700 NE 93 St (11)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Name
Address
Company
Phone # (
For Inspector:
Approved l�
Correction
Re- Insp'n Fee
f cwoe- Oj
0 "t5e3 5-L
05 • vo2;
^Name &D e
Phone: 305 - 795 -2204
Printed: 3/22/2002
'0 Applicant: GLADYS LORETO CRESPO
Owner: CRESPO GLADYS LORETO
rn�
Parcel# 1132060141480
ACH R/f 063100277
Miami Shores Village
10050 NE 2nd Avenue
Contractor
Local Phone:
Job Address: 700 NE 93 ST
Fees:
FEE2002 -1672
FEE2002 -1673
FEE2002 -1674
Permit Status: Approved
Legal Description: MIAMI SHORES SEC 3 PB 10 - 37 LOT 6 & 7
Description Amount
Buildier's Bond $300.00
Building Permit Application Fe$60.00
CCF $3.60
Total Fees: $363.60
Permit Expiration: 9/18/2002 Construction Value:
Work: DRIVEWAY (CIRCULAR MADE OF BRICK (OWNER BUILDER PERMIT)
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.
ank of America Advantage'
MARIA L. RODRIGUEZ OR
GLADYS L. CRESPO OR
700 N.E. 93RD ST.
MIAMI SHORES, FL 33138-2907
•
Pay /."!/41141
to the order of
u
07 -01
Bank ofAmerica
//
Memo
':063 LOO 2771: 00367 L3 2 L6 3
Date decii 22 D Z
1,0 56
Building Permit
Permit Number: BP2002 -598
Address:
Cellular:
63 27/631 FL
988
or to install the equipment or device described in the application herefor in strict compliance with all
e with any plans, drawings, statements or specifications that may have been submitted to
is not done in compliance with such ordinances or if the plans are changed without
rector or builder named above assumes the responsibility for a thorough knowledge of the
wings or in the statements or specifications and that he assumes responsibility for work done
1056
BY:
BY:
$5,012.00
Page 1 of 1
BLK 63 LOT SIZE 100.000 X
Total Fees: $363.60
Total Receipts: $0.00
er in compliance with all ordinances and regulations pertaining thereto and in strict conformity
hores Village. In accepting this permit I assume responisibility for all work done by either
AA 1 7 C O V EIN NT OF CONSTRUCTION WITHIN RIGHT OF WAY
'� WHEREAS, Avil tui5a y Ue2 , hereinafter referred to as the Owner of the
(owne
following described property:
Legal description /folio#:
Lot Block Subdivision
Tax Folio #:
requests permission to install:
04Asphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of � ' 700 1)l R
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
I. To maintain and repair, when necessary, the above - mentioned item(s) installed within the dedicated right
of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may rise by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the
item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all
costs incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and
shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLE
SIGNED, SEALED AND DELIVERED in the presence of:
M iami S/iore� (/iC�ccc�e
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 - 2382
Telephone: (305) 795 - 2207
Fax: (305)-756 -8972
GE on t
.p R [ u ECv f'/
n P PR °
is day of
Are
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiantg yS L hereby attest that the
operty owner
attached survey, performed by - ava/" c b «
Witness(sign and print)
AFFIDAVIT
(name of surveyor's company)
performed on 115/ is an accurate representation of the existing conditions and
(date of s i vey)
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.
SWORN TO AND SUBSCRIBED before me this 7 day of
Affiant i personally Iosown to me, produced
Witness(sign and print)
PC/6, ` '
P� e, a ;�. ,�
1 � rl Q 0740 ,sottAwl's
�" o ^ ;v ccrZ 5 ,2002
�1 l Of F 6 4-
as identification.
The Sunshine to ------ ",+eEt •0
�r41
C621 -292-
ct ssP
G �pYS
,roo NE 93 VIV � S 313S �
M sue, tom`.
oz-0ti�3 t 01.01.0% .o+
1 �
4 `- WE
ed
1■• AbY4 test rogw1°d by law
ELECTRICAL
.l.YN.:
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
Q . I . V ,
.
Service Repair
,.
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
TV
Minimum Fee
QTY. .l.YPl,
Condensate Drain
QTY TV.l,l,.
Generator
QTY TYPE
Refrigeration, Tons
Q.I.V.
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
PLUNIBING
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:
SECTION
BY
DATE
Zoning
��
3 /.a.4 /oa
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
3 •00
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)
LI OTHER
(Specify & Attach)
PERMIT APPLICATION
Cl CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT 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
$ 60 1
(sq.ft. = x/1000
x ¢.60)
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
ISSUING OFFICIAL
REVIEWED AND PREPARED BY:
TOTAL $ 43.
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2 AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
Page 2
IMPORTANT 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 1 0 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.
SATE OF FLORIDA, COUNT
Signature of Owner
144:1Y7-15 2. h� /141;4 L1;5,1 kocio
Print me
worn to and subscribed before me this 11' day of
Signature of Notary Pubic - State of Fori tASANDRA IIARRISON
a , it Notary public. Ste* of Ronda
111.0 'My cook expires April 7. a304
'No. CC�4RD4
SEAL:
Y OF AMI -
Personally known
i c11111M11w --
OK, Produced Identification
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of Contractor / Qualifier
Print Name
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida
SEAL:
PERMIT APPLICATION
Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
PROPERTY OWNER
Name /4d S Cr Ala r 4 k; f-4ue
Address � __L
. q ST
Miami Ft 33
Home Telephone 7559 b 9z
Business Telephone /, J
/I
Fax G n.
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
Step 1.
Job Address: MO Nfr.-- rcl
Address
Folio Number Description of Work
Lot Block
Subdivision PB PG
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT TYPE ( ✓)
Buildin ✓
g
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
ARCHITECT
Name
License No.
Address
Telephone
Fax
Apt.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
PERMIT APPLICATION
Master Permit No.
Subsidiary Permit No. Zf a0SA
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.
APPLICATION
A 1 /Lttsf
City
17
M 4DA - vim 0,2 7C ,1 30 - - S
Zoning
Square Feet
P Va1ue of Wor
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
State
Zip
Linear Feet
Units
ivt!- Bldg Value
Floors
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone Fax
Qualifier Name