FENCEn, 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204
O 4
Date 1 Job Address S 9 Sl" Tax Folio
Legal Description Historically Designated: Yes
Owner's Address `. �a r G S •
Square Ft. \
Signa ure of owner d/or ondo President
Notary as to Owner an
My Commission Expires
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
s
FEES: PERMIT RADON
APPROVED:
Zoning iae � 27 Building
dent EXPIRES: June 16, 2
Bonded Thru Budget Notary Services
C.C.F
Mechanical Plumbing
Phone
Estimated C ost (value) d-c o a
Signature of Contractor or Owner Builder
Notary as t
My Commissi
NOTARY
FEB o 4 20K TOTAL DUE
Electrical
Structural Engineer
• Fax:130 - 7 5 ¢i 2
Owner /Lessee/Tenet NAYNCL-A CY\ Ike rQr % Master Permit #P PVL1 /A'R.:
Contracting Co. C'VCY1 pt CC—CO: ��CrlrNCC Address T1 L nu) ara
Qualifier l Qthb ��ir� %SUEZ, SS# - O ♦ I '�L9��
State # Municipal # Competency Co. #®Z u lU C.. C . 4h?Cf
•
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
PLUMBING MECHANICAL ROOFING
Permit Type (circle one): BUILDING ELECTRICAL
WORK DESCRIPTION: nS Qa 1 TOLA
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 ANY 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 ir, this jurisdiction. I understand that separate permits are required
for all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Furthermore, I authorize the above named contr.ctor to do the work stated.
ate
USN GIOVANNI SUAREZ
OMMISSION # DD 020761
ate
BOND
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
$ Value of Work For this Permit
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305; 756.8972
Permit No. $P (941- n 9
Master Permit No.
Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Phone #
Owner's Address
City State Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work:
U ioocl' F- eivc.v
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * *.: * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /e® CCF $ /I 9 b CO /CC
Notary $ Training/Education Fee $ 49 p 4e0 Technology Fee $ qt
Scanning $ '" Radon $ Zoning_ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 _, by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of ,20�by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires: My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
FEB - 4 2004
APPLICATION APPROVED BY:
Chc 12/15/03
Plans Examiner
Engineer
Zoning
WOOD. FENCE
Section 2328 FBC
6'0" Maximum
Fence height
above grade
6' -0"
5' -0"
4' -0"
Post
Spacing
4' -0" O.C.
5' -0" O.C.
6' -0" O.C.
Wood Pickets 518" Min Thickness
attached to each rail with
Two 16 Ga. staples 1 -314" long
2x4 No. 3, So. Pine PT
Wood Rails Attached to Post
With four 10d Nails (min.)
• 3 3• /o
J0 . 58e :• Z33
F}operty,,Address: /oz A. 93 '"
Survey of 7 ' WEs sT 37.50 Fcc]Z b( Lo7` 7 1 Ace_ -C,oT- 8 in Block 3
Subdivision /a & 'ae /C
According to the Plat thereof recorded in Plat Book / � O_ at Page 7/ of the Public Records of Dade County, Florida.
Subject to all restrictions, reservations, easements and Right —of —Way of Record
� p#y-! t
c6 Lo ce 77b<j s/' Z
S Ca /e= / " /O
Zoning 1
Approve
51(6 vc Y
5 C /e / • 00
Elevations refer to
ury
�(J
,o , 5
P
For: J . L A.(' s /ti c y 24 y /..7, DI :/-
•Z5'
(d= 8 °45
,
11 r• 2 89
Cr.?
2 9 Co ,
g7 So'
Date: 7 - b 2./
/7'
g'
Note: The survey of the property shown hereon is in accordance with the dirscription furnished by pZ/•'1 7/4 49/24
no search of the Public Records has been made by this office for accuracy o• omissions.
I HEREBY CERTIFY: That the attached SKETCH OF SURVEY of the abwe described property is true and correct to the best of
my knowledge and belief as recently surveyed and platted under my directiunjlso that there are not above ground enchroachments
other than those shown, and that this survey meets the minimum technical standards set by the FLORIDA BOARD OF LAND
SURVEYORS as set forth in Chapter 472.027 (F.S.) and Chapter 21 HH6 01' the Florida Administrative Code.
Flood Zone: RK SUR■E`
r✓2 /7.g,B i.eL X 1
.R112 ,Lcrel
NOT. VALID UNLESS IMPRINTED w1TW•AN EMBOSS'EO SEAL
GUILLER
PFG, LANG S
STATE
EV
F FLI
12/83
4:
MIAMI SHORES VILLdE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date,` J 1- 1
Type Insp'n nC
Permit No. SP 0H-- 114
Name rn1CJUII l� "
Address (02- mE PSs -
Compan roizact T-er)u-e
Phone # a —' .� :•�
Inspection Date
Approved
Correction
Re- Insn'n r : ems
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2004 -11
Printed: 2/5/2004 Page 1 of 1
Applicant: J LANE MIDDLETON
Owner: MIDDLETON J LANE
JOB ADDRESS: 1020 NE 93 ST
h Ing ermit
Contractor HMA MANAGEMENT /CERO'S FENCE Contractor's Address: 7754 NW 53 ST
Local Phone: 305 - 887 -6668
Parcel # 1132050150140 Legal Description: 5 53 42 BELVIDERE PARK PB 16 -71 LOT 8 & W37.5FT LOT 7 BLK 3 LOT SIZE
Fees: Description Amount
FEE2004 -1168 Building Fee $100.00
FEE2004 -1169 CCF $1.20
FEE2004 -1171 Scanning Fee $6.00
FEE2004 -1172 Training and Education Fee $0.40
FEE2004 -1173 Technoloav Fee $9 cn
Total Fees: $110.10
Permit Status: APPROVED Permit Expiration: 7/31/2004 Construction Value: $1,200.00
Work: INSTALL WOOD FENCE MAXIMUM HEIGHT 5'
Signed: (INSPECTOR)
Total Fees: $11010
Total Receipts: $'
(00•U)
FEB 0 5 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:
C .L
BAMB SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
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.
Owner's Name and Address.,. � 7
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description ojlot to be built on:
Lot.... (Z 3 /s- 1-- X lock 2
Street and Number where work is to be done. /.Q. .
State work to be done and purpose of building (by floors)
New Building
To be constructed of 6
Permit No.___.___ ,l. 9 CK Z 7 Date
Disapproved Date
(Signed) /2-)4
Buil•mg Inspcpf6r
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of 31.00 will be charged
materials and /or workmanship.
Subdivision
Chairman
Member
Member ......
Council Approved Date
.2 4
0 � r q � 77//
Remodeling Addition Repairs
Estimated Total cost of improvements $ a0 Amount of Permit $ ...1.g
peared
Real, Sworn to and Subscribed before me.
Date
No Street -0
LANNING BOARD DATE
and for no other purpose.
No. of Stories
Kind of foundation Roof Covering
Zone cubage required .Plan Cu cage
Distance to next nearest building. Size of :3uilding Lot
Sfaxirnum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
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 596(1, 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 inspectio the site of th• work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such s +,: • • work to performed under this
permit, as are licensed by Miami Shores Village.
Re:narks... (Signed)..
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized tc administer oaths and take acknowledgments, personally ap-
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 has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
My Commission Expires
Memb:r
Member
Member
Disapproved Date
making corrections or chanties to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection oz faulty
r / r i rr
n r
/27 / 4-
i
f
CI)NTRACTOR
L #e , i nI ' 5 4e /ice, Coe__
License No. q � 00 0
Address. 5ra1�
1- 7 �3
= )(9!k, 3-0 ()0 Fax &G9 -5 9
Qua lifter Name /1„ _ _ / � y V n /_
PROPERTY OWNER
Name bra i A
! C „„ / `d e Ink)
t ��//
Address ' as �E
,0 � Gr'i3rd s
f'am1 I - 41 3i 3�
Home Telephone 0 —7 56 - 7a -
Business Telephone ( 0.
Fax
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior -
1,,7
Repair
Elteration Interior
Demolish
Relocation of Structure
Shell Only
foundation Only
Add'I Attachment
(Ither
Add'l Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain .
Step 1.
Step 2.
Folio Number
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Address Apt.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Desch tion of Work
• • • • • • • • • • • •
• • • • • • • • • • • • • • •
• • • • • ••• • • • • •
• • • • • • • • • • • • • •
• • ••••••• ••••
PERMIT APPLICATION
Master Permit No. -C 0
• ••• • .■
• : , Subs:diary Ferm N
s o.
• • •
• • • • • •
permit from the Miami Shores Village:
Complete the attached permit application which must befsigned by t eproperty ow.er asd qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing o oyour aalioition.• If roofing work will be done, a roofing application must be submit-
• • • • • •• • •
ted along with this permit application. •
• • • • • • • ••• • •
Submit the completed application with all necessary documents to tie Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
Job Address: 10 2) D i tV E S ee f m Qml Slior , l 35/7
City State Zip /
LO 3 Block 3
T ubt�ivision vi C IG PB Ito PG 7 I Zoning Linear Feet
Current Use of Property I Square Feet , /� Units Floors
Proposed Use of Property x /19/ • — 31i/r1 Value of Work A ' Bldg Value
Tenant Information ✓✓
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
N ime
License No.
Address
Telephone
Far
/Ze2 /O CC. e ,`Sii'r? 2.� (
1
5
Page 2
T. LA14
eto ,h
Print Name
A ve ) 61 , 5nd subscribed before me thisi day of
Si
SEAL:
blic - State of Florida
I ':
*CC 912524
C Milagros Rodriguez
Expires Feb. 27, 2004
I3onded Thru
Personally known
-104,11.0 NitliipetRoOkkn
• •• •• • • • •• •
• • • • • •
• • • • •• • • •
• • • • • • • •
•.• • •
IMPORTANT NOTICES
DO NOT BEGIN ANY WORK WITHOUT H' RRCE11'E14 YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION sre limited to: Mdhday 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 tt-wallt KeI2I' h1t6E I:R(SM AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEII), DANv1rtG1•I i1:EQU44N•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 0 'I ORIDA, C P N Y • MIAMI -DADE STATE OF " OUNTY OF MIAMI -DADE
S atur;r O • er
nt Name
SEAL:
ature of Contractor / Qualifier
rL p • \J /J/ori-,
f No
Public - State of Florida
PERMIT APPLICATION
subscribed before me this * day of
Milagros Rodriguez
Q�n�. ?��' - , ag os Rodrigo
: r: I . 1 , 'V s Commission # CC 912524
:*-( °.' ,/ Expires Feb. 27,2004
Sy
A� `t3 Bonded Thru •
'' sn o Atlantic Bonding Co., Inc.
Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
SECTION
BBYY •
D • E
Zonin •
if%—�'A /L.M
. ®
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
—7—a-%
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$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
❑ IMPACT FEE
(New Construction)
0
• • t7 PROOF OF OWNER9I IIP
(Attach)
•• ••• •• • • • ••
a' {Ra IZEkNI ?Mitt' ✓Ar1
( % €ewer) • • •
. . . . . : •..
❑ OTHER
$ C 0 7
�
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
(Specify & A:tach)
( x .f x/1000
60)
(¢.O0.i /sq.ft.)
(0.01d sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
DITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
E L ECT RI CA L
'I'vl'E,
Minimum Fee
QTY.
TYPE
Dryer ;
Q':'v.
; ;
': Y:`E:
Qullettfpptiance •
QTV.
'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 Heater New
MECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY.
TYPE
Generator
QTY.
I
Refrigeration, Tons
Q'I'Y.
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C WaH/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'YPE
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 3
INSTRUCTIONS: Please indicate the type of work being perforr$td end ggiantity(ies) in the space provided below.
. - . . • •
•. •
•• • • • • •• •• •
• • • • • • • • • •
• • • ••• • • •
• • • • • • • • • • • • •
• • • •• •
•••
•
•
PERMIT APPLICATION
RECEIVED AND REVIEWED BY: DATE:
•
Miami Shores Village
10050 NE 2nd Avenue
Building Permit
Phone: 305- 795 -2204 Permit Number: BP2003 -220
Printed: 2/7/2003
Applicant: J LANE MIDDLETON
Owner: MIDDLETON J LANE
JOB ADDRESS: 1020 NE 93 ST
Contractor HENRYS FENCE INC Contractor's Address: 3931 SW 63 AVE
Local Phone: (305) 669 -0180
Parcel # 1132050150140 Legal Description: 5 53 42 BELVIDERE PARK PB 16 -71 LOT 8 & W37.5FT LOT 7 BLK 3 LOT SIZE
Fees: Description Amount
FEE2003 -849 Building Permit ADDIICntinn 1 ee ^^
Wvv.UU
FEE2Oui-dbu CCF $0.60
$60.60
Total Fees:
Permit Status: APPROVED Permit Expiration: 8/6/2003 Construction Value:
,Q Work: REPLACE EXISTING 25' X 5' HIGH SHADOW BOX WOOD FENCE
$400.00
PAY THE
ORDE
FOR
HENRY'S FENCE INC
3931 SW 63RD AVE
MIAMI, FL 33155
(305) 669 -0180
AUNIO PLANTERS BANK
11'00369 2t1' 1:0670084 141:
11'9660 LS30660
I A
DATE stalib 63- 841/670
^�pANCM 6217E
I / ��J
DOLLARS
3692
Socurily
Dom. on
A
Page 1 of 1
J
Total Fees: $60.60
Total Receipts: $0.00
Re- inspection
lication herefor in strict compliance with all
:ifications that may have been submitted to
1s or if the plans are changed without
•ponsibility for a thorough knowledge of the
that he assumes responsibility for work done
ms pertaining thereto and in strict conformity
responisibility for all work done by either
f
performed o^
STATE OF FLORIDA) -.... ••
COUNTY OF DADE)
The undersigned AffiantjX.
Witness(sion and print)
attached survey, performed by
date sdinre
Further, Affiant sayeth naught.
1 l / Lain • L 110 d V L�LC%LG e
• .. AFFIDA
T
— does hereby attest that the
ropPro GA.1er)
na mebfsurreyor's company)
is an accurate representatio ,)f the existing conditions and • •
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores VI liege to issue a building permit for the
property without first providing a survey less than six (6) months obi. The Afiiant, 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 Afuant further understands that the
existence of any such structures may affect final inspections as applicable to this or other per-m.
Witness:sign and print)
L
SWORN
AND SUBSCRIBED before me this da o f 0
.3 .
Afiiant personally known to me
produced
as identification.
Angela M Berke'
My Commission DD150048
Expires November 15, 2008
`I
AP' ,
• • ',di. i • • •••
Froperty,Address: / dG 4.16— 93" 5T Date:
Survey of r/tr W& ST 37.5a reel 6 ( LC , : .
.. • • i • • •
. • • • • • • • Subdivision a ��- U /vE� Q C ••• • • • • •
According to the Plat thereof recorded in Plat Book / 6 ' __at Page 7/ of the Public Records of Dade County, Florida.
Subject to all restrictions, reservatioes, easerneets and Rigta —oi -Way of Record
• • • • • • • •
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NOT VALID UNLESS IMPRINTED WITH AN EMBOSSED SEAL
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Note: The survey of the property shown hereon is in accordance with the clescription furnished by 11 / 1 / 4 ' 1 4 4,74 .9,r ? �,4
no search of the Public Records has been made by this office for accuracy or omissions.
I HEREBY CERTIFY: That the attached SKETCH OF SURVEY of the above described property is true and correct to the best of
my knowledge and belief as recently surveyed and platted under my direct onalso that there are not above ground enchroachments
other than those shown, and that this survey meets the minimum technical standards set by the FLORIDA BOARD OF LAND
SURVEYORS as set forth in Chanter 472.027 (F.S.) and Chapter 21 HH6 of the Florida Administrative Code.
Elevations refer to: r--- Flood Zone: i L = SURVE'
n , B y:
Mo Survey,C�ertified to%VcJ/77 7 se �? �?'-; �•' = .
[f 4 se.. f. ee.1 / !3a►crk eild 10 ✓0,74 / c�•r7�r2
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a
ry
GU LANO f
PEG. LANOSUR EV
STATE OF FL(
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in Block 3
i7
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1'
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5' -0" MAX
2' -O
Owner's Side
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Wood Pickets
Concrete
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• • • .4 • • • • • •
• • 41 • • • • • •
WcsOc Fi CE6 :•:•
• • •• • •• •
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• .. • • • .
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•••
2915 Fences
4 "X4 " Wood nit: • ••
"-0"
• •
.
.. •
•
•• .. • •••••••
Wood Posts
2" X 4" Wood ail 4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
2915.1 Wood fences, so located on a property
that by zoning regulations they cannot be used
as a wall of a building, shall be constructed to
meet the following minirnum specifications.
(a) Fences not exceeding 5 feet in
height shall be constructed to meet
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts spaced 5 fee' -0 inches on
centers, having a fiber stress of
1200 p.s.i. in bending, and shall be
embedded 2 feet -0 inches into a
concrete rooting 1 fcot -0 inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply with the
provisions of this Chapter and
Chapter 23.
(b) Fences not exceeding 5 feet and 4
feet in height respectively shall be
constructed as provided in
paragraph 2915.1 (a) herein,
except that the spacing of posts
may be increased to 5 feet -0
inches and 6 feet -0 inches on
centers for these heights.