BP03-1628Phone #
MIAMI SHORES VILLAGE `f\t
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date -'
Type Insp'n 1`� 1 0 is 1 V .Q
Permit No. oe7003 162 p
Name — ' CA rd t `\Y I' tidAd
Address ✓(l ' NE q i S4-
Compan Ocsoae
Inspection Date
Approved
Correction
Re- Insp'n Fee
3-11cildt.4
BUILDING
PERMIT APPLICATION
FBC 2001
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
$ Value of Work For this Permit ) S
Submittal Fee $
Total Fee Now Due $
(Continued on opposite side)
35
1V11 d.I 1 1 1 31101 CS V 111 d g c
Building Department
10050 N.E.2nd Avenue, Miami•Shores,'Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No c�( Qo J 1 Lag
Permit Fee $
S P-viv-e
\\, 1E, 1
Mechanical Roofing
/Owner's Name (Fee Simple Titleholder) kiC1l t%K✓ (' (e f)hit` I c? Phone # 3!_5,S__ - )S ) 1
Owner's Address 3 (..,c) c) I,) ) E 9 (S' t Si cs"
/
City ► ' l V P^ ( S hd \P State rL-- Zip 3 3 13#
Tenant/Lessee Name Phone #
Permit Type (circle): 4ildin Electrical Plumbing
County Miami -Dade
NO y
Master Permit No.
Zip
Contractor's Company Name Phone #
Contractor's Address
City
Qualifier
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Type of Work: ddition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
I
Describe Work: e Qi S /a y\ -'P (Y" . S IN -i4 l + l/1'` L S\ ' 1 ( "'� (tla
t1 r c ID (kr 1 k: • j a ( ll , C-ir, , rnr_
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
35 !
CCF $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
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.
. Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 _ , by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of ,20�by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
* ******************** * ******************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
APPLICATION APPROVED BY:
******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Chc 10/14/03
a-/Aer—; /7h,-
*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
8 200k
Plans Examiner
Engineer
Zoning
RKWAY
NO I.
CL •
8
cn
s.
5 8I C, WALK 75. Q0TR &M)
A/C
GRANITE 43.30'
PORCH
WOOD ROOF
. ONE STORY RESIDENCE
360
GRANITE
STAIRS
CONC,
J AL K"
15.30' ASPHALT
6.7' GRASS
.05
71
)oZ
/
STAIRS
tri
10
PLANTER
7 12.4'0'
0'
7.05'
F.I.P 1/2"
tt. p NO I D
. . u . r � r,‹
C
•
a>
x-50'
CL
`150.000'
M i a,
PP p4 O 'Z+
.1 w
"�-- 1,0220h, &
- �rnin9vL
I
B.C.
F.I.P
NO I.
(SSA)
-0)21
�1
As - 0nokn, a.,
a -.7. - s ate► `'
et 'F
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0
RICHARD J. MEllNHOLD
360 N E 91st Street
Miami Shores, FL 33138
For
ACH FIT 067006432
':06 ?00643 2': L09000 7 7 3 59 L8n
1392
1161 4 2-co- BRANCH 00901
teLJ
L392
MIAMI. SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 1 , 0 Time
�y.e Insp'
-rcC: ,o4 \O fl
Permit No.
Name /�, ►� C
Address 3 O E GI 5#
Company
Phone #
For Inspector: )1 P.1
Approved
Correction
Re- Insp'n Fee
Name & Date
Permit Type (circle):
BUILDING
PERMIT APPLICATION
FBC 2001
Building
Owner's Name (Fee Simple Titleholder) i\T C l4 4 C.O /'' 1= ti it O L Phone # SOS ` ;' 7_.3 � �l 1
L 3 • 3cla g 1067
Zip ;3 138
Phone #
Owner's Address 3(7 C) N E. (list St f E'2 'f
CityM t ct r t 5IA c3 rr
1 State 1' C
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Miami Shores Village
Building Department
Electrical Plumbing Mechanical Roofing
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City
Type of Work: ['Addition
Describe Work: j .4e. f V ! t' v_
t ur ic, .
County Escrow Fee $
Education/Training Fee $
Code Enforcement $
$ Value of Work For this Permit X 2-300 .00
rte {'
County Miami -Dade
NO Y•
Number of: Bays Stories Families
'err 1 .,�
Permit No.•9 1 ) :: :W
Master Permit No.
Zip ;53 l�
Square Footage Of Work:
Bedrooms Baths
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Phone #
State Zip
l aAlteration ['New Repair/Replace ❑ Demolition
Zf --ziock,k 5 we,tI Le) fit '1 ac s ph (,J
* * * *** * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * *** * * * * * * * * * * * * * **
ISO Permit Fee $ '? Notary $
• (p 0 Tech $ 2. 0 Scanning $ 3 • n O Radon $
Bond $ Struct. $
S .o0
Minus Plans Check Fee $ :" ) Total Fee Now Due $ (Continued on opposite side)
t i lt C3
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.
Signature
Ownff or Agent
The foregoing instrument was ac owledged before me this 10
dayof(�(� ,20.,13, by lCM > hnl(
who is personally known to me or who has trdu q
As identi #aa t,
>. �� 113 ���
NOT ';r C, = ^.; Expires:
Bonded Thn
Sign:
Print:
My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** . i *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc7/7 /03
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of ,20_,by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:.
Print:
My Commission Expires:
OCT : 2 0 20 03.
Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10 /21/2003
Applicant: RethsfatrD 7 lC / i I&.O
Owner: FREBC—RICK Iihe l4
NE 91
JOB ADDRESS: 360
Contractor
Local Phone:
Parcel # 1132060190210
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2003 -1628
PR€BE —RICK MP aA)O let)
AL
ST
Contractor's Address:
Legal Description: 6 53 42 EL PORTAL
Signed: (Contractor or Builder)
BY:
Page 1 of 1
PB 9 -101 LOT 4 & E1/2 LOT 5 BLK 2 LOT SIZE 75.000
Fees:
FEE2003 -6253
FEE2003 -6259
FEE2003 -6260
FEE2003 -6261
FEE2003 -6262
FEE2003 -6263
FEE2003 -6264
Description
Notary Fee
Building Fee
CCF
Scanning Fee
Training and Education Fee
Technology Fee
Builders Bond
Total Fees:
Amount
$5.00
$100.00
$1.80
$3.00
$0.60
$2.50
$300.00
$412.90
OCT 84PAID
Total Fees: $ 41 9
Total Receipts: $Vr.U�
3 (02.ci0
Permit Status: APPROVED Permit Expiration: 4/7/2004 Construction Value: $2,500.00
Work: REPLACE EXISTING SIDEWALK TO ENTRANCE & DRIVEWAY WITH BRICK RE -COAT SWELL WITH NEW ASPHALT
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 responisibility for all work
done by either myself, my agent, servants or employes.
(03
o z
0
10.00'
/STAIRS
PLANTER
22' PARKWAY
0, 4
CL
11 70'
1 9.90'
1
NC
WE 91stSTREET
8 21 WALK 75. &M)
. 6.7' GRASS
GRANITE 43.30' 12.40`
PORCH
WOOD ROOF
Or iE STORY RESIDENCE
## 360
GRANITE
STAIRS
16.05' ``
17.00' ASPHALT
S/ Sb an'' ,9 7
10.00'
7.05' ,.10.05'.
CL
CO
Cl
Tee—
Miami SIiores VilLge
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 - 2207
Fax: 2051756 -8972
pRIUEIthVI
A P PR o>i-cti
•
/ ,, COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, 1 t c I .J T Nh 01 iereinafter referred to as the Owner of the
(owner)
following described property: 2_®_r a ke k C d- 1/2_ 6_6 (....6.71 s B /U cJ{t, I � � o
Legal description /folio #: e,C- P'& f �-'C n l
Lot °f' 92.. Lt S Block a Subdivision
Tax Folio R: // 3206 -0l _Oa1D
requests permission to install:
M Asphalt, concrete, brick pavers 1" Q..GO
Landscaping
[ ] Other c
within the public road right of way of 3 GO I v fL qt C+1
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
1. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may rise by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the
item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all
costs incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and
shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDG this day of
A `
SIGNED. SEALED AND DELIVERED in the presence of:
pins: Jul 13, 2007
Bonded Thru
Atlantic Bonding Co., Inc.
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, j?, en J Me,ih�(4oes hereby attest that the
(property owner)
attached survey, performed by
performed on
3,
. /0 v is an accurate representation of the existing conditions and
survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
Witness(sign and print)
1 0RS
ame of surve • is com any)
Witness(sign and print)
SWORN TO AND SUBSCRIBED bee me this 10 day of 0_,1
Affiant is personally known to me, p
uced
as identification.
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION
BY
DATE
•
ZONING •
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to contpliance rrtt t en Federal, State,
County. Vi lage reties End regulations, YHiage assumes
no responsibility for accuracy of /or mutts from
these plans.
2. This copy of plans must be available on
buffeting site or no inspection vein be conducted.
DATE ZONING
8 d boo mac
CRITIQUE SHEET
JOB ADDRESS _ " 5 /
APPLICANT
PHONE #
0 //``
APPLICATION 0 l VFW e1( A1V
SHEET OF ,..
MISCELLANEOUS
COMMENTS
° F L/
ve w a tau 4u
INITIALS