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POOL PERMIT
MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date n /Z q f 05 Type Insp'n lC1O /me Xpec- Permit No. ?LO60S - / 3/ Name ►V 0/5T > Q h0a2 Address 3E0 E' 1 S 7 Company Ca( (D . Phone # 3005 J q L s2 Inspection Date 0i D ( I a 01/ Approved Correction ❑ Re- Insp'n Fee ❑ vie 3 +5 c/ . � IAMI SHORES VILLA '� n BUILDING DEPARTMENT f1, f J 305- 795 -2204 Building Inspection Request Date - 7 18 ICE Type Insp'n 1 t N(A4 _. 1PC1::)I-- Permit No. IBC Name aiet4t4 V4 c__.s - r N Address 380 I -- "T" Company CAL CALL-- CM Phone #C ) — 88O N / cc t Inspection Date J /» Approved Correction Re- Insp'n Fee ❑ / te__,° 'as n/ox. ..e k'.v de ' 7 .iA1 li A. akfES VILLA QS' Rh BUILDING DEPARTMENT v 305- 795 -2204 Company Phone # Building Inspection Request Date g J aDj oJ Inspection Date Approved Correction Re- Insp'n Fee 8 31 0 Type Insp'n "r 1 n::) / Vc 1 Permit No. ELO5 — 186 Name y I n CVo l 5-fen hoI me Address 380 9 ( S r On Co I I ■ CO, l (7&,)388 - w) 71/ Ca I I be fc jo 0 , -/' i e /e' e2l - L®deg4 .5 e �1 3413 s1, b MIAMI SHORES VILLAGE ` raj BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date S 11 1 Type Insp'n 12ic 9-col Permit No. E ) DS °t Name 6rrorl . Address 6.FJO Nff 34- Company Phone # Ji Approved Inspection Date Correction Re- Insp'n Fee ❑ c co 13 70 3 / 2- 1 c/41 ,®4PL Y� f 0/r- I® Per - `�� Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2005 -186 Printed: 6/22/2005 Applicant: BRIAN WOLSTENHOLME Owner: WOLSTENHOLME BRIAN JOB ADDRESS: 380 NE 91 ST Contractor ON CALL ELECTRICAL CONTRACTORS INCContractor's Address: Local Phone: Parcel # 1132060190200 Permit Status: APPROVED Permit Expiration: 12/3/2005 Construction Value: $600.00 Work: POOL AND SPA ELECTRICAL Signed: (INSPECTOR) Page 1 of 1 Legal Description: EL PORTAL PB 9 -101 LOT 3 & W1/2 LOT 2 BLK 2 LOT SIZE IRREGULAR Fees: Description Amount FEE2005 -8574 Building Fee $225.00 FEE2005 -8575 CCF $0.60 FEE2005 -8576 Training and Education Fee $0.20 FEE2005 -8577 Technology Fee $5.62 FEE2005 -8589 Scanning Fee $3.00 Total Fees: $234.42 Total Fees: $234.42 Total Receipts: satro 14.42 . JUN 2 3 PAin 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. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Buildin ,,. E1 t tc 1 Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) - WO S "1 -- p_1.) Phone # Owner's Address C City State L. Zip 1 Tenant/Lessee Name Job Address (where the work is being done) 3%0 )0 E 0 l s City Miami Shores Village County Miami -Dade Zip . 33 ) 3 a Is Building Historically Designated YES NO Contractor's Company Name B Otis C.1 Contractor's Address °7S a: t . City V- 1 Qualifier V• -t.s t t 5 $ Value of Work For this Permit Describe Work: Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Phone # State State Certificate or Registration No. C-6t.:.‘ 1'/ . � Certificate of Competency No. Permit No. E L 0 C ) a-3 Master Permit No. Phone # '".'� - Zip 37L Architect /Engineer's Name (if applicable) Phone # Type of Work: ❑Addition ElAlteration New ❑ Repair /Replace ❑ Demolition Sf Square Footage Of Work: e cr cp( Submittal Fee $ �© Permit Fee $ .7 4°4 CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ D-(02. . Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 3® Bonding Company's Name (if applicable) 3 t+ Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 0- f 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. 1 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: 1 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 pproved and a r inspection fee will be charged. Signature_ Owner or Agent The foregoing instrument was acknowledged before me this 3 day of 3 who is person NOTA Sign: Print: c wn to m i: r - s, ATE O;. L ORIUA ' MISS∎O �� : }10 2 ., My Commission Expires: C'O�.i � �� : i �. Di.,,,osv'' I•da C01‘4i:•:1:.CION EX?. APP.. +1,20% APPLICATION APPROVED BY Clic 05/13/03 Signature Contractor The foregoin instrument was acknowledged before me this_ QS AID,A OD o iS e._ me_day of , 20C by re, V t 1 1 t e, r who has produced tific. and who did take an oath. a• NOTARY PUBLIC: Sign: Print: who is personally known to me or who has produced as identification and who did take an oath. ZORAIDA MELENDEZ Y COMMI • k DD 107200 a: Ap'd J, 2006 G no_: 1 Tnm Z une: 14; 8';', A �.` My Commission Expires: ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Date m loo 4o5 Z 41 o MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp'n I1(AlVI d�fCttvl p001 � Permit No. Pi— �)5 - l 8/ Name VICM eAkk 1PIIe, Address 3 S6 C (1 ST Company l tt I yp 5 � // 'i , co. Phone # 305 (/ —t, g168Z Inspection Date Approved Correction Re- Insp'n Fee tit Address Phone # Inspection Date Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date TypeInsp'n Gole3 ®c(\ Permit No. oe o (40/a z_ 1G3 Name w VW5I 3bO NSE C I 1 5 Company C)C1-) rQ,, Miami Shores Village BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) RN M '' (,15 1 ,L,A W C' W Phone # ( ACS) ' I 5\ > ) Owner's Address 3 C fJ Q Gi 1 `'i ti it t (k, r-i i kti� State 1' I Zip 3-513, City �'�' Tenant/Lessee Name Phone # 0 Ni CI 1 s,ea- Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name a Phone # Contractor's Address City Qualifier S Value of Work For this Permit Type of Work: Describe Work: State 'COG. G " ['Alteration A l( 5c c k�� d rei,j 0 Nc_ Submittal Fee $ .S Notary $ Scanning $ b "— Code Enforcement $ s^ Total Fee Now Due 1-5Ti 36 (Continued on opposite side) Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. P Master Permit No. County Miami -Dade Zip NO �> Zip Architect/Engineer's Name (if applicable) Phone # ]New Square Footage Of Work: ['Addition � ttiL _j Repair/Replace 1.v15-tail C brah2t CO/cr 1Zct1A aski l_ren ' ft5 ��4hL obi . w i 1 - t w 1lh 104:ei4: tv.c, uJ (n . 11A k-6 . ( ern.¢ 5 t Q . I * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ /00 CCF $ j Training/Education Fee $ � a 0 Technology Fee $ RI 0 Radon $ _ Bond $ Structural Plan Review. $ ❑ Demolition •Ylc: _1 / wok, Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Signature NOTARY Sign: Print: APPLICATION APPROVED BY: Chc 10/14/03 State 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 CONDMONERS, 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. - Owner or Aga"- Contractor The foregoing instrument was acknowledged before me this _ The foregoing instrument was acknowledged before me this day of r1.1 f , 200y, by /`�i /Air/0 /4i W P // /',,1d d ey of 20 by ' who is personally known to me or who has produced V 0 L who is personally known to me or who has produced identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: ;,:;)TAR SEAL i =, iYS.1VIL ^ ✓� Sign: +!s_;ICNNUM3EF { Az�, nna Print: mm ,, v , _ VMISSONEY.PIRES My Commission Expires: c; ` , +,�o,� My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** FEB 10 2004 zit/ r�'�c" 4r , r Signature A • Zip Zip Plans Examiner Engineer Zoning 1 • VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE .STATEMENT I A 1\3{1k" U • VL LA Q Nie being the legal property owner, for the property Located at: r "l 1 M L J LL4 F� Legally described as . Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),And I have read and understand the following disclosure Statement, which entitles me to 'ork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contactor even though you do not have a license. You must supervise the constriction yourself. You may build or improve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility•to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) Was acknowledged before me this By W iIS Produced Owner BUILDING DEPARTMENT DISCLOSURE STATEMENT initial of reviewing clerk. The foregoing instrument day of , 20D y who is personally known to me or who has as identification and who did take an oath. OFFiC1AL NOTAr; GLADYS J V1LLP S • .iC. // , ,y cOMP!ISSIO NU :4 7. N vlPfi •=1: DD0�10 COV l F OF � _, _ WAR - 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, attached survey, performed by Further, Affiant sayeth naught. i i'�iar�rci _ Chore6 1 - tit t 1/do h"eTeby'attest that the (property owner) / I-10 � UIZUQ oY (name of surveyor's co performed on I a I 0 2 , is an accurate representation of the existing conditions and (date of 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.. Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before Is `7 day of Q t✓ 0 Affiant is personally known to me, produced ,o / 1 k A 1 - f • • tification. d I . I 4 ; fl 1' ‘ „F r • 1.0 j ti ( f. . , -•":" • it _Al 11 6s v:Rth art -r, surre =sor 34128 (305) 264-2860 FAX (305) 2840228 4 ijppa urueipui LAND SURVEYORS SURVEY NO SHEET NO 2- -l-/0S4. OF 2 - BOUNDARY SURVEY Scale 1 = 0�k - 3 y j 3 / . h1e1y091- : I ;091 11 !b 15 F t li ' - ( - 6 19 1 ?b - - 413 I . 91 1 14 to /1 9d ' /6 I^. I ti . .a 11 !b 15 F ! - 17 - 7 IS - ( - 6 19 1 ?b - - 413 I . 91 1 - to /1 9d ' IS /A ' 1 5682 N.W. 7th STREET. SUITE 202 MIAMI FLORIDA 3 TELEPHONE: (305) 284-2660 FAX; (305) 2644322S ORAINN BY SURVEY No SHEET NO Survey of Lot : West ' /z of Lot 2 and all of Lot 3, in Block 2, Subdivision: EL PORTAL i ; According to the Plat thereof as recorded in the Plat Book No 9 A at Page No. 101 of the public records of MIAMI -DADE Counti- Property Address: 380 NE 91 ST, MIAMI SHORES, FL 33138 For: BRIAN D. WOLSTENHOLME A = ARC. A/C . AIR CONDITIONER PAD. A.E . ANCHOR EASEMENT. ASR . ALUMINUM ROOF. A/3 = ALUMINUM SHED. ASPH.. ASPHALT. 8.C.. BLOCK CORNER. BLDG.. BUILDING. B.M. BENCH MARK B.O.B.. BASIS OF BEARINGS. C.. CN.CULATED. C.B.. CATCH BASIN. C.B.S. • CONCRETE BLOCK STRUCTURE CBW . CONCRETE BLOCK WALL. CH. = CHORD DISTANCE CH. B. CHORD BEARING. CL = CLEAR C.LF.. CHAIN UNK FENCE C.M.E • CANAL MAINTENANCE EASEMENT. CONC.. CONCRETE. C.P.. CONC. PORCH. C.S.. CONCRETE SLAB. D.E.. DRAINAGE EASEMENT D.M.E. . DRAINAGE MAINTENANCE EASEMENT. DRIVE. = DRIVEWAY. o . DEGREES. E.. EAST. E.T.P. = ELECTRIC TRANSFORMER PAD. ELEV.. ELEVATION. ENCR..ENCROACHMENT. F.H. = FIRE HYDRANT. F.I.P.. FOUND IRON PIPE. F.I.R. . FOUND IRON ROO. F.F.E . RNISHED FLOOR ELEVATION. Nana Auntnttra Att. LAND SURVE LOCATION SKETCH . Scale 1° = /vp F.N.D.. FOUND NAIL & DISK FR. = FRAME. FT.. FEET. FMP. = FEDERAL NATIONAL INSURANCE PROGRAM. F.N. = FOUND NAIL 14.. HIGH (HEIGHT). IN. & EG. INGFESS AND EGRESS EASEMENT. LP. - UGHT POLE LF.E. = LOWEST FLOOR ELEVATION. L M.E.. LAKE MAINTENANCE EASEMENT. • = MINUTES. M . MEASURED DISTANCE MON. = MONUMENT. MM.. MANKOLE MIL = MONUMENT UNE. N.A.P. . NOT A PART OF. NGVD= NATIONAL GEODETIC VERTICAL DATUM. N. NORTH. N.T.S.. NOT TO SCALE. * - NO. =NUMBER. GUS. = OFFSET. OH.. OVERHEAD. O.H.L. OVERHEAD UTILTY UNES OVR = OVERHANG. O.R.B. = OFFICIAL RECORD BOOK PVMT. = PAVEMENT. PL = PLANTER. P UL. = PROPERTY UNE. P.C.C. . POINT OF COMPOUND CURVE. P.C. = POINT OF CURVE PT.. POINT OF TANGENCY. POC.. POINT OF SIT POE.. POINT OF BEGINNING. ?/ P.R.C.. POINT OF REVERSE CURVE. PROP. COR.. P ERTY P.B. = PLAT BOOK. PG. = PAGE PWY . PARKWAY. PRM = PERMANENT REFERENCE MONUMENT. P.LS.. PROFESSIONAL LAND SURVEYOR R. = RECORDED DISTANCE. RR . RAILROAD. RES. a RESIDENCE W W.. RIGHT -OF -WAY. RAD.. RADIUS OR RADIAL RP.. RADIUS POINT. REM.. RANGE SEC. • SECTION. STY.. STORY. SM. = SIDEWALK S.I.P.. SET IRON PIPE LB. *6044 S. SOUTH. S.N.D. . SET NAIL & DISK LB.46044. • SP.. SCREENED PORCH. SECONDS. • T. = TANGENT. TWP. = TOWNSHIP. U.E = UTIUTY EASEMENT. LUTfL. = UTILITY. U.P. = UTILITY POLE. W.M.. WATER METER. W.F. = WOOD FENCE. W.S. = WOOD SHED. a = CENTRAL ANGLE. W. = WEST. = CENTER UNE. 4- .ANGLE. LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENT$, IF ANY. AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICAT IONS. UMRATIONS, RESTRICTIONS. RESERVATIONS OR EASBNSYTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY GWENT OR ATTESTING TITLE COMPANY. MACAW SURVEY MEANS A DRAWING ANDWR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PES ORMED 51 THE FIELD, COULD BE DRAWN AT A SHOWN SCALE ANDIOR NOT TO SCALE. EASHMEI(TS AS SHOWN ARE PER PLAT BOOK. UNLESS OTHERWISE SHOWN. THE T E A 'ENCFCAQIMENT' MEANS VIMIELE AND ABOVE GROUND ENCROACHMENTS. ARCHITECTS $HAI.1. VERIFY ZONING REGULATIONS. RESTRICTIONS AND SETBACKS AND THEY WILL BE RESPONSIBLE OF SUBMITTING PLOT PUNS WITH THE CORRECT INFORMATION FOR THEW APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION, UNLESS OTHERWISE NOTED. THIS RRM HAS NOT ATTEMPTED TO LOCATE FOOTSIGS ANDIOR FOUNDATIONS. FENCE OWNERSHIP NOT DETERMINED. THIS PLAN OF SURVEY. HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTRIES NAMED HEREON. THE CERTIRCATE DOES NOT EXTEND TO ANY UNNAMED PARTY: THE FNVP F{AOD MAPS HAVE DESIGNATED THE HE R13N DESCRBED LAND TO BE . _ . AV ?. Al ======0: j :: r 1) IF SHOWN. BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT 114 THE DESCRIPTION OF THE PROPERTY. IF NOT, Ti-EN BEARINGS ARE REFERRED TO COUNTY TOWNSHIP MAPS. . 2). IF SHOWN. ELEVATIONS ARE REFERRED TO B.M.i ELEV OF N.G.V.D. OF 1929. 3). THIS IS A SPECIFIC PURPOSE SURVEY. 4). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. 1 HEREBY CERTIFY: THAT T}9S 'SOUNDARY SURVEY' OF TFE PROPERTY DESCRIBED NEON. AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, CO61 UFS WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 81017 -6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 47ZOR7. FLORIDA STA Vi -kg 061-s3 1BARRA (DATE OF RELD PROFESS LAND SURVEYOR NO. f2. " t STATE OF FLORIDA. (VALID COPIES OF THIS SURVEY WILL BEAR TF•£ EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). BY: Situated in Zone: X Community /Panel /Suffix: 120640 - 0093 -J Date of Firm: 07/17/1995 Base Flood Elevation: Certified to: BRIAN D. WOLSTENHOLME AND MARIA WOLSTENHOLME CHICAGO TITLE INSURANCE COMPANY AM SOUTH BANK, ITS SUCCESSORS AND /OR ASSIGNS t• t 2- 0b14856 OF Date: 12/17/2002 WOOD FENCE CHAIN UNK FENCE C.B.S. WALL (G.B.W.) EXISTING ELEVATIONS. PROPOSED ELEVATIONS. REVISED ON REVIS®ON Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/11/2004 Applicant: BRIAN Owner: WOLSTENHOLME JOB ADDRESS: 380 NE 91 Contractor Local Phone: Parcel # 1132060190200 Building Permit Permit Number: BP2004 -163 WOLSTENHOLME BRIAN ST Contractor's Address: Legal Description: EL PORTAL PB 9 - 101 LOT 3 & W1/2 LOT 2 BLK 2 LOT SIZE IRREGULAR Fees: Description Amount FEE2004 -1403 Building Fee $100.00 FEE2004 -1404 CCF $0.60 FEE2004 -1405 Training and Education Fee $0.20 FEE2004 -1406 Technology Fee $2.50 FEE2004 -1407 Scanning Fee $6.00 Total Fees: $109.30 Total Fees: $109.30 Total Receipts: : �, (3 p 0.00 2 3 o Permit Status: APPROVED Permit Expiration: 8/7/2004 Construction Value: $1,000.00 Work: INSTALL STAIRCASE RAILING. REMOVE IRON GATES REPLACE WITH OTHER GATES Page 1 of 1 FEB 1 2 PAID Signed: (INSPECTOR) 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. Signed: (Contractor or Builder) BY: ct -r 3886 IMiAMI WHORES VILLA c BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Date I 14 Type Insp'n Final \ Permit No. APO S 8 Name L U n ICrt r` Address vo O 1 " & q ` t 4 - CompanyC( C H 12 J Phone # Inspection Date Approved Correction Re- Insp'n Fee Tv' 0 MIA S H VILLAt''% BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date )J Type Insp' n r I► I i 1 Pool Permit No. 4 POS 8`1V Name LO aSIC >e)Q I lh Address 3 NE c It S+ Compan C6Icipso pool Phone # Inspection Date ° I J )4 Approved ❑ Correction Re- Insp'n Fee X all F1 1 Poo L p.Za 40 to;ji A c l cfi s Ad ms 6- . S -54 fie-g do I . Z- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date NA\ V)--'r) Type Insp'n TPOcA sTu.k. Permit No. l 1) c -u1 1�, ^ C� 1,) �'` Name '1 i*UllA vJ o J rc' � 1 We.Q , Address 60 K E \ `V Company CO kr5O T00b Phone # M U b g S Q ?D Inspection Date en la_ 0 Approved Correction Re- Insp'n Fee ZEll MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Build ng Inspection Request Date I CreD Type Insp'n 517P-21 POOL Permit No. 61 -�4o Name W�I 1) ► r✓vC_, Address 16 V N Company ( 1 0 Phone # Inspection Date I I Approved ❑ Correction Re- Insp'n Fee ❑ s -(_szei A- Yt�uAri S' lLt Pn/ite/Z, laws -t be 0.o, uo5 I rt& foa_ �T PERMIT # 51 5-8 I" CONTRACTOR: cci, p5r) p ),s SUBMITTAL DATE: ,:, ,,. j, S, PROJECT TYPE: p 5 pot. ZONING 6.1 =TIRE TIRE N bIL STRUCTURAL is/ IMPACTF S \Y u E LECTRICAL � t\ l g HRS /D (AL PLUMBING t■°.#'...9 NOC 0 NIA MECHANICAL it Al BLDG f Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/22/2005 Applicant: BRIAN Owner: WOLSTENHOLME JOB ADDRESS: 380 NE 91 Contractor CALYPSO POOL CO. Local Phone: 305 - 265 -9682 Parcel # 1132060190200 Building Permit Permit Number: BP2005 -840 WOLSTENHOLME BRIAN ST Contractor's Address: 7593 NW 8 ST Page 1 of 1 Legal Description: EL PORTAL PB 9 -101 LOT 3 & W1/2 LOT 2 BLK 2 LOT SIZE IRREGULAR Fees: Description Amount FEE2005 -8186 Structural Fee $50.00 FEE2005 -8565 Building Fee $555.00 FEE2005 -8566 CCF $11.40 FEE2005 -8568 Training and Education Fee $3.80 FEE2005 -8569 Technology Fee $13.87 FEE2005 -8570 Scanning Fee $15.00 FEE2005 -8571 Submittal Fee ($50.00) FEE2005 -8572 CO /CC $50.00 FEE2005 -8573 Builders Bond $300.00 Total Fees: $949.07 Total Fees: $949.07 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 12/3/2005 Construction Value: $18,500.00 Work: POOL AND SPA Signed: (INSPECTOR) JUN 2 3 PAID 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. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) AIL ) A LOC 1Sle to hof 1.ttePhone # 3C5 -' - 7S O -343D Owner's Address 0 L) E G ■ t City J.S) RE `> State Zip O3 3 Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO $ Value of Work For this Permit Type of Work: ['Addition ❑Alteration Describe Work: Total Fee Now Due $ A (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CC Electrical Plumbing Mechanical Roofing Phone # 3S i T .13c) State ew Permit No. Master Permit No. E County Miami Zip 133 Contractor's Company Name I i� 1 a; Phone # (306 — Contractor's Address vl Zip r - D ❑ Repair /Replace ❑ Demolition Square Footage Of Work: 430 q _ mea City Qualifier � P 1 -LO (' � I..2) - c: Z- State Certificate or Registration No. alb- 0 5' / W Certificate of Competency No. Architect /Engineer's Name (if applicable) Phone # * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** C,c, ` Rf Submittal Fee $ SL; Permit Fee $ 5 / CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ .00:5i J Code Enforcement $ Structural Plan Review. $ , O. ao Mortgage Lender's Name (if applicable) Mortgage Lender's Address Signature_ The fore NOTARY PUB IC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 P 2 L who is personally known to me or who has produced Bonding Company's Name (if applicable) Bonding Company's Address City State Zip I A City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 1 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: 1 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 COMM ENCEMENT." 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 coin : cement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In t e abse of such posted notice, the inspection will not b approved and a reinsp\ fee will be charged. wner or Agent g instrument was acknowledged before ine this r The forego) day of° i ° � �' � , , by `AkfA (A))1STQA,i )o -(e day of As identification and who did take an oath. "" rid ZORAIDA MELENDEZ - 1 -:_ MY COMMISSION # DD 107200 , 5. April 8, 2006 , i1 i1:•• Bc� 'ice Trim t'iatey Public Underwriters ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** * *** ***** * * * * * * * * * * * * * * ** * * ** * * * * * * * * * ** Signature who is personally known to me or who has produced____ as identification and who did take an oath. ARY PUBLIC: Sign: Print: W °)MZ 4/74.5" My Commission Expires: ractor cknowledged before me this 3 , 2 , by 0- RRL-cS `. IJ --zak ZORAIDA MELENDEZ 1iMISSIUN # DD 107200 EXPIRES April 8, 2006 Bo ;led Thru Notary Pubi c Underweiter Plans Examiner Engineer Zoning Date ( j C`...' Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as , located at �� O I Sr ILA o FL.. In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. ,u CONTRACTOR'S NAME ( PLEASE PRINT) . NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a new s�imming pool, spa or hot tub will be constructed or nstalled at �) I kiami Shores,. Fl., and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statutes. :please initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with•release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when po • completed for contract purposes, will constitute a violation of Chapter 515, F.S. be - nsidered as committing a misdemeanor of the second degree, punishable by ' - to be and /or up to 60 days in jail as established in Chapter 5, F.S. ��" "•' ZORAIDA MELENDEZ MY COMMISSION # DD 107200 EXP: •..• 6 , op Bawl : :au Notary P nl,c-Ckte4Tilia BUILOING OEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138-2382 TELEPHONE 1305) 795 -2204 FAX 1305) 756 -8972 OWNER'S - `ATURE & DATE OWNER'S NAME ( PLEASE PRINT) ZORAIDA MELENDEZ 00 EXPIRES: April 6, 2006 Bonded Thru Notary Pub: re Underredors Report No.3020963A PRODUCT COVERED Pool Alarm System, model PE -03W. PRODUCT B.:SCRIPTION The product covered by this report is a Pool Alarm System. The product is used to monitor potential dangerous areas, and provides a high volume alarm /alert when anyone enters these areas. It can be used indoors or outdoors, mounted on a wooden fence or metal gates. It can also be mounted on any doorway or opening that lead to potentially dangerous areas. The product is cord and plug connected to the electrical supply and provides a minimum 90 dB audible alarm at a minimum of 10 ft. ELECTRICAL RATINGS 120VAC, -5.3W, 50/60 Hz. Report prepared by: 12 Carl A. Bloomfield Safety Team Leader Intertek Testing Services NA Inc. Page 2 Issued: 03/15/02 PRODUCT DESCRIPTION CONCLUSION A representative sample of the product covered by this report has been evaluated and found to comply with the applicable requirements of the Standard for Safety for General- Purpose Signaling Devices and Systems (UL 2017,1" Ed, with revisions to 02/14/02). Report prepared by: Robert D. Burek Review Engineer • 407-7.,( 1 YARDGUARD Gate Alarm Hard Wire Model Table of Contents PE -03W Welcome 2 Caution 2 Magnet contact switch 3 Additional PASS button 5 Alarm unit connection 6 Connects to AC -DC adapter 7 Operation 7 Alarm Control 8 Alarm Reset 8 Automatic Reset Under AU Conditions 9 Automatic Continous Monitoring 9 IMPORTANT 10 Welcome Congratulations on purchasing this YARDGUARD safety alarm. The YARDGUARD can be used to monitor potential dangerous areas, and provides a high volume alarm/alert when anyone enters these areas. It :fin be used indoors or outdoors, mounted on a wooden fence or metal gates. It can be mounted on any doorway or opening that lead to potentially dangerous areas. Caution The alarm siren is very loud. Never place the unit close to your ear. Prolonged exposure to the loud siren can affect your hearing. Install the unit at minimum height 54 ", high enough to be out of reach of children. This YARDGUARD is an entry monitor device. Whether expressed or implied, it cannot replace any safety device. All safety precautions should be maintained, including parental supervision. Neither Smart Pool Inc. nor anyone else who has been involved in the creation, reproduction or delivery shall be liable for any direct, indirect, consequential or incidental damages arising out of the use or liability to use the YARDGUARD. 2 Magnetic Contact switch You can use one alarm unit to monitor more than one door /window opening in a room. Multiple contact switches can be connected to an alarm unit to a maximum of six. In order to make the alarm unit function properly, follow the instructions described below: 1. Pry open the contact switch lid. 2. There are two ways to mount this contact switch: a. Double sided foam tape: Put the tape on the recessed area on the back. b. Mounting Screws: Remove the PCB (Printed Circuit Board) by undoing the PCB screw as shown. Attach this contact switch plastic to the wall or to the door frame by using 2 mount- ing screws. Put the PCB back. 3. The smaller piece of plastic is a magnet. Mount this magnet piece onto the door or window, by using either double sided tape or screws. DO NOT CONNECT MORE THAN SIX PAIRS OF CONTACT SWITCHES TO ONE ALARM UNIT. LIMIT THE TOTAL LENGTH OF WIRE TO BE UNDER 50 FEET. 3 4. This contact switch and magnetic pair can be mounted in various ways: On the same level Vertical to each other 5. Multiple contact switch connection: a. Cut the wire to the right length. b. Cut the wire at positions you want to install the contact switch, as shown on the right. It is important to keep one of the twin wire continuous without interruption, otherwise the unit cannot function properly. ALWAYS TEST THE UNIT BEFORE USE. c. Strip the wire such that -1/8 inch of cupper exposed. Crimp the metal connector (provided) to the wire securely. 6. Connect the wire to the terminal block as shown. 7. Close the lid. At an angle Additional PASS button Pass buttons on the alarm unit or additional pass buttons allow adults to pass through to a limit of seven seconds. You can connect an additional PASS buttons to the alarm unit. The rubber key on this switch has the identical function as the rubber key on the alarm unit. This PASS button can be mounted on the other side of the door for convenient access from both sides. identical function 4 5 6 .Alarm unit connections Open the little door on the back of the unit. You can find terminal blocks of 3 different colors inside the compartment. 1. Connect the wire from the magnetic contact switches to the blue terminal block, on the far left side. 2. Connect the wire from the PASS buttons to the green terminal block at the middle. 3. Route the wire to the posts as shown. This allows the wire to withstand minimum 35 Ib. pull force. 4. Close the door. 5. Plug the power cord of the AC -DC adapter, attach the cover to the outlet plate. This is used to prevent the plug from removal by children. Place the AC -DC adapter inside your house. 1 Operation 7 Alarm Control This YARDGUARD is designed to monitor the opening of gate or door, to alert an adult if a child has opened a gate or door to a potential dangerous area. The red LED on the top of the unit will be tumed ON, indicating proper power connection. Oth- erwise check the connection to the AC -DC adapter. Press the CHECK button, the alarm should give a loud beep, indicating the electronics is working properly. The unit will give,a loud siren if either one of the contact switch /magnet pair is separated by more than one inch. For adult entry, press the PASS button. The unit will allow the door be opened 7 seconds without triggering alarm. If the gate or door is opened for over 7 seconds, the alarm will trigger. Alarm Reset To reset the alarm, first close the door and then press the PASS /RESET button. The alarm is now back to stand by mode. To exit the protected area, press the PASS/ RESET button and exit the area. 8 Automatic Reset Under All Conditions The unit will be reset automatically in 30 seconds after the last key activation. If the PASS /RESET button is pressed but the adult entry 7 seconds allowance is not utilized, this adult entry allowance will be canceled in 30 seconds, and reset to stand by mode automatically. Automatic Continuous Monitoring If alarm is triggered and reset by itself in 3 minutes, the unit will check the condition of magnetic contact sensors to decide if the door remains open or not. If the door is left open, the alarm sounds again for 3 minutes, checks the door condition again and continues the cycle until the door is closed. 9 IMPORTANT Install the unit at minimum height 54 ", high enough to be out of reach of children 10 Test the unit by opening the door. The alarm should go off immediately. Otherwise contact Smart Pool Inc. at 877 - 799 -7665. Keep the distance between the two pieces magnet sensor contacts to a maximum of 3/4" Do not rely on the alarm until the test results are satisfactory. LISTING REPORT INTERTEK TESTING SERVICES NA INC. 1950 EVERGREEN BLVD, SUITE 100 DULUTH,GA 30096 Job No. 3020963 -122 Issued: 03/15/02 • REPORT NO. 3020963A INSPECTION, TESTS AND EVALUATION OF POOL ALARM SYSTEM RENDERED TO SMARTPOOL, INC. LAKEWOOD, NJ GENERAL: This Report gives the results of the inspection, tests and evaluation of a Pool Alarm System for compliance with applicable requirements of the Standard for Safety for General- Purpose Signaling Devices and Systems (UL 2017, 1" Ed., with revisions to 02/14/02). This investigation was authorized by po #10359, dated 02/27/02. The investigation was begun on 03/02/02 and completed on 03/08/02. A production -line sample, in good condition, was provided by the Applicant on 02/28/02 and tested at ITS's Orlando, FL, Facility. GENERAL- PURPOSE SIGNALING DEVICES AND SYSTEMS -UL 2017 Applicant: SmartPool, Inc. 575Prospect Street, Suite 205 Lakewood, NJ 08701 Contact: Mr.Richard Holstein, 732/730 -9880 phone, 732/730 -9881 fax Manufacturer: Electronics Co.,Ltd. Block 9 Zhu Yuan Industry Area Guan Lan Town, Bao An Area ShenZhen City, China Contact: Mr.Siu Ping Wong, 86- 755 - 7985655 phone, 86- 755 - 7985997 fax An independent organization testing for safety ,performance, and certification. All services undertaken are subjact to the following genaral policy: Reports are submitted for exclusive use of the clients to whom they are addressed. Their significance is subject to the adequacy and representative character of the samples and to the comprehensiveness of the tests, examinations or surveys made. This document may not be reproduced except in its entirety without written permission from ITS. 1 1 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of pro r ey and street /addres T / 2` 2. 3 �� 2 2. Description of improvement: O 0/ 4 31A- 3. Owner(s) name and address: 3 EU nn ti�. i ST �-1 o e es Interest in property: (� ��€-K- Name and address of fee simple titleholder: l44 4. Contractor's name and address: provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: Sworn to and subscribed before me this Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE 4 8/02 � �Ps° �O / ( 4) 7 5 9.3 4.)CL) S ? 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: !v.; f I 'J:1.. 7. Persons within the state of Florida designated by Owner upon whom note Signature of Owner l /,, �, Print Owner's Name /9R � kre) 40 STATE OF F! C':,^A. :'G:��;T' ,_ 111111111111111111111111111111111111111111111 CFN1 20� 5R0334691 OR BY, 232 Ps 3920; (lps) RECORDED 04/18/2005 13 :18:47 'HARVEY RUVIHr CLERK OF COURT MIAMI -DADE COUHTYr FLORIDA LAST PAGE 33 i3 S 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiratio date of this Notice of Co mencement: (the expiration date is 1 year from the date of recording unless a differen .ate i. specified) 4 7 74)// 0 Prepare by 6 /%4 20 oS Address:7s %(3,) gJT Miami Shores Village 10050 NE 2nd Avenue Printed: 6/22/2005 Contractor CALYPSO POOL CO. Local Phone: 305 - 265 -9682 Parcel # 1132060190200 Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2005 -181 Applicant: BRIAN WOLSTENHOLME Owner: WOLSTENHOLME BRIAN JOB ADDRESS: 380 NE 91 ST Contractor's Address: 7593 NW 8 ST Legal Description: EL PORTAL PB 9 -101 LOT 3 & W1/2 LOT 2 BLK 2 LOT SIZE IRREGULAR Fees: Description Amount FEE2005 -8590 Building Fee $160.00 FEE2005 -8591 CCF $1.80 FEE2005 -8592 Training and Education Fee $0.60 FEE2005 -8593 Technology Fee $4.00 FEE2005 -8594 Scanning Fee $3.00 FEE2005 -8595 Submittal Fee ($50.00) Total Fees: $119.40 Total Fees: $119.40 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 12/3/2005 Construction Value: $3,000.00 Work: PIPING POOL AND SPA Signed: (INSPECTOR) Page 1 of 1 JUN23PAID 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. Signed: (Contractor or Builder) BY: 1`�;IAM SHORES VILLAO*/6 /6 /, CUILDING DEPARTMENT �, j 305- 795 -2204 � i Building Inspection Request ? 0�` Date 8 )a c i 1 Type Insp'nTl n 0 I • 1:k "" c " 1 Permit No. P L 1 81 Name L r i c, n CX..b iS-1-et-i^r,D l m-C Address 330 N E l 3T CompanyCQ I / (JQ Phone # ( ) Z66 r 9 (:=303Z Inspection Date 8 `p Approved Correction Re -Insp' n Fee BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrica Owner's Name (Fee Simple Titleholder) Owner's Address 3? C 0 ST City IA S-'VJC) p Qs State Tenant/Lessee Name 1A - -EC E � 1 s 1 City Miami Shores Village County Miami -Dade Zip 3,3 13 g Job Address (where the work is being done) Is Building Historically Designated YES Contractor's Company Name Contractor's Address City ) A Qualifier 4 Architect /Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ❑Addition ❑Alteration Describe Work: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Faxi (305) 756.8972 Plumbing NO Permit No. pi._ - 131 Master Permit No. Mechanical Roofing Phone # �C;J -� S 8 -3 V- Zip 33 (3 8 Phone # State Zip Z (v State Certificate or Registration No.E _ D 5 . / . (Certificate of Competency No. Phone# 5 —2(05 _((0g Phone # Square Footage Of Work: ❑ Repair /Replace ❑ Demolition Submittal Fee $ 5 C (O Cd , Permit Fee $ / P CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ Ci rOC C C * * * * * ** * * * * * * * * * * * * * * * * ** * Fe sc * * * * * * * * * * * * * * * * * * * * * * * * * * * ** L (Continued on opposite side) Bonding Company's Name (if applicable) 4 1A • Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N /A 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: 1 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 com ncement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issue.. In he absence of such posted notice, the inspection will not proved and a reinspection will be charged. Signature_ Signatur Owner or Agent ( Con actor The foregoing instrument was acknowledged before me this ...3 The forego : ' rument was ac nowledged before me this day of_) t3 , 20 05b who is personally known to me or who has produced who is personally known to me or who has produced . ( C' As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * **** *** APPLICATION APPROVED BY: Chc 05/13/03 -1 OD) S ►QV iT4.4 -day of ZYI) N , 200 by Q AQ L-Q7 C1� � • :. 1 11 ZORA.IDA MELENDEZ as identification and who did take an oath. NOTARY PUBLIC: Sign: f EXPIRES: April 8, 2006 Print: ers ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (P' � Plans Examiner Engineer Zoning ZORAIDA MELENDEZ My Commission Expires: PROPERTY OWNER Name i3 rf " OA 4 0,06 ktactei L)o(r A Address q ( c e/-d 4 (4.14 1 ouhu2J 313 Home Telephone C (/ 5 I / �� , o 1 Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Step 1. Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other • • • • • ••• • • • • • • • • • ••••• -• PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • ••. • • • • ••• • • • • • • - • 0.J60.2 ••:- ••• 91,i bsicEiaty. No. • • • • : . • . : Masted` Pdt3 iit No. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: •• •• • • •• ••• • Complete the attached permit application which �a siguedly. owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing V pout al:pin+on: If roofiag work will be done, a roofing application must be submit- ted along with this permit application. • • • • • • • ••• • • Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION ob Address: 3 U 0 & q? S1 e-4- 1 -kitak 1 v" 1 �S Address Apt. City �State Zip Folio Number escription of Work ' `� ' 0 F Trele, Flood Zone PERMIT APPLICATION 33 ?3 Zoning Linear Feet Square Feet ,(� Units Floors )Value of Work u �t • � � 1 °Bldg Value Tax Assessed/Appraised Value Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR ame License No. Address Telephone Fax Qualifier Name Page 2 111POR'I'AN'f NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING R1iCEI /Eb YOOR VAUdATEEt AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN• CIMN NEA'FAhID6ANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KE1 FBEE.FIiWN DSR'LAND 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY Fi a1P11ELIT:O1t VtHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is •• ••• • • • • • •• required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. Print Name Sworn to and subscribed before me STATE OF FLO NTY OF MI ADE ••• • • • ••• • • • • ••. • • • • • • • • • ••• • • • • ••. • ..• • • • ••• • • • STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owne Signature of Contractor / Qualifier ►� OtA. C ignature o 'o , ry Pu s li - S • to of orida SEAL: Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION eltit Angela M Becker My Commission D0160048 3 0. , 94 ," Expires November 15, 20061/ Personally known OR, Produced Identification / ELECTRICAL TV'rr. Minimum Fee Q'1'1'. •1'Y'1'E Dryer • • • Q1 Y. • • 1 V►'I.. 1 t • t,•Appliance (YI'V'. 1'YI'li Service Repair Q1 Y. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TVI'E Minimum Fee QTY. TYPE Condensate Drain QTY. '1'YI'E Generator QTY. TV•I'E Refrigeration, Tons (En'. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate Q'I'Y. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. '1'YI'L Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply • • ••• Page 3 • • • • • • • • • • • • • ••• • • • • • • • • ••• • • ••• • • • ••• • • • • • PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of wet bei4gperf4rmed.4hd'gtantity(ies) in the space provided below. I RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CIIECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond • • • • •• • • • • • .• • • • • • • • • • • • • • • • • • • •• • • •.• • • • ••• • • • • • • • • • ❑ PROOF OF OWNERSHIP (Attach• •• • • • •• • ❑ <; Dec AsF V I :1. (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) $ • C.P ( sq.ft. = x/1000 x 0.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ (t.01/sq.ft.) Code Enforcement Fine $ Zoning Review Notary SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE 303 PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PIiRrI IT FEES TOTAL $ B ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ANA MARIA WOLSTENHOLME BRIAN D WOLSTENHOLME 380 NE 91st Street Miami Shores, FL 33138 -3130 313414.3 Date 1188 63- 643/670 BRANCH 03044 order of O (ea ha C x-016 Ul $ ! 31•,eaD ',&t .��!�,(, otz ( lJ�vgfre7 ----a°1141) Dollars WACHOVIA � 7 ACH RT 067006432 For 6a.ra. Old ► rmr Lc*/ v_ , :06 70064321: L0100 L85838090 L L88 NP ( e Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/25/2003 Applicant: BRIAN Owner: WOLSTENHOLME JOB ADDRESS: 380 NE 91 Contractor y Can Local Phone: Parcel # 1132060190200 Permit Status: APPROVED Permit Expiration: 9/21/2003 Work: REPLACEMENT OF GARAGE DOOR If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: In consideration of the issuance to me of thi with the plans, drawings, statements or sp myself, my agent, servants or employes / Signed: Building Permit Permit Number: BP2003 -482 WOLSTENHOLME BRIAN ST Contractor's Address: Legal Description: EL PORTAL PB 9 -101 LOT 3 & W1/2 LOT 2 BLK 2 LOT SIZE IRREGULAR Page 1 of 1 Fees: Description Amount FEE2003 -1774 Building Permit Application Fee $60.00 FEE2003 -1775 CCF $0.60 FEE2003 -1776 Notary Fee $5.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Construction Value: $800.00 (INSPECTOR) BY: t, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity catio submitted to the • oper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either (Contractor or Builder) BY: � __ tt M I AM I;DAOE • • • PRODUCT CONTROL NOTICE Clopay Building Products Co. 312 Walnut St., Suite 1600 • • • Cincinnati OH 4520 • • Expires:08 /21/2003 Approved: 04/28/2000 • • ••• • • • • • • • • • •• •• • • • • • • • ••• • • • • • • • • • ••• • • • • • •••• • •• • Internet mail address: postmaster ®buildingcodeonline.com • • • • • • ••• • • • OF ACCEPTANCE ••• • • • ••• • • • • • • • ••• •• • • • ••• •• • • Your application for Product Approval of: 24 Ga. Sectional Door 9' Wide under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:00- 0320.05 THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. MIAMI -DADE COUNTY, FLOR/tA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Raul Rodriguez Chief Product Control, Division / rancisco / Quintana, R.A. Director Miami -Dade County Building Code Compliance Office Ilomepuge: http : / /www.buildingcodeonline.com • • 0 00 • • • 0410 .. • • • • • • • . .. • • • • • • • ▪ • • ... • • • Clo¢nad fi aeiiidina, Products CQartlt :rt4 : : : • •�• ACCEPTANCE No. 00- 0320.05 APR 2 8 ZOO ...APPROVED ••• • • • • • • • • • • ••• • • • . tXP1RES • • • • • • ... NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS .. . . • .. .•• •. • • • i. SCOPE • • This approves a sectional stmt grarage iod'r 9'- U'' x 6' -6" through 8' -0" high, as described in Section 2 of this Notice of Acceptance (NOA), designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. PRODUCT DESCRIPTION The Holmes Sectional Garage Door and its components shall be constructed in strict compliance with the following documents: Drawing No. 101702 -24, with last revision on 07/08/97, titled "Door Models 83, 84A, 93 & 94" prepared by Clopay Building Products Co., drawn on 11/18/96, sheet I of 1. They bear the Miami - Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested according to ASTM E -8 by a Dade County approved laboratory selected and paid'by the manufacturer. Every 3 months, four times a year, the manufacturer shall mail to this office: a copy of the tested reports with confirmation that the specimens were selected from coils at the manufacturer production facilities. And a notarized statement from the manufacturer that only coils with yield strength of 28,000 psi or more shall be used to make door panels for Dade County under this Notice of Acceptance. 4. INSTALLATION 4.1 The sectional steel garage door and its components shall be installed in strict compliance' with the approved drawings. 4.2 The installation of this door does not require a hurricane protection system. 4.3 Units with dimensions equal to or smaller than those shown in the approved drawing shall qualify under this approval. 5. LABELING Each door shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Duplicate copies of the approved drawings ,as identified in Section 2 of this NOA, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. Candido Font, PE. Sr. Product Control Examiner Product Control Division 2 of '3 INSTALLER MODEL RETAIL MODEL DESCRIPTION" i______ iemiecv ®dti EAM011Q1111 I 1112:131tM1t 93 83 2 CA. STEEL SKIN: 18 GA. STEEL END STI (5 94 5 1 74 GA.. STEEL SKIN: 18 GA, PAINTED STEEL Ns T i DOOR HEIGHT "L" BRACKET PLACEMENTS i______ iemiecv ®dti EAM011Q1111 I 1112:131tM1t mt ®dlELMINtmt13:111 . 8 -O 'i111 ate !AAA uAVn (FIVE SECTION DOORS) ..rr., F , , clh "Ill ' 'i111 111 I III 111 111 111 :i i I 1 [ [i1T 1l l limmloims il IC I I ill I r1. • = u H a = LOCATION OF OPTIONAL VENTS A &MAXIMUM VENT OPENING: 60 IN' MAX. DOOR WIDTH ■ 9' 0' 0 cc II $ U = U � w 0 L 'X2" 1 INSIDE El FVATION TRACK CONFIGURATION 2 GALV. STEEL TRACK, TRACK THICKNESS: .060' NOTE 1• 000RS 6'6' HIGH CONSIST OF 4 SECTIONS; 2 OF 21" & (2) OF 18'. DOORS 7 "0" HIGH CONSIST OF 4 SECTIONS; 4 OF 21'. 000RS 7'6' HIGH CONSIST OF 5 SECTIONS; 5 OF 18 ". 000RS 8'0' HIGH CONSIST OF (((5 SECTIONS: (((2 OF 21" & (3) OF 18'. NOTE ?; SUPPORTING STRUCTURAL ELEMENTS SHALL BE DESIGNED BY A . REGISTERED PROFESSIONAL ENGINEER FOR WIND LOADS SHOWN ON 1HIS DRAWING. ONE INTERMEDIATE STILE BETWEEN EACH EMBOSS ATTACHED WITH TOG -L -LOC (TOP & BOTTOM) AND URE TAME �ESIVE (ALONG CENTER), • • 4-- • — a• A• • . • • • • • • • ••• • 13 GA. CALV. STEEL FLAG BRACKET. EACH FASTENED TO WOOD JAMB WITH (3) 5/16'x1 -5/8" WOOD LAG SCREW.. HORIZONTAL TRACK SUPPORT BY DOOR INSTALLER (TO SUIT) TYP. 2 -1/2 - x12 GA. GALV. STEEL TRACK BRACKET. SEE 040 HINGE DETAIL. • • .• • • • ••• • �.— • S it•�TE�ME d4INGE DETAIL TWO POI.YT LOCKING INTO TRACK PER SFBC 3603.2 5/8" MIN. ENGAGEMENT OPPOSITE SIDES OF DOOR) (SEE LOCK OPTIONS) 2:6 WOOD JAMB 12 CA. GALV. STEEL. TRACK BRACKET FASTENED TO WOOD JAMB WITH ONE 5 /16'x1 - 5/8" W000 LAG SCREW PER BRACKET. 2' GALV. STEEL TRACK FASTENED TO TRACK BRACKETS. EACH BRACKET ATTACHED WITH ONE 1/4 BOLT & NUT DB TWO 1/4 RIVETS. JAYA CONFIGURATION PRFPARATION OF ,IA1,493 R•' OTHFPS ENO STILES ATTACHED TO DOOR SKIN W111; PATENTED TOC -L -IOC SYSTEM (TOP. BOTTOM: &: CENTER) ONE INTERMEDIATE STILE BETWEEN EACH EMBOSS ATTACHEE WITH TOG -L -LOC (TOP & BOTTOM) AND URETHANE ADHESIVE (ALONG CENTER) LOCATION OF OPTIONAL VENTS &MAXIMUM VENT OPENING: 60 IN' MAX. DOOR WIDTH - 9' 0" INSIDE ELEVATION SUDE BOLT LOCK ENGAGES INTO VERTICAL TRACK. ONE LOCK ON EACH SIDE OF DOOR. JNSIDE SLIDE 'BOLT LOCK OPTION - ALL 000R MODELS ARE RAISEO PANEL EMBOSS OUTSIDE HANDLE 2" STEEL ROLLER. INTER. 1' STILE t A OUTSIDE KEYED LOCK LOOK BAR LOCKING STOP MOULDING BY DOOR INSTALLER (TO SUIT) 20 GA. MIN. CALV. STEEL IND STILE 20 GA. CALV. STEE. INTER. STILE END STILE LOCK BAR GUIDE LOCK " BAR ENGAGES IN TRACK ON EACH SIDE OF DOOR. SNAP LATCH ENGAGES ONTO VERTICAL TRACK. ONE SNAP LATCH ON EACH SIDE OF DOOR INTER. STILE OUTSIDE KEYED HANDLE INSIDE HANDLE OUTSIDE KFYFF1 IOCK SNAP LATCH LOCI( OPTION TWO POINT LOCKING INTO TRACK PER SFBC 3603.2 5/8' MIN. ENGAGEMENT (OP POSIT E AR) SIDES (SEE LOCK OPTIONS) 18 GA GALV. STEEL INTER. HINGE FASTENED TO CENTER STILE W /(4) EACH 714x5/8" SHEET METAL SCREWS. \- 7/16 PUSHNUT II43TALLE0 ON ROLLER SHAFT FOR UNRESIP.ICTED DOOR OPERATION. 14 GA. CALV. STEEL END HINGE FASTENED TO END S1L.ES W /(4) EACH / 14x5/8 SHEET METE SCREWS & (4) 1/4 " :3/4' SELF TAPPNG SCREWS. 14 GA. END HINGF END STILE : . e l npay Building Products Com • an • • ••• • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • _ • i - 2' THICK • � .fd • ••• • • • • • • • • • • • • • • ••• • • • • • ••• • •• • • • •• •• • • •• • • • • • ••• 24 GA. MIN. G-60 GALV. STEEL J (MIN. YIELD STRENGTH: 23 KSI. DRAWING OUAUTY) WITH PRIMER AND BAKED -ON POLYESTER PAINTED TOP COAT APPLIED TO BOTH SIDES OF STEEL. -(4) / 14x5/8" SHEET METAL SCREWS (4) 1/4 - x3/4 - SELF TAPPING SCREWS THE 2 :6 VERTICAL WOOD JAMBS ARE TO BE GRADE 2 OR BETTER YELLOW PINE. NO LOAD I5 TRANSFERRED TO THE HORIZONTAL (TOP) JAMB. ALL JAMB FASTENERS MAY BE (BUT NOT REQUIRED) COUNTERSUNK TO PROVIDE A FLUSH MOUNTING SURFACE. 2 :6 WOOD JAMB CAN BE ANCHORED TO GROUT REINFORCED BLOCK WALL OR CONCRETE COLUMN. BLOCK CELLS SHALL BE FILLED WITH CONCRETE AND REINFORCED WITH CONTINUOUS /5 BAR EXTENDING INTO THE FOOTING AND INTO TIE BEAMS. ANCHORS CAN BE 1/4'x1 -3/4" EMBED TAPCON CONCRETE ANCHORS STARTING AT NO MORE THAN 8" FROM BOTTOM AND 16' O.C.. Q$ WITH 3/8'x4" (1 - 3/4" EMBED) RAWL LOK /BOLT ANCHOR STARTING AT NO MORE THAN 8' FROM BOTTOM AND 24' 0.C. DESIGN ENGINEER: MARK W. WESTERFIELD FLORIDA REGISTRATION No. 48495 MECHANICAL ENGINEERING 1 a C� LMTERUEDwTF HINGE art / / 31/6/z i, • • CLOPAY BUILDING PRODUCTS COMPANY 312 WALNUT STREET SUITE 1600 CINCINNATI. OH10 45202 (513) 381 - 4800 SEV 7 -8 -97 AD MA XIMUM VEN OPENING DESIGN LOADS: +42.0 PSF & -48.0 PSF. TEST LOADS: +63.0 PSF & -72.0 PSF. • Tr'Tr 11/18/96 MAIM LAW Txaa: I. • S ECTION A -A 12 GA. GALV. STEEL TOP ROLLER BRACKET. EACH BRACKET ATTACHED W /( /14 :5/B" SHEET METAL SCREWS. SHIP LAP JOINTS. 14 CA. GALV. STEEL / ENO HINGE. EACH FASTENED TO ENO STILES w /(4) 014 :5 /0" SHEET METAL SCREWS t (4) 1/4" SELF TAPPING SCREWS. 2 - 1/4'x20 GA. CALV. STEEL U -BAR. TWO U -BARS PER SECTION. EXCEPT 3RD SECTION WHICH HAS ONE U - BAR. U -BARS MADE FROM 80 KSI STEEL EACH U -BAR ATTACHED 'M /(2) 1/4'x3/4" SELF TAPPING SCREW PER STIU.E. 13 GA. GALV. STEEL BOTTOM BRACKET. ATTACHED W /(2) / 14x5 /8" SHEET METAL SCREWS. ALUMINUM EXTRUSION & VINYL WEATHERSTRIP. APPROVED AS COMPLYING WITH THE SOUTH FLORIDA :UILDING CODE DAT `= 2 OO O BY ODUCT Chi L DIV!S;ON BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE NO 0 20. Of PLOT 1 -42 aJVW►TU'TO• I ,asu� 9b1N x 8'0 "H 0":"'"0" DOOR MODELS: 83. 84A. 93. 94 na O•VIIL n•ac• 101702 -24 1 0 cc II $ U = U � w 0 L 'X2" 1 INSIDE El FVATION TRACK CONFIGURATION 2 GALV. STEEL TRACK, TRACK THICKNESS: .060' NOTE 1• 000RS 6'6' HIGH CONSIST OF 4 SECTIONS; 2 OF 21" & (2) OF 18'. DOORS 7 "0" HIGH CONSIST OF 4 SECTIONS; 4 OF 21'. 000RS 7'6' HIGH CONSIST OF 5 SECTIONS; 5 OF 18 ". 000RS 8'0' HIGH CONSIST OF (((5 SECTIONS: (((2 OF 21" & (3) OF 18'. NOTE ?; SUPPORTING STRUCTURAL ELEMENTS SHALL BE DESIGNED BY A . REGISTERED PROFESSIONAL ENGINEER FOR WIND LOADS SHOWN ON 1HIS DRAWING. ONE INTERMEDIATE STILE BETWEEN EACH EMBOSS ATTACHED WITH TOG -L -LOC (TOP & BOTTOM) AND URE TAME �ESIVE (ALONG CENTER), • • 4-- • — a• A• • . • • • • • • • ••• • 13 GA. CALV. STEEL FLAG BRACKET. EACH FASTENED TO WOOD JAMB WITH (3) 5/16'x1 -5/8" WOOD LAG SCREW.. HORIZONTAL TRACK SUPPORT BY DOOR INSTALLER (TO SUIT) TYP. 2 -1/2 - x12 GA. GALV. STEEL TRACK BRACKET. SEE 040 HINGE DETAIL. • • .• • • • ••• • �.— • S it•�TE�ME d4INGE DETAIL TWO POI.YT LOCKING INTO TRACK PER SFBC 3603.2 5/8" MIN. ENGAGEMENT OPPOSITE SIDES OF DOOR) (SEE LOCK OPTIONS) 2:6 WOOD JAMB 12 CA. GALV. STEEL. TRACK BRACKET FASTENED TO WOOD JAMB WITH ONE 5 /16'x1 - 5/8" W000 LAG SCREW PER BRACKET. 2' GALV. STEEL TRACK FASTENED TO TRACK BRACKETS. EACH BRACKET ATTACHED WITH ONE 1/4 BOLT & NUT DB TWO 1/4 RIVETS. JAYA CONFIGURATION PRFPARATION OF ,IA1,493 R•' OTHFPS ENO STILES ATTACHED TO DOOR SKIN W111; PATENTED TOC -L -IOC SYSTEM (TOP. BOTTOM: &: CENTER) ONE INTERMEDIATE STILE BETWEEN EACH EMBOSS ATTACHEE WITH TOG -L -LOC (TOP & BOTTOM) AND URETHANE ADHESIVE (ALONG CENTER) LOCATION OF OPTIONAL VENTS &MAXIMUM VENT OPENING: 60 IN' MAX. DOOR WIDTH - 9' 0" INSIDE ELEVATION SUDE BOLT LOCK ENGAGES INTO VERTICAL TRACK. ONE LOCK ON EACH SIDE OF DOOR. JNSIDE SLIDE 'BOLT LOCK OPTION - ALL 000R MODELS ARE RAISEO PANEL EMBOSS OUTSIDE HANDLE 2" STEEL ROLLER. INTER. 1' STILE t A OUTSIDE KEYED LOCK LOOK BAR LOCKING STOP MOULDING BY DOOR INSTALLER (TO SUIT) 20 GA. MIN. CALV. STEEL IND STILE 20 GA. CALV. STEE. INTER. STILE END STILE LOCK BAR GUIDE LOCK " BAR ENGAGES IN TRACK ON EACH SIDE OF DOOR. SNAP LATCH ENGAGES ONTO VERTICAL TRACK. ONE SNAP LATCH ON EACH SIDE OF DOOR INTER. STILE OUTSIDE KEYED HANDLE INSIDE HANDLE OUTSIDE KFYFF1 IOCK SNAP LATCH LOCI( OPTION TWO POINT LOCKING INTO TRACK PER SFBC 3603.2 5/8' MIN. ENGAGEMENT (OP POSIT E AR) SIDES (SEE LOCK OPTIONS) 18 GA GALV. STEEL INTER. HINGE FASTENED TO CENTER STILE W /(4) EACH 714x5/8" SHEET METAL SCREWS. \- 7/16 PUSHNUT II43TALLE0 ON ROLLER SHAFT FOR UNRESIP.ICTED DOOR OPERATION. 14 GA. CALV. STEEL END HINGE FASTENED TO END S1L.ES W /(4) EACH / 14x5/8 SHEET METE SCREWS & (4) 1/4 " :3/4' SELF TAPPNG SCREWS. 14 GA. END HINGF END STILE : . e l npay Building Products Com • an • • ••• • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • _ • i - 2' THICK • � .fd • ••• • • • • • • • • • • • • • • ••• • • • • • ••• • •• • • • •• •• • • •• • • • • • ••• 24 GA. MIN. G-60 GALV. STEEL J (MIN. YIELD STRENGTH: 23 KSI. DRAWING OUAUTY) WITH PRIMER AND BAKED -ON POLYESTER PAINTED TOP COAT APPLIED TO BOTH SIDES OF STEEL. -(4) / 14x5/8" SHEET METAL SCREWS (4) 1/4 - x3/4 - SELF TAPPING SCREWS THE 2 :6 VERTICAL WOOD JAMBS ARE TO BE GRADE 2 OR BETTER YELLOW PINE. NO LOAD I5 TRANSFERRED TO THE HORIZONTAL (TOP) JAMB. ALL JAMB FASTENERS MAY BE (BUT NOT REQUIRED) COUNTERSUNK TO PROVIDE A FLUSH MOUNTING SURFACE. 2 :6 WOOD JAMB CAN BE ANCHORED TO GROUT REINFORCED BLOCK WALL OR CONCRETE COLUMN. BLOCK CELLS SHALL BE FILLED WITH CONCRETE AND REINFORCED WITH CONTINUOUS /5 BAR EXTENDING INTO THE FOOTING AND INTO TIE BEAMS. ANCHORS CAN BE 1/4'x1 -3/4" EMBED TAPCON CONCRETE ANCHORS STARTING AT NO MORE THAN 8" FROM BOTTOM AND 16' O.C.. Q$ WITH 3/8'x4" (1 - 3/4" EMBED) RAWL LOK /BOLT ANCHOR STARTING AT NO MORE THAN 8' FROM BOTTOM AND 24' 0.C. DESIGN ENGINEER: MARK W. WESTERFIELD FLORIDA REGISTRATION No. 48495 MECHANICAL ENGINEERING 1 a C� LMTERUEDwTF HINGE art / / 31/6/z i, • • CLOPAY BUILDING PRODUCTS COMPANY 312 WALNUT STREET SUITE 1600 CINCINNATI. OH10 45202 (513) 381 - 4800 SEV 7 -8 -97 AD MA XIMUM VEN OPENING DESIGN LOADS: +42.0 PSF & -48.0 PSF. TEST LOADS: +63.0 PSF & -72.0 PSF. • Tr'Tr 11/18/96 MAIM LAW Txaa: I. • S ECTION A -A 12 GA. GALV. STEEL TOP ROLLER BRACKET. EACH BRACKET ATTACHED W /( /14 :5/B" SHEET METAL SCREWS. SHIP LAP JOINTS. 14 CA. GALV. STEEL / ENO HINGE. EACH FASTENED TO ENO STILES w /(4) 014 :5 /0" SHEET METAL SCREWS t (4) 1/4" SELF TAPPING SCREWS. 2 - 1/4'x20 GA. CALV. STEEL U -BAR. TWO U -BARS PER SECTION. EXCEPT 3RD SECTION WHICH HAS ONE U - BAR. U -BARS MADE FROM 80 KSI STEEL EACH U -BAR ATTACHED 'M /(2) 1/4'x3/4" SELF TAPPING SCREW PER STIU.E. 13 GA. GALV. STEEL BOTTOM BRACKET. ATTACHED W /(2) / 14x5 /8" SHEET METAL SCREWS. ALUMINUM EXTRUSION & VINYL WEATHERSTRIP. APPROVED AS COMPLYING WITH THE SOUTH FLORIDA :UILDING CODE DAT `= 2 OO O BY ODUCT Chi L DIV!S;ON BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE NO 0 20. Of PLOT 1 -42 aJVW►TU'TO• I ,asu� 9b1N x 8'0 "H 0":"'"0" DOOR MODELS: 83. 84A. 93. 94 na O•VIIL n•ac• 101702 -24 1 ELECTRICAL 'FvI'F. Minimum Fee ()Ty. TYPE Dryer o1T 1". Tvi "t Outlet, (pplinee ()Ty. "rv Service Repair Q'f A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY". TYPE Generator QTY. TVI'I, Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. "I'VPE Miscellaneous Fixture QTV. TYI'I{ Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 1. 4 rint Name Sworn to and subscribed before me this Type of Identification Produced: .•• • • • • • •.. • ..• • firyla Ala W ( 3rN !R of e • • ..• • • ••. • • • • • • • ••••••• .•. • • • • PERMIT APPLICATION IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOLY2 VAhw TED ''JtZMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAIIQI. IIQ % CIE'P!N, NEAT:I iD SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL 1L• KEPUR£EFROI DiRT.AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMV ,ED B f EQU!IPMEAITI)R.VCHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contr . •r. STATE OF OR r' A, C I ' Y : IAMI -DADE _: STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Own - Signature of Contractor / Qualifier SEAL: SEAL: MY COMMiMion Dtii5004e �ip�cl Expires itovetitbi 15.2 . Print Name Sworn : to and subscribed before me this gnature of Mary Public - .• to of o da Signature of Notary Public - State of Florida day of Produced known OR, od uced Identification Personally known OR, Produced Identification -70— Type of Identification Produced: Page 3 • • • ••• • • • ••• • • • • • • ••••••• • • • • • • • • • • • ••• • ••• • • • PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of wgrk beit>,g perfctmed and.gt�antity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY r TE i/ Zoning �,.,� Electrical Mechanical Alteration Interior Plumbing Demolish Fire Shell Only Public Works Foundation Only Structural Other Building Official Add'I Detachment Other PROPERTY OWNS ff,� Name (ria U t"ta aka ,xxi g tw i, Wo c Address 3'O Ili 41 S to t- M t a tui r Sitto (eS t(&(3' Home Telephone C 30 S ) -} `� 1 ( .. J �{ Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other Page 4 OFFICE USE ONLY • • • • • • • • .•• • •.• • • .. • • • • • •.. • • • • • • • • • • .. •.• • • • • • • . .•• • PERMIT APPLICATION CIIECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) • • • .•. • ❑ PROOF OF OWNERSHIP Attach) • ••• •• • • • •• ❑ H$S / DES �4PPRb (StStie 7 Sewer) • • • • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review Notary $ (I) 0,O o Metropolitan Dade County (C.C.F.) $ ° C–t0 (sq.ft. = x/1000 x ¢.60) $ 6 O D (0.005 /sq.ft.) (¢.01 /sq.ft.) TOTAL $ G ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Tob Address: • • • • ..• • .•• • • • • ••• • • • • • • • • • .•• • • • • • • • • •.. • •: • • • : Master•Permit No. • • • • • Sgbsit itry.Ptrmit No. • • • • • ••• •• • • • •• • • Complete the attached permit application whiclf gtusth ligpedby:tho pioperty owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processipg pf toil abplr atiot; If roof work will be done, a roofing application must be submit- ted along with this permit application. • • • • • • • ••• • • Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION ')80 ct 1 STrt M 1 a .0 r e-S Address Apt. City State Zip 4c14 0 ve f vtt WGt11 D Folio Number Description of Work n Block & & t 1. ) a &3 U R1 ri( trek Linear Feet Lot Subdivision PB Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PG Zoning Square Feet Kr Va1ue of Work - PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax ax Assessed/Appraised Value Flood Zone PERMIT APPLICATION lig- 3j3 Units Floors 300 - 400 Bldg Value Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/26/2003 Applicant: Owner: WOLSTENHOLME JOB ADDRESS: 380 >o Contractor n Local Phone: y .) Parcel # 1132060190200 .tom Signed In considerati with the plans, myself, my a Signed: NE 91 o the issuan rawings, state nt, servants or Legal Description: EL PORTAL Fees: FEE2003 -1784 FEE2003 -1785 FEE2003 -1786 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $0.60 $5.00 $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/22/2003 Construction Value: $400.00 Work: REMOVE F& NT WALL GATE THAT CREATES A COURT YARD If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the buil ordinances pertaining thereto and with the understanding that the work will be perform. and approved by the proper municipal authorities. This Permit may be revoked at any authorization. A further condition upon which this permit is granted is the understandir ordinances and regulations pertaining to the work covered hereby whether shown on tl by his agents, servants or employees. (INSPECTOR) , I agree to perform the tions submitted to the proper (Co Building Permit Permit Number: BP2003 -489 BRIAN ST Contractor's Address: Page 1 of 1 PB 9 - 101 LOT 3 & W1/2 LOT 2 BLK 2 LOT SIZE IRREGULAR ANA MARIA WOLSTENHOLME BRIAN D WOLSTENHOLME 380 NE 91st Street Miami Shores, FL 33138 -3130 ray to the i a t / _ t „ order the ' ` (a L v "'"�C WACHOVIA ACH RT 067006432 _ " For 6a.r4y cibw A ► �mr w4// I:06 70064 3 21:10 L00 L8 5838090 L L88 Date 6a- 643/670 BRANCH 03044 $ 131.Ja• a°1/ Dollars L'J 1188 NP B sjf :O • , - - - -• /2 /! JO 3 8 T• �D t41 a d' 1 S ! 1� . viz the ' fi t /3 /4 /6 17 /8 /9 20 2/ 22 ?3 24 1 S.41 SO • . . - • P% • • • • IV • ••• • • • • • • ••• • • • •.• • • • • • • • . - : • Numv.Ottriie#15 $nt. f _Lri D,SUE;VE ORS 5582 N.W. 711 STREET. SUITE 202 U. FLORIDA 33126 • - TELEPHONE: (305) 264 -266e FAX (305) 264-0229 DRAWN BYi' SURVEY No. 2- 0014856 SHEET NO OF Survey of Lot: West'/ of Lot 2 and;alt afl:ot A`in Block 3, Subdivision: EL PORTAL •• •• According to the Plat thereof as recorded in the Plat Book No. 9 at Page No. 101 of the public records of MIAMI -DADE County, Florida. Property Address: 380 NE 91 ST, MIAMI SHORES, FL 33138 For: BRIAN D. WOLSTENHOLME A . ARC. A/C . AIR CONDITIONER PAD. AE.. ANCHOR EASEMENT. NR . ALUMINUM ROOF. A/S . ALUMINUM SHED. ASPH.. ASPHALT. B.C. • BLOCK CORNER. BLDG.. BUILDING. B.M. . BENCH MARK. B.O.B. • BASIS OF BEARINGS. C.. CALCULATED. C.B.. CATCH BASIN. C.B.S. • CONCRETE BLOCK STRUCTURE. CBW . CONCRETE BLOCK WALL. CH.. CHORD DISTANCE. CH. B.. CHORD BEARING. CL . CLEAR. C.LF.. CHAIN LINK FENCE. C.M.E.. CANAL MAINTENANCE EASEMENT. CONC. • CONCRETE. C.P.. CONC. PORCH. C.S.. CONCRETE SLAB. D.E.. DRAINAGE EASEMENT D.M.E.. DRAINAGE MAINTENANCE EASEMENT. DRIVE.. DRIVEWAY. o • DEGREES. E.. EAST. E.T.P.. ELECTRIC TRANSFORMER PAD. ELEV.. ELEVATION. ENCR..ENCROACHMENT. F.H. FIRE HYDRANT. F.I.P.. FOUND IRON PIPE. F.I R. FOUND IRON ROD. F.F.E.. FINISHED FLOOR ELEVATION. LOCATION SKETCH . Scale 10 = /1 ABBREVIATIONS AND MEANINQ F.N.D.. FOUND NAIL 8 DISK FR.. FRAME. FT.. FEET. FNIP.. FEDERAL NATIONAL INSURANCE PROGRAM. F.N. . FOUND NAIL H.. HIGH (HEIGHT). IN. 8 EG. • INGRESS AND EGRESS EASEMENT. LP.. LIGHT POLE. LF.E.. LOWEST FLOOR ELEVATION. LM.E.. LAKE MAINTENANCE EASEMENT. '. MINUTES. M.. MEASURED DISTANCE. MON.. MONUMENT. M/H.. MANHOLE M/L.. MONUMENT UNE. N.A.P.. NOT A PART OF. NGVD. NATIONAL GEODETIC VERTICAL DATUM. N.. NORTH. N.T.S. . NOT TO SCALE. M - NO. • NUMBER. 0/S. OFFSET. OH.. OVERHEAD. T.. TANGENT. O.M.L. OVERHEAD UTILITY UNES TWp.. TOWNSHIP. OVH.. OVERHANG. U.E. • UTIUTY EASEMENT. 0.R.8.. OFFICIAL RECORD BOOK. urn.... UTILTY. PVMT.. PAVEMENT. U.P. . UTILITY POLE. PL . PLANTER. W.M.. WATER METER. P/L.. PROPERTY LINE. W.F. . WOOD FENCE. P.C.C. • POINT OF COMPOUND W.S.. WOOD SHED. CURVE. A. CENTRAL ANGLE. P.C. • POINT OF CURVE. W.. WEST. PT.. POINT OF TANGENCY. POC.• POINT OF COMMENCEMENT °CENTER LINE. POB.. POINT OF BEGINNING. 4. • ANGLE. LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS. IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS. LIMITATIONS, RESTRICTIONS. RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY CUENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE. EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN. THE TERM *ENCROACHMENT" MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. ARCHITECTS SHALL VERIFY ZONING REGULATIONS. RESTRICTIONS AND SETBACKS AND THEY WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR • APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION. UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTINGS AND/OR FOUNDATIONS. FENCE OWNERSHIP NOT DETERMINED. THIS PLAN OF SURVEY. HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY: THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE • Date: .12/17/2002 P.R.C.. POINT OF REVERSE CURVE. PROP. COR.. PROPERTY CORNER. P.8.. PLAT BOOK. PG.• PAGE. PWY . PARKWAY. PRM . PERMANENT REFERENCE MONUMENT. P.L.S.. PROFESSIONAL LAND SURVEYOR. R.. RECORDED DISTANCE. RR.. RAILROAD. RES.. RESIDENCE. R/W.. RIGHT -OF -WAY. RAD. • RADIUS OR RADIAL. R.P.. RADIUS POINT. RGE.. RANGE. SEC.. SECTION. STY.. STORY. SWK.. SIDEWALK S.I.P.. SET IRON PIPE LB. 116044 S.. SOUTH. S.N.D.. SET NAIL & DISK LB.#6044. • SP.. SCREENED PORCH. • . SECONDS. • BY: • REVISED ON Situated in Zone X Community /Panel /Suffix: 120640 - 0093 -J Date of Firm: 07717/1995 Base Flood Elevation: Certified to: BRIAN D. WOLSTENHOLME AND MARIA WOLSTENHOLME CHICAGO TITLE INSURANCE COMPANY AM SOUTH BANK, ITS SUCCESSORS AND /OR ASSIGNS SURVEYORS'S NOTES: 1) IF SHOWN. BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY TOWNSHIP MAPS. 2). IF SHOWN, ELEVATIONS ARE REFERRED TO WOOD FENCE. CHAIN LINK FENCE. C.B.S. WALL (C.B.W.) EXISTING ELEVATIONS. PROPOSED ELEVATIONS. B.M.k ELEV OF N.G.V.D. OF 1929. 3). THIS IS A SPECIFIC PURPOSE SURVEY. 4). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. I HEREBY CERTIFY: THAT THIS •BOUNDARY SURVEY' OF THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED AND DRAWN UNDER MV SUPERVISION, COMPUES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LANG SURVEYORS IN CHAPTER 61017.6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472. . , FLOR DA STA ES. 12 -143-ce 0 IBARRA (DATE OF FIELD WOR IQ. L PROFESSIO L LAND SURVEYOR 140. �j2 STATE OF FLORIDA. (VAUD COPIES OF THIS SURVEY (T WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). REVISED ON 6582 N.W. 7th STREET. SUITE 202 MIAMI. FLORIDA 39128 TELEPHONE: (306) 2642660 FAX (306) 2840229 Nona Aunitipro hw. LAND SURVEYORS SURVEY NO. SHEET NO 2- OF 44 1-0--0 131Gc -2 ‘-P7r Z2 /3- 2 BOUNDARY SURVEY Scale 1" . • • • • ..';- . • • • • • • • • • • • • • ..•• • if 7 6.5',4 "p& G(4 .raed _ . LmT-/ 'wcL G07 2t .L3�OC� -2 /SG Ati 2r 1-072 . . � • • • • • ••• • • • 1 • • • ELECTRICAL TYI'E Minimum Fee QTY .,. „, Dryer • • • • • • • • Q . I . Q . ,• . Outlet, Appliance Q . L . TypE Service Repair QTY A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons QTY. Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4” Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 .•• • • • • • • • • • •.. • • • • • • • • • • • • • • • PERMIT APPLICATION IMPORTANT NOTICES • DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VAIIDAI;1 PEIWjf AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from Va.m. to 6:00 p.m.. and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, 14gAT AWD SANTAQY C•NpI'pQN free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM bin INp IIEI 213 • • • • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR'E1RCLI PNp 1:1Ar NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. • • ••• • • • • • • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, C NTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of caner /�/ p�y.� � /1) Signature of Contractor / Qualifier ; i 1"') , 11t,/f' &C�/Jt/ / /) lnk ) Print Name Print Name Si a ure o otary Public State of Florida om to and subscribed before me this day of ��`^ , Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Angelo M Becker SEAL: Commis DO150048 V a do Expires November 15, 2006 Personally known OR, Produced Identification 1' � Personally known OR, Produced Identification Type of Identification Produced: ,P.-.)___ ]� 1 , t n — C 6 i-, Ape of Identification Produced: 3 v Page 3 • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •. • • • • • • • • • PERMIT APPLICATION INSTRUCTIONS: Please ind ctte the type of wo;r1Aeilli performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: PROPERTY A OWNER Name 8d} . ti, 6.1ph‘Abiruze. Address 3?:2 ovi 9/ S7 /M 1 , - i SI;Vite 5) F 3,3 /3 Home Telephone j — 75 --3'L 77 Business Telephone 3DS = 23 -3v / 2 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary $ $ ❑ PROOF OF OWNERSHIP (Attach) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) 0 ) a $ (¢.005 / sq.ft.) $ (4.01 /sq.ft.) SECTION Zonin Electrical Mechanical Plumbing Fire Public Works Structural Building Official D K 2-3 .. •• • • • • ••• • • • • • • PERMIT APPLICATION • • • • • • ••. • • • .• .• (X .ft. = x/1000 • CHECKLIST • • • •❑ CONDb•ASSOCIATIONAPPROVAL (Attach) •• ••• •• • • • •• . • ❑ HRS / DERM APPROVAL •• CZ $Pr/tPEROVAL (Restaurants) • • • • • • • • • (Septic / Sewer) • • • • • • • • • • • • • • • • • •. ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ j (, ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other •• •• • • • - • • • • • • • • ••. • • • • • • • • • • •.... • •.• Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information • • • • • • .•• INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step I. Complete the attached pergttt`apQ4tie nuct I e signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a Rtore nurite'pr gS'siri'of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. • • • • • • • • • • • • • ••• •• Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION 3 l/ 9� S� //?)am s . ,54vrr5 F� Address Apt. City dtate Ll ?<Description of Work g g-42-11-1 ° / Sr , ek J57 �a-b PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • ••• Master Permit No. •• •• • • • • • • • • • • • Subsidiary Permit No. • • • • • • • • • • • ••• • • Zoning PERMIT APPLICATION 33/S? Zip Linear Feet Units Floors Sf2 Square Feet Value of Work Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Bldg Value ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name — • • • • • •• • •••••• • •••e•• •••• • • •••• • • • • • • • • •• •• • • • • • • • • • • • • • • • • •• • • •• • • • • • •• • •••• • • •••• • • • • • •• •• •••••• • ••••• ••••• • • • • • • •••••• •••••• • • • •ee•e• • • •••••• • • • •••••• • • •••••• • • Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Permit Number: BP2002 -2240 Printed:1 /3/2003 Applicant: BRIAN Owner: F ZIW JOB ADDRESS: 380 NE 91 Contractor Local Phone: Parcel # 1132060190200 Legal Description: EL PORTAL Fees: FEE2003 -34 FEE2003 -35 Description Building Permit Application Fee CCF Total Fees: Amount $60.00 $1.20 $61.20 Total Fees: $61.20 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: Work: STEEL SHED ON EXISITNG SLAB If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct ordinances pertaining thereto and with the understanding that the work will be and approved by the proper municipal authorities. This Permit may be revokec authorization. A further condition upon which this permit is granted is the unde ordinances and regulations pertaining to the work covered hereby whether shot by his agents, servants or employees. Signed: Signed: 7/2/2003 (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the w with the plans, drawings, statements or specifications submitted to the proper ai myself, my agent, servants or employes. (Contractor Building Permit WOLSTENHOLME - ibtleH EL ST Contractor's Address: Construction Value: $1,200.00 Page 1 of 1 PB 9 -101 LOT 3 & W1/2 LOT 2 BLK 2 LOT SIZE IRREGULAR BRIAN D. WOLSTENHOLME 727 - 343 -5360 6920 11 AVE. N. ST PETERSBURG, FL 33710 Pay To l The Order Of gi For PINELLAS OUN TEACHERS CRED P.O. BOX 2650 o LARGO, F40RIDA 33779- tad I 0) ':2631B23 • "- , '�' 2 i V I I ma • 63- 8231/2631 OOOL4506?no L3LO / /a -tld 3 Date $ 6 /. 2,0 .f4") /CA) Dollars e 1310 . NP WALL PANEL COPE WEB NO. 10 SCREW DETAIL 4' x 1/2• CHANNEL (DOOR .L4148) 1. 1 1/4 X 3" X 1 1/2' LONG X .034 1818H 4' - NO. 10 SCREWS SECTION O L 1 1/4' x 3' x l 1/2' LONG X .034 1MTH 4 - NO. 10 SCREWS 1' X 2.701 X 1.053• x .030" 0008 JAW TRIM SECTION O SJ • POO&I2S' WV. • • • T 90i • •• • • • •2 X 1 X 0.023• CHANNEL- • AA • • • ••• • •• • • • • ••• • • • • • .•. . • • ' • .• •• .• • OO • ••' • • '•• :•: ••• ••: FLOOR FRAME (.0281 1' X 2.701' X 1.053• x .030' DOOR J■18 TRW FLOOR FRAME (.028') • • • • ••• • • • • • • . • • • • • • • • • _• • • 0.016 0008 90N SECTION O SECTION • 1 • X 2.701' X 1.05.3 X .030' DOCK JAMB TRIM NO. 10 X 1/2- SCREWS 5 AT SIDES AND 4 AT TOP AND BOTTOM NO. 10 X 1/2• SCREWS 5 AT EACH 90E. 4 x 1/2' CHANNEL (DOOR JAMB) L 1 1/4' X 3' x 1 1/r LONG X .034 1I1H 4 - NO. 10 SCREWS NO. 10 SCREW .o C" ZEE 10 NO. 10 X 7/16" NACN. OWS T3TAL - ZEE C-O@1 TRIM NOT S-10YN FOR CLAM 1Y SECTION O 53 4" X 1' X .028 CHANNEL vl 1 1/2" X 2 1/8" X .060 T LEFT 000R 1 1/8" X 2" X .030" T RIGHT DOOR 2 X 1 X 0.023 CHANNEL 0.016• DOOR SKIN 2' X 1' X .023 CHANNEL NO. 10 SCREW NOTCH FOR DOOR JANE COPE NEB AS REQUIRED 4' X 1 1/2' X .060 CHANNEL • • •:• I :. •• •• •• •• • • • • • • • : ••• • • • • • • : • • • ••• • • ••• • • • • • • • •• • • • • • • •• ••• • PRODUCT REVISED is coo ptylag with the Plaid* Badding sacs o 02- • . Explratba Date!! AM • (0 m P `� ct Con Divibioo • • •• • • • • O •• •••: • : • O O : ••• • • • • •• • • • i • • • • ' •• • •• ••• • • e SECTION O s3 PRODUCT RENEWED rANCE Flo. o I -- 0 4 O" o `f /� ' T1O4 DATE O /2-4- TRObUCT NTROL DIVISION O CODE COMPLIANCE OPTIC'S • •• • • • • ••• .030' ZEE ZEE DOOR TRIM NOT SHOWN FOR CLARITY APPROVED AS COMPLYING :In{ T} SOUTH s ' IDA BUILDING CODE DAT BY FRO BUILDING DE CCOMPLANCE 1 r'iICE •.CCEPTANCE NO gif 25"3".° 7-13 -0Il NM olUwa - ow[ ROM lcalwOln x+• MM. WOE ftlUKM VT eta •aa SECTIONS & DETAILS 6' X 5 ". 8' X 6 ". 8' X 8' do 10' X 8' UT1UTY SHEDS mum ra '" o12 11_17 ARROW GROUP INDUSTRIES 1101 N. 4TH STREET BREESE. IL 6 /.2 (618) 526 -4546 *Wm* Ma WALL PANEL COPE WEB NO. 10 SCREW DETAIL 4' x 1/2• CHANNEL (DOOR .L4148) 1. 1 1/4 X 3" X 1 1/2' LONG X .034 1818H 4' - NO. 10 SCREWS SECTION O L 1 1/4' x 3' x l 1/2' LONG X .034 1MTH 4 - NO. 10 SCREWS 1' X 2.701 X 1.053• x .030" 0008 JAW TRIM SECTION O SJ • POO&I2S' WV. • • • T 90i • •• • • • •2 X 1 X 0.023• CHANNEL- • AA • • • ••• • •• • • • • ••• • • • • • .•. . • • ' • .• •• .• • OO • ••' • • '•• :•: ••• ••: FLOOR FRAME (.0281 1' X 2.701' X 1.053• x .030' DOOR J■18 TRW FLOOR FRAME (.028') • • • • ••• • • • • • • . • • • • • • • • • _• • • 0.016 0008 90N SECTION O SECTION • 1 • X 2.701' X 1.05.3 X .030' DOCK JAMB TRIM NO. 10 X 1/2- SCREWS 5 AT SIDES AND 4 AT TOP AND BOTTOM NO. 10 X 1/2• SCREWS 5 AT EACH 90E. 4 x 1/2' CHANNEL (DOOR JAMB) L 1 1/4' X 3' x 1 1/r LONG X .034 1I1H 4 - NO. 10 SCREWS NO. 10 SCREW .o C" ZEE 10 NO. 10 X 7/16" NACN. OWS T3TAL - ZEE C-O@1 TRIM NOT S-10YN FOR CLAM 1Y SECTION O 53 4" X 1' X .028 CHANNEL vl 1 1/2" X 2 1/8" X .060 T LEFT 000R 1 1/8" X 2" X .030" T RIGHT DOOR 2 X 1 X 0.023 CHANNEL 0.016• DOOR SKIN 2' X 1' X .023 CHANNEL NO. 10 SCREW NOTCH FOR DOOR JANE COPE NEB AS REQUIRED 4' X 1 1/2' X .060 CHANNEL • • •:• I :. •• •• •• •• • • • • • • • : ••• • • • • • • : • • • ••• • • ••• • • • • • • • •• • • • • • • •• ••• • PRODUCT REVISED is coo ptylag with the Plaid* Badding sacs o 02- • . Explratba Date!! AM • (0 m P `� ct Con Divibioo • • •• • • • • O •• •••: • : • O O : ••• • • • • •• • • • i • • • • ' •• • •• ••• • • e SECTION O s3 PRODUCT RENEWED rANCE Flo. o I -- 0 4 O" o `f /� ' T1O4 DATE O /2-4- TRObUCT NTROL DIVISION O CODE COMPLIANCE OPTIC'S • •• • • • • ••• .030' ZEE ZEE DOOR TRIM NOT SHOWN FOR CLARITY APPROVED AS COMPLYING :In{ T} SOUTH s ' IDA BUILDING CODE DAT BY FRO BUILDING DE CCOMPLANCE 1 r'iICE •.CCEPTANCE NO gif 25"3".° • .o2r -1 11- r i" CHANNEL r -3 1 /8• DOOR ELEVATION 1 8 EA PANEL SCREW 7 W / H MACHINE 2 EA PANEL 110 x r satEws AT CORNERS OF PANE. 2 X 1 CHANNEL 0.023' THO( (TYPICAL) PANEL MOTH VARIES }•• • • TYPICAL PANEL FASTENER ELEVATION •• •• •• • • • • • • • : 15132, fl • • I • • • • • • •i• 0.030' ZEE 2 X1'X0.023' 0.016' DOCK S1ON FINISH GRADE ••• • • • • ••• • • • • • • • ••• • • • • • • ••• • ; . ••• TYPICAL WALL PANEL • ..... ...... • • • • • : .....NOTE: PANEL WIDTH VARIES • • • •. • • • ••• SECTION 8' REF 28 3/4' 4• X 1 1/2' X 0.060' CHANNEL HNOES (2 TOTAL) WTH 6 - 3/16' FLAT HO MACHINE SCREWS ANO NUTS SECTION 1/4' 0.023' JAMB 14 BARS CONT. r -- I PANEL THCIGVESS .01C' 1/1 ANGLE 2' X 1 3/8' X 0.060• 3/8 x 8' LONG ANCHOR BOLTS AT 24' 0.G AT SLOE AMO BACK WALLS, lr MAX. 0.C. AT FRONT WALL ALTERNATE ANCH02 HILO KINK BOLT 8. 3/8". X 5 LG CONCRETE ANCHOR W/ 2 1/2• EMBEDMENT. METRO DADE COUNTY ACCEPTANCE /93- 0224.04. SECTION 6 X 6 - 10 /10 WADED WIRE MESH \ ALT. - 13 BARS AT 18' 0.C. EA. WAY WALL OR ROOF PANELS WALL OR ROOF CHANNELS 1'X4'X.023' SECTION - CHANt$L 4' x 1' x 0.028' r 4NEZ. r X 1' X 0.023' 0.030 ZEE 2• THICK 000R FLOOR FRAME (n.0281 ROOF 1 1'X1'X.028' BRACE AT ROOF BEAMS ONLY W //10 MACHINE SCREWS & NUTS ROOF SECTION L 1/8 1 I/8' X .028' /10 x 112' SCREW L 1 7/8' X 1 1/4' X .028 WALL ANGLE SECTION 2 ROWS /10 X 7/16' MACH. SCREWS AT 8' ON CENTER scREws ( PER PANEL) (2/10X1') (6 /10 X 1/21 0 SECTION 0 MACHINE SCREWS T VERTICAL ANGLE TO GABLE PANEL RETURN 110 MACHINE SCREWS (4 TOTAL) BOLT VERTICAL ANG1E TO GABLE PANEL_ RETURN .018' THp( • -ROOT PA1J • • ••• :• •• • • • • 73" . + °'ws • • ••• ANGLE / t 1 • E" 1 1 / X 0.02 • ' • • • • • • . • • •• • • • • • • ••• • • • • • ••• • SECTION ,4 • • •• • • • ••• ••• • • WALL PANEL NUT FLOOR FRAME (0.0281 SPACER 3/8•• ANCHOR 80175 (SEE FOUNDATION PLAN ANO SECna1 FOR REQUIREMENTS) ALTERNATE ANCHOR: 3/8"0 HILTI CONCRETE ANCHOR PRODUCT REVISED as emptying with the Florida Balling Code Acceptance No 0 Eipiratioa Date .03 Mani Dade Division rct Control WALL CHANNEL CORNER CONNECTION SECTION O 52 PRODUCT RENEWED AO E'I -AxcE Into. C 1 •- o f '3 c, . 0 4 Dy P1LOD� K NITIOL DIVISION DUIIAWO CODE UOL PUANCZ 01111$ EXPIRATION DATE G APPROVED AS COM "IY'NC V::11 THE SOUTH FLO DA BUM- C(a. DAT �•,. ° i = BY PRO BUILDING CODE COMPLIANCE O1•r"0,E ACCEPTANCE NO. L I y a //3 • Ml 3 C C (.16 CCP CT) 2 t -� . -J 6 i.17 -' .911 1 r 1 r,•-•. Wee 03•11Y •rd 1• 410 - is MIL is t•or •* FOC lilt ""'' HOC SECTIONS & DETAILS Magri . 6' X 5 8' X 6'. 8' X 8' & 10' X 8' "~O uTtuTY SHEDS am 12 -12-•7 01.•••• MI ARROW GROUP INDUSTRIES 1101 N. 4TH STREET n BREESE. IL 62230 L (618)• 526 -4546 • .o2r -1 11- r i" CHANNEL r -3 1 /8• DOOR ELEVATION 1 8 EA PANEL SCREW 7 W / H MACHINE 2 EA PANEL 110 x r satEws AT CORNERS OF PANE. 2 X 1 CHANNEL 0.023' THO( (TYPICAL) PANEL MOTH VARIES }•• • • TYPICAL PANEL FASTENER ELEVATION •• •• •• • • • • • • • : 15132, fl • • I • • • • • • •i• 0.030' ZEE 2 X1'X0.023' 0.016' DOCK S1ON FINISH GRADE ••• • • • • ••• • • • • • • • ••• • • • • • • ••• • ; . ••• TYPICAL WALL PANEL • ..... ...... • • • • • : .....NOTE: PANEL WIDTH VARIES • • • •. • • • ••• SECTION 8' REF 28 3/4' 4• X 1 1/2' X 0.060' CHANNEL HNOES (2 TOTAL) WTH 6 - 3/16' FLAT HO MACHINE SCREWS ANO NUTS SECTION 1/4' 0.023' JAMB 14 BARS CONT. r -- I PANEL THCIGVESS .01C' 1/1 ANGLE 2' X 1 3/8' X 0.060• 3/8 x 8' LONG ANCHOR BOLTS AT 24' 0.G AT SLOE AMO BACK WALLS, lr MAX. 0.C. AT FRONT WALL ALTERNATE ANCH02 HILO KINK BOLT 8. 3/8". X 5 LG CONCRETE ANCHOR W/ 2 1/2• EMBEDMENT. METRO DADE COUNTY ACCEPTANCE /93- 0224.04. SECTION 6 X 6 - 10 /10 WADED WIRE MESH \ ALT. - 13 BARS AT 18' 0.C. EA. WAY WALL OR ROOF PANELS WALL OR ROOF CHANNELS 1'X4'X.023' SECTION - CHANt$L 4' x 1' x 0.028' r 4NEZ. r X 1' X 0.023' 0.030 ZEE 2• THICK 000R FLOOR FRAME (n.0281 ROOF 1 1'X1'X.028' BRACE AT ROOF BEAMS ONLY W //10 MACHINE SCREWS & NUTS ROOF SECTION L 1/8 1 I/8' X .028' /10 x 112' SCREW L 1 7/8' X 1 1/4' X .028 WALL ANGLE SECTION 2 ROWS /10 X 7/16' MACH. SCREWS AT 8' ON CENTER scREws ( PER PANEL) (2/10X1') (6 /10 X 1/21 0 SECTION 0 MACHINE SCREWS T VERTICAL ANGLE TO GABLE PANEL RETURN 110 MACHINE SCREWS (4 TOTAL) BOLT VERTICAL ANG1E TO GABLE PANEL_ RETURN .018' THp( • -ROOT PA1J • • ••• :• •• • • • • 73" . + °'ws • • ••• ANGLE / t 1 • E" 1 1 / X 0.02 • ' • • • • • • . • • •• • • • • • • ••• • • • • • ••• • SECTION ,4 • • •• • • • ••• ••• • • WALL PANEL NUT FLOOR FRAME (0.0281 SPACER 3/8•• ANCHOR 80175 (SEE FOUNDATION PLAN ANO SECna1 FOR REQUIREMENTS) ALTERNATE ANCHOR: 3/8"0 HILTI CONCRETE ANCHOR PRODUCT REVISED as emptying with the Florida Balling Code Acceptance No 0 Eipiratioa Date .03 Mani Dade Division rct Control WALL CHANNEL CORNER CONNECTION SECTION O 52 PRODUCT RENEWED AO E'I -AxcE Into. C 1 •- o f '3 c, . 0 4 Dy P1LOD� K NITIOL DIVISION DUIIAWO CODE UOL PUANCZ 01111$ EXPIRATION DATE G APPROVED AS COM "IY'NC V::11 THE SOUTH FLO DA BUM- C(a. DAT �•,. ° i = BY PRO BUILDING CODE COMPLIANCE O1•r"0,E ACCEPTANCE NO. L I y a //3 • Ml 3 C C (.16 CCP CT) 2 t -� . -J 6 i.17 -' .911 1 r • .o2r -1 11- r i" CHANNEL r -3 1 /8• DOOR ELEVATION 1 8 EA PANEL SCREW 7 W / H MACHINE 2 EA PANEL 110 x r satEws AT CORNERS OF PANE. 2 X 1 CHANNEL 0.023' THO( (TYPICAL) PANEL MOTH VARIES }•• • • TYPICAL PANEL FASTENER ELEVATION •• •• •• • • • • • • • : 15132, fl • • I • • • • • • •i• 0.030' ZEE 2 X1'X0.023' 0.016' DOCK S1ON FINISH GRADE ••• • • • • ••• • • • • • • • ••• • • • • • • ••• • ; . ••• TYPICAL WALL PANEL • ..... ...... • • • • • : .....NOTE: PANEL WIDTH VARIES • • • •. • • • ••• SECTION 8' REF 28 3/4' 4• X 1 1/2' X 0.060' CHANNEL HNOES (2 TOTAL) WTH 6 - 3/16' FLAT HO MACHINE SCREWS ANO NUTS SECTION 1/4' 0.023' JAMB 14 BARS CONT. r -- I PANEL THCIGVESS .01C' 1/1 ANGLE 2' X 1 3/8' X 0.060• 3/8 x 8' LONG ANCHOR BOLTS AT 24' 0.G AT SLOE AMO BACK WALLS, lr MAX. 0.C. AT FRONT WALL ALTERNATE ANCH02 HILO KINK BOLT 8. 3/8". X 5 LG CONCRETE ANCHOR W/ 2 1/2• EMBEDMENT. METRO DADE COUNTY ACCEPTANCE /93- 0224.04. SECTION 6 X 6 - 10 /10 WADED WIRE MESH \ ALT. - 13 BARS AT 18' 0.C. EA. WAY WALL OR ROOF PANELS WALL OR ROOF CHANNELS 1'X4'X.023' SECTION - CHANt$L 4' x 1' x 0.028' r 4NEZ. r X 1' X 0.023' 0.030 ZEE 2• THICK 000R FLOOR FRAME (n.0281 ROOF 1 1'X1'X.028' BRACE AT ROOF BEAMS ONLY W //10 MACHINE SCREWS & NUTS ROOF SECTION L 1/8 1 I/8' X .028' /10 x 112' SCREW L 1 7/8' X 1 1/4' X .028 WALL ANGLE SECTION 2 ROWS /10 X 7/16' MACH. SCREWS AT 8' ON CENTER scREws ( PER PANEL) (2/10X1') (6 /10 X 1/21 0 SECTION 0 MACHINE SCREWS T VERTICAL ANGLE TO GABLE PANEL RETURN 110 MACHINE SCREWS (4 TOTAL) BOLT VERTICAL ANG1E TO GABLE PANEL_ RETURN .018' THp( • -ROOT PA1J • • ••• :• •• • • • • 73" . + °'ws • • ••• ANGLE / t 1 • E" 1 1 / X 0.02 • ' • • • • • • . • • •• • • • • • • ••• • • • • • ••• • SECTION ,4 • • •• • • • ••• ••• • • WALL PANEL NUT FLOOR FRAME (0.0281 SPACER 3/8•• ANCHOR 80175 (SEE FOUNDATION PLAN ANO SECna1 FOR REQUIREMENTS) ALTERNATE ANCHOR: 3/8"0 HILTI CONCRETE ANCHOR PRODUCT REVISED as emptying with the Florida Balling Code Acceptance No 0 Eipiratioa Date .03 Mani Dade Division rct Control WALL CHANNEL CORNER CONNECTION SECTION O 52 PRODUCT RENEWED AO E'I -AxcE Into. C 1 •- o f '3 c, . 0 4 Dy P1LOD� K NITIOL DIVISION DUIIAWO CODE UOL PUANCZ 01111$ EXPIRATION DATE G APPROVED AS COM "IY'NC V::11 THE SOUTH FLO DA BUM- C(a. DAT �•,. ° i = BY PRO BUILDING CODE COMPLIANCE O1•r"0,E ACCEPTANCE NO. L I y a //3 • Ml 3 C C (.16 CCP CT) 2 t -� . -J FRONT ELEVATION FRONT ELEVATION FRONT ELEVATION FRONT ELEVATION 8' X 6' BUILDING 8' X 8' BUILDING •• • • • ••. •; StO.• L • .. • • • • • • • • • • • 6' X 5' BUILDING SIDE ELEVATION SIDE ELEVATION SIDE ELEVATION 10' X 8' BUILDING ROOF PLAN . ROOF PLAN REAR ELEVATION ROOF PLAN ROOF PLAN E: a 6 i t /2 FOUNDATION PLAN ;EAR ELEVATION REAR ELEVATION REAR ELEVATION 3/8'0 X 8' LC ANCHOR BOLTS 0 24' MAX 0 /C. ' 3/8'0 x 8' LC 1/2 ANCHOR BOLTS o FRONT ELEV. 10 1 8' -2 3/4' FOUNDATION PLAN • • � • • 1 • • • • • • ••• • • • • • • • • • ••• • • ••• • • • • • • •• • • • . • • • • • • • •• •• - • •• • ••• • • •• • • ••• 3 /8`IX8' ANCHOR BOLTS 0 24' MAX 0/C. •• • • • • • • • • •]/8'• X 8' Lc ANCHOR BOLTS 0 FRONT ELEV. 6 1/r FOUNDATION PLAN 3/8'1 x 8' LC ANCHOR BOLTS 0 24' VAX 0 /C. 3 /8'• - LC ANCHOR BOLTS 0 FRONT ELEV. 3/8'• X 8' LC ANCHOR BOLTS 0 it MAX 0/0. FOUNDATION PLAN . • ; NciTES • . • • • ! 70N cm>rRu: .,• ?1: F1.UP'OA OL9U "•"• COOT Abt.7 -88 iWND LOADS ONLY) • • LOADS:: ••• DEAD LOAOS: ACTUAL LOADS UVE LOADS: 15 PSF Vitt &0S 75 MPH PER ASCE 7 -88 • • • • trAtibWLS: O OO • • I��VI� S • • AMU MEMBERS: ASTL ASTL ASTV ASTL 2,000 • CHANNELS & OTHER BOLTS & SCREWS ANCHOR BOLTS REINFORCING STEEL: CONCRETE: PRODUCT REVISED na complying »ith the Florida Balding Code Acceptance No Expiration Date Mia Division net Coot A625 -76, Fy = •0 K51 A527 -80, Fy - 55 KS M018, Fy - 30 KSI A -307 A -615, GRADE 40 PS AT 28 DAYS .o3 0f, PRODUCT RENEWED AccermicE No. 01 0 • 3 G . t; ¢ BY PRO BUUDD4O TROL DIVL91ON TION DATE • ALTERNATE ANCHOR: HIM KNWK Bar h, 3/8'• X 5' LC CONCRETE ANCHOR W/ 2 1/2' EMBEDUENT. METRO OADE COUNTY ACCEPTANCE /93- 0224.04. SOOT DAT BY APPROVED AS COMPLYING ;ff.! TDC ORIDA BU:LD :NG � CO:.t 19 f PRODUCT CC TK BUILDIFG CODE CAP!. ACCEPTANCE NO. _1k OOMPUANCE OFFICE ^:}ICE 2006 1 I OA 1 L 1 D a f, :lr ICY D EJ I - -.L 9' -10 1/4 7.43 -0. OrO_ WMTV Il[`f>b0 OAK KNOCK 111 :oexr PLANS & ELEVATIONS scam sir 1-c Aaccn 6' X 5', 8' X 6', 8' X 8' do 10' X 8' UTIUTY SHEDS OWN n ' 0810 n -12 -n ARROW GROUP INDUSTRIES 1101 N. 4TH STREET BREESE. IL 62230 (618) 526 -4546 o,r.+ .n FRONT ELEVATION FRONT ELEVATION FRONT ELEVATION FRONT ELEVATION 8' X 6' BUILDING 8' X 8' BUILDING •• • • • ••. •; StO.• L • .. • • • • • • • • • • • 6' X 5' BUILDING SIDE ELEVATION SIDE ELEVATION SIDE ELEVATION 10' X 8' BUILDING ROOF PLAN . ROOF PLAN REAR ELEVATION ROOF PLAN ROOF PLAN E: a 6 i t /2 FOUNDATION PLAN ;EAR ELEVATION REAR ELEVATION REAR ELEVATION 3/8'0 X 8' LC ANCHOR BOLTS 0 24' MAX 0 /C. ' 3/8'0 x 8' LC 1/2 ANCHOR BOLTS o FRONT ELEV. 10 1 8' -2 3/4' FOUNDATION PLAN • • � • • 1 • • • • • • ••• • • • • • • • • • ••• • • ••• • • • • • • •• • • • . • • • • • • • •• •• - • •• • ••• • • •• • • ••• 3 /8`IX8' ANCHOR BOLTS 0 24' MAX 0/C. •• • • • • • • • • •]/8'• X 8' Lc ANCHOR BOLTS 0 FRONT ELEV. 6 1/r FOUNDATION PLAN 3/8'1 x 8' LC ANCHOR BOLTS 0 24' VAX 0 /C. 3 /8'• - LC ANCHOR BOLTS 0 FRONT ELEV. 3/8'• X 8' LC ANCHOR BOLTS 0 it MAX 0/0. FOUNDATION PLAN . • ; NciTES • . • • • ! 70N cm>rRu: .,• ?1: F1.UP'OA OL9U "•"• COOT Abt.7 -88 iWND LOADS ONLY) • • LOADS:: ••• DEAD LOAOS: ACTUAL LOADS UVE LOADS: 15 PSF Vitt &0S 75 MPH PER ASCE 7 -88 • • • • trAtibWLS: O OO • • I��VI� S • • AMU MEMBERS: ASTL ASTL ASTV ASTL 2,000 • CHANNELS & OTHER BOLTS & SCREWS ANCHOR BOLTS REINFORCING STEEL: CONCRETE: PRODUCT REVISED na complying »ith the Florida Balding Code Acceptance No Expiration Date Mia Division net Coot A625 -76, Fy = •0 K51 A527 -80, Fy - 55 KS M018, Fy - 30 KSI A -307 A -615, GRADE 40 PS AT 28 DAYS .o3 0f, PRODUCT RENEWED AccermicE No. 01 0 • 3 G . t; ¢ BY PRO BUUDD4O TROL DIVL91ON TION DATE • ALTERNATE ANCHOR: HIM KNWK Bar h, 3/8'• X 5' LC CONCRETE ANCHOR W/ 2 1/2' EMBEDUENT. METRO OADE COUNTY ACCEPTANCE /93- 0224.04. SOOT DAT BY APPROVED AS COMPLYING ;ff.! TDC ORIDA BU:LD :NG � CO:.t 19 f PRODUCT CC TK BUILDIFG CODE CAP!. ACCEPTANCE NO. _1k OOMPUANCE OFFICE ^:}ICE 2006 1 I OA 1 L 1 D a f, :lr ICY D EJ I - -.L 9' -10 1/4 FRONT ELEVATION FRONT ELEVATION FRONT ELEVATION FRONT ELEVATION 8' X 6' BUILDING 8' X 8' BUILDING •• • • • ••. •; StO.• L • .. • • • • • • • • • • • 6' X 5' BUILDING SIDE ELEVATION SIDE ELEVATION SIDE ELEVATION 10' X 8' BUILDING ROOF PLAN . ROOF PLAN REAR ELEVATION ROOF PLAN ROOF PLAN E: a 6 i t /2 FOUNDATION PLAN ;EAR ELEVATION REAR ELEVATION REAR ELEVATION 3/8'0 X 8' LC ANCHOR BOLTS 0 24' MAX 0 /C. ' 3/8'0 x 8' LC 1/2 ANCHOR BOLTS o FRONT ELEV. 10 1 8' -2 3/4' FOUNDATION PLAN • • � • • 1 • • • • • • ••• • • • • • • • • • ••• • • ••• • • • • • • •• • • • . • • • • • • • •• •• - • •• • ••• • • •• • • ••• 3 /8`IX8' ANCHOR BOLTS 0 24' MAX 0/C. •• • • • • • • • • •]/8'• X 8' Lc ANCHOR BOLTS 0 FRONT ELEV. 6 1/r FOUNDATION PLAN 3/8'1 x 8' LC ANCHOR BOLTS 0 24' VAX 0 /C. 3 /8'• - LC ANCHOR BOLTS 0 FRONT ELEV. 3/8'• X 8' LC ANCHOR BOLTS 0 it MAX 0/0. FOUNDATION PLAN . • ; NciTES • . • • • ! 70N cm>rRu: .,• ?1: F1.UP'OA OL9U "•"• COOT Abt.7 -88 iWND LOADS ONLY) • • LOADS:: ••• DEAD LOAOS: ACTUAL LOADS UVE LOADS: 15 PSF Vitt &0S 75 MPH PER ASCE 7 -88 • • • • trAtibWLS: O OO • • I��VI� S • • AMU MEMBERS: ASTL ASTL ASTV ASTL 2,000 • CHANNELS & OTHER BOLTS & SCREWS ANCHOR BOLTS REINFORCING STEEL: CONCRETE: PRODUCT REVISED na complying »ith the Florida Balding Code Acceptance No Expiration Date Mia Division net Coot A625 -76, Fy = •0 K51 A527 -80, Fy - 55 KS M018, Fy - 30 KSI A -307 A -615, GRADE 40 PS AT 28 DAYS .o3 0f, PRODUCT RENEWED AccermicE No. 01 0 • 3 G . t; ¢ BY PRO BUUDD4O TROL DIVL91ON TION DATE • ALTERNATE ANCHOR: HIM KNWK Bar h, 3/8'• X 5' LC CONCRETE ANCHOR W/ 2 1/2' EMBEDUENT. METRO OADE COUNTY ACCEPTANCE /93- 0224.04. SOOT DAT BY APPROVED AS COMPLYING ;ff.! TDC ORIDA BU:LD :NG � CO:.t 19 f PRODUCT CC TK BUILDIFG CODE CAP!. ACCEPTANCE NO. _1k OOMPUANCE OFFICE ^:}ICE 2006 • M I A M I•DADE Arrow Group Industries, Inc. 1101 N. 4 Strcet Breese, IL 62230 SCOPE: •• •• • • . • • • • • • BUILDING CODE COMPLIANCE OFFICE (BCCO), PRODUCT CONTROL DIVISION • • .•. NOTICE OF ACCEPTANCE (NOA) ••• • • • • • • • • • ' • • • • . • • . • • . • .. • • • • • • ••• • • • • • • ' • • ••� ••. •• • • • ' • • •.. • • • • • • ...140 WEST FLAGLER STREET, SUITE 1603 • • • • • • • M IAMI, FLORIDA 33130 -1563 • • • • • ; (305) 375 -2901 FAX (305) 375 -290S •• • • ••• MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING This NOA is being issued under the 'applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade Couniy Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by thc Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (F:: Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Cold Formed Steel Utility Sheds APPROVAL DOCUMENT: Drawing No. SI, S2 and S3, titled "6' x 5', 8' x 6', 8' x 8' & 10' x 8' Utility Shed", sheets SI through S3, prepared, signed and scaled by R.T. Wharton, P.E., dated July 14, 1998, bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dadc County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the . product or proccss. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically tcrminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at thc job site at the request of the Building Official. This NOA revises NOA # 01- 0430.04 and, consists of this page 1 as well as approval document mentioned above. The submitted documentation was reviewed by Raul Rodriguez. NOA No 02 -0401.03 Expiration Date: August 24, 2006 Approval Date: May 09, 2002 Page 1 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer Q"I'Y. TYPI'. Outlet, Appliance QTY. TYPI: Service Repair QTY. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth AJC Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. Tl"1'E Generator QTY. TVPE Refrigeration, Tons QTY. A/C Central, Tons QTY. Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY. 'TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTV. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, CO _' Y OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature o • wn eA /ne-e /2 Pri uCName `y Sworn to and subscribed before me this / ( day of rVii- >17 Signature of Nota > /Public - State of Florida SEAL: e y N Maria Suzanne Wheatley • My Commission 00022086 ti dy Expires May 01 2005 Signature of Contractor / Qualifier PERMIT APPLICATION Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: ( t)L-. j ( fo 6 V 71.00, b Type of Identification Produced: Page 3 • PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: PROPERTY OWNER New Construction Name NAiril-,ue( _Py-i. Enclosure Address 3 E,v /-4E ck 1 Alteration Exterior Home Telephone , 8 4U2 S ,, -) S Business Telephone Alteration Interior Fax 30 ,6 Co ,F 1 k + g TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond $ Metropolitan Dade County (C.C.F.) $ °? ^ ,0 Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine $ Zoning Review SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) ISSUING OFFICIAL REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Address Apt. Folio Number Jl_ Si — 06 ° 0/9' -OZdQ Lot 3 Cr' W Z L6f Subdivision PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. NI S M- ..y(TS City FL State Description of Work `` c.c.t nc 4.5 +kit/5 I Tax Assessed/Appraised Value PERMIT APPLICATION 33/38 PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work .$ 35(_= Tenant Information Bldg Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Applicant: -J0 4.1N rn SON Owner: KftRtACON J414Ai- Contractor Address: Local Phone: Cellular: Parcel # 1132060190200 Job Address: 380 NE 91 ST Building Permit Permit Number: BP2002 -37 Printed: 1/7/2002 Page 1 of 1 Legal Description: EL PORTAL PB 9 -101 LOT 3 & W1/2 LOT 2 BLK 2 LOT SIZE IRREGULAR Fees: Description Amount FEE2002 -132 Building Permit Application F460.00 FEE2002 -133 CCF $2.40 Total Fees: $62.40 Permit Status: Approved Permit Expiration: 7/3/2002 Construction Value: $3,500.00 Work: INTERIOR GENERAL LIGHT DOORS, KITCHEN CABINETS, FLOORS, PATHWORK (OWNER BUILDER PERMIT) Total Fees: $62.40 Total Receipts: $0.00 L If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: Signed: (Contractor or Builder) (wc . RECTOR) BY: 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. BY: c. 570614700 01 /0 / j TOTL 62 40 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water i eater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. - TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate (TY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher lIndirect Wastes Relay Repair Vacuum Pump Disposal lI nterceptar Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfie:d, 4" Tile/Res. Lavatory Septic Tank Water i eater New Drains, Area Meter Set (Gas) Sewer Connection Water He -pipe Water Service Drains, Irlcar Minimum Fee Shower Drains, French Miscel:aneo s F,cl nirmnt Sink We , Supply Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, CO Y OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Print N. e Sworn to and subscri re me this day of Signature of No + blip State of Florida e C ana Datorre * *My Commission CC733629 n e l Expires April 14, 2002 SEAL: Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: PROPERTY OWNER New Construction Name i jcIG k 0 , , ( T e ✓ Address 300 ` , M t w vvN i - in , r3' S - Q eS F L 3313 Y, Home Telephone Electrical Business Telephone 7 q t 1 64 , 5 `1 Fax TYPE OF MANAGEMENT (✓ ) New Construction DATE Enclosure Alteration Exterior Electrical Repair t/ Alteration Interior Demolish Plumbing Relocation of Structure Shell Only Foundation Only Public Works Add'l Attachment Other Add'l Detachment Building Official Other s `° SECTION - BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official ,- 2 „ ._ s `° Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) $ Miami Shores Village Bond $ Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine $ Zoning Review $ (QO • $ ( — C/10 • (sq.ft. = x/1000 x 0.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION CHECKLIST ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ `2P O ` 6 O ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 3Bo KVE 91 �t Address Apt. Description of Work 't'''1 KibVr'1 okx.I0,-f1®r4 Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical . Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. 1.q02. • 5'1 Subsidiary Permit No. _b)9' - 279,0 ' ?lp (11'1 q . - i o rem PC_ City State Zip 1 0—t p-l++& Zoning Linear Feet Floors Square Feet Units Value of Work 4 t O 00 . °° Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR • Name License No. Address Telephone Fax Qualifier Name Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 2/21/2002 Applicant: (JOHN—) Owner: KIRIACON Contractor Local Phone: Parcel # 1132060190200 Job Address: 380 NE 91 ST Fees: FEE2002 -1056 FEE2002 -1058 FEE2002 -1059 Permit Status: Approved Description Amount Building Permit Application Fe$60.00 Notary Fee CCF Total Fees: Building Permit Permit Number: BP2002 -367 Address: Cellular: KI JOHN Legal Description: EL PORTAL $5.00 $0.60 $65.60 Permit Expiration: 8/20/2002 Construction Value: $1,000.00 Work: BATHROOM RENOVATION DRYWALL /TILE WORK ONLY (OWNER BUILDER PERMIT) Page 1 of 1 PB 9 -101 LOT 3 & W1/2 LOT 2 BLK 2 LOT SIZE IRREGULAR Total Fees: $65.60 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: (INSPECTOR) BY: 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. Signed: (Contractor or Builder) BY: Dat eaia, Owner / Lessee / Tenant i'v l n(V d G(z-.- Master Permit # iJ 10 Owner's Address la 7) 11, 4 Phone � -� 6 W22 Legal Description S, ki/l Contracting Co. Address Qualifier e.,44,✓i65/ SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job ,(1/ (%/ ( Tax Folio `/ ,9020 /1 4(F# Square Ft. Estimated Cost(valueTc c 5 f WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. l oN I NAUt‘d Signature of owner and /or Condo President Signatu_r e Date: f� Date: S/7 'Notary as to Owner and /or Condo President My CommissionWires: or Owner- Builder Notary as to Contrac or or Owner- Builder My Commission xpire ** * * * * * * * * * * * * * * * * * FEES: PERMIT 5,7 ,6 U RADON C.C.F. 1 i,S ® NOTARY k.7 7 W TOTAL DUE lig t2© APPROVED: Zoning Electrical Mechanical Plumbing Engineering • ` :;METROPOLITAN .DA COUNTY • �,Gattr .:.:METROPOLITAN ; ;�:,.. ;CpNSTRUCTION 'TRADES �QUALII�,YING • • ..-• 'BOARD - DIVISION "A • APPEARANCES - (Continued) 1 U (nbb7 (d ttiJ:i:;k::-01.11,: i u, \!.:[ cra::!'trY EsL':LOING ANJL ZONING otFA:ttf4ENTS September 11, 1980 - Page 2 - DYER, John A. - (Continued) In accordance with the request of the Chairman of the Full 'Board,' Mr. Robert Miller, and the "A" Division's concurrence, the. request for the new category will be. presented to the "B" Division for approval at its next meeting. 3. JORDAN, Harry - SHEDS AMERICA - was invited to appear before the 'Board to discuss what category of a contractor's certificate is required for the installation of portable aluminum sheds, if any. (This, matter had been previously discussed by the Board at +:he'i'r August 14th meeting at which time Mr. JORDAN was not present). Mr. JORDAN brought a sample of the anchor and concrete pads used in the tie -down of these sheds for the Board's inspection, pointing out to the members that the anchor straps are screwed over skids and secured to the anchors. with pre- fabricated concrete pads being used instead of po•urr.: a slab. Mr. JORDAN further stipulated that although the tie - down is easy to place and can be done by the homeowner, his company will not sell.a shed unless the tie -down is done by them. The vehicle and tie -down are product approved and SHIMS AMERICA.orily anchors their own buildings. It was also stated by. Mr. JORDAN that the homeowner pulls a owner - builder permit for the shed. After much discussion, the Board was of the opinion that there is 'no necessity for establishing a special category for the tie- own o ese s e• s nor : does SHEDS AMBRIG -require a Contractor Certi icate o ompetenc to make such ins a ations_ 4. MURRAY, David' (Ornamental Iron), - DAVE'S ALUMINUM - appeared to appeal the Board's decision of August 14th wherein the Board decreed that a Formal Hearing be held after reviewing a com- plaint filed by Mr. & Mrs. Herbert . KLEINMAN. The Clerk of the Board, Mr. Charles W. Leavitt, Jr., briefed the members as to the'nature of the complaint and also pointed out his conver- sation with Mrs. KLEINMAN wherein Mrs. KLEINMAN stated thattk • matter had been settled with Mr. MURRAY and that she was dropping the charges. This was acknowledged by Mr. MURRAY anm: the Board unanimously agreed to rescind their decision of A dismiss the matter with no further action • l • TOTAL P.02 ITEMS NEEDED: OWNER BUILDER SHED PERMIT PROCEDURE GENERAL INSTRUCTIONS TAX RECEIPT FOLIO NUMBER 2 COPIES OF SURVEY OR SITE PLAN 2 COPIES OF ENGINEERING DRAWINGS 1 BUILDING PERMIT APPLICATION (OWNER BUILDER) WHEREVER APPLICATION CALLS FOR CONTRACTOR INSERT THE WORD "OWNER ". TAKE ALL PAPERWORK TO BUILDING AND ZONING DEPARTMENT. FEBRUARY 1991 ATTENTION PLANS PROCESSORS THESE PLANS ARE STATE APPROVED WITH A STAMP AND LETTER FROM THE STATE OF FLORIDA. THESE PLANS DO NOT NEED A DADE COUNTY PRODUCT APPROVAL . STATE APPROVAL SUPERSEDES DADE COUNTY PRODUCT APPROVAL. IF YOU NEED TO CONFIRM THIS CALL DADE CN T Y MR Q U I NTANA 375-1583 OR SHEDS AM 822-7433. 2740 CENTERVIEW DRIVE • TALLAHASSEE, FLORIDA 32399 -2100 • LAWTON CHILES Governor Mr. Lewis Hartley Robin Builders, Inc. Post Office Box 1067 Lake Wales, FL 33853 Re: Residential Lawn Storage Approval based on the 1991 SBC Mfgrs. ID No.: RBI- 18 -LS, Min. width 4' Min. length 6', Max. width 14', Max. length 40' This Approval Expires June 30, 1993 Dear Mr. Hartley: I am pleased to inform you that the Department of Community Affairs has granted Robin Builders approval to manufacture residential utility lawn buildings for installation throughout the State of Florida, except Monroe county. This approval is - granted pursuant to inspection of your submitted plans which were found by this Department and your inspection /plans review agency to be in compliance with the applicable codes. Provisions for resistance to uplift and overturning are approved so long as the unit is tied down in accordance with the approved plans and specifications on an adequate foundation. A copy of this letter must be attached to the approved plans when making application for a local building permit. Sincerely, LHJ /jf STATE OF FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS cc: Fred Cardwell June 30, 1992 Lawrence H'! Jordan Planning Manager Manufactured Buildings Program UNDA LOOMI9 SHFI.LBY EMERGENCY MANAGEMENT • HOUSING AND COMMUNITY DEVELOPMENT • RESOURCE PLANNING AND MANAGEMENT • t 1 . . : It! Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing o other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address. -!. ' Registered Architect and /or Engineer Name and address of Iicensed contractor STATE OF FLORIDA, COUNTY OF DADE. ss. APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT P7 1 it Pr Fah Date , 19 'A Street / . No 38 Location and legal description of lot to be built on: Lot Block Subdivision f � `l Street and Number where work is to be done....a,ak h (' • / f State work to be done and purpose of building (by floors) i i OW') i f P�4I4Xn � ' i �° • ' .� r ..f - � < o , �_ - - �� Wy � and for no other purpose. New Building Remodeling Addition k Repairs No. of Stories To be constructed of , n) LL14... - Kind of foundation Roof Covering j ) ) (3 .'l;7 7 Estimated Total cost of improvements $ 7C 0 0 Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor , I hereby submit all the plans and specifications for said building. All notices with reference to t e ing and its construction may be sent to ,-• The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su contractors, on work to be performed, under this permit, as are licensed by Miami Shores Village. -- 1 / , Remarks (Signed �" ` i �� a f {' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and dvho, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date 7 Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) ,. Building Inspector My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member ....... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be n•iade for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. • • ^ OP f i4 1 1 , 2 ; 36 0 K. , Az;', APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. C Date e.(.a_Y! 1 1 , 19� Owner's Name and Address ... ..... i v @.M.V .e ih 5a.e.tletela.ir.5 No 3 O 0 Street qI Registered Architect and /or Engineer Name and address of licensed contractor 1�•�1�1!1!1�CL. Location and legal description of lot to be built on: Lot_ .S . 0 Z_.._ Block Street and Number where work is to be done State work to be done and purpose of building (by and for no other purpose. New Building Remodeling. Addition._.-'?4 Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 7570.12- Amount of Permit $ 6 °t; Zone cubage required Plan Cubage Distance to next nearest building. } .Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for skid build. All notices with reference to the building and its construction may 44 be sent to A.1.1.4. .a c-J J 3 f iam.e. 1 A. 1.SIIO ,. Ltd., .._ 44 i Q. ieLI. The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be formed under this permit, as are licensed by Miami Shores Village. 4Loma 5c4 ee n f Q tic I S, under (Signed) Remarks STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. / Permit No c �— Date �= ; __ fi r 7 Read, Sworn to and Subscribed before me. Disapproved Dat - (Signed) .4. �_ �.. ._•_`�) - - -- - - Building Insp for PLANNING BOARD DATE Chainnan Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT J Subdivision....._... 1_,.__._P0.1'` 4,�.1 floors) ?��Y�_id► r ►!1�i_�_Q.S_tt_tl. to me well known, Notary Public, State of Florida My Commission Expires •1/4 1 "' 4 eV Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. j P Owner's Name and A _ Registered Architect /add7oi' n i ear' - fin ai'0 g g State work to be done and purpose of building (by floors )_ be s therein by hike stated are Permit No.___ Disapproved (Signed) - • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Name and address of licensed contractor - -- � A 1! e - -4� Lo a� ti9p �r d legal description of lot to be built on: bdivision_� • Street and Number where work is to be done C Amount of Permit $ -Plan Cubage _Size of Building Lot The undersigned applicant for this building permit does hereby certify that he understands and of labor under the Florida Workmen's Compensation Act, being Section 5966, Compile and has complied with the provisions thereof, and will require similar compliance f in the work to be performed under this permit; and will post or cause to be pos or notices as are required by the Act. The undersigned agrees to employ only permit, as are licensed by Miami Shores Village. Remarks (Sign Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Street_ Roof Covering_ and for no other purpose. New Building_ ___ k Remodeling Addition Repairs No. of Stories To be constructed of ?�. Kind of foundation__ c oo Estimated Total cost of improvements $__j.__ _4.Oio- Zone cubage required q _�;I�O _____ ____ —__ __ Distance to next nearest building___ Q.__ '�'x_ Maximum live load to be borne by each floor I hereby mit all the plans and specifications for said building. notices wit reference to buildin d 'ts constructi n may sent to_ a 4 ,1120 Ile 4tit 19 acce s ts his obligations as an employer ermanent Sup.lement, b him cork uch pub A9• tice this ra aws o 0 all contractors or sub -co for inspection on the site of ch subco - ctors, ork to STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, • and who, being by me first duly sworn, upon oath deposes, and says that he is the of the above described construction, that he s carefully road the foregoing application, and that he did sign the same, and that all facts - \ / Notary Public, State of Florida Building Inspector My Commission Expires Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.