FW-15-1172 � / Miami Shores Village *AY 18 015
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
FBC 20
BUILDING Master Permit No. ���� �, e 7
PERMIT APPLICATION Sub Permit No.
UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL []PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
1 r CONTRACTOR DRAWINGS
JOB ADDRESS: ` 0 3 S /V C S u e
City: Miami Shores County: Miami Dade Zip: 3 `3
Folio/Parcel#: -IS-a-0�p 0` Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): E5 e 0 J 7 f-0 Phone#: 440 Co S P 4 7 5"),0
Address: [ O 3 sc S A'k"� e
City:_"ti Ct.�,� State: Zip: 33 1 13
Tenant/Lessee Name: Phone#:
Email:
� '
CONTRACTOR:Company Name: 0.V+'1 0-A0— Q O— ,'/ fl � � Phone#: T s-tz—rT —Y3f�
Addres�s::� _ h1 3
City: P"'� State: Zip: �0 d t
Qualifier Name: S tri i GoQ- Phone#: 11? .Ty—ST9" 13J7
State Certification or Registration#: Certificate of Competency#: 0®3`f
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ o S�S. ®® Square/Linear Footage of Work: ® ®�
Type of Work: ❑ Addition ❑ Alteration §PNew - ®❑ Repair/Replace ❑ Demolition
�
Description of Work: 4-t %A - ✓ r "'i S C.{�- -��� C'
3
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
. • e
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 copAOjof the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after(( ng permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will bei
Signature Signature
OW ER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of H Pi 20 J by day of 20 1'.r—,by
VQy►4C?' PO.f i D ,who is personally known to q`O �a-4CLo is personally known to
me or who has produced Aep as me or who has produced !7c—� as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: m*01"r,,y Ne Avila NOTARY PUBLIC:
. ° $,��� cOr► MON#FF136164 _ cotes auA ilaslsa
' EXPIRES: July 17, 2018 = •' EXPIRES: July 17, 2018
Sign:— Sign: 01711 MIW WWW NNOTARY.COff—
Print: Print:
Seal: Sea(:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Rev1sed02/24/2014)
Arlenis Silvera
From: Ivana Esposito <iesposito73@gmai1.com>
Sent: Monday, November 30, 2015 10:59 AM
To: Arlenis Silvera
Subject: Process No. FW-5-15-1172 adress: 9035 NE 5th Avenue
Dear Arleen,
It was a pleasure talking to you few minutes ago.
In reference to the application for the permit No. FW-5-15-1172 for a fence, I was not aware that the high limit
in front of the house was of 3.5 feet. At this point, I think it is not necessary and I did not proceed with it.
Please, feel free to come and check at my house there is no work made at:
9035 NE 5th Avenue
Miami Shores, F133138
Let me know if everything is clear. Thank you so much for your help.
Best regards,
Ivana Esposito