DS-17-82Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. DS -1-17-82
lrPermit Type: Driveways/Sidewalks/Slabs
r'' work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 1112/20/7
Expiration: 07/11/2017
Parcel Number
Applicant
905 NE 92 Street
Miami Shores, FL 33138-
1132060050010
Block: Lot:
PAUL GOLDENBERG
Owner Information
Address
Phone
CeII
PAUL GOLDENBERG
16445 COLLINS Avenue
SUNNY ISLES FL 33160-
16445 COLLINS Avenue
SUNNY ISLES FL 33160-
Contractor(s)
CHAMPION CONCRETE
Phone CeII Phone
(305)252-8055 (786)402-4802
Valuation:
$ 5,000.00
Total Sq Feet: 1000
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: PAVER POOL DECK PAVER
Bond Return : PAVER POOL DECK PAVER
Scanning: 3
Additional Info: PAVER POOL DECK PAVER
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$3.00
$2.25
$2.25
$1.00
$5.00
$150.00
$9.00
$4.00
$176.50
Pay Date
Invoice #
01/12/2017
Pay Type
DS -1-17-62593
Check #: 2394
Amt Paid Amt Due
$ 176.50 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Building
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 re •onsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMB ` G, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify t =t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zning. Futherm re, I authorize the above-named contractor to do the work stated.
Signa sw er / Applicant / Contractor / Agent
Buildin • Department Copy
January 12, 2017
ate
January 12, 2017 1
< ,
BUILDING
PERMIT APPLICATION
UILDING ❑ ELECTRIC
IVIIdl I II JI IUI CJ V IIIdgC RECEI
Building Department SAN 2017
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: ----
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
❑ ROOFING
El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: QO5 VE i. �I
Master Permit No.
Sub Permit No.
S
FBC 20t
Os
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip: 3/9a7
Folio/Parcel#: l/— 206 OCAS- 00/ 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): AWL- e/v • y Phone#:
Address: ‘705it
05 Ng" Z Z
City: Ili"vii /G i') State: Zip:33 !'
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: C/7 90/1)
Address: /02/30 Pal/ 1 Sf -51/7)e--
City: 04940€ C State:
Qualifier Name: \J%9 64-v44 D
State Certification or Registration #:
Coyv��y-e
Phone#:3b$ 252?4 S
Zip: 33/ 7�
Phone#:
7i'4-voz_ tld'Q
Certificate of Competency #: 0o99f5,'
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ f vn C7
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work: ""trz <— )4 001- / -fij-V"el S
1,zo 54
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE S
CO/CC $
Notary $
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 m -'st be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absenc:'of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signat
OWNER or AG
The foregoing instrument was acknowledged before me this
day of (j'e pt&mh-er , 20 ILO , by
Q/ ' G..L €4JJt /
me or who has produced L j
, who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
*******
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61.£6££9nV 1.06 uo13•u1e16ea
AAAA MON ;o e1ei8 '0114nd innoN
. ty V NYOaw **
APPROVED BY
Sig
CONTRACTOR
The foregoing instrument was acknowledged before me this
No )b day of De C`2Yn'0'' V , 20 l b , by
1(a 1vn'Q CrQ-r rrN1 ((O ys;(1uv`Ao is personally known to
me or who has produced Tr; VT v \ 1 cvt ice. as
identification and who did take an oath.
NOTARY PU
Sign:
Print:
Seal:
YANADY " IETO
: MY COMMISSI a It FF 214031
EXPIRES: March 25, 2019
Bonded Thw Notary Pubic UndeMriters
********************************************************************
Plans Examiner
Structural Review
Zoning
Clerk
OUTDOOR SWIMMING BARRIER
COMPLYING MIH O1H EDITION (2014) 84501.17.1.1 THROUGH
144001.17.1.15
TE
TCP 0 11E INNER WAIL BE AT LEAST 43 MOM (1210 100 NOW
WADE MEASURED ON 1110 WE 0 1E BARRIO 3404 FA= AWAY FROM THE
B WIINNO POOL THE MAIOIR YERICM. CLEARANCE E1WED4 GRADE AND THE
B OT1GY OF 111E BARER WALL BE 2 MOSS 1 MEASURED OI 71E SCE
0 THE MISER 54101 FACES AWAY FROM WE =MSS P00. MERE 111E
TOP 0 DE POOL STRUCTURE A A00VE ORACLE =E BAWBR MAY BE AT
OROUNO LEVEL 011 44011111ED ON TCP Cr TE POOL SRUCMRE. WERE 111E
BARRDR S MOWED ON 10P 0 TE P00. 21RIC11111% 111E MAISIY
VERTICAL CLEARANCE BUMP TE 10P OF TE POOL SIRCIURE AND THE
807101 OF THE HARMER MOIL BE 4 24013 (102 IBP
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NOT E RROVAME 54111W1 111E AD OF 1008. OPENINGS N ANY BARRIER
WALL 4407 ALLOW PASSSAE 0 A 4-3411-0AMEIEN (102 MM) SHIRE.
SOD BARRIERS 8101 00 1401 HAVE WINN08 SHALL NMT CONTAIN
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1OMMM10ES AM TWEED MASONRY JON1S
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WERE THE BARRIER 18 MIMED OF 11.WOWTAL AND VERTICAL
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MISERS S 45 NOES (1143 MM) OF MORE, SPACING 8E76EE4 WR11CA.
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SHALL 140T DODO 1-3/4 NODI (44 MM) N WITH.
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TIE TOP OR
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WHERE TE BARBER S COMPOSED 0 DAOOUL MOSRS, 710 MAXIM
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WOMB (44 111).
ACE50 GATE% MI= PROVED. SHALL 010 SELF-0CSNO AND SHALL
COMPLY MTH THE REQUIREMENTS OF SECTIONS 144001.17,1.1 114ROU04
144001.17.1.7 AND WALL E EQUIPPED WMA 86F-(ATCAHO .00010 COM
LOCA10 ON THE POOL ME 0' 1110 GA1E. WERE THE DEVICE RELEASE A
LOCATED NO LE88 THAN 54 MOILS 1772 MM FR01 11E BOT10Y OF TE
GAZE. TME DEVICE RELEASE MAY SE (LOCATED ON ETEC SE 0
TE GATE AND SO RACED TUT IT CANNOT E REAPED BY A MING CCD
0•181 TE 10P CER 'MROUOI ANY OPENING OR OW FROM TE 01100E GAIEe
THAT PROVIDE ACCESS 10 DDE SWWYNO P00. MUST 094 OUTWARD AWAY
FROM THE POOL. TE GATES A140 BMR= WAIL HAW 110 MEMO GREATER
�
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ONNCH (12.7 MM) WHIN 15 NOM
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(F INK F010WN6'RiAlf APPir WWI;
03 PART IIF TE PACO= 1550
ALL DOOR AND MOM PROV10A10 DIRECT ACCESS ARCM THE NOME TO
150E P00. SHALL E EQUIPPED 401)4 AN ERT ALARM 0011311.10 3111 01. 2017
THAT HAS A MAMA' 50110 PRE89SE M1N0 OF 06 DBA AT 10 FEET
( TM 1DOT /emu )NIL PROWfi A MVO= AMU/ WARM10
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THE 0008 AND MI SORER AM OREM. THE IMM SHALL SOUND
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THROUGHOUT 1)10 MOUE OWAM NORMAE WAKEN= ACT41iA ME HARM
SAIL E EQUIPPED MIH A MODAL 410A145 TO 1EMPWAREY DEACTIVATE 111E
ALMA FOR A WOE OPE140. 5101 DEACTVA1101 MOIL NST NO MORE
MAN 15 BECOME 111E OEAOTVA1101 MOH SHALL 51 LOCATED AT LEAST 54
N O0ER 1372 W) ABOVE TE 11R1a195 0' TE 0001. SEPARATE ALARMS
AE NOT INDUEL FOR EACH DOOR W WIDOW F SEN90RB (BRED 7O
CORRAL ALARM BOND MORN CONTACT A BROOM AT ANY OPENING.
EX EPTIO %
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eon (1210 MM SORE MEWUMED FROM 111E NiWOR FEARED FLOOR AT
E %WIDOW FARE TIE P00. ON FLOW AB01E THE FIRST 01113Y.
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(1087 IY) 01 1419404 MM A COUNTER OEEAIN.
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84001.17.1.12 THROUGH 54001.17.1.14. 0040 ME LADDER W STEPS ME
SECURED. LOCKED OR REIMOVED, ANY 09W0 MATED WNL NOT ALLOW THE
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TE WATER. SUFFICIENTLY AWAY FROM ME VOTER'S EDGE WALL LEAN NO LE=
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ENCLOSURES. WHEN USED A5 PMT
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STRICTURE. EMINENT. OR W0100W THAT OPENS TO PROVIDE ACCESS FROM TE
110410 10 THE SMMMNO P00.
ADJACENT WATERWAYS. PEMANENT NATURAL 01 P004419IT MAN -NAGE FEATURES
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TO
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BARRIER =CURIO. 1110 0401)40117 MAY PENFDM 94-STE 3404011)915 AND
1. 1E BARRIER FEATURE I8 10T 5USE0T TO NATURAL 0W1415. Dfl1110Ne. 01
ALTERAICN1 ANO A CAPABLE Of PR0VCN0 M EQUIVALENT 10141 0 PROMDCN
AS THAT PROVIDED BY THE OCE •-
2. THE BARRIO FEATIME CLEARLY IMPEDER. P59301 OR RESTRICTS ACCESS TO
111E meow P00. W e'5.
0)0011140 4FT NON
CAIN LINK FENCE
ED5TIN0 4FT HIGH CHAN LINK
50040E k DOUBLE GATE MM SELF
CLOSING AND SELF LATCHING
DEME. W,&00( DEVICE 0 54'
FROM GRADE REVEL (CENTER POST
SET PERMANENTLY)
DOS11N0 150 AMP.
0E0TR001 PANEL 'P'
1073511110 200 AMP.
MIN DISC
COSTIN0
ELECTRICAL METER
COST1N0 U.G.
ELECTRICAL SEANCE
EXISTING SEPTIC TANK
COSMIC DRAW FIELD
EXISTING
WATER UNE SERVICE
cipj1.c•ice S.7 /7/1/4,%72-
- lV5.fti Aclov 11p--
-19v-e__
01A1N UNK FENCE '
_125.57__
_ 3.5_•L'OM�S7BlLON
P ROVIDE REMOVABLE 0160 BARRIER
AROUND POOL.
5TH EDITION (2014) F1C-2014
144501.17.1.13
COD FENCE PERIME104, 125.5'
CHILD FENCE MUST BE PLACED NO
1E55 THAN 20' FROM WATER EDGE.
N01E: ONE POST SET PERMANENTLY.
AND GATE 16131 Lo= DEVICE • 45'
FROM POOL DECK LEVEL, FOR MORE
INFO SEE POOL SAFETY DEVICES
(MEET 1)
EXISTING WOOD PERGOLA
UNDER ROOF EWE
P OOL EQUIPMENT
EXISTING
SUB -PANEL 125 AMP
COSTING 4FT NON
CHAIN UNK FENCE
•• ••• • •
•
DRIVEWAY
124.67'
COSTING 4FT NIG( CHAIN UNK FENCE k
DOUBT GATE MTH SELF CLOSING AND SELF
LATCHING ONCE. W/LOCK DEVICE O 54'
FROM GRADE LEVEL (CENTER POST SET
PERMANENTLY)
IMP
NO nVIEWEB
h Mia1. �J
Florida Healtmi-•Dad - • unty
Miami Shores Village
oa
APP
BY
DATE
O.c T Q S. &Weil Pro ram NE 92ND STREimm
an
• [ ••
Applicatipn NQ.• •
• • •. •-
Date: ••• \ - �._ 1. •_•
LEGAL:GOLDEN GATE PARK ADD PB
11-1v, lnr •
LOT 97E 124.880 X 140
• • • •OR 10479-07)3 0140001100 • •
• • • • • .
• • • • • • • •
• • • • • • • • •
• • • • • • • • • • •
••• • • • ••• •
Signature
SITE PLAN
1WO,"•1Vd
EPL
BLDG DEPT
N
IA/7
SUBJECT TO COMPLIANC TH ALL FEDERAL
STATE AND COUNTY RULE ND REGULATIONS
811§O
SHEET:
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