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321 NE 93 St (8)) PERMIT APPLICATION FOR MIAMI SHORES VILLAGE A/e Date 6 � � ( Job Address '11 Z q f 3 s t Tax Folio /I — � 2 ' 6 6 ""' Q / 3 ` co 2' t{ 0 wit/kw( f lkonrc -c SFc7Ic&) Legal Description La ( r3 L° 0L- Historically Designated: Yes t No /Lessee / Tenant C 41 S-rt , V C (A.)4 M- Master Permit # 'T' 93 Q` 3 2 N q3") Owner's Address Contracting Co. Qualifier SS# State # Square Ft. Address Municipal # Competency # V & P LL_ ngmeer Bonding Company AI Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION A ciu 0 di) DE- CI( � cZ) Sf Estir. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENC] PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU Ir OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMME Application is hereby made to obtain a permit to do work and installation as indicated will be performed to meet the standards of all laws regulating construction in this juris+ PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and tl construction and zoning. Furthermore, I authorize the above -named contractor to do Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON C.C.F. Sign Not My ec N( APPROVED: 2(244 ( ( ..a Zoning ( Budding Mechanical Plumbing Phone Data Type Insp Permit Name Address Company Phone # For Inspector3 Approved Correction Re- Insp'n Fee "36s • 7 S@ / o / Phone Ins. Co. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -220 Building Inspection Request Z� /Da Name & PERMIT NO. ADDRESS: . MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING • ELECTRICAL • MECHANICAL PLUMBING FIRE " PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subf ect to compliance ' ith ett Federal. State. Coady, ty,Viiltage rules and regulations. Village assumes no responsibility for accuracy otlor resutts troy dlese plans. 2. This copy of plans cove be ' ca buftding site or no inspection Vail be conducted. JOB ADDRESS APPLICANT PHONE # APPLICATION # SHEET OF • MISCELLANEOUS • DATE 302i .V e ? s)- CRITIQUE SHEET tcliruk 6-01 nv+ 0.24741J r COMMENTS INITIALS Maximum Building Height: 2 Stories, 30 ft. Minimum lot Size: 75 ft. frontage, 7500 sq. ft. Setbacks Main Bldg. Access. Bldg: Front 25' Rear yd. only Side 10' 10' Side St. 15' 25" Rear 15' 5" Access. Buildings must be 15' from main ACCESSORY BUILDING /STRUCTURE SETBACKS bldg. and 10' from any contiguous side -� or front yard and may cover 20% of rear Side Seth ;ck' Rear Setback yard. Side st. setback is determined by a ,1O' 5 adjoining lot. ! i ' POOL SETBACKS PRIMARY BUILDING SETBACKS �� '' 7 Front 25' Side 10' Rear 15' May 2000 STREET INTERIOR LOT RESIDENTIAL ZONING STANDARDS ph, .T=M- ti- vit=ro _`;C AND DG _NG DES== .EI: _CGcu N. _. =_^. A'•i RUE (3Gf ; 7E.5- FA:: ( EUILDING PET? fI '; /MHDRACTORS RSISTRATTCN C=LIST 3 /A P3 SY Copy c f STA," E OF LORIDA . C2TION (DPER) := SMTE REGISMITICRI AhD DADE COUNTY OOMPEMNCY LICONSE. Cony Of. Tr_ant CJPATIO L LICE4SEE from count: c_ municipality wt:erre :business is Iodated. Certificate of Insurance for LIAMLSTY (addres..e to Miami Snc__s Village). Certificate of Insurance for 'S COMP (addressed to Miami ShoresVillage) or if exempt State of Florida LES Form ME-204, Construction lnd s:=y Notice of Election to be Exempt. PLEASE SUBMIT E4MYLKILNG CHECKED QEF Permit Application (signer by person performing the work, licensed contractor and the property owner, both signatures notarized) . Two sets of plains /drawings signed and sealed by registered architect or engineer. Occupancies by Grot Classification must be on plans and permit application. All plan mist include folio number and prooezty address. Amended plans, in addition to the above, must also include the permit number. Structural Calculations signed and sealed by architect c_ engineer when applicable. Current survey of the property. Ce_*tificate of Elevation signed and sealed by Surveyor. Substantial In' rovements Chealist (crntTctor or owner).' Four sets of energy calculations, signed and sealed Tw sets of signed & sealed Truss Plans (Engineer). DADE Cocnty or State of Florida Products Approvals for roof materials, sheds, windows, exterior /gam -age doors, aluminum m carports, screen enclosures, shutters awnings, skylights, french doors and etc. Approvals from HRS, DADE County Impact Fee Section, Fire Department a Health Department (when applicable). DEM Warranty Deed or Other Proof of Ownership if necessary. Structural. Review fee Flood Elevation Notice of Commencement This Docmncnt Prepared 13y and Return to: Marketable Title & Escrow Services, Inc. Paul D. Gottfried, Esq. 412 Southeast 23rd Street Ft. Lauderdale, FL 33316 (954) 467 -7840 Parcel ID Number: 11-3206-013-624 0 Grantee I/1 TIN: Grantee 112 TIN: Warranty Deed This Indenture, Made this 9th day of November . , 2000 A.D. Between MARY J. O'CONNOR F /K /A MARY J. CLAY, a married woman, joined by her spouse, TED L. KRETZSCHMAR of the County of Mi ami -Dade State of Florida , grantors, and CHRISTINE C. WAGNER, a single woman and JOHN HOLT MERCHANT III, a single man whose address is: 321 NE 93rd Street, Miami Shores, FL 33138 of the county of Miami-Dade state of Florida , grantees. W itnesseth that the GRANTORS, for and in consideration of the sum of TEN DOLLARS ($10) DOLLARS. and other goal and valuable consideration to GRANTORS in hand paid by GRANITES, the receipt whereof is hereby acknowiedged, have granted, bargained and sold to the said GRANTEES and GRANTEES' heirs. successors and assigns forever, the following described land. situate. lying and being in the County of Miami -Dade State of Florida to wit: Lot 18 and the West 1/2 of Lot 19, Block 46, MIAMI SHORES SECTION ONE AMENDED, according -to the plat thereof, as recorded in Plat Book 10, at Page 70, of the Public Records of Miami -Dade County, Florida. Subject to: comprehensive land use plan, zoning, restrictions, prohibition, and other requirements imposed by governmental authority; easements, restrictions and matters appearing on the plat or otherwise common to the subdivision; outstanding oil, gas and mineral rights of record, without right of entry; and taxes for year 2001 and subsequent years. This Deed was prepared as a necessary incident to the fulfillment of Conditions contained in a Title Insurance Commitment. TOGETHER with all tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in Fee Simple forever. I , APPLICAT)3N FOR CERTIFICATE OF RE- OCCUPANCY ' 14 to re- occupy the single family residence . known zs (address) jai q3 -S ,Legal Description: Lot: Block I hereby certify that I understand that the zoning of the property is for single- farnily iesidential use • and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re= Occupancy that may be issued by Mani Shores Village, certifies only that the referenced property is being used for single - family purposes and that such Certificate dots not : . constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant Print Name ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ****** * * * * * * ; * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Ivfiami Shores Land Development and Zoning Code, please contact: Contact Name: !/( (7 4 i7/2 / 1 ' Buyer Seller Application Fee (S50) paid: Cash Inspected by. Comments: Mo . PAGE I OF 2 , Mfiami Shores, Florida. Date hereby apply' for a certificate PB & PG: . I Telephone: 75i ' OV Realtor Company Name Check No. a-5 Denied . 0•• On behalf of Miarai Shores Village, Florida, the undersigned certifies that the pr operty described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901.and 902 of the Miami Shores Land Development-and Zoning Code and that such property may be re- occupied by the above applicant for sine- fanufy residential purposes, CER1 ICATE OF RE- OCCUPANCY THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY IvLIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE M[AMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE- FAzvBLY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERlv�i tE THE CONDrON, THEREOF. • PAGE 2 OF 2 MIA.MII SHORES VILLAGE, FLORIDA .- By Date of Certification: • Date 1 \•t 4•cw PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 3a1 Legal Description L , l blpck — L Rs Historically Designated: Yes ne 1,essee / Tenant r.L.rrs},na t a ( Owner's Address ?\ N)e °\-z,ck Phone �p "33 ' 1c'i(o Contracting Co. ei4.9s,Lei" Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION T-1...\--=-\\ c_re...{l,._ lsor' Square Ft. Estimated Cost (value) * /:Q.G10• D WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AP FIDAVIT: I certify that all the f• construction . • zpnin:. Furthermore, I a a • oing information is accurate and that all work will be done in compliance with all applicable laws regulating e the above -named contractor to do the work stated. Signa o owner an or Condo Pr ident Ageao Date tractor or Owner -Bur k� a.��. der /D3 - 7/- j �.I .N ' FicIAL on . Notary as to Owner and/or Condo President Date Notary as ' o Con or or O �`�' : P1 +� My Commission Expires: My Commission E . r Y PUB a . C Gr P P�JA COiv1M1WON NO. :.714;C3 M COMM ISSIOt�t EXP. IA A.R. 1 '.J+ - FEES: PERMIT APPROVED: )1 2//e0 Zomn�/ I "' 11 • 62/6- Buildin Mechanical Plumbing Signature of Tax Folio \\-"3/3(0 - Oty - (n -4 Master Permit No � 9 99 • KYS • Electrical BOND TOTAL DUEb_ Structural Engineer 1 740 /f-2 "• g3'212-# 3 -D /f b if -a -ov Date "_1/15/2 ©G0 12:17 5931544 • tr .. ,.YVy�� PRODUCT CONTROL NOTICE OF ACCEPTANCE Doralum Corporation 7040 N. W. 77 Terrace Miami FL 33166 Acceptance No.:98- 0611.03 Expires :09 /I4/01' - Approved: 10 /08/98 • l' t nfernel mall address: PostmasterObulldlnpcadeonllne .cern AMERICAN WINDOW CORP PAGE 01 N1E1HOI'OLITAN DAD1i COUNTYMFLOR$DA MEVRO•DADE FLAGLER BUILDING BUILDING CODE COYPUANCIT OPPuCe METAO•OADE RADLER BUILDING 140 WEST FLAMER STREET. SUITE 1b03 MIAMI, FLORIDA 33130 -1563 (305) 375.2901 FAX (303) 375.200 PRODUCT CONTROL DIVISION (305) 375-2902 FAX (305) 3724339 Your application for Product Approval of: Series 100 Outliving Aluminum Patio Doors with Sldelite under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Applicant, along with Drawing No. W9848, Sheets 1 lhru 4 of 4. has been recommended for acceptance by the Building Code Compliance office to be used in Dade County. Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance • reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any ammendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or rttcterial fails to meet the requirements of the South Florida Building Code. : .The expense of such testing will be incurred by the manufacturer. au ' 0.1 guez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be tiled in Dade County, Florida under the conditions set forth above. s yang Director Building Code Compliance Dept. Metropolitan Dade County Homepspei http J /www.bulldlnpcedsonlInl.com 11/15/26f;6 12:17 5931544 ponflum Corturnt1on - 2 - AMERICAN WINDOW CORP PAGE 02 ACCEPTANCE No.: 98-061 03 APPROVED : OCT 0 9 1998 EXPIRES 1. SCOPE '1.1 This renews the Notice of Acceptance No. 95-0428.01, which was issued on September 14, 1995. It approves an outswing aluminum patio door, as described in Section 2 of this Notice of Acceptance, designed to comply With the South Florida Building Code, 1994 Edition for Miami-. Dade County, for the locations where the pressure requirements, u determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The Series I00 Outswlog Aluminum Patio Doors with Sidelight, and Its components shall be constructed in strict compliance with the following documents: Drawing No: W98 -58, titled "Series 100 Alum. Swing Door w/ Sidelites" Sheets 1 throu� 4 of 4, prepared by manufacturer, dated 07/31/98, bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami - Dade County Product Control Division. These documents shall hereinafter he to as the approved drawings. 3. LIMITATIONS 3.1 This approval applies to single unit applications of pair of doors and single door with, or without, sidelites, u shown in approved drawings. Single door units shall include all components described in the active leaf of this approval. 4. INSTALLATION 4.1 The outswing aluminum patio doors and its components shall be installed in strict: :compliance with the approved drawings. 4.2 The installation pf this product will require a hurricane protection system. 5. LABELING 5.1 Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in ordcr to properly evaluate the installation of this system. M Pr Perez, P.E, Produ Control Division :cvt mbar 14.2001 ntrol Examiner I Renewal of this Acceptance (approval) shall be considered alter a renewal appllsallon has been flied and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (g) yam. 2. Any and all approved products shall be permanently uct Control pprov�lM ° specifically suted the following statement. Miami Dade County specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered If! a. There has been a change In the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. • roved. b. The product Is no longer the same product (identical) as the one originally app c. If the Acceptance holder has not complied with all the requirements of this acceptance, Including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation Initially submitted, Is no longer practicing the engineering profession. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision . application with appropriate fee) and granted by this office. S. Any of the following shall of this product process. Acceptance: a. Unsatisfactory performance other b. Misuse of this Acceptance as an endorsement of any product, for salts, adverilsing or any purposes. 6. The Notice of Acceptance number iiretiede� the Miami-de lf an ® portlon n af , ehe o No Notice of Acceptance is expiration date may be displayed In advertising displayed, then it shall be done In Its entirety. 7. A copy of this Acceptance as well u approved or Its distributors and shall available for inspection he Job provided to the user by the manufacture • at all time. The engineer need not reseal the copies. Failure to comply with any section of this Acceptance shalt be cause for termination and removal of Acceptance. This Notice of Acceptance consists of pages I, 2 and thle last page 3. END OF THIS ACCEPTANCE •11/15/2000 12:17 5931544 por lt Curpornlloo - 3 - AMERICAN WINDOW CORP PAGE 03 ACCEPTANCE No. :' 9R- O��1 APPROVED OC1 0 0 1990 _..r.� EXPIRES : Sentember 14,2OOt Manu P z, P.E. 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ItOtef ld 'WDMQO NO .LYUUOd800 t 00 MOO MOUNIM III3i.13Wti •ts -tN (FOCI Ir/ ROC -NI (Ot) It Otltcc v 'MOM M31 LL 'M'N OPOL NOt1YlOdfOO MYWHO0 mums Al woo Ems t1Rw col-S?t1i M +w t'tSTE6S LT :3T 000Z /ST'!it • 9V-own 11/69.461 (9X) "itvi oose (OM tint 9:99011 VIM 3AV LI IS SCII vOrS30 13r100Vd V SSINNVid '3311)*Ovi NOLLYN0d1103 b0011Vd—TI 1 1 1 3 v 1 4 1 1 1 a 1 1 1 p 2 3 1 1 1 1 1 1 1 1 a AI 1 1 0 t_ 39.Vd Mk [M 991E9 1.1 'A3933/1 'N31 LC WM OM. NOW010.1800 rormine slims //A woo arms arm 001-5790s dam momm NVOIM3wv PPSIE6S LT:Zt mousifit EXIST. F.F. DD• - r•G• REMOVE EXIST. RECEP. TO PANEL DEMOLITION PLAN SCALE 1/4 " =1' -0" 12 "Wx77 "H SIDELITE If OP tO 8' 0" PARTIAL FLOOR PLAN SCALE 1/4 " =1' -0" VVALLSECTION "A " - "A" SCALE 3/4 " =1' -0" EXIST. AL. FRAME & SCREENING FOR PATIO mi EXIST. 8' -9 1 /2 "1.1 NEW 2 -2 "x8" SAW CUT OPENING FROM SILL TO F.F. & REMOVE BLK WALL 2 "X4" P.T. WOOD DECK ON 2 "x5" STRINGERS @ 24" 0.C. 2- 36'x80 "DOORS EXIST. 12 "x8" TIE BEAM NEW 1/2"o LAG BOLT W /SHIELD ANCHOR IN EXIST. TIE BEAM ® 18" O.C. W /3" MIN. PENETRATION INTO CONC. REMOVE EXIST. FIXED WINDOW & FRAMING TIE BEAM 2 "X4" P.T. WOOD DECK ON 2 "x5" STRINGERS CO 24" 0.C. —÷--1/8" --'- ' 1 /8" t ►4110. 41110. t 00. / ►1 ►t 110. • ►t► 7" NOTE: SEE MANUFACTURE INSTRUCTION FOR DOOR AND SIDELITE INSTALLATION PER SFBC. N EDGE OF EXIST. CONC. PATIO EXIST. 8" C.B.S. WALL I2" TIE P. ) w/ tt t I2" o .c. (O bevl 1.4j > 8 =.0") EXIST. CONC. PATIO 37.50' 15' ALLEY EXIST. SCREENED PATIO SITE PLAN SCALE:1 " =1' -0" f 25' 6' C.L.F. EXIST. ONE STORY RESIDENCE # 321 5' SIDEWALK 75.00' N.E. 93rd STREET 75.00' 0 SEE DETAILS T SEE DETAILS FOR WORK TO BE DONE IN THIS AREA 410' 0 O N 'REVISIONS BY 'W 1 L U w ' t� :I I & r ZW Zno• adgg 3 W cRE cnEits a' oz O gag 7 ;CVED BY DATE , , IF AL 4 . __-........___ r .,......-............. . , ROOFING 01..na. OFFIC1.M. _ - - -- - --t- _ SUBJECT TO PLIACE V.911 ALL fEllc.iill, STATE MO COUNTY RULES A.!. REGUititf.3S. pj,tNi SHORES viLtAcE AssuMES il0 RESPONSSTLIT;ES FOR ACCURACY OF OR PA:Slit:FS :'10:1 . ii;ESE PLANS. Ctwii:VICE V1111-1 THE soijim FoRiDA z,j CODF. t AD0F1ED BY .' .t •:::WS.I.:', rd.l...t,`,;E ;‘ REairli';'20. THE f,R'CiTIECT, FIALDER (1 SUB AR'ir. CPAR,3::::.I.) Wiril 1HE : OF Pa BWLDING ( i SPEC!FICALLY I.:XICATE) iiEREIN. ............. .......... ■-,....nrse..................e...s.c,....■•wae... 4 ' t (,,, • , ;,' '3 •. ■ ',A=11 ',..:73 ''',. :1 , .1 ' , . 1 _., L L i , V111,1,12:0i7, kle Legal Description: APPLICATION FOR CERTIFICATE OF RE OCCUPANCY , hereby apply for a certificate to re- occupy the single family residence known as : (address) , Miami Shores, Florida. Lot: Block PB & PG: I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such prope A licant ,' PP % Dat � rlrL� � t - Od Print Name ************-*********************:***_******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: 1. 11 e/ Telephone ? 333 /S Buyer r Seller Realtor Company Name Application Fee ($50) paid: Cash ✓ Check No. Inspected by: FRANK T RTEN Comments: PAGE 1 OF 2 Denied Date 11/09/00 CER l ik'ICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purp Sections 901 and 902 of the Miami Shores Land Development n and Zoning Code an that su ch to property may be re- occupied by the above applicant for single- family residential purposes. � PAGE 2 OF 2 HORES VILLAGE, FLORIDA Date of Certification: Li /09 /00 THIS CER'1"lkiCATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE- FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE- FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERES' PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREIJSES IN ORDER TO DETERMWE THE CONDITION, THEREOF. Architect Contractor or Builder Legal Description Address of Building Work to be r•< 'aP Lot A Y z �µ f.I Vs 6 MIAMI SHORES VILLAGE, FLORI DATE ' L_ ) EC& 19514 Contractor's License No erf ormed under this Permit i This permit is granted to the contractor or builder named above to construct the buildin herefor in strict compliance with all ordinances pertaining thereto and with the understandin drawings, statements or specifications that may have been submitted to and ap d by e p time if the work is not done in compliance with such ordinances or if plans at c wit ranted is the understanding that the contractor or builder nam ab mes S p pertaining to the work covered hereby whether shown o ,o done by his agents, servants or employees. In consideration of the issuance to m t permit I agree.to perform the work covered hereunder in ,,. F t'ncl ordinances and regulatio ertaining thereto and in strict conformity wii�fthe plans, drawings „statements or specifications submitted to the proper authorities of Ivfiami S hores V & acceptinsiimosoptit I assume rest ibi • or alb . vork done lii' either, myself, my agent, servant or employee. N? 10576 Subdi- vision v im. Value of Project $ BY i 9 INSPECTOR Amt. of Pe rmi t $ 1l the equipment or device descrrbed in the .application ork will be performed in compliance teiIk, any plans, al authorities. This Pecan may be revoked at any tian. A further condition upon which this permit is rough knowledge of the ord and rqulations or specifi tions and that he assumes responsibility for work ADDRESS 321 N. E. 93rd Street Lot 18,,A WI Lot 19, Block 1 LEGAL Miami Shores Sec 1 ECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER w � J f �, /q <S)- / . 0 1 ' 0 � _ 2- ,6', 6 �-% 7-,3 / --c, - T o- �� ( (. 6- AA ADDRESS 321 N. E. 93rd Street Lot 18,,A WI Lot 19, Block 1 LEGAL Miami Shores Sec 1 ECORD GARBAGE TAX THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A Penalty is imposed for failure to keep this license exhibited at your establishment or Otos ofbiliness MIAMI SHORES VILLAGE, FLORIDA VILLAGE NANA TRIPLICATE \1\tIl VILLAGE LICENSE e )• This License Expires la consideration of the sum of 1.11/1142Ilt a ao/3.e Paid to Miami Shores Village, Dade County, State of Florida, PAM A OAILLIff is hereby licensed to engage in or operate the business of • THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL rife talMf nein IVE M9 OW DM 0111MMI= Address 3111 S. 11. le Ste NS' 50 Dollars $ VIM or • `,- - ‘4!. "I; t r • 4. HAZARD Insert "Yes ' No LIMITS OF LIABILITY ANNUAL PREMIUMS Coverage A Coverage B Coverage A Bodily Injury Liability Coverage B Property Damage Liability 1. Each Person 2. Each Accident 3. Aggregate 1. Each Accident 2. Aggregate ❑ ❑ 1. $ b y OW a 1. $ 1,000. Division 1— Premises and Operations Yes 2 $ 10,000e . 2. $ 100000. i� '7 15 .38 1. $ 1. $ Division 2— Elevators No 2. $ Division 3— Products (including Completed 1. $ 1. $ Operations) 2. $ 2. $ SG 3. $ Division 4— Contractual— 1. $ 1. $ Indemnity Agreements No. 2. $ 2. $ Division 5— Independent Contractors— 1. $ 1. $ Let or Sublet Work 110. 2. $ 2 $ TOTAL ANNUAL PREMIUM (See Following Page for Detail of Premium Computation) $49.53 Office Use Only Salesman's Credit Underwriter Inspection Report Endorsements 80— YES NO ❑ ❑ PREMIUM AUDIT `'- —�^❑ Monthly XI Quarterly ❑ Semi- Annual ❑ Annual Name of Individual Address No. Street Policy Period: From December 114, Tecteicaied Mutual Implement and Hardware Iasumnaf Courny Home Office, Owatonna Minnesota Town The business of the applicant is dWNER'*$ILD `ET 12:01 A. M., standard time at the address of the named insured as stated herein. BO rER CARLEY ❑ Partnership ❑ Corporation E state 321 North East 93 Street, - Miami S iores� Dade, Florida The insurance to he afforded is only with respect to such and so many of the following coverages and hazards thereunder as are indicat'd below. The limit of the company's liability against each such coverage and hazard shall be as stated herein, subject to all the terms of the policy having reference thereto. If the policy is written on a three year basis, the premium for three years is: $ Payable in advance $ First anniversary $ The interest of the applicant in the premises is The part occupied by the applicant is All The named insured does not use the premises location, unless otherwise specified herein No insurer has canceled any similar insurance . • STIPULATIONS AND CONDITIONS • This Binder is given and accepted subject to the standard form of policy issued by the Company named herein, and this Binder is to become void upon delivery of policy, prior to date of expiration mentioned herein or upon notice that the risk has been declined. It is further stipulated and agreed that in the Salesman... F 40- 176- ED.3 -48 PAGE # I NO. 07563 owner ❑ general lessee ❑ tenant. FOR OFFICE USE ONLY ID Copy to Bureau ❑ Copy to Br. Off. ❑ Copy to Eng. Dept. ❑ Copy to Audit Dept. ❑ Copy to Lou Payee County State 19 50 . - to December 11, 1951 Second anniversary $ for any undisclosed purposes, and does not conduct any business operations at any undisclosed issued to the named insured during the past year, unless otherwise specified herein. Signature of Applican DUPLICATE —Leave with Insured SCHEDULE GENERAL LIABILITY event of a loss under this Binder, premium shall be collected in accordance with the terms of the policy. This Binder is also subject to immediate cancelation upon notice to the Insured. Not binding without signature of an authorized agent of the Company and signature of the A icant. TERMS ash —Check attached for $ 1111111000610 FINANCE PLAN: Received $ down payment. $ with application, balance as follows: ❑ Send Policy to (Fill in only when other than insured) SPECIAL TERMS l'EQUESTED: Date 12-94 Date Amount POLICY NUMBER t r r isiori 1. Premises and Operations - Code No. Description of Hazards Premium Basis Rates Annual Premiums Bodily Injury Liability Property Damage Liability Bodily Injury Liability Property Damage Liability 6457 a. (M. & C.) Carpentry I.O.C. (a) Remuneration $10,320. (a) Per $100 of $.36 Remuneration $.12 P7.15 $12.38 Bodily Iftjury Liability $ Prybrty�T mage Liability Minimum Premiums: $1 * DU 1�tJJ Totals $ j7 $12 .38 b. (0. L. & T.) (b) Area (Sq. Ft.) (c) Frontage (b) Per 100 Sq. (c) Per Linear Ft. of Area Foot Bodily Injury Liability Property Damage Liability Minimum Premiums: $ $ Totals Division 2. Elevators Code No. TV Use and Location of Building and Location of Elevator in Building Name and Kind of Safety Device Number Insured Rates —Per Elevator • Bodily Injury Liability Property Damage Liability Minimum Premiums: $ $ Totals Division 3. Products (including Completed Operations) Code No. Classification Premium Basis Rates —Per Bodily Injury Liability Property Damage Liability Minimum Premiums: $ $ Totals Division 4. Contractual — Indemnity Agreements Code No. Description of Operations — Classification Premium Basis: Rates —Per Contract Bodily Injury Liability Property Damage Liability Minimum Premiums: $ $ Totals ivision 5. Independent Contractors —Let or Sublet Work Code No. Classification Premium Basis: Rates —Per $100 of Cost Bodily Injury Liability Property Damage Liability Minimum Premiums: $ $ Totals SEHEKJLE OF HAZARDS F- 40- 178 -ED. 3 -48 PAGE #2 No. 0 7563 SCHEDULE GENERAL LIABILITY DUPLICATE —Leave with Insured KIND OF INSURANCE POLICY NO. EXPIRATION Workman's Compensation 09U 03605 1 -3 -52 Limits of Liability Contractors' Public Liability $ 5 /10,000.00 D 333003 1 -3 -52 Contractors' Property Damage $ 1 /10 D 333003 1 - 3 - 52 Contractors' Protective Public Liability (Contingent) $ / Contractors' Protective Property Damage (Contingent) $ / • agrees To Form G -13 -UX �Ame�ica�n iyWy� ht Miami Shores Village Village Hall Miami 38, Florida this Company as of this date ....JarAua. ? . .3.,- ..1951 CERTIFICATE OF INSURANCE Coriptruction of Dwelling Date January , _ 1951._ Name of Insured RDGFR. Gentlemen: This is to certify that the insurance policies the numbers and expiration dates of which are listed below are in force in covering in accordance with the terms thereof at the following location: 321..-TL.,F-. street Miami Shores Village, Dade County and elsewhere in the State of Florida The work undertaken at said location is as follows' g with wri ttei In the event of cancellation, irci3 Axxiacormaxfx the Company' to notify you five days prior to its effective date, I AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA PO' r? & y NOL f , INC 67 Authorized Representative. INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION (' -),... .S / PERMIT NO. DATE FEE TEMPORARY SERVICE BEAMS & LINTELS ( ,lfl SEPTIC TANK Pte,.,.,„, L/ /0 7 , Z 2 Z 7/5" / • 6 $ .. - SEWER FRAMING i 3 -12.15-1 $ SOLAR HEATER $ $ GAS riL $ $ FINAL /„�. / yA� T'l BY RE- INSPECT BY RE- INSPECT CLEAN -UP ROUGHING / /6� ri C O N TR ACTO R q 41 / 4- 4,44f . s � PHONE PERMIT NO. /Q 4, 41. DATE //.... s-- 1, FEE $ /$ O 0 NEW BLDG. ,, ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK Pte,.,.,„, L/ /0 7 , Z 2 Z 7/5" / • 6 $ .. - SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING / /6� ri 'ROUGHING .242.'' GAS U 1 H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK (� 1 2:-. .Z 3 / //////���pp,,��� JJJ SOLAR HEATER FIXTURES & FINAL FIXTURES f-(/ 17 ,.3-• CONTRACTOR . HONE Si PERMIT NO. DATE / J - / /� FEE $ /0 NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ . $ INSPECTIONS DATE BY -RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 'ROUGHING .242.'' ' ,'J ! H. W. HEATER CONN {{// RANGE CONN. FIXTURES & FINAL Jq a- J3`-,I 7h BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE /�1 • BY 1/11 ■ OWNER'S NAME '. MR.. & MRS, ROGER A. CARLEY PRESENT ADDRESS 437 N. E. 107th St. LICENSE NO. PHONE NO. . JOB LOCATION (ST. OR AVE.) ' 321 N. E. 93rd Street LOT 18 & Mi of 19 BLOCK 46 SUBDIVISION Sec. #1 M/S Pil. GENERAL CONTRACTOR OWNER- BUILDER ADDRESS 437 N. E. 107 St. PHONE NO. LICENSE NO. #5096 BUILDING PERMIT NO. 10576 �j DATE 12 -2950 rf PERMIT FEE $ 20.00 BUILDER'S BOND No. 114 DATE 12 -29-50 ZONE pEQUIREMENTS 20,000 CU. FT. PLAN CUBE 22.050 CU. FT. EST. COST $ 16, 000.00 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY P.V. DATE 12 -29 -50 i NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION Oak floors- Plas.wal is & Cell. REPAIRS q DESCR IPTION liv.rm.din.rm.scr , por.kit.2 Bedrms -2 Baths -att.garage ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS -- nn CERTIFICATE OF OCCUPANCY NO/J 9 �! I 1SSUED4 /3�5'i BY ,//� (� �jy TO ///J , l BUILDING PERMIT AND INSPECTIC}N RE/QORD —MIAMI SHt'RES VILLAGE i Registered Architect and /or Engineer STATE OF FLORIDA, COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 Budding 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. Date...Al2- (.2a. Owner's Name and Address ... 6 — No �.:.. Street _ N� 2,5 ST fl Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block _ 1 l� Subdivision Street and Number where work is to be done / _.. e as r State work to be done and purpose of building (by floors )..._ O /c2.. _..._ - and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind / o of foundation Roovering Estimated Total cost of improvements $..• 1 0 e 47° Amount of Permit Zone cubage required _.._...plan Cubage Distance to next ne.uest 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 Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup clement, 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 •ntractor work to be rformed under this permit, as are licensed by Miami Shores Village. 4 Remarks (Signed)_.. -I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. .l..L_SP-�3 Date Disapproved _ D2 (Signed) .... ?- z............ Building Inspector Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Mferaber Member Member ...... _....._..._.�._.._ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be niadc for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. • cad MIAMI SHORES VILLAGE, FLORIDA 3 PERMIT be performed u der this i s ti o the con with al ecificat• ne in ding cove , se 77 Building This permit is granted tion herefor in strict complian plans, drawings, statements or at any time if the work is not permit is granted is the underst regulations pertaining to the wor sibility for work done by his agen CONTRACTOR or BUILDER Date Contractor's License No. CCF: i I 4 1, 0 Notary: d 0 Bond: 30 0 - tf Radon: ,� Amount of � r �� Permit: actor or bu Ider name• above to construct the building or to install the equipment or device described in the applica- ordinances rtaini _ thereto and with the understanding that the work will be performed in compliance with any ns that may h en submitted to and approved by the proper municipal authorities. This Permit may be revoked mpliance with such ordinances or if the plans are changed without authorization. A further condition upon which this at the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and ed hereby whether hown on the plans or drawings or in the statements or specifications and that he assumes respon- ants or employes. Signed• ' A J J (INSPECTOR) BY In consideration of the issuance to me of this permit I agree ,. 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 1 assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building • MIAMI SHORES VILLAGE, FLORIDA o PERMIT 0 CONTRACTOR or BUILDER ar Work to be performed under this 1. °!f 4 - ) il.a °. Date Contractor's 'license No. Permit Architect Contractor or Builder �' R Legal Description Address of Building t, This permit is granted to, the contractor or builder named,dbove to construct the building or to install the equipment or device described in the applica- tion herefor in strict complianc with all ordinances peqraining and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may hake been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not dope in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents or employees.' VI Signed• /t (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Subdi- vision S Ft.: Val a of Project $ 3 t, BY AUTHORITY Permit: CCF: 0 Notary: Bond: Radon: Amount of Permit: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/12/2002 Applicant: CHRISTINE Owner: WAGNER Contractor NADEL TEDDY Address: 9031 LAKE PARK CIRCLE NORTH Local Phone: 954- 295 -2766 Cellular: Parcel # 1132060136240 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 18 W1/2 LOT 19 BLK 46 LOT SIZE Job Address: 321 NE 93 ST Fees: Description Amount FEE2002 -1494 Building Permit Application Fe$60.00 FEE2002 -1495 CCF $1.20 Total Fees: $61.20 Permit Status: Approved Permit Expiration: 9/8/2002 Work: RE DRYWALL & TILE If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: Building Permit Permit Number: BP2002 -521 WAGNER CHRISTINE Construction Value: $2,000.00 Page 1 of 1 Total Fees: $61.20 Total Receipts: $0.00 (INSPECTOR) BY: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) 6 BY: SKETCH OF BOUNDARY SURVEY SCALE 1 "= 2o' Io't6 ul1, C 15au,ey P ?Moo' G L • 4 'cLF . h � ml t- • • • :• • 0 v ID. ND 77.1D' 3.5 • a NI ••• • • • P 11NE �aG►�1EE�1� V1 dj ••••• • • •• • • l,of ¢ N N QO • 221 28,0' V / i!" • • •• • •• •• • • • •• g 1, 00 ' , 00 0 I Inf 22 F4 124 03 44/ 13,00 0 G • . • • N ta • • • ♦�•iti�• • • • • • • • • • • • • • • • • • • ••. • IEARINGS HEREON (IF ANY) ARE REFERRED TO AN ASSUMED VALUE OF - 'FOR THE `- S410 VEARING IS IDENTICAL WITH THE PLAT OF RECORD ,CCORDING TO THE N.F.I.P. THE SUBJECT PROPERjY F W:TEIIN ?L(.00 :ONE: ••• • • • ••• • • LEGAL DESCRIPTION LOT le. &IV 'ENE U)6)r 1/2 BLOCK 4(' SUBDIVISION &.t! 1.M>:IMDF,O ct= E-1 -(1 ic F 6 eCf•Ki Jo 1 ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK • 1 OF THE PUBLIC RECORDS OF DADA; COUNTY, FLORIDA. LOCATION SKETCH SCALE 1 "= 200' • =CENTER LINE • =PROPERLY LNE R/W =RIGHT-OF-WAY C.LF. SUN L IC FENCE W.F. =w000E N FENCE RES. tiES10ENCE F.I.P. FOUND IRON PIPE S.R.B NSET RE -SAR C.O. =Coco0 BEAFUNG WAS =MEASURED S.N80 rtET NA; 8 DISC F.N. =FOLIO NANL DATE OF THE FIELD SURVEY 1 c 9 .6 ki G- IUA4061 ,1oIW 1-.ot- & F�t��Gt� N I III 130p (,-t5rn Mo eI�E Cou apq, I r6 Suc f. s auct n qT N4 -� A 4e(aelt T1flk 4 t ( � 1 r � G., SURVEY CERTIFY TO : tea c'FOeL( ¶L»JPs 1 , THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61 G17 -6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES. Fog: G l O; WhGoliba , 0 51&)(,Lt WOUA i 6 02 \10140 Oct( utFcuaur J 1k UAO • JOB NUMBER DD I 1 + O!O DRAWN BY: L' F.B. NO. CHECKED BY: / • • 11- D3 -2GIv REVISION DATE: SURVEYOR'S NOTES: LEGAL DESCRIPTION WAS FUF•rtSMED BY CUENT. NO UNDERGROUND MTALLATCNS OR MPR VEMENTS HAVE BEEN LOCATED. EXCEPT AS NOTED. THERE ARE NO VISIBLE ENCROACMUENTS OTHER THAN T OSE SHO NA EXAMINATON OF TIE ABSTRACT OF TITLE WILL I4AVE TO BE MADE TO DETERMINE RECORDED NSTAWENT, F ANY AFFECTING THIS PROPERTY . FENCE OIMtERs N By VISUAL MEANS CALI (IF ANY), LEGAL OWNER HIP NOT DETERANNEO. LEGAL DESCRIPTiON SUBJECT TO ANY DEDICATION. LBdrtATCNS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RE ABBREVIATIONS (IF ANY APPLIED) CL =CLEAR u.E. ENC. =ENCROACrMENT W.M.E. C.B.S. =CO•CRETE BLOCK STRUCTURE (� CONC. =CONCRETE 6 =DUMETER 0.M.E. =ORANAGE MAIITENANCE EASMT. S.I.P. FEZ IRON PIPE F.O.N. =FOUND OR .L MALE A/C =Aw CoicITIONNG LNIT REC. =RECORDED F. N. &D =MARV NUJ. & OSSC F.C.N. =•OUND CUT NAIL PROP. COR F.M. (Ave. F.R.O. S.D.M. CALL. F.S. RAO F. =UTILITY EASEMENT ■ YMLL W WL &C MUOE Moot =mcmuMENT URE =PROPERTY CORNER =FIRE M'pRAIR =EASEMENT "FOUND RE-BAR =SET CALL HOLE =CALCULATED ■FORa° SAKE = FOUND (TYP)=TYPIcx CORDS. AT PAGE 10 E. BELTRAN & ASSOCIATES, INC. 12533 S.W. 30th STREET MIAMI, FLORIDA 33175 PHONE: (305) 552 -7450 CERTIFICATE OF AUTHORIZATION NUMBER LB 5233 N. C; ERNESTTRAN PROFESSIONAL Suh`IEYOR i MAPPER NO. 5*51 STATE OF FLORIDA DATE: it 4 3- NOTE THIS IS NOT A VALID SURVEY WITHOUT THE ORIOLYAL RAISED SEAL AND SIGNATURE OF A FLORIDA LICENSED SURVEYOR AND MAPPER ELECTRICAL TYPE Minimum Fee QTY. 'TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE QTY. Minimum Fee TYPE Condensate Drain QTY. 'f\PE Generator QTY. 'TY QTY. Refrigeration, Tons 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 Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. 'TYPE; Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 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: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) REVIEWED AND PREPARED BY: ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine $ Zoning Review $ ( SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ to Q 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 Page 2 IMPORTANT NO'T'ICES 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 Signature of Own 5 c ee, AJ ORIDA, O 'Y O IAMI -DADE Print Name S om t and subscribed before me this t day of Signature of Notary Public - State of Florida 4 ,4� Barbara Ann Fugazzi X My Commission DDoo3828 O Expires March 29, 2008 SEAL: Personally known OR, Produced Identification )( STATE OF FLORIDA, COUNTY OF MIAMI - DADE Signature of Co : ctor / Qualifier Print Name S�� and subscribed before me this "7 day of Mardf'1 NEDRA NEWELL Notary Public, State of Florida My comm. expires April 2, 2004 No. e , 9 &193ced Ident Signat SEAL: Person e of Notary Public - State of Florida PERMIT APPLICATION 'cation Type of Identification Produced: ictorl,aa U.ek s U CegQ Type of Identification Produced: -- CONTRACTOR !�/ Name �1�'ib 4/07 T eij e.�,4/ . License No. �, G a / 3 a Address Z i L 1 0 7 / - -0-sq - V fd) c-- 9 '3 Telephone 70-f,..- .7s;-- -7aax Qualifier Name ,y 445,..,,G PROPERTY OWNER Name e,, 1 4 ,{, ` _ _ n UW ki'kel Address ss 5 ''S Home Telephone C —L ' 3 0 , f i Business Telephone .®<- ` �. 3 . l � `t c ' 7 c Fax 305 ` 30 ( t Z- TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Step 1. 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 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. A PPLI CATION Job Address: 3g Ie t giZial Up...tµ t re_S SYC_ -- Address Apt. City j r State Zip t 1 Folio Number �3escription of Work - �y 11 ►.� J,\ 'Z `-e- Lot Block �' \\ Subdivision PB PG Zoning Current Use of Property Square Feet Proposed Use of Property l�Value of Wor Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. 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. &.;t' PERMIT APPLICATION Linear Feet Floors ENGINEER Name License No. Address Telephone Fax MIAMI SHORES VILLAGE BUILDING DEPARTMENT 3 05- 795 -2204 Building Inspection Request Date ime Type Insp'n Permi Name Address Company Phone # 1 / For Inspector1 Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildi g Inspection Request Date 1� For Inspector: Approved Correction Re- Insp'n Fee Type Insp'n �' �l,C Permit No. - r 9c)- I n/ Q Name 0 �Q Address 5 / 93 5 Company &t,f2XA Phone # Name & Date j( 2 cal 2? - - Time 6 Jt / 7 / � L . / MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n {■C Permit No. 3 5 Name ?VA Ckv)t. Address 3 / J S Company / 0 ICJ / � Phone # C � 099:5 . 0 l " l For Inspector: c- 02 (1.) Name & D Approved / L 1 i Correction ❑ Re- Insp'n Fee 4 ❑ _eikf-e4k MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / . ime Type Insp'n Permi Name Address 3 0k Company (� / / Phone # — LS , • s o b b For Inspector: A � [ N i Name & Date Approved /'/C Correction ❑ Re- Insp'n Fee ❑ Date Type Insp' Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time A L 0 - -'S Nam A Address <3 DJ' ( , E C 1 3) Company tl \ /A Phone # For Inspector: Approved Correction Re- Insp'n Fee ❑ / A 7i 2— MIAMI SHORES VILLAGE BUILDING DEPARTMENT A. 305- 795 -2204 Building Inspection Request Date c/l Type Insp'n RE Permit No. O' Name Address Company (� Phone # '?ec(Q I ‘3,o- Inspection Date Sp Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BI�I� DING DEPARTMENT 305- 795 -2204 cb Building Inspection Request (9' Date, 3 Type Insp'n 0 0 1 S — qS Permit No. UGC Q OGG Name L i sG Address 3D-1 q 3 C)4 Company ow �P�✓ Phone # ? D — �� 0 - � ( "1 5/4 Inspection Date Approved t re- )1 eel (Rev. 10/02/03) Miami Shores Village RE- OCCUPANCY APPLICATION Date t 'A,OS Contact Name Buyer Seller Realtor }v Property Address ra trM__ q l (A S� City Miami Shores State I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on the property. OWNER'S AFFIDAVIT: I cert that all the foregoing information is accurate. Applicant Name ✓ A at` Signature Sign: Print: Building Department iti d '� ' --,: dam_, QQ 4 A' qpG�5 V:: , ® 3 2r My Commission Expires: Building Officials Approval: Fl Zip 1r) The foregoing instrument was acknowledged before me this day of by , who is personally known to me or who has produced as identification and who did take an oath. N TARY PUBLIC: ■ Co ws b s1o� � �� s ary nD • EX pires: D 2�a319 Not 7 � CCF t '�a�t�� �y`I Tll hi 2G�� 64ft69 Total 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 r Permit No. 1 � S 45 LocID � e`) 390 — &b2 Phone# U6 s. nto - F103 Company Name , 20 Re -Occ. $60.00 $5.00 .)‹ $0.60 X 6 5.x-.6 The Sunshine State LICENSE NWIBER E326- 533 -70 -630-0 USA MARIE EDGERTON .1330 WEST AVE APT# 2301 MIAMI BEACH, FL 33139-0000 BIRTH DATE SEX HGT. REST. pDORSE. 04 -10 -70 F 6-04 A ISSUED EXPIRES DUPLICATE 09 -23-02 04 -10.09 0600.00 ORGAN DONOR E SAFE DRIVER Operation of a motor vehicle constitutes consent to any sobriety test required by law