477 NE 92 St (12)BUILDING
PERMIT APPLICATION
FBC 2001
Tenant/Lessee Name
N /A
Miami Shores Village
Building Department
Architect/Engineer's Name (if applicable) f i i' 7 ,
$ Value of Work For this Permit
Type of Work: ['Addition
Describe Work:
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
1
❑Alteration
New
Master Permit No.
Permit Type (circle): a' Building Electrical Plumbing Mechanical oofing
\...._ ____ _ o 5 5- 71l 5
Owner's Name (Fee Simple Titleholder f qP
- r C _�i.cDttJPhone # cell � o J '15 — 1580
Owner's Address 1 –( -11 7 2 `" l 5re..
City i-tl P i-t t S , -State Vi i, -- C_
Zip 3 ?r . c'
Phone #
Job Address (where the work is being done) %. 1 ).-X . V 2- ' syt_
City Miami Shores Village County Miami - Dade Zip
Is Building Historically Designated YES NO V
Contractor's Company Name
Contractor's Address A 4
City State r Zip ?, j
Phone # ( ,
Phone #
,02C ' /Iis
/A-
* * * * * * * * * * * * * * * * * * * * * * * * * * ** ******************************
F * *
ees
g3 f3 )
Qualifier 1
State Certificate or Registration No. Certificate of Competency No.
Square Footage Of Work:
` "76 b ),5 S
❑ Repair/Replace ❑ Demolition
Submittal Fee $ • W Permit Fee $ O r "� CCF $ l 01 ` CO /CC 5-0 Notary $ 5 Fee $ Technology Fee $ �5
Scanning $ / 5.---- Radon $ 17, o� Zoning Bond $ 3 7
Code Enforcement $ Structural Plan Review. $ a/ op t 2 5T Dc / 75-, et-
Total Fee Now Due $ 2) , C95 a) C*-- t- 0 /A°
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be oved and a reinspection fee will be charged.
Signatur
Chc 05/13/03
NOTARY
Sign:
Print:
My Commission Expires:
* * * * * * ** * * * * * * * * * * * **
APPLICATION APPROVED BY:
bet
1
Signature
Co actor
Owner or Agent
The foregoin ' strument , ledged bef ° me this
� The foregoing ^ iinstrument was ackno dged before m
day of _ , ' y i day of Q r J , 2 O by
wh . is a sonall now i to me or who has produced who is personally known to me or who has produced
P Y p
s identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
= ` �111110210
My Commission Epires xpires:
.o
,y F�.OF.' to 1 -
********************* * * * * * * * * * * * * * * * * * * * ** *4* *Ar
* * * * * * * * * * * * * * * * * * * * * * * ** * *i,. ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
A -1 )7/ 5file
Plans Examiner
Engineer
371/6
tification and who did take an oath.
113231984
• s, 2007
omm1;(o Ir
Zoning
y R Miami Shores e Villa g
__, lOR1DP
Building Department
8/23/2006
To: Current Owner
477 NE 92 Street
Miami Shores Village, FL 33138-
Dear Sir or Madam
Mabel Vargas
Administrative Assistant
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 • Fax; (305)756 -8972
Permit: BP2005 -170
Address:477 NE 92 Street Miami Shores Village FL33138-
Date Expired: 113012006
In order for us to serve you better, we need to keep our files up to date. Our records
indicate that the above reference Permit has expired.
The Building Department has determined that the work applied for has been completed
with out the required inspections and it has been more than 180 days since your last
approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida
Building Code. You are required to renew your permit and schedule all required
inspections.
In the event you do not comply with the requirements herein, the Building Department
will file a complaint with Miami -Dade County Building Code Compliance Office for
possible disciplinary action against your licensed contractor And /or if permit was
obtained by the home owner the requirements of the Unsafe Structure Code of Miami
Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed
unsafe and a permit shall be obtained to demolish the structure or bring the building in to
compliance with applicable codes as provided herein."
Please contact the Building Department, immediately upon receipt of this letter.
Sincerely,
Miami Shores Village
10050 NE 2nd Avenue
Building Permit
Phone: 305 - 795 -2204 Permit Number: BP2005 -170
Printed: 4/4/2005
Applicant: DIETER RUDIN
Owner: RUDIN DIETER
JOB ADDRESS: 477 NE 92 ST
Contractor
Local Phone: 786 -412 -5281
Parcel # 1132060140270
Page 1 of 2
GATOR POOL AND SPA CONSTRUCTION Contractor's Address: 14869 SOUTH DIXIE HWY #1
Fees: Description Amount
FEE2005 -3239 Structural Fee $50.00
FEE2005 -4173 CCF $12.00
FEE2005 -4174 Building Fee $600.00
FEE2005 -4175 CO /CC $50.00
FEE2005 -4176 Notary Fee $5.00
FEE2005 -4177 Training and Education Fee $4.00
FEE2005 -4178 Technology Fee $15.00
FEE2005 -4179 Scanning Fee $15.00
FEE2005 -4180 Radon $17.25
FEE2005 -4181 Structural Fee $25.00
FEE2005 -4182 Builders Bond $300.00
FEE2005 -4187 Submittal Fee ($250.00)
Total Fees: $843.25
Total Fees: $843.25
Total Receipts: $0.00
- D
Signed: (INSPECTOR)
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 21 & 22 & W15FT OF LOT 23
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:
Permit Status: APPROVED Permit Expiration: 8/2/2005 Construction Value: $20,000.00
Work: POOL AND DECK
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:
NOTICE OF REQUIREMENTS
RESIDENTIAL SWIMMING POOL,
SPA AND HOT TUB SAFTY ACT
I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or
nstalled at Miami Shores,. Fl., and hereby affirm that one of
he following methods will be used to meet the requirements of Chapter 515, Florida
Statutes.
:please initial the method(s) to be used)
The pool will be equipped with an approved safty cover that
complies with ASTM F1346 -91;
All doors and windows providing direct access from the home to the
pool will be equiped with an exit alarm that has a minimum sound
pressure rating of 85 decibels at 10 feet;
All doors providing direct access from the home to the pool will be
equipped with self - closing, self - latching devices with'release
mechanisms placed no lower than 54" above the floor or deck;
I understand that not having one of the above installed at the time of final inspection, or
when pool is completed for contract purposes, will constitute a violation of Chapter 515,
F.S. and will be considered as committing a misdemeanor of the second degree, punishable
by fines up to $500 and /or up to 60 days in jail as established in Chapter 775,
CONTRACTOR'S SIGNATURE & DATE
CONTRACTOR'S NAME (PLEASE PRINT) .
NOTARY PUBLIC
'zkyr,enlillaz
BUILDING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES. FLORIDA 3313 8 -2 38 2
TELEPHONE (305) 795 -2204
FAX (305) 750•8972
The pool will be isolated from access from the home by an enclosure
that meets the pool barrier requirments of Florida Statute 515.29;
OWNER'S SIGNA
i 2 - p 6
DATE
SWIMMING POOL OWNER'S CERTIFICATION
Date / 2c) )
Miami Shores Village
Building and Zoning Department
Attention: Building Official
I certify that I am the legal owner of the property described as
, located at 411 `6- "`'
�2 Ste.
L-t i /)- t s . 33 ► s'
In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that
I understand and agree that the swimming pool to be constructed at the above address cannot
be used or filled with water until a separate permit has been obtained for an approved safety
barrier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for
obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool.
Note: This certification is to be submitted with a swimming pool permit application in duplicate.