61 NE 93 St (2)ELECTRICAL
TYPE.
Minimum Fee
QTY.
•
TYPE
Dryer
QTY.
'TYPE
Outlet, Appliance
QTY.
TN PE
Service Repair
)"1'
A/C Central 1 -3 Ton
Heating Strips, each
Fan
Outlet, Wall
Service, Temporary
Paint Booth
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Piping, Flammable Liquid
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Process/Pressure Piping
Oven
Space Heater (kw)
A/C Central 16-20 Ton
- Pressure Vessel
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
N'IECHANICAL
TYPE.
Minimum Fee
QI'Y.
TYPE
Condensate Drain
QTY. TYPI,
Generator
QTY. TYPE
Refrigeration, Tons
QTY.
A/C Central, Tons
QTY.
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
Pump and Abandon
Bath Fan - Vented, #
Fireplaces, Number of
- Pressure Vessel
Gas - Appliance
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE.
Drains, Roof
QTV.
TYPE
Miscellaneous Fixture
QTY.
'I'V
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 2
PERMIT APPLICATION
IMPORTANT NOTICES
DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
1.
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, V Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Pri fq , ame
th
Sworn to and sub
o bed before me this a`" day of
Signature of Contractor / Qualifier
Print Name
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida Signature of Notary Public - State of Florida
SEAL:
Personally known
.c ° ••, 4 Lina Castel
* . , Y * My Commission CC902764
.„0 Expires January 17 2004
OR, Produced Identification
SEAL:
Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
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
B
DATE
Zoning
/
/a/ / d .
Electrical
Repair
Mechanical
Demolish
Plumbing
Relocation of Structure
Fire
Foundation Only
Public Works
Add'I Attachment
Structural
Add'l Detachment
Building Official
fs
,
PROPERTY OWNER
, Name
- Li Non C1o1 S t 54-t r It- r n ft)
Address G I Iv C 43 s
MI nt-ii Shores FG 33/38
Home Telephone . (95 75-899o41
Business Telephone
Fax
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'l Detachment
Other
Page 4
OFFICE USE ONLY
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.) $
Inspector State Educational Fund $
State DCA (Radon) $
Code Enforcement Fine
Zoning Review
Notary
❑ PROOF OF OWNERSHIP
(Attach)
U HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
$ ,
$
6 �
$
(¢.005 /sq.ft.)
(0.01 / sq.ft.)
CHECKLIST
(sq.ft. = x/1000
x0.60)
REVIEWED AND PREPARED BY:
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
� 6�
TOTAL $
ISSUING OFFICIAL
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2 AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 a http:/ /www.miamishoresvillage.com
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 submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address: G 1 I v E 9 3
Address
51" Shor -5
Apt. City
Folio Number I 4esscription of Work R 't✓ o , t -r
Lot Block 'I'1B t,.t S e
Subdivision PB PG Zoning
t
Current Use of Property Square Feet 7 5.00 Units
Proposed Use of Property 4alue of Work 3OO Bldg Value
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.
r/.
State
PERMIT APPLICATION
.3/
Zip
P.nl P, 111 rear
Linear Feet
Floors
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone
Fax
Qualifier Name
37.5'
0
D
37.5'
REMAINDE LOT 19, BLOCK 3 c_
z� 2
N �' 127.50' _
3' CONC. WALK
30.00'
P1
31.90'
w
0
t0'
w
in
01
_
9.95'
A
%
8.00'
NA
--o O
5 '
0
1
49.45'
CONC.
XI J
. 4-
a O v °
,
X
47.50'
127.50'
LOT 21, BLOCK 3
N
w
0
0
POOL
u t 33.8'
CONC.
•
•
0
1.5'
0.90'
- n
•
LEGEND a.
— ax — Dr.h.od Nln ti» 19 - cattle Box FD�N. o�s,d I a Role uF =Way cent �taews
-- // — Nood Fenn► ® -Mater Peter F.N&D. -Farad Nat & Oise DE -0rah n�n
age Faa.t 0•OMta
x — Orah L1* Fens -Catch Barn FP. �FaaM Iron
— Pan knee �o. -Paer Pale RR. �asM Iran R v t T- Taq.nt
Z'
37.5'
37.5'
!71
Z� 2
1 Z
o� m
N
30.00'
• 3' CONC. WALK
31.90'
w
O
10'
9.95'
-1 4
1
8.00'
0
5 .
REMAINDE LOT 19, BLOCK 3
0
17'
O
49.45'
47.50'
127.50'
CONC.
c
127.50'
LOT 21, BLOCK 3
C
O
2
"= 33.8'
-=--
POOL
HO MO - Mo -
CONC.
1/ 1/ - /1 -
N
0
0
1.5'
0.90'
LEGEND txne.- Comet, -Eden Deyatlan R Raaw.
— aM — Ow,Aead tif^e the d) .Gable Box FDM. sround Ord He UL -Ut1k7 Easement AMArc
— Hood fens ® Ma ter Meter F.M I farad Mot R Oba Eaeerr yaixtenaroe T Tangent
--
x _ CAatr thlc Fend ga - Catfi Bain AP. ...Feud Y Pip
Iron e
Emmert
-q Iron Fend ‘o. aeon& polo AR. Moak Iran Reba `
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10 /2/2002
Applicant: JUNON
Owner: SALOMON
JOB ADDRESS: 61
Contractor
Local Phone:
Parcel # 1132060130410
Signed:
Signed:
NE 93
Building Permit
Permit Number: BP2002 -1672
SALOMON
JUNON
ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 20 & E1/2 LOT 19 BLK 3 LOT SIZE
Fees:
FEE2002 -5503
FEE2002 -5504
Description
Building Permit Application Fee
CCF
Total Fees:
Amount
$60.00
$0.60
$60.60
Total Fees: $60.60
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 3/31/2003 Construction Value: $300.00
Work: REPAIR FENCE IN REAR OF THE HOUSE
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.
(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 1 assume responisibility for all work done by either
myself, my agent, servants or employes.
(Contractor or Builder)
BY:
REG C01 100702 1205 MC 401 001772 CASH 860.60
5'-O" MAX
2' -O"
Owner's Side
— II -,oII-
4H X 4!' Wood post
2" X 4" Wood Ball
I "X6 "crl "X8"
Wood pickets
Concrete
d ° e II
II I
WOOD FENCES
3I -ouI
2915 Fences
Wood Posts
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 minimum specifications.
4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
(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 spaced 5 fee.-0 inches on
centers, having a fiber stress of
1200 p.s.i. in bending, 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.