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FW-16-2705 3� Sft mg s i Miami Shores Village f P6i7i7 eft 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 g Phone: (305)795-2204 r { j AI JI ROVED,:,, i013 1 Expiration: 04/29/2017 Project Address Parcel Number Applicant 1234 NE 96 Street 1132060143930 SUSAN ALLEN Miami Shores, FL Block: Lot: Owner Information Address Phone Cell CHARLES ALLEN 1234 NE 96 ST MIAMI SHORES FL 33138-2554 Contractor(s) Phone Cell Phone Valuation: $ 2,400.00 SAMADA FENCE INC (305)720-6344 Total Sq Feet: 83 Approved: Available Inspections: Comments: Inspection Type: Date Approved:: Final Date Denied: Foundation Type of Construction:PVC Fence Additional Info:THIGH PVC PICKET FENCE WHITE Review Planning Classification:Residential Scanning:3 Review Structural Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# FW-10-16-61555 DBPR Fee $2.00 10/04/2016 Credit Card $50.00 $147.80 DCA Fee $2.00 Education Surcharge $0.60 10/31/2016 Credit Card $ 147.80 $0.00 Permit Fee-Wire&Wood $100.00 Plan Review Fee(Engineer) $80.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $197.80 In consideration&Issu nte to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereconformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this pa responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELEUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIfy that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction dermore,I authorize the above-named contractor to do the work stated. October 31,2016 Authod ignatu e:Owner / Applicant / Contractor / Agent Date Building D partment Copy October 31,2016 1 4 'Au Miami Shores Villagec �� /,v -'o Building Department 0 T04His O� �\ O. 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 \ ( , Tel:(305)795-2204 Fax:(305)756-8972 B INSPECTION LINE PHONE NUMBER:(305)762-4949 �74 FBC 20 /�9 BUILDING Master Permit No.DLI PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP At r– CONTRACTOR DRAWINGS t JOB ADDRESS:JDW I C '9 p sYYe P� City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 0 3 9 3 o Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): J V S ati 00`-e–In. Phone#:30r 37.7 )-800 Address: k>-3 `I' "r 9(40 1<I— ,/ , ,fit City: K 10►�,�. S +rds State: f Zip: ??0 1/ Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Samada Fence, Inc Phone#: 954-559-4355 Address: 110 W 31 ST City. Hialeah State: FL Zip: 33012 Qualifier Name: Sergio M. Samada Phone#: 3057206344 State Certification or Registration#: Certificate of Competency#: 11 BS00347 DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Q � Value of Work for this Permit:$ 0 P Square/Linear Footage of Work: O Type of Work: ❑ Addition ❑ Alteration New ❑ Repair�/R'epplace ❑ Demolition Description of Work: ' 14.1t, t,*1C. C Vv 1 �¢ ate-S J —�8� Gv i o�� !—S'Lf w i✓�j �. 2. Specify color of color thru tile: Submittal Fee$ ® � ® Permit Fee$ / 0® CCF$ $ CO/CC$ Scanning Fee$ Radon Fee$ "2— DBPR$ Z Notary$ Technology Fee$ Training/Education Fee$ CO D Double Fee$ Structural Reviews$ O- Bond$ �— TOTAL FEE NOW DUE$ / (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 reinspection fee will be charged. $6,-&-, Signature Signature OWNER or AGENT CONTRAC The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 1.9 day of �i && 20 1 !o . by /�day of J1Pje;f t.*- /��L20 /(0 by SuSCIi.M )W e'4-i ,who is personally known to O ►"/ [- cL+-A&-,who is personally known to me or who has produced 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: l/i Sign: Print:�1 is. Man► Aldle Print: Nery � 110MOM/Ffl36164 Seal: x COWN130#FF136164 Seal: `• EXPMiM: J*1 17, 2018 DIPM, J* 17, 2018 °yy 'Ps www,AmisiN0TM1Y ew b� ♦ y MI /I 1 #################################### ### ## ################################## 7z,, ## # #APPROVED BY Plans Examiner t0 ning Structural Review Clerk (Revised02/24/2014) , y yeORES yr Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 OR Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF(FLORIDA) COUNTY OF(DADE) The undersigned Affiant V6&- % 0-P-w, ,does hereby attest that (Property owner) The attached survey, performed by G ® �*e.S (Name o surveyor's company) For address: I�-3 Y A/E 9 n o SLwYes 7Z 8 Performed on 2'0L9(0 (date of survey)is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Furth r,Affiant say eth naught. Sv 3 Cl.n Ol e't., Property Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this day of SC &., 2+ i'Ci a®'(so Affiant is personally known to me,_produced kl.-D L as identification. Nery Avila MM .fit 17, 21118 Notary Revised on 5/22/2009/Revised on 6/12/09 �� WWW AM WN Noramr COM Municipal Contractor's Tac Iceipt Miami-Dade County, State of Floridamc -THIS Is NOTA BILL-00 NOT PAY OC NO: 11 X0347 9U$INESS NAM EfLOCATION RECEIPT NO. EXPIRES si�w AFNCFEuvC SEPTEMBER 30, 2017 ,-1701 W37 ST SAM 7494410 HWEAH,FL 330.12 Pursuant to County Code Sec 10-24 TYPE OF BUSINESS OWNER PAYM ENT RECEIVED SWADA FENCE INC 9:EEALTYBUILDINGCOMPACTOR BY TAX COLLECTOR 175.00 09/29/2016 0224-16-006143 This receipt is not validin thefdlowing Municipalities:Avlslture,Oortd,Fiideah,Key Biscayne, Miemi eUdens,Miami Lakes,PeIMSUD Bay,,PUacrsst,Sunny Isles Beall,Torn of Ostler Bay. M Form eirf i, onvisit 4 1ma1 Bi rim Ta)( mei pt Miami-DadeCounty, State of Florida THIS IS NOTA BILL-DO NOT PAY 6876198 C BUSINESS NAM EILOCATION RECEIPT NO. EXPIRES SAMADA FENCE INC RENEWAL SEPTEMBER 30, 2017' 1701 0, 2017- 1701 W'37 ST BAY#5 7161194 Must be displayed at place of business HIALEAH,FL 33012 Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED SAMADA FENCE INC 196 SPECIALTY BUILDING BY TAX COLLECTOR CONTRACTOR 45.00 09/29/2016 Worker(s) 1 11 BS00347 0224-16-006143 ThisLocel BudrmsTaxR=6Ita'dyc on"nnspWnw cftheLoca BUSInm7eX.1beRmalptisnotallcarm. peffdt,Ora oertl"catlwldthe holder'squeli"catlons odobWr the �ywithany wvwe wM or regdstoylawsandregWmnl nts 'the Ri9MPTNQ above met bedlspleyadon aII camlerdel vehicles-MleM-Dade Code Sec Sa-276 Far m m 1,ft,-atlon,visit CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 11 BS00347 SAMADA FENCE INC D.B.A.: MERG10 MARCIAL Is certified under the provisions of Chapter 10 of Miami-Dade County E