DRIVEWAY PERMITCONTRACTOR
Name
,. \Al_Lik .lt e.: Jai it % A. -.& A ►.1•
License 'o. C co b S 9 0 1
Home Telephone
Address
Telephone l F( . 24 • O J ‘f Fax
Qualifier Name Z\) p 1.1 GA \ 0�
PROPERTY OWNER
Name 0• T NV n Qnrt Wiffif OAS , tic.
Address
t 1Z S • O1 >I gat- )‘-s't 4-330
Home Telephone
Business Telephone '30S .- 21 - es 3
Fax 30S— RcI3 -502
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
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.
Job Address:
Complete the attached permit application whicl„telstbe Iigned by'.t}feprbVrtow and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing DP you: aQp11:cOorC • If roo'fipg work will be done, a roofing application must be submit-
ted along with this permit application. • • • • • • • • • • • •
•• • • • • • ••• ••
APPLICATION
1 S
Address
ki
Block
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• • • • • • • • •
• • • • • • • • • • •
• •
•
•
•••
Folio Number
Lot
Subdivision PB PG Zoning Linear Feet
Current Use of Property L4quare Feet S° Units Floors
Proposed Use of Property ue of Work 2 12)-6 o 4 Bldg Value
Tenant Information
PERMIT TYPE ( ✓
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
•
• •
• •
• •••
PERMIT APPLICATION
g?- 3' `70
�Stzbsic�iaYy Pirmit No.
•• ••••
• •
Master Peliiit No.
`i 3 sfi
) M j S IA- F L- 3�
Apt. City
escription of Work N. L W A�
ftA.a'7 1 f►t E f„ S
Tax Assessed/Appraised Value
State
30
Zip
Cce...1cotele .
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
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IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING it vEnb voin VALIDATED )RMIT 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 MAINTAINgD IN,CL44N, NEAf CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL Bg F E F1 3rr DIIIIANVDEBRIS.
4. SWALES MUST BE PROTEC'T'ED FROM BEING DAMAGED B3' F VrHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk. 0 0 • • • • 0 0 0 0 0 0
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 firiancing, 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.
1+ 6/40911/
at o et
•
Print Name
and subscribed before me this
day of
STATE
.N k Signature o
,L tiii �L �► Imo/.
ature of Nota; Jr. blic - S • . on..
SEAL:
UNTY OF MIAMI -DADE
A pr n Angela M Becker
My Commission D0150048
W ,p Expires November 15, 2006
Personally known OR, Produced Identification
Type of Identification Produced:
• 0 • 0
• 00• 0 0 0
• • • 0 0 0
• 0 0 0 0 0 0 0
STATE OF FLORID •� COLA -TY OF MIAMI -DADE
r
Signature of C cto / Qualifier
+ �I
C A L oSc
Sworn to and subscribed before me this day of
Print Name
Signature of Notary Public - State of Florida
SEAL:
V!�
PERMTT APPLICATION
L ,.
Personally known ra_:'a� i ' t b • entification
j pe of Identification
ELECTRICAL
TYPE.
Q'I't'. TYPE.
WY. Y. '.'1"i'E
QTY.
TVI'I.:
Q'I'V.
Minimum Fee
Vent Hood, Cost
Dryer
Dryer Vents, Number of
QdUeC Appliance
Ventilation, Cost
Service Repair
Ductwork, Cost of
A/C Central 1 -3 Ton
Periodic Inspections
Fan •. • •
•
AuNet; Waif •
Bidet
Service, Temporary
Fireplaces, Number of
A/C Central 4 -7 Ton
Pool Piping
Fire Pump
Sprinkler Repair
Outlet, Switch
Cap - Fixture
Signs
Fountain
A/C Central 8 -15 Ton
Pump and Abandon
Fixture - Fluorescent
Sprinkler System
Oven
Cap - Water
Space Heater (kw)
Gas - Appliance
A/C Central 16-20 Ton
Pump, Domestic
Fixture Light
Supply, AC Well
Parking Lot Lights
Cap - Sewer
Spas/Hot Tubs
Gas - Natural
A/C Central 20+ Ton
Pump, Fire Stand
Flood Lights
Temporary Toilet
Plugmold/Strip
Catch Basin
Subfeeds, No. of Amps
Gas - Propane
A/C Window
Pump, Re- circulate
FPL - Load Central
Temporary Water Closet
Posts
Clothes Washer
Swim Pool; Commercial'
Gas Piping
Air Conditioners
Pump, Replace - Pool
Garbage Disposal
Urinal
Range/Range Top
Dental Chair
Swim Pool; Residential
Grease Trap
Chiller
Pump, Sprinkler
Generators, etc.
Utility - Sewer
Receptacles
Discharge Well
Switchboards
Ice Maker
Clear Violations
Pump, Sump
Heat Recovery
Utility - Water
Refrigerator, Comm. (p/PH)
Dishwasher
Temp Serv., Construction
Indirect Wastes
Compactor
Relay Repair
Low -volt, Burglar
Vacuum Pump
Refrigerator, Domestic.
Disposal
Temp for Test - 30 days
Interceptor
Deep Freezer
Roof Inlet
Low -volt, Fire
Water Closet
Renew - Temp Service
Domestic Well
Laundry Tray
Demolition
Septic Connection
Low -volt, Intercom/Teleph.
Water Heater
Repair Circuits
Drainfield, 4" Tile/Res.
Lavatory
Dishwasher
Septic Tank
Low -volt, Television
Water Heater New
Service, Number of Amps
Drains, Area
Meter Set (Gas)
MECHANICAL
TYPE QTY.
Minimum Fee
'TYPE
Condensate Drain
QTY. TYPE
Generator
Q'n"• "1.1,1,1', Q'I'1'•
Refrigeration, Tons
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C WalWVin. 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
Bidet
Bath Fan - Vented, #
Fireplaces, Number of
- Pressure Vessel
Pool Piping
PLUMBING
TYPE QTY. TYPE.
QTY. TYPF.
Q'I'1'. '1'1'1'1? Q'I'1'.
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
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
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PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work tieing performed and quantity(ies) in the space provided below.
•••
RECEIVED AND REVIEWED BY: DATE:
SECTION
BY
715
D : E
Zonin_
/. /�i _
WAY
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
1 / 1 7 ,-
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
• •• •• • •
o • • • • •
o • • 0o•
o • • o •
•o• • • 0 •
••. •
CHECKLIST
❑ PROOF OF OWNERSHIP•'•
(Attach)
•o ••• •0 • • • ••
❑ HRS / DB1 M. A PPROVAI'
(ic•%144 ®• • o
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
•
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
ISSUING OFFICIAL
REVIEWED AND PREPARED BY:
• •• •
• 0 0 0
e 0 0
o 0 0
000 0 0
•
•
• • ❑ BPR APPROVAL (Restaurants)
•
00
(sq.ft. = x /1000
x ¢.60)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ �] b r 0
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
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1 /16/2003
Applicant: VINCENT
Owner: CAMINO
JOB ADDRESS: 1235 NE 93
f
Contractor )t
Local Phone:
Parcel # 1132050270040
Fees: Description Amount
FEE2003 -272 Buildier's Bond $300.00
FEE2003 -273 Building Permit Application Fee $60.00
FEE2003 -274 CCF $1.00
Total Fees:
$361.00
Total Fees: $361.00
Total Receipts: $0.00
Sign
Permit Status: Approved Permit Expiration: 1/17/2003 Construction Value: $2,000.00
Work: DRIVEWAY C ^^'r'PPTP PI ANT 9 OAK TREES
If there is no permit r
fee is $50.00, which mu
This Permit is granted to the
ordinances pertaining thereto a
and approved by the proper mi.
authorization. A urther conditil
ordinances and re lions per
by his agents, servants or emp
Signed:
In consideration of the issuai
with the plans, dr
myself, my a
Suvlloa
o- - T9q$ 1
0 770 -/ CP
Building Permit
Permit Number: BP2003 -70
ELDRIDGE
NICOLAS
ST
Contractor's Address:
Legal Description: BAY LURE PB 44-63 LOT 4 LESS W25FT & W25FT LOT 5
. :'S2 81 t 02,90:1 ."S Et E00.11
S //k add ) HUB 9b/ og Ow
OL9281 l-t:9
- lele£ ld 'IWV�w
V uwa •■11 knfl 1 wc•1w.,
Page 1 of 1
BLK 1
c
oaf c) / ix 4s 4'oil O- ZU(nd1-7 377/I
9G/71/ S�11 /mod /14 3 H°oi C A I v° 0
600££ '31NONMiVH_ __ _
A9MHOIH 31X.4 HinoS Z LP
PERMIT NO. •
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION
BY
DATE
ZONING •
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with ett Federal. State.
County. Village rules Ind tegutattons. Village assumes
no responsibility for accuracy oUor results No
these plans.
2. This copy of plans stoat be available ca
building site or no Inspection win be conducted.
JOB ADDRESS l? 3 5' ' % 3 S7
APPLICANT
PHONE it
APPUCAI1ON J 1Q 1 ( d Ay
SHEET OF
MISCELLANEOUS
CRITIQUE SHEET
ZONING • COMMENTS
rn t2 n l vE w r O l s /ovE
Wwle-T lc D( U)/fl H /5
re
r I
INITIALS
�� i
« thin _core.. s
04 (A:46 ViC.6
W- yam" .PIA.tco --/i :..-t446 -
CC -o7tf p- s : i i/ 034
Cod C~�$ S• Eb y � S�e`� pSL ►U
•
T2�21 02YsReceiti:fied' Names _an
i ie• o revise •.
tm
[
.This property described as:
;Lot 4, less the West 25.00 feet
thereof, . and the West 25.00 feet
of .Lot - .5 , Block 1
BAY LURE,
;according to the Plat
-thereof, as recorded in
plat Book 44, - Page 63
of - the Public Records of
bade County,: Florida. .
- -n
PROPERTY OF.- v"- S�; n ye s t ment
: . , c1
vt t VALID wrrIW1n TIIESI(:WATURE-
AMD TIE IIRICEVAL AADED SEAL D
► .USIIOA LiCL"(Sr.D sIt*VEVOR -- . -
Tt-ocATAM Mao.
•
••
• •
•
•
.••
A - -BOUNDARY _ SURVer
:.1,. Mr�y ce*ri(y That sur tepte - ..
.sensed . hereon meets the _ minimum
-teas-Mot standards Set forth by she
of Land Surveyors in chapter_ 61027 -4
- Florida Administrative Code pursuant. to
Section 471027. Fla. Statutes The are no
encroachments. overlaps easements
' on the Plat. other than a
U.I.Q.,
• ::,P. C . P3,dTTLE
rl rmor. smsysvo% AA• Burma nOl
•
•
••
•
••
••
•
FIELD' DATE
0805
• •• •
• •
• • • • • -
• .••
• •
•• • • • •• ••• ••
• ••••:•. •
• ••• i • • ._
_ . •._ •• - • -
• • • • • •• • •
• •.• • • • • . • •
•
•• • • • ••• ••
NOTE:
L.F. ELEV. _ denotes lowest
habitable floor. elevation. •
Elevations shown refer to N.G.V.D.
1929.
Lowest_ Adjacent Grade =
B.M. _ 6?-4o2 ELEV. 8.74!
- GARAGE ELEVATION =- _-
E.R.P.
S 6 o -'
Pagel d
1235 : N. E. - 93rd Street, Miami :Shores; - Florida
33138
= 1.ANNES .AND GARCIA ;INC.
_ ti 2098
tiliRVEYORS- MAPPER. -1 ..ND PLANNERS
- ==-- =BEALE SMITH #5238- -- -
P.)t-J Tv EPIN05A.
- O(tire address: 359 alrnzar .tvenue..('oral fables, blonds 33131
'i305) 666 -79U') 5954) SZL8663 `= A-
SCALE
DKAWN liY
7— .23- 0- 2:_,t!Recertifi :<< NA.mAc_:" (Prti f 4•oA:.,Tn- nr.A 'flQT..I IM.�r�:ATA_s.Ye�7aao
- DRWC. NO
;122451
141881
144877
`Legend of Survey Abbreviations
. 011 Overhang
PB Plat Book
P/L Property line
Natea •
A arc Distance
(C) vesiculated
Cl Clear
ENC Encroachment
fIP Found Iron Pipe F111 Found Iron Rod
UP Utility Pole
T Tangent
FLOOD ZONE; AE
A/C Air Conditioning Pad
CB Catch Basin
C/L Center Line
ETP Electric Transformer Pad
ORB
PC
P00
WM Water Meter
LME Lake Maint. Easement
a) All Clearances and /or encroachments shwon hereon are of apparent nature. Fence ownership by visual means.
Legal ownership of fences not determined.
b) The Issue of this survey is only for the exclusive and specific use of those persons, parties or institutions shown in the
certification. Any other intended use will require written approval from the certifying surveyor or firm.
c ) Code restrictions and title search are not reflected on this survey.
d) Underground utilities and encroachments, if any, not located.
o) The flood information shown hereon does not Imply that the referenced property will or will not be free from flooding or
damage and does not create liability on the part of the firm, any officer or employee thereof, for any damage that
results from reliance on said information.
f) The lands depicted hereon were surveyed per the legal description and no claims as to ownership or matters of title
are made or implied.
FLOOD INFORMATION:
Community Number: 120652
Panel Number: /Map# 12025C0093
Suffix:
F.I.R.M. Index Date: 7-17-95
Base Elevation: +8.00 N . G . V . D .
• ••• • • • • ••
• • • • • • • • • • • • •
• : 41i : j{: #4d Ctun`y Recrds
• • • • • • •
• .L'1dG • COPICrrre Blocl•SIi.,S so
CONC Concrete
• FO Fouryl • • • •
•• • • • • •
• • (M) fAeasured • • • •
• .. • • • • •
• • ▪ • OUL 0 verpead Ulitity ♦inns • • •
PCC Point oI Compound Cur
Official Records Books
Point of Curvature •
Point o1 Beginning • • • jOC • Pojnjol Cogninencrnepl•
• • • • • • • • •
• • • •e• • ce:t ?Any. • •
• • • • • • • • •
• • • • • AE • Aralloafasealdht • •
Bearings, if any shown based on (reference)
CERTIFIED TO
PROPERTY OF: U . S . Investment
NOT VALID WITHOUT THE SIGNATURE AND
11rE ORIGINAL RAISED SEAL OF FLORIDA
LICENSED SURVEYOR AND MAPPER
A BOUNDARY SURVEY
1 horoby certify that the survey represented
hereon mains the Minimum technical
standards set With by the Board of Land
Survoyo,s In chapter 61617 4 Florida
Administrative Code pursuant to Section
472.027 Fla. Statutes. Moro aro no gllcroach
nrents, overlaps, easements appealing on
the Plat, other than as shown hmolo
FL. PROF. SURVEYOR AIM MAPPER NO.
FIELD DATE
SCALE
BLDG
CH
DE
F11
NGVU
P
PG
Page 2 of 2 .1
Building R
Chord Distance RAD
Drainage Easement R/W
Fire Hydr SEC
National Geodetic SCR
Wrlical Datum
Plat SIP
Page SWK
Point oI R
PRC Curvature UE
PT Point of Tangency WM
0/S Onset
Law•Office of David J. Stern, P.A.; Fidelity National Title Insurance
Company of New York; U.S. Investment Solutions, Inc.,
Solutions, Inc., i X35 N,F; 9 irrl Street
Miami Shores, Florida .3138
LANNES AND GARCIA, INC.
L.B. #2098
Surveyors- Mappers -Land Planners
BEALE SMITH #5238
Ernesto E. Espinosa #2946
• 3 Office Address: 359 Alcazar Ave, Coral Gables, FL 33134
(305) 666 (954) 523
DRAWN BY
7 -23 -02 "Recertified" , Names, Certified To and Panel /Map No. revised.
and Zip Code added. �;r:;F.•.,, J
/ 1-21 -02 "1ec::ert'L ie d" , Nd 111es c1 rid Cr.`Y'f:1 Lied To 1 :evl.;>iald . ;ti,vrir
DRAWING NO
122451
Radial
Rigid of Way
Section
Scr eened
Set Iron Pipe
Sidewalk
Utility
Easement
Water Meter
141881
144877.
CONTRACTOR
Name
,. \Al_Lik .lt e.: Jai it % A. -.& A ►.1•
License 'o. C co b S 9 0 1
Home Telephone
Address
Telephone l F( . 24 • O J ‘f Fax
Qualifier Name Z\) p 1.1 GA \ 0�
PROPERTY OWNER
Name 0• T NV n Qnrt Wiffif OAS , tic.
Address
t 1Z S • O1 >I gat- )‘-s't 4-330
Home Telephone
Business Telephone '30S .- 21 - es 3
Fax 30S— RcI3 -502
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
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.
Job Address:
Complete the attached permit application whicl„telstbe Iigned by'.t}feprbVrtow and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing DP you: aQp11:cOorC • If roo'fipg work will be done, a roofing application must be submit-
ted along with this permit application. • • • • • • • • • • • •
•• • • • • • ••• ••
APPLICATION
1 S
Address
ki
Block
• • • • •
• • • ••• •
• • • • • • • • •
• • • • • • • • • • •
• •
•
•
•••
Folio Number
Lot
Subdivision PB PG Zoning Linear Feet
Current Use of Property L4quare Feet S° Units Floors
Proposed Use of Property ue of Work 2 12)-6 o 4 Bldg Value
Tenant Information
PERMIT TYPE ( ✓
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
•
• •
• •
• •••
PERMIT APPLICATION
g?- 3' `70
�Stzbsic�iaYy Pirmit No.
•• ••••
• •
Master Peliiit No.
`i 3 sfi
) M j S IA- F L- 3�
Apt. City
escription of Work N. L W A�
ftA.a'7 1 f►t E f„ S
Tax Assessed/Appraised Value
State
30
Zip
Cce...1cotele .
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
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IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING it vEnb voin VALIDATED )RMIT 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 MAINTAINgD IN,CL44N, NEAf CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL Bg F E F1 3rr DIIIIANVDEBRIS.
4. SWALES MUST BE PROTEC'T'ED FROM BEING DAMAGED B3' F VrHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk. 0 0 • • • • 0 0 0 0 0 0
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 firiancing, 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.
1+ 6/40911/
at o et
•
Print Name
and subscribed before me this
day of
STATE
.N k Signature o
,L tiii �L �► Imo/.
ature of Nota; Jr. blic - S • . on..
SEAL:
UNTY OF MIAMI -DADE
A pr n Angela M Becker
My Commission D0150048
W ,p Expires November 15, 2006
Personally known OR, Produced Identification
Type of Identification Produced:
• 0 • 0
• 00• 0 0 0
• • • 0 0 0
• 0 0 0 0 0 0 0
STATE OF FLORID •� COLA -TY OF MIAMI -DADE
r
Signature of C cto / Qualifier
+ �I
C A L oSc
Sworn to and subscribed before me this day of
Print Name
Signature of Notary Public - State of Florida
SEAL:
V!�
PERMTT APPLICATION
L ,.
Personally known ra_:'a� i ' t b • entification
j pe of Identification
ELECTRICAL
TYPE.
Q'I't'. TYPE.
WY. Y. '.'1"i'E
QTY.
TVI'I.:
Q'I'V.
Minimum Fee
Vent Hood, Cost
Dryer
Dryer Vents, Number of
QdUeC Appliance
Ventilation, Cost
Service Repair
Ductwork, Cost of
A/C Central 1 -3 Ton
Periodic Inspections
Fan •. • •
•
AuNet; Waif •
Bidet
Service, Temporary
Fireplaces, Number of
A/C Central 4 -7 Ton
Pool Piping
Fire Pump
Sprinkler Repair
Outlet, Switch
Cap - Fixture
Signs
Fountain
A/C Central 8 -15 Ton
Pump and Abandon
Fixture - Fluorescent
Sprinkler System
Oven
Cap - Water
Space Heater (kw)
Gas - Appliance
A/C Central 16-20 Ton
Pump, Domestic
Fixture Light
Supply, AC Well
Parking Lot Lights
Cap - Sewer
Spas/Hot Tubs
Gas - Natural
A/C Central 20+ Ton
Pump, Fire Stand
Flood Lights
Temporary Toilet
Plugmold/Strip
Catch Basin
Subfeeds, No. of Amps
Gas - Propane
A/C Window
Pump, Re- circulate
FPL - Load Central
Temporary Water Closet
Posts
Clothes Washer
Swim Pool; Commercial'
Gas Piping
Air Conditioners
Pump, Replace - Pool
Garbage Disposal
Urinal
Range/Range Top
Dental Chair
Swim Pool; Residential
Grease Trap
Chiller
Pump, Sprinkler
Generators, etc.
Utility - Sewer
Receptacles
Discharge Well
Switchboards
Ice Maker
Clear Violations
Pump, Sump
Heat Recovery
Utility - Water
Refrigerator, Comm. (p/PH)
Dishwasher
Temp Serv., Construction
Indirect Wastes
Compactor
Relay Repair
Low -volt, Burglar
Vacuum Pump
Refrigerator, Domestic.
Disposal
Temp for Test - 30 days
Interceptor
Deep Freezer
Roof Inlet
Low -volt, Fire
Water Closet
Renew - Temp Service
Domestic Well
Laundry Tray
Demolition
Septic Connection
Low -volt, Intercom/Teleph.
Water Heater
Repair Circuits
Drainfield, 4" Tile/Res.
Lavatory
Dishwasher
Septic Tank
Low -volt, Television
Water Heater New
Service, Number of Amps
Drains, Area
Meter Set (Gas)
MECHANICAL
TYPE QTY.
Minimum Fee
'TYPE
Condensate Drain
QTY. TYPE
Generator
Q'n"• "1.1,1,1', Q'I'1'•
Refrigeration, Tons
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C WalWVin. 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
Bidet
Bath Fan - Vented, #
Fireplaces, Number of
- Pressure Vessel
Pool Piping
PLUMBING
TYPE QTY. TYPE.
QTY. TYPF.
Q'I'1'. '1'1'1'1? Q'I'1'.
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
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
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•
•••
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work tieing performed and quantity(ies) in the space provided below.
•••
RECEIVED AND REVIEWED BY: DATE:
SECTION
BY
715
D : E
Zonin_
/. /�i _
WAY
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
1 / 1 7 ,-
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
• •• •• • •
o • • • • •
o • • 0o•
o • • o •
•o• • • 0 •
••. •
CHECKLIST
❑ PROOF OF OWNERSHIP•'•
(Attach)
•o ••• •0 • • • ••
❑ HRS / DB1 M. A PPROVAI'
(ic•%144 ®• • o
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
•
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
ISSUING OFFICIAL
REVIEWED AND PREPARED BY:
• •• •
• 0 0 0
e 0 0
o 0 0
000 0 0
•
•
• • ❑ BPR APPROVAL (Restaurants)
•
00
(sq.ft. = x /1000
x ¢.60)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ �] b r 0
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
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1 /16/2003
Applicant: VINCENT
Owner: CAMINO
JOB ADDRESS: 1235 NE 93
f
Contractor )t
Local Phone:
Parcel # 1132050270040
Fees: Description Amount
FEE2003 -272 Buildier's Bond $300.00
FEE2003 -273 Building Permit Application Fee $60.00
FEE2003 -274 CCF $1.00
Total Fees:
$361.00
Total Fees: $361.00
Total Receipts: $0.00
Sign
Permit Status: Approved Permit Expiration: 1/17/2003 Construction Value: $2,000.00
Work: DRIVEWAY C ^^'r'PPTP PI ANT 9 OAK TREES
If there is no permit r
fee is $50.00, which mu
This Permit is granted to the
ordinances pertaining thereto a
and approved by the proper mi.
authorization. A urther conditil
ordinances and re lions per
by his agents, servants or emp
Signed:
In consideration of the issuai
with the plans, dr
myself, my a
Suvlloa
o- - T9q$ 1
0 770 -/ CP
Building Permit
Permit Number: BP2003 -70
ELDRIDGE
NICOLAS
ST
Contractor's Address:
Legal Description: BAY LURE PB 44-63 LOT 4 LESS W25FT & W25FT LOT 5
. :'S2 81 t 02,90:1 ."S Et E00.11
S //k add ) HUB 9b/ og Ow
OL9281 l-t:9
- lele£ ld 'IWV�w
V uwa •■11 knfl 1 wc•1w.,
Page 1 of 1
BLK 1
c
oaf c) / ix 4s 4'oil O- ZU(nd1-7 377/I
9G/71/ S�11 /mod /14 3 H°oi C A I v° 0
600££ '31NONMiVH_ __ _
A9MHOIH 31X.4 HinoS Z LP
PERMIT NO. •
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION
BY
DATE
ZONING •
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with ett Federal. State.
County. Village rules Ind tegutattons. Village assumes
no responsibility for accuracy oUor results No
these plans.
2. This copy of plans stoat be available ca
building site or no Inspection win be conducted.
JOB ADDRESS l? 3 5' ' % 3 S7
APPLICANT
PHONE it
APPUCAI1ON J 1Q 1 ( d Ay
SHEET OF
MISCELLANEOUS
CRITIQUE SHEET
ZONING • COMMENTS
rn t2 n l vE w r O l s /ovE
Wwle-T lc D( U)/fl H /5
re
r I
INITIALS
�� i
« thin _core.. s
04 (A:46 ViC.6
W- yam" .PIA.tco --/i :..-t446 -
CC -o7tf p- sue: l t/ 0341
Cod C~�$ S• Eb y � S�e`� pSL ►U
T2�21 02YsReceiti:fied' Names _an
i ie• o revise •.
tm
[
.This property described as:
;Lot 4, less the West 25.00 feet
thereof, . and the West 25.00 feet
of .Lot - .5 , Block 1
BAY LURE,
;according to the Plat
-thereof, as recorded in
plat Book 44, - Page 63
of - the Public Records of
bade County,: Florida.
- -n
PROPERTY OF.- v" S�;nyestment
: . , c1Tu `rYns , 3 rrc . j
vt t VALID wrrIW1n TIIESI(:WATURE-
AMD TIE IIRICEVAL AADED SEAL D
► .USIIOA LiCL"(Sr.D sIt*VEVOR -- . -
Tt-ocATAM Mao.
•
••
• •
•
•
.••
A - -BOUNDARY _ SURVer
:.1,. Mr�r ce*ri(y That sur tepte - ..
.sensed . hereon meets the _ minimum
- teas-Mot standards Set forth by she
aF Land Surveyors in chapter_ 61027 -4
- Florida Administrative Code pursuant. to
Section 471027. Fla. Statutes The are no
encroachments. overlaps easements
'app the Plat. other than as
U.I.Q.,
• ::,P. C . P3,dTTLE
rl rimy. ammo% AA• Burma Plot
•
•
••
•
••
••
•
FIELD' DATE
0805
• •• •
• •
• • • • • -
• .••
• •
•• • • • •• ••• ••
• ••••:•. •
• ••• i • • ._
_ . •._ •• - • -
• • • • • •• • •
• •.• • • • • . • •
•
•• • • • ••• ••
NOTE:
L.F. ELEV. _ denotes lowest
habitable floor. elevation. •
Elevations shown refer to N.G.V.D.
1929.
Lowest_ Adjacent Grade =
B.M. _ 6?-4o2 ELEV. 8.74!
- GARAGE ELEVATION =- _-
E.R.P.
S 6 o -'
Pagel d
1235 : N. E. - 93rd Street, Miami :Shores; - Florida
33138
= 1.ANNES .AND GARCIA ;INC.
_ ti 2098
tiliRVEYORS- MAPPER. -1 ..ND PLANNERS
-==-- =BEALE SMITH #5238= =. ..
P.)t-J Tv EPIN05A.
- O(tire address: 359 alrnzar .tvenue..('oral tables, blonds 33131
'i305) 666 -79U') 5954) SZL8663 `=
SCALE
DKAWN liY
7— .23- 0- 2:_,t! Recertifi Pd!! :<<Na-moc_: ' (Prti f 4• oA :.,Tn- vsA 'flQT..I /Mmr..: .Ye�7a ao
- DRWC. NO
;122451
141881
144877
`Legend of Survey Abbreviations
. 011 Overhang
PB Plat Book
P/L Property line
Natea •
A arc Distance
(C) vesiculated
Cl Clear
ENC Encroachment
fIP Found Iron Pipe F111 Found Iron Rod
UP Utility Pole
T Tangent
FLOOD ZONE; AE
A/C Air Conditioning Pad
CB Catch Basin
C/L Center Line
ETP Electric Transformer Pad
ORB
PC
P00
WM Water Meter
LME Lake Maint. Easement
a) All Clearances and /or encroachments shwon hereon are of apparent nature. Fence ownership by visual means.
Legal ownership of fences not determined.
b) The Issue of this survey is only for the exclusive and specific use of those persons, parties or institutions shown in the
certification. Any other intended use will require written approval from the certifying surveyor or firm.
c ) Code restrictions and title search are not reflected on this survey.
d) Underground utilities and encroachments, if any, not located.
o) The flood information shown hereon does not Imply that the referenced property will or will not be free from flooding or
damage and does not create liability on the part of the firm, any officer or employee thereof, for any damage that
results from reliance on said information.
f) The lands depicted hereon were surveyed per the legal description and no claims as to ownership or matters of title
are made or implied.
FLOOD INFORMATION:
Community Number: 120652
Panel Number: /Map# 12025C0093
Suffix:
F.I.R.M. Index Date: 7-17-95
Base Elevation: +8.00 N . G . V . D .
• ••• • • • • ••
• • • • • • • • • • • • •
• : 41i : j{: #4d Ctun`y Recrds
• • • • • • •
• .L'1dG • COPICrrre Blocl•SIi.,S so
CONC Concrete
• FO Fouryl • • • •
•• • • • • •
• • (M) fAeasured • • • •
• .. • • • • •
• • ▪ • OUL 0 verpead Ulitity ♦inns • • •
PCC Point oI Compound Cur
Official Records Books
Point of Curvature •
Point o1 Beginning • • • jOC • Pojnjol Cogninencrnepl•
• • • • • • • • •
• • • •e• • ce:t ?Any. • •
• • • • • • • • •
• • • • • AE • Aralloafasealdht • •
Bearings, if any shown based on (reference)
CERTIFIED TO
PROPERTY OF: U . S . Investment
NOT VALID WITHOUT THE SIGNATURE AND
11rE ORIGINAL RAISED SEAL OF FLORIDA
LICENSED SURVEYOR AND MAPPER
A BOUNDARY SURVEY
1 horoby certify that the survey represented
hereon mains the Minimum technical
standards set With by the Board of Land
Survoyo,s In chapter 61617 4 Florida
Administrative Code pursuant to Section
472.027 Fla. Statutes. Moro aro no gllcroach
nrents, overlaps, easements appealing on
the Plat, other than as shown hmolo
FL. PROF. SURVEYOR AIM MAPPER NO.
FIELD DATE
SCALE
BLDG
CH
DE
F11
NGVU
P
PG
Page 2 of 2 .1
Building R
Chord Distance RAD
Drainage Easement R/W
Fire Hydr SEC
National Geodetic SCR
Wrlical Datum
Plat SIP
Page SWK
Point oI R
PRC Curvature UE
PT Point of Tangency WM
0/S Onset
Law•Office of David J. Stern, P.A.; Fidelity National Title Insurance
Company of New York; U.S. Investment Solutions, Inc.,
Solutions, Inc., i X35 N,F; 9 irrl Street
Miami Shores, Florida .3138
LANNES AND GARCIA, INC.
L.B. #2098
Surveyors- Mappers -Land Planners
BEALE SMITH #5238
Ernesto E. Espinosa #2946
• 3 Office Address: 359 Alcazar Ave, Coral Gables, FL 33134
(305) 666 (954) 523
DRAWN BY
7 -23 -02 "Recertified" , Names, Certified To and Panel /Map No. revised.
and Zip Code added. �;r:;F.•.,, J
/ 1-21 -02 "1ec::ert'L ie d" , Nd 111es c1 rid Cr.`Y'f:1 Lied To 1 :evl.;>iald . ;ti,vrir
DRAWING NO
122451
Radial
Rigid of Way
Section
Scr eened
Set Iron Pipe
Sidewalk
Utility
Easement
Water Meter
141881
144877.