FENCEMIAMI SHORES VILLAGE
BUILDING DEPARTMENT 4
305- 795 -2204
Budding Inspection Request
Date
Type Insp'n )—eii '
Permit No. 6 Pte - `� I (03
Name 63 )Lien
Address C13 `a E q 3 V4
Company all c
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
❑
MIAMI SHORES VILLAGE
� A.
BUILDING DE�kfIVIENT q;.
305- 795 -2204
Building Inspection Request
Date �(}
Type Insp'n }- t J e,
Permit No. 6 eSif " ° 0f (6
Name CO Q en
Address " `8 � q 3 v�
Company � 1 1
Phone #
Inspection Date 1
Approved
Correction
Re -Insp' n Fee
MIAMI SHORES, VILLAGE
BUILDING DEPARTMENT nn �
305- 795 -2204 ' �J
Buildipg Inspection Request
Type Insp'n Toa Ii rAn
Permit No.O� q)3
Name PUG
Addressa 5 E. 9(3 (Di
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
Type Insp'n
Permit No
MIAMI SHORES
BUILDING DEPARTMENT
305- 795 -2204 ebo
Buildi g Inspection Request
Date ♦ 2C
pOLl — ci e3
Name
AddressC)L!
Company
Phone # r-
Inspection Date 3)2,S
Approved
Correction
Re- Insp'n Fee
0
Miami Shores Village
10050 NE 2nd Avenue
Printed: 8/5/2004
Applicant: CRISTINA PERALTA
Owner: PERALTA CRISTINA
JOB ADDRESS: 245 NE 93 ST
Contractor ARTISTIC FENCE
Local Phone: 305 - 805 - 1976
Parcel # 1132060133660
Signed: (INSPECTOR)
Building Permit
Phone: 305- 795 -2204 Permit Number: BP2004 -963
Contractor's Address: 1070 SE 9 TER
Permit Status: APPLIED Permit Expiration: 1/11/2005 Construction Value: $3,500.00
Work: FENCE PRE CAST
Page 1 of 1
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 12 & BEG AT SW COR
Fees: Description Amount
FEE2004 -7542 Building Fee $240.00
FEE2004 -7543 CCF $2.40
FEE2004 -7544 Training and Education Fee $0.80
FEE2004 -7545 Technology Fee $6.00
FEE2004 -7546 Scanning Fee $3.00
FEE2004 -7547 Builders Bond $300.00
Total Fees: $552.20
Total Fees: $552.20
Total Receipts: $552.20
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:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2004 -963
Printed: 8/5/2004
Applicant: CRISTINA PERALTA
Owner: PERALTA CRISTINA
JOB ADDRESS: 245 NE 93 ST
Contractor ARTISTIC FENCE
Local Phone: 305 - 805 -1976
Parcel # 1132060133660
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 12 & BEG AT SW COR
Fees: Description Amount
FEE2004 -7542 Building Fee $240.00
FEE2004 -7543 CCF $2.40
FEE2004 -7544 Training and Education Fee $0.80
FEE2004 -7545 Technology Fee $6.00
FEE2004 -7546 Scanning Fee $3.00
FEE2004 -7547 Builders Bond $300.00
Total Fees: $552.20
Total Fees: $552.20
Total Receipts: $552.20
Permit Status: APPLIED Permit Expiration: 1/11/2005 Construction Value: $3,500.00
Work: FENCE PRE CAST
Signed:
(INSPECTOR)
Building Permit
Contractor's Address: 1070 SE 9 TER
Page 1 of 1
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:
Miami Shores Village
10050 NE 2nd Avenue
Building Permit
Phone: 305- 795 -2204 Permit Number: BP2004 -963
Printed: 8/5/2004
Applicant: CRISTINA PERALTA
Owner: PERALTA CRISTINA
JOB ADDRESS: 245 NE 93 ST
Contractor ARTISTIC FENCE
Local Phone: 305 - 805 - 1976
Parcel # 1132060133660
Contractor's Address: 1070 SE 9 TER
Page 1 of 1
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 12 & BEG AT SW COR
Fees: Description Amount
FEE2004 -7542 Building Fee $240.00
FEE2004 -7543 CCF $2.40
FEE2004 -7544 Training and Education Fee $0.80
FEE2004 -7545 Technology Fee $6.00
FEE2004 -7546 Scanning Fee $3.00
FEE2004 -7547 Builders Bond $300.00
Total Fees: $552.20
Total Fees: $552.20
Total Receipts: $552.20
Permit Status: APPLIED Permit Expiration: 1/11/2005 Construction Value: $3,500.00
Work: FENCE PRE CAST
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): ..uilding) Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Gra-Li G re_e N Phone #
Owner's Address a I 9 - 3 •
City U j. 11 L5 9 State -1 .. Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) c t -J IJ E q 3 �(
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name 61 I Y�2.41 C-Q.
Contractor's Address 1D
City ‘ O-L1 State l ,
Qualifier � O Al V&
State Certificate or Registration No. 50 - 3` � S? C o o Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of
Type of W(
Describe 11
Submittal I
Notary $
Scanning $
Code Enfor
4 o
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Master Permit No.
Zip j 30 t b
RLECEA'IE
Permit No. ()p o q‘03
3c.s -OS OC
Zip
Phone # S a)S" I "1 1 tO
�l 14,r6S bb0T1
1
Sprint Footage Of Work: ( o 1 -- +.ne--Qr
-
]New ❑ Repair/Replace ['Demolition
CCF $ QI `' CO /CC
Technology Fee $
Zoning Bond $ ®Q
ew. $ 50 .00
r 4 ioo .00 a073.
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 exc °eding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law broth ire 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 inspect' which occurs seven (7) days after the building permit is.issued. In t e absence of such posted notice, the
inspection will be approved and a reinspection fee will be charged.
NOTARY PUBLI
Sign:
APPLICATION APPROVED BY:
Mc 05/13/03
As identification and who did take an oath.
Signature
Owner or Agent Contractor
The forgoing instrument was acknowledged before me this .' The foregoin :. lstnunent was acknowledged before me this
day of-la/1 , 20 64 , by day of , 20 b`� by
who y cnown to me or who has produced who igetersonallillrown4 me or who has produced
as identification and who did take an oath.
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print FILEEN 601 � l`'1" • t*-1°(/ Print: E (,.QX I •,,i.. 0023:i: its
My Commissloi E> p ` ' ` My Commission E � I M Iles '> '� i'�� .Iii :?i.ut
- � � ,.i c '`' Hwir._'• tlu,u ;,hiu "�yet!ur.,y
************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *� ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
JUL 21 2004
Plans Examiner
Engineer
Zoning
STATE OF FLORIDA)
COUNTY OF DADE)
(property owner)
ZvxJe
(name of surveyor's company)
performed on , is an accurate representation of the existing conditions and
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
attached survey, performed by t
The undersigned Affiant
ion and print)
s oJe6 V��Lcc�e
6,(
SWORN TO AND SUBSCRIBED
Affiant is _personally known to me,
AFFIDAVIT
fore me ih.is__.�_ daz of �J
.. "o235sao
uUf
.Ne.;.tage Not:
, does hereby attest that the
Affian operty owner
v er
Witness(sign and print)
as identification.
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/26/2004
Applicant: CRISTINA
Owner: PERALTA
JOB ADDRESS: 245 NE 93
Contractor ARTEMISA FENCE
Local Phone: 305 - 221 - 0214
Parcel # 1132060133660
Signed:
Signed:
(INSPECTOR)
Building Permit
Permit Number: BP2004 -963
(Contractor or Builder)
PERALTA
CRISTINA
ST
Contractor's Address: PO BOX 651560
egal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 12 & BEG AT SW COR
� �\
Fees:
FEE2004 -7542
FEE2004 -7543
FEE2004 -7544
FEE2004 -754
FEE2004 -7546 ,,.
FEE2004 -7547
�rtpti
ildi g Fee
Training and Education Fee
Technology Fee
Scanning Fee
Builders Bond
Total Fees:
Amount
$240.0
$2.4
$6.
Total Fees: $552.20
Total Receipts: 1.0ii
cX g-0
9\\L\
Permit Status: APPLIED Permit Expiration: 1/11/2005 Construct! alue: $3,500.00
Work: FENCE PRE CAST
Page 1 of 1
AUG 0 3 PA10
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
BY:
DOCUMENT COVER PAGE
For those documents not providing the required
space on the first page, this cover page describing the
document in sufficient detail to prohibit its transference
to another document can be attached. An additional
recording fee for this page must be remitted.
Description of Document
Given By
A2oC ortgage. Deed. Constnxtion Lien, Etc.)
6 (�fe_2:-
(Names of All Mortgagors or Grantors)
.`-1S O% ct I-
ict vv\ S ,e S 1
(Names of Mortgagees or Grantees)
Property Description (If Applicable) 'LS i G
fiN2-
As more fully described in above described document
1 111111111 1111 11111 1111 11111 1111 1111
CFN 2004R0642211
DR Bk 22526 F9S 4251 - 252; (2995)
RECORDED 07/29/2004 12 :27:51
HARVEY RUVIN, CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
F.S. 695.26 Requirements for recording instruments affecting real property
(Relevant excerpts of statute)
(1) No instrument by which the title to real property or any interest therein is conveyed,
assigned, encumbered, or otherwise disposed of shall be recorded by the Clerk of the Circuit
Court unless:
A 3 -inch by 3 -inch space at the top right -hand comer on the first page and a 1 -inch by 3-
inch space at the top right -hand comer on each subsequent page are reserved for use by the
Clerk of the Court.
NOTICE OF COMMENCEMENT
ra •
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
k ? b C 4 S b - .9 cv.
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
,Q COUNTY OF DADE:
W THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Ca Chapter 713, Florida Statutes, the following nformation is provided in this Notice of Commencement.
N g
1. Legal description of property and street address /»' .S• c_
..245" c 3 s-f.
1-1, a Sha {•e.s l .
co
O J 2. Description of improvement Ytf. QG&t e- . en Le_
3. Owner(s) name and address: (Q 6(Q, f\ 0Q 45 NI � C I 3
1�- 1►czr�n► Sh(vrzs
Interest in property: %
Name and address of fee simple titleholder:
4. Contractor's name and address: -4 R 1s4► c • ei) ce ll`n7
.4b0.1.040-1 fit. 3301C>
;TATC OF FLORIDA, COUNTY OF LADE
5. Surety:(Payment bond required by owner from contractor, i f a � CERTIFY Mat tni: n p cc,-y of the
Name and address: � <
Ori�lna ,cd I dm Milt B On — day ct f! /
•
Amount of bond - -- % D 20,1:2. f s r
$ WITNr -.'aS nr�,rcn;t ar,d u ;' ;ea1.
HARVEY UV' , C :R Of Circuit and County COur`s
6. Lender's name and address: ai D.C.
:vy
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to- Ifimself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different d ied)
Sign. re • '; wner
Print Owner's Name
Goj9 (*-ezn
Sworn to and subscribed before me this vaaP day of
Notary Public
Print Notary's Name CaeGn
My Commission Expires
EDLEEN GOMEZ
G • i,1Y COi mis SION tOD235630
2q nir
, 2004
Prepared by tee -A G ,
Address: \O—)d SE
41 Z 1 —)
5c4 LE
L
N E. 04 +1 S7'
LO 1 0
N E
( j -
/LE rcN (1''= zoo')
- PrcQ G-
'1'
/85.0
CERTIFICATE:
- J
Begin at the Southwest corner of said
L G 7 C-
Q Lot 13; thence (lun North for 127:52
feet to the _N_orthwest corner of Lot 1_3
thence East.along the North line of
Lot 13 for 4.52 feet; thence South-
o easterly for 140.69 feet to a point
I,p on the South line of said Lot 13;
thence West along the South line of
said Lot 13 for 63.56 feet to the
�•
4•• r �� \ 'Dint of Beginning.
jam .1'1., ' -1
..1... 1 / A'
j
" u 1 , / � p ? c
%a v Ceaic l �,�y -
T 1 P47/0 . ct et 7' ?
` i i 20.4 1.. 6'.
L• .
1
c-
90
(40,-,,d(),-44.- loATk
BISCAYNE ENGINEERING COMPANY, INC.
FOUNDED 1898
CUN�l1L1I!:G ENGINCERS, PLANNERS, SURVEYORS
MIAMI /FT. LAUDERDALE, FLORIDA
i:' 74P- IP00
SURVEY NOTES: - - C I .,,� \
1. LANDS SHOWN Rupp }JE1}OO
R?�STTACTED FOR
EASEMENTS AN VAR IGHTS Cf WAY OF RECORD.
evC-
2. REPRODUCTIONS OF THIS SKETCH ARE NOT VALID
UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S
SEAL.
3. ELEVATIONS (IF SHOWN HEREON) ARE RELATIVE
TO THE NATIONAL GEODETIC .VERTICAL DATUM.
4. BEARINGS (IF SHOWN HERON) ARE BASED ON
c r / S 3
/13.5G'
/O C.1 /1 - ` - i Sul h
7 -- - _
)J 5.
LEGAL DESCRIPTION
Lot 12 and a portion of Lot 13, Block
27, AMENDED PLAT OF MIAMI SHARES,
Section No. 1, as recorded in Plat
Book 10, Page 70 of the Public Records
of Dade County, Florida. Said portion
of Lot 13 being more particularly
described as follows:
o
r'lv k: t4e(L0 -
Zonin
—► Approved
j• C;
•
t`
C"
I•
I HEREBY CERTIFY THAT THE ATTACH= SKETCH OF SURVEY OF THE HEREON DESCRIAE'D PJ OPERTY
IS TRUE AND CORRECT TO THE BEST OF MY KNaeLEDGE AND R71SEF AS SURVEYED UNDER MY
DIRECTION. I FURTHER CERTIFY THAT THIS SURVEY MEETS THE M NIZ•fiJM TECIVICAL STANDARDS
FOR LAID SURVEYING IN THE STATE OF FLORIDA (CI-MP r R 21H-B-1-6 F . A . C .) PURSUANT TD
SECTION 472.027, FLORIDA STATUTES. • SUBJECT TO THE QUALIFICATIONS lVTED HEREON.
DATED THIS 24. DAY OF AUG. 19t33 . BY: --7'z
09'
PREPARED FOR: .STEVEn! ROSEM GEORGE ao�7O J
pRq n! D1 -6o 217 - rB (917-22. PRDFESSIONAL LAT° SURVEYOR
FLORIDA REGISTRATION NO. I G a 3
This drawing is the property of BISCAYNE ENGINEERING COMPANY, INC. and shall not be t'sed or reproduced in whole or in pare
without permission of BISCAYNE ENGINEERING COMPANY, INC. FILE /4 /996 - SS - 25 •
5 i riZ 1CTURAL NGTE:,:
THE SYSTEM CONSISTS IN =CRETE POST AND CONCRETE PANEL.
WIT1 -1 A CONCRETE CAP AT TOP,
MNP-ALUZI
ASSUMED SOIL CONDITIONS AT THE SITE TVDICATE SAND AND ROCK
'UITL 4 MV/1" SOIL °_'E. 4G CLIPOCIT" .1= ?OCO OS•F (N f"'r•!)
IF ANY CONDITIONS IN THE =tF.LD THAT MAY ° CONDUCIVE TO A
CHANGE IN BEARING CAPACITY THE SAME SHALL BE NOTED AND
REPORTED TO THE ARC1-II1'EC OR ENGINEER 1440 WILL PERFORM ANY
NECESSARY REV 5ION TO NE FOUNDATIONS PLANS .
- COMPRESSIVE STRENGTH AT 28 DAYS:
- COVER:
CONCRETE CAST AGAINST AND PERMANENTLY
EXPOSED TO EARTH 1/2"
3000 PSI
PRECAST MEMBER 3/4"
rr a'frnar_N 8TEF .:
-REINFORCING BARS CONFCRIING TO AB.TM. ,:1-615 GRACE •C,
INCLUDING COLUMNS.
- FABRICATION AND DETAILNG ACCORDING TO A.C.I. -318.
DESIal CRITERIA:
-WIND LOAD PER A.SLE.1/98
CATEGORY- I
EXPOSURE
°C"
n'1PORTANCE: 1.0
WIND VELOCITY: ■90 M 14
APPLICABLE CODES:
-THE APPLICABLE CODES APE:
- FLORIDA BUILDING CODE. 2001 EDITION.
318 -99 BUILDING CODE REQUIREMENTS FOR REITFOROED
CONCRETE.
- WND LOAD FOR ABL,E.1/9S
6' -10"
CONC. POST
(SEE.-7 DETAIL)
1
,
!
111
CCNMCFCOT SIG
v �
al,
1
('- 10 "(82 ")
SCALE: 3/4.1
6'- 1 "(19 ")
CONC. PANEL
PARTIAL FCUNDATION FLAN
SCALE: 3/4 =1' -O"
FENCE PARTIAL ELEVATION
t y -
I
I »
I - r - 1' - 1' -2" I 1' -0" I1 -0" 1
1 1/2" CONCRETE PANEL ELEVA'ION 1 1 1/2"
(DIMENSIONS AND REINFORCING) SCALE 1/2".1'-0"
Et 1 4—
vLv 1 lL'N 1 -
SCALE 3 ".1' -0"
5 1/4"
4 •4
1
•n
cn
1 5/8"
LOCATION)
CONCRETE POST
SCALE 3 ".1' -0"
vvm0rs JATE
DATES-22-02
SULE AS NOT
DRAW : ...F.TMM
S -I
I OF I SHEETS
Page 2
1sIPORTANT 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, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
Print Name Print Name
wo.� to and subscribed before me this / 6 day — ,
O +'.ICIAL NOTARY SEAL
6 e, ANGELA M BECKER
SEAL:
-1 r• +� o CON.1ssaON NUMBER SEAL:
III'• Q CC786697
cis MY MY commtsS:oN ?XPIRES
F OF FL NOV. i 5,2002
Sworn to and subscribed before me this day of
PERMIT APPLICATION
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of Contractor / Qualifier
Signature of Notary Public - State of Florida
Personally known OR, Produced Identification L� Personally known OR, Produced Identification
Type of Identification Produced:J� A A j Lll� b.5 473-90 `'z 0 Type of Identification Produced:
M PIOPERTY OWNER
New Construction
Name GI i4 Q y G 4 �
l�� 1
Enclosure
Address - A).. G13 s -t,
Mro.M:, S 40 • 3►3g
Alteration Exterior
f t, Q
Home Telephone 1� SCI&) /' l
Repair
Business Telephone D, kb' ' 4 , 01
zs `
!
Fax
Demolish
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'! Attachment
Other
Add'I Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted
along with this permit application.
Step 2. $ubmit the completed anplication 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.
A ['PLACATION
lb Address:
Folio Number( 3) n C ()CE) 3 6 - O description of Work
y''KG ^ L•
Lot
Subdivision
Current Use of Property
Proposed Use of Property
Tenant Information
Address Apt.
Block
QQ PB PG
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
Subsidiary Permit No. .S
City
State
PERMIT APPLICATION
t_.s (.L9 von � �=
Zip
Zoning Linear Feet
Square Feet Units Floors
ue of Work 41 O 0 i Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone
Fax
Qualifier Name
5' -O" MAX
Owner's Side
2' -0l
°
4
4
a
— I'-O "
4" X 4" Wood post
/ 211 X 4" Wood kad
I "X6 "crI "X8"
Wood Plccets
Concrete
TIT
4
=III
°
II =11
1 -111=
111=_-111 °
1-111-1 -= 111-111-
11 - 111= 111 =11 - 111 -111
1
WOOD FENCES
,I - "
2915 Fences
Wood Posts
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 spiced 5 fee' -0 inches on
centers, having a fiber stress of
1200 p.s.i. in bendinc., and shall be
embedded 2 feet -0 inches into a
concrete footing 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.
JI
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BISCAYNE ENGINEERING COMPANY, INC.
FOUNDED 1898
CUf:_`•UL1U1G CNGINCERS, PLANNERS, SURVEYORS
MIAMI / FT. LAUDERDALE, FLORIDA
( gin';) 7(•1 f,l(•7 (305) 74P- IP00
PREPARED FOR: STEVE'J ROSENI
oRp NI° 01 -G0217 - r8 077.22
This drawing is the property of BISCAYNE ENGINEERING COMPANY,
without permission of BISCAYNE ENGINEERING COMPANY, INC.
SURVEY NOTES: \ 1 ,., ,
1. LANDS SHOWN gEop VER 09O ?11S.1 ACTED FOR
EASEMENTS AN6l5R AIGHTS Cf WAY OF RECORD.
2. REPRODUCTIONS OF THIS SKETCH ARE NOT VALID
UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S
SEAL.
3. ELEVATIONS (IF SHOWN HEREON) ARE RELATIVE
TO THE NATIONAL GEODETIC VERTICAL DATUM.
4. BEARINGS (IF SHOWN HERON) ARE BASED ON
C'
S ol
4
1
/1 3.5 G'
- -- — - --- — V
Lot 12 and a portion of Lot 13, Block
27, A PLAT OF MIAMI SHARES,
Section No. 1, as recorded in Plat
Book 10, Page 70 of the Public Records
of Dade County, Florida. Said portion
of Lot 13 being more particularly
described as follows:
Begin at the Southwest corner of said
Lot 13; thence Zun North for 127T52
feet to the Northwest corner of Lot 13
thence East along the North line of
Lot 13 for 4.52 feet; thence South-
easterly for 140.69 feet to a point
on the South line of said Lot 13;
thence West along the South line of
said Lot 13 for 63.56 feet to the
Point of Beginning.
i
LEGAL DESCRIPTION
6 c-
20 fl f '-y
I HEREBY CERTIFY THAT THE ATTACHM SKETCH OF SURVEY OF THE HEREON DESCRIBED PROPERTY
IS TRUE AND CORRECT TO THE BEST OF MY }T3O<•;LEJJX E AND RI'I,IEF AS SURVEYED UNDER MY
DIRECTION. I FURTHER CERTIFY THAT THIS SURVEY MEETS THE MINLITI. M TIX HNICAL STT>NII IDS
FOR LAND SURVEYING IN THE STATE OF FLORIDA (CHAPTER 21HH -6 F . A . C .) PURSUANT TO
SECTION 472.027, FLORIDA STATUTES . SUBJECT TO THE cf.JW,IFICATIONS IpTED HEREON.
D A T E D THIS 240 DAY O F AUG. 19 63 . BY: = i
GEORG1: C. SOLroiJ
PrOFESSIONAL LAND SURVEYOR
FLORIDA REGISTRATION ND. J,4 3
INC. and shall not be ►'sed or reproduced in whole or in part
FILE N° /995 -SS -25
1 1
Larni Sore 1A/4e
AFFIDAVIT
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, Q Q C1 � -• �� does hereby attest that the
(property owner)
attached survey, performed by �j ■ S<- p
Y, P y � �( v � _ � �7 C� i N��-Q i�., C. C u x14 1 1 NC,
1 (name of surveyor's company)
performed on &X Z kt rig.1, is an accurate representation of the existing conditions and
Witness(sign and print)
(date of survey)
Locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applic..Ie t o . is or other permits..
Further, Affiant sayeth naught.
, Po OFFICIAL MO:q.IYSF:AL
0 d, ANGELA M BECKER
2 ..4.". i' � COI A+'t,E1OM NUMBER
� r r
T . I C Q 01.706697
PNW ,ip�I :xPIRES
OF F6° 01.706697 7".
,
_ NOV. ∎S11O')2
SWORN TO AND SUBSCRIBED before me this ) �j day oC
Witness(sign and print)
Affiant is personally known to me,� / ' aq
P Y 1/ produced P.2, n i � � .65 Z�v�3 -- / 0._ as identification.
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan
Dryer Vents, Number of
Outlet, Wall
Ventilation, Cost
Service, Temporary
Air Handler, Tons
A/C Central 4 -7 Ton
Piping, Flammable Liquid
Fire Pump
Outlet, Switch
Fire Sprinkler System
Signs
A/C Central 8 -15 Ton
Bath Fan - Vented, #
Fixture - Fluorescent
Pressure Vessel
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 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
Solar Water Heater
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
- Process/Pressure Piping
Cap - Fixture
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Pump and Abandon
PLUMBING
TYPE
A/C Condensate
QTV.
TV'PE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
SECTION
BY
DA E
Zonin:
f
/00P7
Electrical
Mechanical
Plumbing
Fire
Public Works
.
Structural
Building
Building Official
A7 iv( 1 -eg,
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
I'ER)\'MI'I' 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
$ a d
$
(sq.ft. = x/1000
x ¢.60)
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
REVIEWED AND PREPARED BY:
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ ,. 6 6
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
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby anode for the approval of the detailed statement or me plans and specifications herewith submitted for the build
ine 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 .. ..P 0
Registered Architect and /or Engineer
Name and address of licensed contractor -2-- 5 5 ._..N E . Location and legal description of lot to be built on:
Lot Block
Subdivision
Street and Number where work is to be done .2: ' N L: ._... 9 S r
State work to be don and purpose of budding (by floors) Lel_ CA 0
Date..._..._. ... —SL.J_ - .--- ..._._— ........ 19
N i-{ .... Street K.` 9 . :1...... -.
ULI, (Ai
ZW
F E •C C F f} izcN i∎l
and for no other purpose.
Ncw Bui!ding Remodeling Addition Repairs No. of Stories —
To be constructed of 1d10 07 Kind of foundation L 0 ' 4 ''.. itETE w 1 4- L t""`( ?*Roof Covering
Estimated Total cost of improvements $ is °tp • Amount of Permit d...ct' L r o
Zone cubage required .Plan Cubage
Distance .to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement,
anti has complied witli the provisions thereof, and will require similar compliance From all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work t be pe .rmed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks..._ (Signed`
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Disapproved \ . Date.
(Signed)
Chairman
\Icrr.ber
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
thcrcin by him stated are true.
t f r Permit No.._../ d. ..0 Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Member
Member
Member .. .. _- ....-- ••- --_..._.— ...._....... Member ...._
Council Approved Date Disapproved Date
NUTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hero obtained from
the I'Lrnnir.;; Board.
A re- inspection fce of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspectirn or faulty
materials and/or workmanship.
i
r
rr)
MIAMI 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.. PH aJ
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot 1 Z P T t 3 Block Subdivision M r p "` ' f 0/7 ) , ) F
Street and Number where work is to be done
State work to be
4-8.~ G'
one and purpose of building (by floors)
C 4R UNc✓2-
Date
z '+ <v ` y 3 s T
( a 4 / /✓ t- % L .. Z Z c,
,19 L
No Street
and for no other purpose.
New Building Rernodeling. Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Z ��>
Estimated Total cost of improvements $ G, Amount of Permit $
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction. that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Z� a Date ' Z 1 ' Z._ Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Date
Notary Public, State of Florida
Building 'Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.