REV-18-3592BUILDING
PERMIT APPLICATION
❑ BUILDING ❑ ELECTRIC
nPLUMBING ❑ MECHANICAL
Miami Shores Village
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 (_:�W
Master Permit No. -V I - 23 6 q
Sub Permit No. `' l - 3sgz
❑ ROOFING REVISION
r
❑ PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
❑ EXTENSION [-]RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
JOB ADDRESS: �� ///L„- /GJ '5/—
City: Miami Shores County: Miami Dade Zip: -3-3ISK
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: ^Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): /► ����(%�!%J�� \ Phone#:
Address: 57-) <5- Al IZ
City: /1 la%tl SA'ot'-' State: �L: Zip: ..3ITZ:21
Tenant/Lessee Name: Phone#:
Email: 11ZCWWe 1 ¢ C,°zi/ s Com
CONTRACTOR: Company Name: &2Y IZs C Phone#:
Address: W City: /t% S ate: rrrr Zip:
c
Qualifier Name: 0 ..r �'I`Fd'ne#: <</,3 �o
State Certification or Registration #: CC C/ JG Certificate of Competency #:
DESIGNER: Architect/Engineer: / C/L ��L Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New / ❑ Repair/Replace ❑ Demolition
Description of Work: ewW ild l lr ��A &&14 ii A
IV
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 $ f�(�
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Z
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Zip
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 ven (7) days after the building permit is issued. In the absence o such posted notice, the
inspection will not be oppr ed and fir�e will be charged.
Signature
nature
OWNER or AGENT
CONTRACT
The foregoing instrument was acknowledged before me this
The foregoing instrument was acknowledged before a this
— day of peceti, C�y 20 tVJ by
_ day of —Qf—CQ(gWV 20 by
JWhd IJaW(5(-)kVP who is personally known to
JE& -( 4d C" 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: P60A
Sign: 61A &4&
11L V(1
Print:
Print: l
Seal' ;•......
t +� r:, ANA LUISA PARRILLA
Notary Public
°;.lk� r, 'I • ANA LUISA PARRILLA
Seal: s ;
�f Notary Public - State of Florida
- Siate of Florida
•_= Commission # GG090452
• «•� • ` Commission A GG 090452
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My Comm. Expires
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: My Comm. Expires A r 21, 2021 P
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RondedthroughNatfonalNolaryAssn.
Ifonde hr
**********
APPROVED BY _ �l(u�� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Dowson Kitchen Renovation, Miami Shores, FL 33138
5391 NW 32ND CT.
MARGATE FL 33063
PH. 954.599.8184
December 1, 2018
Inspector/Plan Reviewer
Miami Shores Village, Building Department
10050 NE 2nd Ave. Miami Shores, FL 33138
305.795.2204
Subject: Project Name: Dowson Kitchen Renovations
Project Location: 289 NE 102nd St. Miami Shores, FL 33138
BDA Project Number: 1-124A2
Architectural Supplemental Instruction 01(ASI 01)
The following is a summary of the changes to the approved Construction Documents for the above project. Rtfer
to enclosed partial floor plan sketches for more information.
......
1. Sheet A101, Detail 3: �•�•��
••
��•��•
a. Eliminated sink from kitchen island. ....
....
......
. .
b. Swapped locations of the kitchen sink with the dishwasher •.... •
•.... 0
.....
c. 3' door between kitchen and family room removed/changed to framed opening • •. •.
. •. •
. • •. •
.. ..
....
......
2. Sheet A201, Details 3 & 4: • • •
•
. .
....
......
a. Eliminated island sink from kitchen from interior elevations.
. . . .
.
b. Swapped locations of the kitchen sink with the dish washer. • • •
• • •
•
c. Raised top -of rough -opening at sink between kitchen and family room to match field condition' •
34, Sheet P101, Details 1 & 2:
a. Eliminated sink and piping from kitchen island.
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b. Revised sanitary isometric to reflect update plans and fixture locations.
ry
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Q �ccam' -Z2:,G_�
Village
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u13.11 cT I l;O'V PI IiWCE W(I'H Al f L l)I i {!11_
1 A I i A'.1(ntINIYRlllESAND RNGUInlIONS
1
Sincerely,
Bruce D. Davis, RA, LEED GA
Owner, BD Architect LLC
Date: 12.01.2018
LL-Wil
Dowson Kitchen Renovation, Miami Shores, FL 33138
13'-0"VIF
i
KITCHEN o
r
3 A201 • •'
1
3'-5" 14'-0" 3'-0"
30S •.••
, STOVE hMW •
300 00 i 306
IRE S0 • � •
•• •
� I 1
a Azo1 2
C� z - 0" llllilYll
PARTIAL FLOOR PLAN 3/A101
z
5391 NW 32ND CT.
MARGATE FL 33063
PH. 954.599.8184
Dowson Kitchen Renovation, Miami Shores, FL 33138
5391 NW 32ND CT.
MARGATE FL 33063
PH. 954.599.8184
•..
3 KITCHEN «����•�ISLAND
3/8 = 1 -0
ELE� trioN 3/A201.'.
4 KITCHEN - WEST
ELEVATION =4/A201
3
Dowson Kitchen Renovation, Miami Shores, FL 33138 Bu
ApIcFaitcr, tic
5391 NW 32NO CT.
MARGATE FL 33063
PH. 954.599.8184
CABINET, TYP.
KITCHEN \.
I
EXISTING VENT
TO ROOF TO,�...-.._... REMAIN
�I €€
3' 3' iSf ) • • ••••••
i. REMOVE EXIST. PLUMBING FIXTURES I i • i _ •
2. REMOVE SANITARY LINES TO MAIN AND CAP TIE INTO EXISTING ' - • • ' • I • • •
REQUIRED. (FIELD VERIFY LOCATION) SANITARY "" ( • •
••••"•Y •• ••••••
2. RE EXISTING SANITARY
HOT AND COLD WATER PIPING I AAV 1" •
MAINS AND EXTEND TO NEW FIXTURE DW • • • • • • WATER • •
LOCATIONS. BRACE TO STRUCTURE. PER FBC WATER TI(ffJtiOlf • •
PWa REQUIREMENTS. I e • • • • • •
FAMILY ROOM GOOD*••••: ••• •••••
•
•••••• • •
-------— — • • ••••••
} •• • • \,
EXISTING 4" SANITARY. • • • � • •
CONTRACTOR TO VERIFY • • • • • • • • •
SIZE AND LOCATION • • • • •
PARTIAL FLOOR PLAN 1/P101
PLUMBING RISER DETAIL
(GG TO FIELD VERIFY AND CONFIRM EXSITING ROUTING)
SANITARY ISOMETRIC DIARAM
NTS
ISOMETRIC DETAIL 2/P101
4