NOTE: ALL SHEETS MUST BE REVIEWED - Miami …

1 NOTE: ALL SHEETS must BE REVIEWED RESET. DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES. Herbert S. Saffir Permitting and Inspection Center 11805 SW 26 ST (Coral Way) Miami , Florida 33175-2474 Phone: (786) 315-2660. ZONING IMPROVEMENT PERMIT APPLICATION. (Please fill out completely). Job Address_____ Contractor Folio_____ Last four (4) digits of Qualifier IMPROVEMENTS. INFORMATION. CONTRACTOR. LOCATION OF. Contractor's Name_____. Lot_____ Block_____. Qualifier Name_____. Subdivision_____ PBpg_____. Address_____. Metes and bounds_____. City_____State_____ Zip_____.

2 ZONING IMPROVEMENT PERMIT [ ] 0008 Chickees by Current use of property_____. [ ] 0001 Paving, Drainage Miccoussukee or _____. of Existing Facilities. Seminole Indians Description of Work_____. Estab. landscape, [ ] 0009 Above Ground Pools _____. tennis, basketball courts, [ ] 0010 Chain link Sq. Unit _____Floors guardrails and bollards fence, residential* Value of Work_____. [ ] 0002 Farm Buildings [ ] 0011 Picket, Iron, Other [ ] 0003 Temp Buildings Fences Non-Wind [ ] Extension EXISTING PERMIT. Resistant*. CHANGE TO AN. Used for Construction, Trailer or Modular [ ] Chg.

3 Contractor *fences with concrete columns [ ] 0004 Awnings, require BLDG 18 permit [ ] Revision Canopies, Fabric Covered [ ] 0012 Decorative [ ] Reissuance PERMIT TYPE. Framework, Trellis and Pools, Ponds, residential only Pergola, residential [ ] 0013 Decorative Garden- Owner_____. [ ] 0005 Painted Wall Sign Type Fountains OWNER'S NAME. [ ] 0006 Balloon Sign Address_____. [ ] 0015 Resurfacing [ ] 0007 Stick on fabric letters, [ ] 0016 Sealing, stripe City_____State_____ Zip_____. window graphics, and vinyl painting of existing Phone_____. wall signs not to exceed parking lots 40 sq.

4 Ft. in area [ ] 0018 Floating Docks Last four (4) digits of Owner's SSN_____. [ ] 0020 Flat wall sign not to exceed 40 sq. ft. in area [ ] 0021 Railroad Exemption Name_____. and a building height of ARCHITECT. [ ] 0022 Cargo Container ENGINEER. 30 ft. with Miami -Dade Address_____. County approved detail (Commercial Only). City_____State_____ Zip_____. only; Changeout of Directory Panel Phone_____. Name_____ Name_____. PICK UP PLANS. PERSON TO. MORTGAGE. Address_____ Address_____. LENDER. City_____State_____ Zip_____ City_____State_____ Zip_____. Phone_____ Phone_____.

5 Application is hereby made to obtain a permit to do work and installation as indicated. I certify that all work will be performed to meet the standards of all laws regulating c onstruction in this jurisdiction. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate. I certify that I am not a named violator with unpaid civil penalties; unpaid administrative cost of hearing; unpaid County investigative, enforcement, testing, or monitoring cost; or unpaid liens, any or all of which are owed to Miami -Dade County pursuant to the provisions of the Code of Miami -Dade County, Florida.

6 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR ATTORNEY OR LENDER BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. The issuance of the permit does not relieve the property owner from obtaining homeowner's association approval (if required) prior to beginning any work and in no way authorizes work that is in violation of any association rule or regulation. _____ _____. Signature of Owner or Owner's Agent_____ Signature of Qualifier PRINT NAME_____ PRINT NAME_____.

7 STATE OF FLORIDA COUNTY OF Miami -DADE STATE OF FLORIDA COUNTY OF Miami -DADE. Sworn to and subscribed before me this_____ Sworn to and subscribed before me this_____. day of_____, 20_____ , day of_____, 20_____ , by_____ by_____. (SEAL)_____ (SEAL)_____. Personally known_____ Personally known_____. or Produced Identification_____ or Produced Identification_____. Type of Identification Produced_____ Type of Identification Produced_____. 113_01-39 5/17 PAGE 1. Miami -DADE COUNTY. CONSTRUCTION LIEN LAW FOR OWNERS. NOTE: IF YOU SIGNED AS THE OWNER'S AGENT YOU ARE RESPONSIBLE FOR DELIVERING.

8 THIS INFORMATION sheet TO THE OWNER OF THE PROPERTY. WARNING TO OWNER NOTICE TO OWNER FROM. Florida's Construction Lien Law (Chapter 713, Part One, SUBCONTRACTORS AND SUPPLIERS. Florida Statutes) requires the recording with the Clerk of the You may receive a Notice to Owner from subcontractors Courts a Notice of Commencement for real property improvements and material suppliers. This notice advises you that the sender greater than $2, However, it does not apply to the repair is providing services or materials. Subcontractors and suppliers or replacement of an existing heating or air conditioning system must serve a Notice to Owner within 45 days of commencing less than $7, in value.

9 This notice must be signed by you, work to preserve their ability to lien your property. the property owner. If your address changes from that given in the Notice of Under Florida law, those who work on your property or Commencement, you should record a corrected Notice reflecting provide materials and are not paid, have a right to enforce their your current address. This is done to help ensure you will receive claim for payment against your property. This claim is known as all notices. a construction lien. RELEASE FROM LIEN FROM CONTRACTOR. YOU must FILE A NOTICE Prior to paying the contractor, you need to receive a Release OF COMMENCEMENT of Lien and Affidavit to the extent of payment from the general For your protection under the Construction Lien Law and to contractor.

10 The Release of Lien and Affidavit shall state either that avoid the possibility of paying twice for improvements to real all the subcontractors and suppliers have been paid or list those property, you must record a Notice of Commencement in the unpaid and the amount owed. The contractor is required to list Clerk of the Court's Office. You also must provide a certified copy on the Release of Lien and Affidavit any subcontractor or supplier of the recorded document at the construction site. The Notice of that has not been paid. That amount may be withheld from the Commencement must be signed by you, the owner contracting the contractor's pay and paid directly to the subcontractor or suppliers improvements, and not by your agent.