BPP-14-487I I
431_"
Miami Shores Village
Building Department
10050 N.E.2nd Avcm4e, Miami Shuyes, Florida 33138
TeJ: (301) 795 2204 rax. (305,f 756,8972
INSPECTION'S PHONE NUNIFICR. (30) 762.4949
PERMIT APPLICATION
I
Pertni I No A In
Master Permit 4 -PTE"
Permit Tyv` BUILDING' ROOFING
�
JBD
-2-L �t
OADRESS: JL
vL
Oty. Mnimi. Shoins County:
Tni Dari�
ip- 3 3
_j!J
FutiviParreW
Is the Building Hii."ricaRy Deslgna(ed; Yes
NO Flood Zniw A &
OWNER. Nome Simple Titleholder): Phl'Nlett:
Addre.o".
Cily!)�44C.-44 L
7 e atan tfl-c sse e Dame: Phone#:
Email _rk rn tj -F a_-, czj�
CONTRACTOR. C
ompanyName:_
Addiesq: Xd/ -t�l j f
City; Zin:
Qualifter i9i _ W*—C
Phone* 7—
State Cerli ficalion or Registration /Cq, ECUtCy
r �,q P . 4 4 .
CanUrL Mono: Zz / �,
Email Add
DESIGNER; ArchilecURnpinver:
$9800.00 Deck 1200sq ft.
V1110 Of WOOk fOr Um Permit.! — —squarelLinear Footage of Work- .-Poolr 426 qft
Type oF Work. UAddiflun 'JAI , ocration . e10Ncw ORepiLirikeplue
Ancription of Work.-
-Truertine marble paver, an 'sting concrete and sand. Re ster pooland
the 'e 76, §g feet
Color tkrutAte,,,,
Subinlittal Fee $ Permit Fee$ COF $_ cwex S
Scannins Fee$ kad"n Fee $ DBPR S
Noter, Bond S
y $ Trainihel&- ducation Fee 9 Techadlony F@@ S
D_ ouble Fee 5 St ructurail Review $
TOTAL FEE Kl()W t)LIE
Y r
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
City State 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature A
Signature
—4e��4t
Owner or Agent Contractor J�
The foregoing instrument was acknowledged before me this -S ) The foregoing instrument wass a�ckno ged before a this l
day of ��, 20,e�, by ��SGi G�%� day of M��— 20 �A�
who is personally known to me or who has produced 0I -o �c who(p=ersonally4ome or who has produced
JiC.tiiieAs identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Z� = I IRAN S DO — Sign:
Print:
My Commission Expires:
1W M1 ruouv
Print:
NOTAAYID20124077425My co mission
W COYI+)ISM WM DEMMBER 3, 2016 7-
6513
APPROVED BY Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
SHERYL COGGINS
Notary Public - State of Florida
commission # EE 1
Clerk
8
Miami Shores Village
Building Department 1 2 « '
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972, °n °
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20 l
BUILDING Permit No. TL, I L, SZ -5-9
PERMIT APPLICATION Master Permit No.
Permit Type: limbi a4
JOB ADDRESS: I 3 `I i NP, to
City: Miami Shores County: Miami Dade Zip: 1B 11 '3
Folio/Parcel#: 11 — : ) d ®f; — (P :) (h
Is the Building Historically Designated: Yes NO Flood Zone:
L®
OWNER: Name (Fee Simple Titleholder):_ L L 5 a K k&) ! 19 ` 333
g 7 �
Address: q I W E I n"a S �T �
City: Miwnql L -Ah "�$ State: eIya't Cz, Zip: 33 )
TenanULessee Name: Phone#:
WV 791 YYt
Qualifier Name: _�// 12 _� x�.i F art 2� Phone#:
CIO -*t
DESIGNER: Architect/Engineer:
Submittal Fee $S7A-22
Permit Fee $ / S�` CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training ducation Fee $ Technology Fee $
Double Fee $ Structural Inview $
<J TOTAL FEE NOW DUE $
e
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) �/� ► lX
Mortgage Lender's Address
City
State
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. le I 'If
Signature &j &� Signature4
Owner or Agent mil l Contractor
The foregoing instrument was acknowledged before me this•
day of , 20 /� by Z I ..! - �h
who is personally known to me or who has produced /cZ4i%PJ-/ �W-A
/-'7e�7 Lir r --p I Ce,r"s identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
The foregoing instrument was acknowledged before me thisc�-1
day of_D�Ll , 20 , by
who A pet; rsonally k to me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
BRYAN S� DOY�LESSiign:
NOTARY PUBW OFWWF1A�7 nt:
NOTARY ID 201240715' Commssion Expires:
MY COMMISSION FXPffZ QECEMBM 3, 2016 — —
SHERYL COGGINS
�p MY Comm. Expires Mar 19, 2016
APPROVED BY �L / Plans Examiner Commission # 1? YMp
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Clerk
4
Miami Shores Village
AL 0
T
�,\u Building Department
050 N.F—Ind Avenue, Mian"] Shores. Florida -33138
1
Tel: (305) 793 2204 V*mx.- epos) 756,8y?z
7-)k
INSPECTIONS PHONE NUNHER
I,(305) 762.4949
BUILDINg"N"
PERMIT APPLICATION
woo
Permit No, �'--1
Master Permit Noe�p�—
Permit Type: BU",D'N ROOFING
evl
308 ADDRESS:
Or
'Ounty: .1P
ova
Is the Building Historically Designated: Yes NO Zn-oe,
OWNER., Nome(
_fXee Simple Titlehnldcry L D CA,
1 3,
City:, State. -
'35
)-3tAr
Tenant/Lmwe Nam&
Email; A -rri Aria I r Li i jot u — Fe if
--
CONI C'TOR. Companv. Na=.
AddFess: 4
City;
Quabrier Name-,
SULM Ctr1i fICAliOT1 OT fti StratiOn 4:
COfflad ill ona:
DESIGNER; Arc hioccAinpincer:
"13111t 6f W01rk for thvq Permit:! $600.00 %* 21'10 " Lft
—, quaf*Mftear Footagre of Work,
'Type of Work. UAddilitm UA1111 raULIn At UNC % WiepairjkeplfLa o
Description of Work:
--. - A wood fence with gate, self closing 54" above grade
PreLor Lhrg -- I
-
a W4 6*00*0** 0*0**** ******* *** *4 04 M*M V*'W*FerV*01** ** 0*0 *0 ** 0*06 - @,,* **a** **w *w
Submlittal Fee Permit Fee $ CCT $— col c_' 5
Scannins Fee Radon Fee $ DBPR S ond
Notary TrWftinAducaden Fee S _ Tetbnolaigy Fee S
Double Fee S Structural Review $ i
TOTAL FEE NOW DUE,,%
IN
bonding Company's Name (if applicable)
Bonding Company's Address
city
State
Mortgage Lender's Name (if applicable) U J
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. e--,
Owner or Agent
f -
The foregoing instrument was acknowledged before me this
day of 1 , 20, by a,06 --f ,
who is personally known to me or who has produced �1u1's uta
0 r"°✓ ,�s 4-ZPr'-e' As identification and who did take an oath.
NOTARY PUBLIC:
Contractor f��
The foregoing instrument was ackn edged befor me this�l
day-- � , 201 by 'O "��+5 ���? 1
who spersonally known me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
s
Sign: BRYAN S DOU Sign: _
Print: -51 OTARY PUBUC Print: _
My Commission Expires: NOTARY ID2DI24077425My Co
WMMWM WM DECEMBER 3, 2016
LIIIf/�
APPROVED BY _ (, Plans Examiner
Structural Review
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
SHERYL COGGINS
Notary Public - State of Florida
My Comm. Expires Mar 19. 2016
17
Clerk