FW-15-1675 `5t!„0 .. Miami Shores Village
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
Phone: (305)795-2204
F`O1� Expiration: 01/0612016
Project Address Parcel Number Applicant
128 NE 99 Street 1132060132270
Miami Shores, FL 33138- Block: Lot: JUAN CARLOS ACOSTA
Owner Information Address Phone Cell
JUAN CARLOS ACOSTA 128 NE 99 Street
MIAMI SHORES FL 33138
128 NE 99 Street
MIAMI SHORES FL 33138
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00
HOME OWNER
HK YOSHIDA CONSTRUCTION LLC (954)275-3969 (954)275-3969 Total Sq Feet: 20
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:
Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:SHADOW BOX WOOD FENCE 6 FT Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# FW-7-15-56227
DBPR Fee $2.00 07/10/2015 Credit Card $ 116.20 $0.00
DCA Fee $2.00
Education Surcharge $0.40
Permit Fee-Wire&Wood $100.00
Scanningee $9.00
Technol4 Fee $1.60
Totaln $116.20
F_s
:J'7
C,
ram
Rik
In consi=tion of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaininef4ereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
acceptin Ahis permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
Lr 1
OWNER'S SAF VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construd,p a dqz ning. Futhermore,I authorize the above-named contractor to do the work stated.
July 10, 2015
_ ure: / Applicant / Contractor / Agent Date
Building D partment Copy
July P 2015 1
r�
Miami Shores Village
Building Department
` 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 8Y:
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 )-/' S- A7-
BUILDING Master Permit No.p
PERMIT APPLICATION sub Permit No. l��/` �
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: '_ C15aj— c��•
City: Miami Shores County: Miami Dade Zip: �3
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
_
OWNER: Name(Fee Simple Titleholder):_ ZJOtt� r-+{ Phone#:
Address: 1 �" X13 r'j -�
City: r w1' S NCr-eS State: Zip: 3 !
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: e-7)C-c.ir—J Phone#:
Address:
City: State:
Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ f 2 Square/Linear Footage of Work: 2Q
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ lace Re air Re
-�—^ p / p ❑ Demolition
Description of Work:
J / �� 2,7 2 6f�
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CGF$'` CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ /
TOTAL FEE NOW DUE$ I 1
(Revised02/24/2014)
Bonding Company s Name(if applicable)
Bonding Company's Address _
City State Zip
Mortgage Lender's Name(if applicable)
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 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 r ' n fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The fore oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
7jnday of 20 5 by day of 20 by
who is personally known to who is personally known to
me or who has produced ) , --t=1-r) , as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: tov4A Print:
Seal: �AN Notary pudic State of Florida Seal:
L Dominguez
y� My Commission FF 120466
'o!of pV Expires 05/06/2016
APPROVED BY , 1 Plans Examiner 1 � Zoning
Structural Review Clerk
(Revised02/24/2014)
Phone;(305)552-7504 ��� �� �� ��.r � Lr�1�`J 14317 S W,45th Te".
piax:(505)�'N-ertae protesslonal Land Surveyor&Mapper Wan,Florida 33175
Proporty Moves __If Ad Ne 99th 5 Moot 5hc tr,5 rL•
e Vertical and horizontal
Legal Defthotion SUpportin rn
1-0t l l aria Ow East //P of Lot 12 and t �d i fec?_,'f*�SEs!®,f&,6n)m ahA�N4Af@�P�s(g�
Or MIAM!Ohf0Rtsi:�WWN ON,- fn er 1 �16?�23f,�wMbwo 406r 1��C �i6giat8q 70
'
of the f ophe Rdeoms of Mom,Oade Coo i rt finished side shall face the
lot or any abutting right-of-way SWOON� s SURVEY
w V. 20'
cc
'.
Nt 99th s---y-. �LzNlun
` r,
0 90
r
75' TOTAL ww
Q
O L1JN �+ 5t�wyed 22.sv r,A.y
S. () J i DECA 2713
U Z
JlC)O IJCl_
'(�(M) �5'sweRrlk
Ca l- _=
U C d rro.
P� C L lf2•i.w: ,�A ,i l q
ln•l.w.
C;
C-
C0
.) W' Sampt✓Canc. ,,�e + gb'
rfrr, - � � d, �7ikseey a-
I C,5.9:WsN
!-;
3 rr.B 5 '6'W.F. I
a - 29.71'
( r � na r34f�u+aEr /
tae warn""
'Xr'y ' BLOCK- /7
>/ /X y I W. 25 rr of Lot to,
Lot l! 0 E l/+7 of Lot I.?
7 — r'
I,W*Y �� tk w.RAy I
6LOCK- 17 ' �. BLOCK- l 7
�mamd1 re
IZf �{ J Remainder of
Lot- !,Pi "'10, Lot-_ 0.
t�N�STOkY
1 Res.1# i 26
i l
4917w l `.�.- 12".53'
O)( !FAN CF— of Carle. - f .l b d4'CafF� WiA_ �..�..'�__• _..___.
4 G
o.rac
C.0,5. sari,,ti
,�aa- RoomJ,as' 1I,i } C,W111.
� I a
r(X.od R)T(M)
n r*i'Almy AL P 1 w.YERB1 IE, G7 /
NOTP. --
ELEVATIONS ARE REFERRED TO MIAMI DADE COUNTY BMA N%6 ELEV.-965'OF N,G.V 0.0€1929
BASFO ON THE FLOOD INSURENCE RATE MAP OF THE FEDERAL EMERGENCY AGFNCY DATE OF FIELD NARK:Maned 26, 20 1! CERTIFIED TO:
RFVI95D ON-,4-1 1 09_THE H€REIN DF SCRIBED PROPERTY 15 SITUADEO WITHIN. REVISED ON. Nov, 26,2012 Juin C.Acosta
ZONF X BASEFLOODFFrV. WA _COMMUNIfYNUMBFR !2LTHIS CERTmce TONT mis 3 veY OF Y! FRGPERTY
PANEL NUMBER _ Q-1 - 9UFF11t .-- DEBCRIVEO HERE M WAB MAGE UNDER MY BUPNRVISION
AND TLC SAME ME6T6 THE MINIMUM=911MCM,
-- "- ---- --__--- GTANOARD89FTFdIT118Y TIE FLORIDA SCNRB BF LANE
6ft0ltL N _
71116 SURVEY M,M xMiNN
wF N07 REFLECT(R DETERMINE OVNERBTIIP EA IOTYE AB6TRAGT R TME
NTLI fNWE TO 6E TO DETvtM1NE RECOIL tEL11NeTRUMENie Ir ANY AFFEk TIHF NROPF.R
CNG 1 TV
IH166URVEY IS BU9JECT id OFFNF:ATk]N LWITgiNNB REBTRIOTION611F6ERVATICN80R FAeEMENTe .tet iFE�._.� i
OFRFCCRDB LEGAL DESCRIPTIONRRONDEOBYGUENI FICL1AWLIlY OF TN198URVFY IFIIMfTFOlO ARTUKO R.TOtRAC P.S.M.1102
TNG COST OF TLff SL VEY UNDERGROUND ENCROAEHMFNi 8,It ANY ARE NOT WO�AM THIS FIRM FNB
NOf ATTFMPTFD 10 LOCATE FOOTING AND—t€WNW RONB ANFYEia 1NOERGROUNO[W"OVEMENt'8 OF
ANY NA WRE.If 611OVM1 BEARNG6ARP RETERRED TO AN A68UMEO MERIOIAN.w 6NONN FLFVAI mN8 NDT VAF0 NOTH"q TNR 9IONAtURM ANDTIV ORIGINAL
ARE REFERRED TV N.G.V 0.OF 19291YE GLO6U11E N THE 90UNbARY BURVEY MABOVE is ig= FNNIOBRO NMAL OF A FLORIW LICENSED eURVEYOR AN[)
_ LEGEND AND ABaR@VIATIONaJOB No.
-CFNTFR LINF FD f OUNO IRON PIPC TYP=TYPICAL ENG -ENCROACHMENT ACAIN CONDITIONED UNITPA. -rROPFRrYLINE O.H L=OVERHEAD UfIUUt6 �$'�'_.ELEVATION G B.S.=CONCRETE BLOCK STRUCTURE REB. s RESIDENCE
MA. =MONUMENT LINE IC)_,CAI CULAt ED R =RADIUS CONC-CONCHBTE W.M. =WATER METER
R/W=RIGHT OF WAY (R)-RECORD A -ARC DISTANCE 0 DIAMETER U - •UTILITY EASEMENT
C L -CHAIN LINK FGNVr fM) MEASURED C .=CAT-CH BASIN D M.L.-DRAINAGE MAINT.EASEMENT P C •PERMANENT CONTROL POINT
NSF=WOOPEN EN PFNCF C =CL-- FI C="LUCK CO NEN LF. a IRON F-NCE' P.O.B POINT OF BEGINNING