Loading...
BP2002-1837MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n 4 , Permit No. t � 0 o /3 ) ° Name ) %°zc`l Address r q /\� , Company -3 S/1:- o o 7 Phone # For Inspector Apprie I Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Bu ;lding Inspection Reque Date 4 Ti e Type Insp'n Permit Nam e���� f L D / 9 Address 1 Company Phone # ^ O For Inspector_:) 1 j Name & Date Approved Correction Re- Insp'n Fee CONTRACTOR Name /� ¢ rte o� oS ''"l (1 !�-� ,C' /,/ / 4 V l Home Telephone License No. C e 06 /175 Fax Address 6 S Sr �cle A (° 2- Telephone / � r /� y el li r v Alteration Interior Qualifier Name i1� /C r e7 lekylew PROPERTY OWNER Name /� ¢ rte o� oS ''"l (1 !�-� Address I fqo evc q„,1, Home Telephone Business Telephone Fax ENGINEER New Construction Enclosure Name Alteration Exterior Repair License No. i / Alteration Interior Demolish Address c. J 11 1 7) Z 7 e Telephone 2 D ! 2`7(6 Foundation Only Add'I Attachment Fax Other Add'I Detachment 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. Job Address: ! ( 1 , t S7 Address Folio Number Description of Work Lot Block PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name 00, License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. L' c c INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: 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 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 City Tax Assessed/Appraised Value State ,Pop -{s coo. Zip Subdivision PB PG Zoning Linear Feet Current Use of Property c / 1/--- Square Feet Units Floors Proposed Use of Property Value of Work ge() Bldg Value Tenant Information Flood Zone Base Floor Elev. 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, COUNTY OF MIAMI -DADE SEAL: Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida Personally known OR, Produced Identification Type of Identification Produced: PERMIT APPLICATION STA r FLORIDA, CO IAMI -DADE Signa SEAL• ture of Contractor / Qualifier Print Name Sworn to and subscribed bef• a me this 3i day of 0 �e .1 0 rd' ... Personally known KENNETH SHERMAN Ndt8t7J G, State of Florida My m. coo: May 24, 2003 Comm. No. d i i 7cc? OR, Produce I en on Type of Identification Produced: ELECTRICAL. TYPE QTY. TYPE QTY. TYPE QTY. '1'1'1'1.; Q'I'1. Minimum Fee A/C Condensate Dryer Drains, Roof Outlet, Appliance Miscellaneous Fixture Service Repair Soakage Pit A/C Central 1 -3 Ton Bath Tub Fan Drinking Fountain Outlet, Wall Miscellaneous Repairs Service, Temporary Solar Water Heater A/C Central 4 -7 Ton Bidet Fire Pump Filter Replace Outlet, Switch Pool Piping Signs Sprinkler Repair A/C Central 8 -15 Ton Cap - Fixture Fixture - Fluorescent Fountain Oven Pump and Abandon Space Heater (kw) Sprinkler System A/C Central 16-20 Ton Cap - Water Fixture Light Gas - Appliance Parking Lot Lights Pump, Domestic Spas/Hot Tubs Supply, AC Well A/C Central 20+ Ton Cap - Sewer Flood Lights Gas - Natural Plugmold/Strip Pump, Fire Stand Subfeeds, No. of Amps Temporary Toilet A/C Window Catch Basin FPL - Load Central Gas - Propane Posts Pump, Re- circulate Swim Pool, Commercial Temporary Water Closet Air Conditioners Clothes Washer Garbage Disposal Gas Piping Range/Range Top Pump, Replace - Pool Swim Pool, Residential O Chiller Dental Chair Generators, etc. Grease Trap Receptacles Pump, Sprinkler 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 Roof Inlet Demolition Low -volt, Intercom/Teleph. Repair Circuits Septic Connection Dishwasher Low -volt, Television Service, Number of Amps Septic Tank PLUMBING '1'YPI QTY. TYPE QTY. TYPE Q"I'Y. TYPE, Q A/C Condensate Drains, Roof Miscellaneous Fixture Soakage Pit 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 Water Service Drains, Floor Minimum Fee Shower Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. MECHANICAL TYPE Q'I'1'. TYPE QTY. TYPE: QTY. TYPE QT1'. Minimum Fee A/C Central, Tons A/C Wall/Win. Tons Air Handler, Tons Barbecue Bath Fan - Vented, # Condensate Drain Cooling Tower Dryer Vents, Number of Ductwork, Cost of Fire Sprinkler System Fireplaces, Number of Generator Heating Strips, each Paint Booth Piping, Flammable Liquid Process/Pressure Piping Pressure Vessel Refrigeration, Tons Vent Hood, Cost Ventilation, Cost Periodic Inspections RECEIVED AND REVIEWED BY: . DATE: 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 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) (s .60) x/1000 x $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: SECTION Zoning Electrical Mechanical Plumbing Fire- Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 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 O Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2002 -352 Printed: 11/4/2002 Applicant: DAVID MARKUS Owner: MARKUS DAVID JOB ADDRESS: 1190 NE 92 ST Parcel # 1132050270460 Legal Description: BAY LURE Fees: Description Amount FEE2002 - 6252 Building Permit Application Fee $60.00 Total Fees: $60.00 Sign Signed: Electrical Permit Contractor SHINE MAINTENANCE ELECTRICAL Contractor's Address: 7323 NW 8 ST Local Phone: „Permit Status: Approved Permit Expiration: 4/29/2003 Construction Value: L F� Work: POOL HOOKUP PB 44-63 LOT 8 BLK 3 LOT SIZE 75.000 X 125 OR $900.00 Page 1 of 1 Total Fees: $60.00 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 •\ 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 A 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 ho assumes responsibility for work done t---:::-.' by his agents, servants or employees. c (INSPECTOR) BY: In consideration of the issuance to me of this permit, I agr a 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, rvants or employes. (Contractor or Builder) BY: , .... q( -6 © p a ESSIG POOLS, INC. PAY TO THE ORDER OF FOR Mellon United National Bank Miami. FIotldo 1800 NE 151ST STREET NORTH MIAMI, FL 33162 II'08 ? L5 ?II' 1:0670096461: 002L L3302011' DATE /0 r -) 87157 63 -9642 670 s"139F 60 DOLLARS 8 . m :■'-r ,mfr:-- �aa�smm--- �u�rHnv= —tom. Amimmr Tkls:`pxoperty described as: Lot; 8, Block 3, a. 'B 1Y LURE, according to the Plat thereof, as recorded.in Plat Book 44, Page 63 of the Public Records of Dade County, Florida. FLOOD ZONE: AE FLOOD INFORMATION Community No.: 125098 Panel No.: 93 Suffix: F Date Of Firm: 11 -4 -87 Base Elevation: +8.00 N.G.V.O. Certified To: M And.M Title Services, Inc., ;Commonwealth Land Title Insurance Company and Universal American Mortgage Company, its successors rand /or'assigns. , t, • Yt: PROPERTY OF . Markus, ��Ati.• *Ytv1 - , urnestr y �Pmbpssed ;y�,� Vi .R' � ^. ✓;•� s T 'OM AAAA v '7is r7G 70 _A' BOUNDARY SURVEY 1 hereby certify that the survey repre- sented hereon meets the minimum technical standards set forth by the Board of Land Surveyors pursuant to Section 472.027, Fla, Statutes. There are noencroachments,overlaps,e ments appsni on the Plat, o - than h re • 9 r -► �.. f ; o .210' t0 r ,; •� Fla, Reg. Lan Su ' eyor No. •• D �ra r+err� � .1, Gerne� 5 � 8-1/ Note; Underground, encroachments and utilities, if any, not located. 9 i ,1k • y • • now4) SC`1L,EL '..:* ..7 ec l,L cvGrc. . fHM 0 N vi n 1190 N.E. 92nd Street ; Shores,, Florida. LANNES and GARCIA, INC. ENGINEERS - LAND SURVEYORS LAND PLANNERS Office address: 359 Alcazar Avenue, Coral Gables, Florida 33134 • Mailing address; P.O. Box 561131, Miami, Florida 33156 DRAWN BY DRWG. NO. l/4f24'Z/ 191 '- 2197 This property described Lot 8, Block 3, BAY LURE, according to the Plat thereof, as recorded.in Plat Book 44, Page 63 of the Public Records of Dade County, Florida. FLOOD ZONE: AE Certified To: M And M Title Services, Inc., Commonwealth Land Title Insurance Company and Universal American Mortgage Company, its successors and /or assigns. CO t ti PROPERTY OF: Markus, NQtalid ^;; tom 7"-, y7-7 (2— 7 � •,‘ ` , . • %.• C: /5, k: �• ,i_I'• i�- r. 11 • 4•';x ,0 / k'/1/1 '2" , ;'v /4 t . . A BOUNDARY SURVEY I hereby certify that the survey repre- sented hereon meets the minimum technical standards set forth by the Board of Land Surveyors pursuant to Section 472.027. Fla. Statutes. There are noencroachments,overlaps,e_ ments appeari : on the Plat, ofh than as show,d•ereto. (7)/ t// Fla, Reg. Lan Surveyor No. ca Or\ J , C�¢rr�ei1 FLOOD INFORMATION Community No.: 125098 Panel No.: 93 Suffix: F Date Of Firm: 11 -4 -87 Base Elevation: +8.00 N.G.V.C). v o f laic 0 ,/7 t 1'2 2 l .4/, T rd,►o91, 15' 7 SS r 5 � 'G a • 5 G, N Lv ' %/. %l ,P /-, f Note: Underground /b' encroachments and ' ' utilities, if any, not located. eN le\ 75' es' 1190 N.E. 92nd Street, Miami Shores, Florida. LANNES and GARCIA, INC. ENGINEERS - LAND SURVEYORS - LAND PLANNERS Office address: 359 Alcazar Avenue, Coral Gables, Florida 33134 Mailing address: P.O. Box 561131, Miami, Florida 33156 • CONTRACTOR > >� 'j . . Name ,e 55 oe License No. t ` Name 0°�v N\�' 1�ZV 5 Address 1 tep� 1..)e ./k . 1 % • F1c., 33 \6 Z Telephone Fax 2, �1 -T )1 ) v / I Qualifier Name r» `J L- 5 S t PROPERTY OWNER Name Name ,C vv` 5 t ` Name 0°�v N\�' 1�ZV 5 License No. Address Address \ v°tO . 1,1E; c1. 511.. t .•,, 5V, - 4L. 1 A 3 3' 3 $ Ilo,ne Telephone Foundation Only Other Business Telephone Add'l Detachment Other Fax ENGINEER Name Name ,C vv` 5 Telephone License No. Address ei(3 rso 7 7 A 41 E -- Telephone 3 j � 7 ` e!C/ v ! v (/ Fax t:`.RCi7F7; CT Name License No. Address Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Demolish Alteration Interior Relocation of Structure Shell Only Add'I Attachment Foundation Only Other Add'l Detachment Other 4 • INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step I. Job Address: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Pleast print or type to allow for a more accurate processing of yow 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 1 \`10 ,C ° 12 51-, Address Apt. Folio Number Lot Block 3 Subdivision d0,y Lv Pt PB � ` PG `o 5 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 PERMIT APPLICATION E k 'V - J ` -dt e, City Description of Work Master Permit No. Subsidiary Permit No. ,26)/?() •1 State Zoning Linear Feet Square Feet Units Floors Value of Work r), d® 6 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. 3S \3? Zip Page 2 • IMPORTANT NOTICES 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,rthen the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMME improvements to your property. If you are spending more than $2,500 or inten your attorney or lender before recording your Notice of Commencement. 22 N.W. 1st Street, 1u Floor, (305) 679 -1078. Once recorded, the Notice of accordance with Section 713 -35 of Florida Statutes. Review the br Choosing a Contractor. STATE OF FL 2i DA, COUNTY OF MIAMI -DADE Signature Print Name S orn to and subscribed 41 I Si I. N Tiffrr''ub is - Sta 'i , i ,, , , SEr L: Personally known 4a/4-41-t e this c of ( A.57)7 , Notary Public, State of Florida My comm. exp. May 24, 2003 f n0 CCR1a79c OR, Produced Identification S Print Nam Sworn to SE L: Personally known PERMIT APPLICATION NT may result in you paying twice for in financing, you may wish to consult with of Commencement must be recorded at: nt must be POSTED AT THE JOB SITE in g Hall on Construction Lien Law and E to 0 he N ommen chure at STA OF • • ' • • �ve ontr ac 1 subscribed b P 1 irr ,or "CV 77 ig IC OUNTY OF MIAMI -DADE ore me this art-ti► day of RMAN Notary Public, State of Florida My comm. exp. May 24, 2003 "nrrm. P s CC819125 OR, Produced Identification Type of Identification Produced: Type of Identification Produced: 1 • . . 7 Laint Lor d � L C%L�e ,1 U Witness(sign and print) STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, c ..1/ r r ' 1 -- ‹'la (property owner) attached survey, performed by performed on 3 2/ (date of survey) . .. AFFIDAVIT does hereby attest that the locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the . property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the . existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. SWORN TO AND SUBSCRIBED before me this Affiant is personally known to me, Yproduced FL (name of surveyor's company) is an accurate representation of the existing conditions and • Affia • operty owner Witness(sign and print) • as identification. N.Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2002 -1837 —D Printed: 10 /25/2002 Applicant: DAVID Owner: MARKUS JOB ADDRESS: 1190 NE 92 ("\J Contractor ESSIG POOLS Local Phone: Parcel # 1132050270460 Permit Status: ct k boo) ESSIG POOLS, INC. 1800 NE 151ST STREET NORTH MIAMI, FL 33162 APPROVED Permit Expiration: 4/23/2003 MlOm norid FOR R 008 7 L 2 511' 1:06 70096461: 00 2 L L 3 30 20o Building Permit MARKUS DAVID ST Contractor's Address: Legal Description: BAY LURE PB 44 - 63 LOT 8 Fees: Description FEE2002 -6066 Building Fee FEE2002 -6067 Buildier's Bond FEE2002 -6068 CCF FEE2002 -6069 Radon FEE2002 -6070 Miscellaneous Total Fees: Amount $215.00 $300.00 $10.20 $10.56 $1.00 $536.76 Total Fees: $536.76 Total Receipts: $0.00 Construction Value: $1,700.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection 87125 63 -964 / / C ) 676 DATE PAY TO THE ORDER OF J $5-34.7 (4 �ipt it2 D a4 t •f . r 14 -C�� j'f�v'1 YX 6.1-A6 DOLLARS 8 1 1 " Mellon United National Bank Page 1 of 2 BLK 3 LOT SIZE 75.000 X 125 OR Iplication herefor in strict compliance with all ecifications that may have been submitted to ces or if the plans are changed without ssponsibility for a thorough knowledge of the Id that he assumes responsibility for work done itions pertaining thereto and in strict conformity ie responisibility for all work done by either $-• Work: NEW POOL & DECK ,� 4 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 r _ 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 D 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 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 agen servants or employes. 1 ■ Signed: (4-RittA,c,a, airt.,}Juk.J ■ (INSPECTOR) BY: (Contractor or Builder) BY: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair TY. 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 Disposal Demolition Low -volt, Intercom/Teleph. Repair Circuits Domestic Well Dishwasher Low -volt, Television Service, Number of Amps Drainfield, 4 "' file /Res. MECI- FANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain Q'fY. 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 Cap - Water Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Cap - Sewer PLUMBING TYPE QTY. TYPE QTY. TYPE QTY. TYPE TY. A/C Condensate Drains, Roof Miscellaneous Fixture Soakage Pit 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 "' file /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 t d 7 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY 4,,-; DA EE�/^� /D Al Zonin• �w Electrical ); ` Oe ._ — Mechanical Plumbing Fire Public Works Structural lowAnnzum L Building Official .� 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 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ (¢.005 / sq.ft.) 1 0' $ $ Ito. 64) (sq.ft. = x/1000 x 0.60) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: • PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 6 S OS ISSUING OFFICIAL 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 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building PERMIT N? 11090 t the lding or to install t • sta • ding that he ork d by e pr..er al ed with a ' e responsibi in th n Work • be performed under this Permit 3 1.) .; This permit is granted to the contractor or builder named above to construct in strict compliance with all ordinances pertaining thereto and with the u drawings, statements or specifications that may have been submitted to and appr time if the work is not done in compliance with such ordinances or if e plans a granted is the understanding that the contractor or builder named ab ve assum pertaining to the work covered hereby whether shown on the plans o drawin done by his agents, servants or employees. Signed: 1 In consideration of the issuance to me of thispermit I agree pertaining thereto and in strict conformity the p ns, drawings In accepting this permit I assume respe i ili ty for work d• • • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA 1 DATE 1 Subdi- vision Value of Project $ BY R C :ontractor s License No w. - erform • e • • rk covered hereunder in complian tements o specifications submitted to the prope either, myself, my agent, servant or employee. 1951_ r • evice desc • ed in the app armed in compliance with any plan o es. This Permit may be revoked at any on. further condition upon which this permit is ugh knowledge of the ordinances and regulations ications and that he assumes responsibility for work th all or • ances and regulations uthorities of iami Shores Village. AUTHORITY