition
Description of Work: //�/��AGi� �' > /�:� G//A �,� d�i✓/c /1� 7 D�✓A125 ��� / r'�� ZAII/X A
Specify color of color thru tile:
Submittal Fee $ ( Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ t)136
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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.
� O
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of f= 20 9 by
who is personally known to
me or who has produced
°�C_ L C-�)
identification and who did take an oath.
NOTARY PUBLIC: \\\\\���l1►►a +®,/����
°y0
Print:
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
as me or who has produced
20 by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
�a? i = Print:
as
c9 �`d®
Seal: �d��d /%® �• Seal:
APPROVED BY �'� Plans Examiner [ Zoning
Structural Review Clerk
(Rev1sed02/24/2014)
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-228664
Scheduled Inspection Date: April 02, 2015
Inspector: Rodriguez, Jorge
Owner: POZO, JAMES AND YAMILETH
Job Address: 11028 NW 2 Avenue
Miami Shores, FL 33168-4304
Project: <NONE>
Contractor: HOME OWNER
3uilaing Department comments
REPLACE SIDE CHAINLINK GATE WITH A 5 HIGH
ALUMINUM
Permit Number: FW -2-15-377
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Iron/Ornamental
Phone Number
Parcel Number 1121360020260
INSPECTOR COMMENTS False
April 01, 2015 For Inspections please call: (305)762-4949 Page 14 of 34
Inspector Comments
Passed �Zf
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
April 01, 2015 For Inspections please call: (305)762-4949 Page 14 of 34
Project Aaaress Parcel Number Applicant
11028 NW 2 Avenue 1121360020260
JAMES AND YAMILETH POZO
Miami Shores, FL 33168-4304 Block: Lot:
Owner Information Address Phone Cell
JAMES AND YAMILETH POZO 2200 SW 16 Terrace
MIAMI FL 33145-
2200 SW 16 Terrace
MIAMI FL 33145-
Contractor(s) Phone Cell Phone
HOME OWNER
Approved:
Denied:
of Construction: Wire Fence
;ification: Residential
Fees Due
Miami Shores Village
t8's,
10050 N.E. 2nd Avenue NW
DBPR Fee
Miami Shores, FL 33138-0000
DCA Fee
Phone: (305)795-2204
Project Aaaress Parcel Number Applicant
11028 NW 2 Avenue 1121360020260
JAMES AND YAMILETH POZO
Miami Shores, FL 33168-4304 Block: Lot:
Owner Information Address Phone Cell
JAMES AND YAMILETH POZO 2200 SW 16 Terrace
MIAMI FL 33145-
2200 SW 16 Terrace
MIAMI FL 33145-
Contractor(s) Phone Cell Phone
HOME OWNER
Approved:
Denied:
of Construction: Wire Fence
;ification: Residential
Fees Due
Amount
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee - Wire & Wood
$100.00
Scanning Fee
$3.00
Technology Fee
$0.80
Total:
$108.60
Valuation: $ 450.00
Total Sq Feet: 6
Additional Info: REPLACE SIDE CHAINLINK GATE V\
Scanning: 1
Pay Date Pay Type Amt Paid Amt Due
Invoice # FW -2-16-64552
02/20/2015 Check #: 7477 $ 50.00 $ 58.60
03/16/2015 Credit Card $ 58.60 $ 0.00
Avaliame
I Inspection Type:
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
construction and zoning. F�t
hep
4
Authorized Sig .
all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
I authorize the above-named contractor to do the work stated.
/ Contractor /
March 16, 2015
Building Department Copy
March 16, 2015 1
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COUNTY -WIDE LAND SURVEYORS INC.
LAND SURVEYORS - PLANNERS
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P.O. BOX 923271 BOOTH FLORIDA, FL. 33082-3271 (305) 772-0766 `n,•�
15358 S.W. 140 SL Mi=k FL 331% LOT -2.
BLOCK -1.3 i
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(PB 46 r O 53)
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LEGAL DESCRIPTION: • , ' ::''
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Lot 23, of "SHORELAND HEIGHTS", according to the Plat thereof as _ �,�06 't; '%` 3'x3;6 R coNc ;ti O LOT -24
recorded in Plat Book 43, at Page 85, of the Public Records of Miami ,'�
Dade County, Florida. 5.50 32 8' .x . s num: 6.89' 11
FLOOD ZONE: WITHIN ZONE: X 20.5' ,/'� .1 -I
ELEV.: N/A a� 1
COMMUNITY : 1206
PANEL No.: 03952 ONE STORY RES.
SUFFIX: L w
No. 11028 y �'
DATE : 09-11-04 j F.F.E.= 12.65't^rJhGQ I 'c
1 HEREBY CERTIFY: THAT THIS DRAWING REPRESENTS THE RESULT OF A SURVEY OF THE
WITHIN DESCRIBED PROPERTY AND THIS DRAWING AND SAID SURVEY WERE PREPARED BY
ME OR UNDER MY DIRECTION. 38.5 6,89, I '
THERE ARE NO ENCROACHMENTS UNLESS SHOWN THEREON.' N (],0,' p 1 • ,;� .'S I yn v
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NOTES: 5.53' 14.8 -
•THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP. s :� , • , : � ' D
• EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE
RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY THIS SURVEY IS :5, • �' Codv I v.I
SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR
EASEMENTS OF RECORDS, a%s ti fi C
w LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. N �•
w UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT AN ATTEMPED TO LOCATED FOOTINGS Cn
AND/OR FOUNDATIONS ��OCK
w NOT VISIBLE ENCROACHMENTS. WERE FOUND ON THE PROPERTY, UNLESS SHOWN. .. i" g� I
• IF SHOWN ELEVATIONS ARE REFERRED TO N.G.V.D. 1929 �8 �pCORNM
BENCH MARK USED No. N-566, LOCATOR ,WITH ELEVATION: 10.78' �a u2• �'i,• w
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SURV" FOR.. ff E&(C'K y l RI C I Pf EA VY. //0 7 AVC, M i /• M XY,*f?Xf Pt - 33/ 1. WEST RIGHT OF WAY L14AE 't:.
�9URVEYOR3 :1�113s TEt "NOR VALID IINLE33 SEALED ETITA AN EM8033ED r �.5�FSDRVEYOR9 E ^ U7:::.r::::::::::::::.::::.::'::::::'::::::::::::::.::::::::::::i::i::::::.r::.::: CJ�i::::.::::::. : iEB 2a15
S AL. I HE BY CERTIFY THAT THE SURVEY REPRESENTED HEREONCOMPLIES MITA THSMINI t TECHNICAL STANDARD C :�::::: :: :::::' ::::::::::::::::: ::::: :: :: :: ::::::::::: ::: SOABD OP,SUAVEYORPTECH IN CHAPTER S ADOPTED BY THE FLORIDA
FLORIDA ` .;6: 12 -F/— ASPHALT PAVEMENT:
ADM
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ADMINISTRATIVE U D NE :� : --
STRATIVE CODE, R URANT TO SECTION 472.027, FLORIDA STATUTES..
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REVISIONS 9Y DATE �0'GRASS MEDIAN:
W W W W y y W y W y W y W
W W W W W N W 2nd AVENUE" W W W w W
JOSEPH L. MARTIN —
P*OFESSIONAL LANs SuRvEYoR * 4368 DRAWN BY I SCALE DIATE FB,/PG. JOB
SATE OF FLORIDA Zo13 j