CC-08-2050Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
10601 NE 6 Avenue
Miami Shores, FL 33138-
Owner Information
PETER CARUSO
Contractor(s)
IVY H SMITH COMPANY
Phone CeII Phone
(305)257 -0222 (305)222 -8237
Approved: In Review
Comments:
Date Approved:: In Review
Date Denied:
Type of Construction: AT &T POLE LINE
Stories:
Front Setback:
Left Setback:
Plans Submitted:
Certification Date:
Bond Return :
Occupancy Load:
Exterior.
Rear Setback:
Right Setback:
Certification Status:
Additional Info:
Classification: Residential
Fees Due
Total:
Amount
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 foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Monday, December 15, 2008
Address
Expiration: 06/13/2009
Parcel Number
1122310120020
Block: Lot:
10601 NE 6 Avenue
MIAMI SHORES FL 33138 -2051
Phone
Applicant
PETER CARUSO
Available Inspections:
CeII
Tie Beam
Termite Letter
Inspection Type:
Final PE Certification
Window Door Attachment
Slab
Framing
Store Front Attachment
Insulation
Drywall Screw
Window and Door Buck
Ceiling Grid
Fill Cells Columns
December 15, 2008
Date
1
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle):
Building
Owner's Name (Fee Simple Titleholder)
Owner's Address bypnT p t
FL . Zip 33138
Tenant/Lessee Name Phone #
City M )4M1 S k rtS State
Job Address (where the work is being done)
City Miami. Shores Vill. . e
FOLIO / PARCEL #
Is Building Historically Designated
Value of Work For this Permit $ 5t C
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Master Permit No.
Electrical Plumbing Plumbing Mechanical Roofing
'b' W Phone #
10 (o 01 ME. (074 X4-1/
6tor Dt lofonl ive L-rG. 4 i
County Miami -Dade
YES NO
['Alteration ['New
Contractor's Company Name .T 7 44. Sm 1 i-t .Phone # 3o Z Jr7- D22 Z
Contractor's Address 111 00 :,u) 222nci S*
City /!1 i 4 flit State Fl • Zip 331'70
Qualifier Name k1.(' Phone # .31)- 2Zz,- a 74t%
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) ()1 I GeL 4. Comas
Permit Na QQ2Oyj
Zip 33138
Phone # 3o45- 22Z- 8 kg
zjCa y 775-p
1 ao r�
BY: _.1/\: `®'-
Square / Linear Footage Of Work:
❑ Repair/Replace ❑ Demolition
Type of Work: [Addition
Describe Work:
A 11 i s add & n Gold i -ri arIS Mil in NE G
1 f i n2 . See, tie ) old " 1. in , �y
Submittal Fee $
Structural Review. $
* ***** *** * * * * * ** * * * * * * * * * ** * * * * * * * * * * * *F s *** *** ******* *** * * * * * * * * * * * * * * ** ** * ** * * * * * **
Permit Fee $
low
CCF$
Total Fee Now Due $
CO /CC
Notary $ Training/Education Fee $
Scanning $ Radon $ DPBR $
Bond $ Code Enforcement $ Double Fee $
Technology Fee $
Zoning $
See Reverse side -*
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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.
day of , 20 , by , day of
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
7/6 • "
Signature Signature
Owner or Agent W Co g' Tor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this) .0 T7
NOTARY PUBLIC:
My Commission Expires:
006 by M 1kVa effmtg
r who has produced
as identification and who did take an oath.
Plans Examiner
Engineer
Zoning
THIS PERMIT REQUEST IS FOR THE APPROVAL OF THE PLACEMENT
OF AN AT &T 40FT, CLASS 5 POLE TO BE PLACED ON THE EAST SIDE
OF NE 6TH AV, BETWEEN NE 106TH ST & 107TH ST.
THE POLE IS IN LI NE WI TH THE EXI STI NG POLE LI NE, AND I T' S
REOUI RED TO REDUCE THE SAG OF THE AERI AL FI BER CABLE,
I N FRONT OF CUSTOMER' S HOMES. THE FI BER CABLE I S BEI NG
PLACED IMMEDIATELY AFTER THE POLE I S PLACED. THE FUTURE
PROPOSED FI BER CABLE WILL SATISFY A BROADBAND SERVICE
REQUEST FROM MI AMI COUNTRY DAY SCHOOL.
11/12/2008 4:41:16 PM
EOP
EOP
NE 106th St
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NE 107th St
35'
101'
R/W
10653
NE 6th Av
PL
10601
NE 6th Av
PERMIT ##a d °2C5
APPROVED
ZONING DEPT
BLDG DEPT
/I
� 2
BY :"
Miami Shores Village
BY
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
Exchange:
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
Miami Shores Village
Phone:
A TTSE
F- 10601 NE 6th Av
Miami
305 - 222 -8748
Authorization:
8MP05194N
Designer:
Gomez, Miguel
Dwg. 1 of 1
DATE
Inspection Number: INSP- 119268 Permit Number: CC -11 -08 -2050
Scheduled Inspection Date: July 14, 2009
Inspector: Bruhn, Norman
Owner: CARUSO, PETER
Job Address: 10601 NE 6 Avenue
Project: <NONE>
Contractor: IVY H SMITH COMPANY
Building Department Comments
AT &T IS ADDING AN ADDITIONAL POLE IN AN EXISTING
NE 6 AVE POLE LINE. SEE ADDITIONAL DETAILS
ATTACHED PERMIT SKETCH.
Passed 40(..-, r
Failed
Correction
Needed
Re- Inspection
Fee
Miami Shores, FL 33138-
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)7564972
Inspector Comments
For Inspections please call: (305)762 -4949
Permit Type: Commercial Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1122310120020
Phone: (305)257 -0222