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FW-17-2613Miami Shores Village 10050 N.E. 2nd Avenue N Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address 9400 N BAYSHORE Drive Miami Shores, FL 33138- Owner Information Address Permit Permit NO. FW-11-17-2613 Permit Type: Fence/Wall Worts Classification: Wood Fence Permit Status: APPROVED. Issue Date:11/17/2017 Expiration: 05/16/2018 Parcel Number 1132050100110 Block: Lot: AMINE DOUKKALI MARIELA B ROVITO 801 N VENETIAN Drive --- MIAMI BEACH FL 33139- 801 N VENETIAN Drive MIAMI BEACH FL 33139- Contractor(s) SLUYTER CONSTRUCTION Phone Cell Phone (970)379-9730 Applicant AMINE DOUKKALI MARIELA B F Phone (305)992-6776 Cell Valuation: Total Sq Feet: $ 6,000.00 130 Approved: Comments: Date Approved: : Date Denied: Type of Construction: Wood Fence Classification: Residential Additional Info: NEW HORIZONTAL FENCE W 4X6 P Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $3.60 $2.00 $2.00 $1.20 $130.00 $9.00 $4.80 $152.60 Pay Date Pay Type Invoice # FW-11-17-65536 11/17/2017 Credit Card 11/02/2017 Credit Card Amt Paid Amt Due $ 102.60 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Building Review Planning 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 that all the for oing infor .ation is accurate .nd that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I autho z the abov -nay-d contract • o do the work stated. November 17, 2017 Authorized Signature: Owner - / Appli( ht / Contrac / Agent Date Building Department Copy November 17, 2017 1 • \1\\'\ c,e56?1 BUILDING PERMIT APPLICATION 7' BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION IVIId111I JI IV1 eb V IIIdge 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 RECEIVED NO 0 10A S4)(A FBC 20H Master Permit No )'1— 2b13 Sub Permit No. ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: City: / 7 Folio/Parcel#: I(' J DcDID— DUI) Occupancy Type: ,SLoad: 400 j. A, S Miami Shores 'County: Miami Dade ❑ EXTENSION ❑ CANCELLATION Zip: ❑ RENEWAL ❑ SHOP DRAWINGS Is the Building Historically Designated: Yes NO Construction Type: C es Flood Zone: BFE: FFE: OWNER: Name ((Fee Simple Titleholderr):14 MI/ /30/U R1�.AL r ` Phone#: 65- 6 e 7 8 G 10 Address:s,86 ( � ,�, / Veit 1=- L ( 2 City: p" v, A-✓''1 € 644Ve t t State: — Zip: 3 J? Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 57 � -� (,)✓LS / L 7! Address: 3 % /"p i sZJS City: At r4• L ! J 17- (Atte.. State: Qualifier Name: State Certification or Registration #: C IC / 33 � ! J Certificate of Competency #: l U DESIGNER: Architect/Engineer: Phone#: Address: // City: State: Zip: Value of Work for this Permit: $ (s� d c9 t7 Square/Linear Footage of Work: / 3v Phone#: Type of Work: ❑ Addition ❑ Alteration �Qw WI2 cwi V- 2k f%S. Description of Work: Phone#: T713 3 Zip: 3 9 /3 6 q)0 3q Q2.‘) New ❑ Repair/Replace ❑ Demolition �->✓, �� '",°oiT) Specify color of color thru tile: Submittal Fee $S6 ° Permit Fee $ t 36 . G CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUES i 6 2 . GO 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. Signature The fore oing instrument was/acknowledged before me this day of U �j DA k. !�0 ) -7 , by \ o bD\1 \_ L l , who is personally known to \\ me or who has produced Do1"Q v I,t (.Q as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: Signature CONTRACTOR The foregoV V oing instrument was acknowledged before me this I day of 0 V .Q m]3QR 20 J , by NOTAR , PUBLIC: Sign: Print: Seal: :1.li.,' s MY COMMISSION # GG 041376 •, •��z r EXPIRES: December 30, 2020 .p :F,tSe Bonded Thru Notary Public Underwriters APPROVED BY bill) • Sign: Print: Seal: who is (ersonally known to Plans Examiner ISSA A. r • ig •`_ MY COMMISSION MMIISSION # GG 041376 EXPIRES: December 30, 2020 .• � Bonded Thru Notary Pubic tindery/titers *************** Zoning Structural Review Clerk S Serving all of your Florida Real Estate needs WI F H ALL FEDERAL H FJJ'.1,1?" 1.31- 0 0 J CNI 1.31 0.40' FJ.P.142 10' PARKWAY p 8� 20_ ASPHALT PAVEMENT N. E. 94th STREET CONCRETE "-WALL .0"' P �,��•c7.G% 1480 TWO STORY RESIDENCE /9400 6,19R,(oS7 Accepted By: /ccLu =1 • • • • • • • • • • Property Address: 9400 N. BAYSHORE DRIVE MIAMI SHORES, FL 33138 NOTES: FENCES ENCROACH OVFRIST LOT NV , •' • • •• •• •• • • • • •• SURVEYOR'S CFRTIFICATIOIL REPRESENTATION OF A SU TECHNICAL STANDARDS SURVEYORS IN CHAPTE SIGNED MIGaaU'�EEFL S NOTVAcdt%iAOBfANFF THIS MAP IS NOT VALID WIT AND MAPPER. REPARED ET FORTH BY THE -17. FLDRIOAe9MINIST VV Y THAT THIS 'BOUNDARY SURVEY' IS A TRUE AND CORRECT R MY DIRECTION. THIS COMPLIES WITH THE MINIMUM TE OF FLORIDA BOARD OF PROFESSIONAL LAND NE CODE PURSUANT TO 472.027. FLORIDA STATUTES. FOR THE FIRM P.S.M. No. 5101 NATURE AND AUTHENTICATED ELECTRONIC SEAL AND/OR AND THE ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR M.E. Land Services, Inc. 10665 SW 190TH STREET SUITE 3110 MIAMI, FL 33157 PHONE: (305) 740-3319 FAX: (305) 669-3190 LB#: 6463 • • • • • • • • • • •• • • • • Survey:A-37969 Client File #: 13-0128 5- /0968 Page 1 of 2 Not valid without all pages. � • • • • • • • ••••'• •• • • • • Woo fJ �GNGI� Dp�-A-i I r , z DADA L 6e' bi \' p A(ea i 4 1,4 oc, kA ) (l)((.01l Ihor(2M44C (5/\esore Tc'<A-iO ,vvt-iva)-er'S w )4 h - ce w C�(fOSioN 1 r-eS t ;T (Wed ),,1 In -VD CoAct-e--1-t.- -C a ©-- 1 A5_ e1 i ,,rue 0.eep •• • • 6 • • • •••• •••• • • • •• •• • • •• ••• •• • •• • • • • • •; • • • • • • •, • • • •