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715 NE 93 St (2)Owner's Name and Address._ State work to be done and purpose of building (by floors) STATE OF FLORIDA, i COUNTY OF DADE. f ss Disapproved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision. Street and Number where work is to be done 7/ Date r- 9 , 19" 1 No.- v /� Street 71 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fo ndation Roof Covering Estimated Total cost of improvements $ .... Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building._._. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building penrit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and w?ll 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 . work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work , performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Read, Sworn to and Subscribed before me. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date.� _ /�d Notary Public, State of Florida ( Signed) Buildirr nspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for mating corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. . , . BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 7192 ❑ Owner of Building Architect Contractor or Builder Legal Lot Description — Bl. Address of Building Signed. `s. BY • INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work,.tove :ed hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements of specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself; my agent, servant or employee. This permit is granted to the contractor or builder named above to construct the building cr 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 wit: lout authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsib lity for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the staterents or specifications and that he assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Work to be performed under this Permit Subdi- vision Value of Amount of Project $ I Permit $ DATE 195 Contractor's License No. BY AUTHORITY r Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/21/2002 Applicant: ABEL PABON Owner: PABON ABEL JOB ADDRESS: 715 NE 93 ST Contractor PELICAN HOME BUILDERS Contractor's Address: 1800 NE 114 ST Local Phone: 305 - 892 - 9077 Parcel# 1132060141810 Fees: Description Amount FEE2002 -2905 Buildier's Bond $300.00 FEE2002 -2906 CCF $1.80 FEE2002 -2907 Building Fee $75.00 Total Fees: $376.80 Permit Status: Approved Permit Expiration: 11/16/2002 Construction Value: Work: APPROACH & DRIVEWAY Building Permit Permit Number: BP2002 -966 $3,000.00 Page 1 of 1 Total Fees: $376.80 Total Receipts: $0.00 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. Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 27 & 28 BLK 65 LOT SIZE 100.000 X 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: PECTOR) 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);;_ -- !, ; BY• _ tvu L UMMtNUtIVMENT PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: '7 / M (.4 1 r SNO /? & I FL. 2. Description of improvement: c -6 r b )d2 lV£r ty 3. Owner(s) name and address: A (Sift_ prk yob, ,Si'-IF As t\ v.E Interest in property: / %FE SIP) PL ;E Name and address of fee simple titleholder: Sfa/ -t E AS Al DS' t 4. Contractor's name and address: - P4 --- 4-1 nA t - 1"1 Oht a )/ / N C / ` - OO /V / /r-/ 020707 4" /l " l. ) r C, . 3 3 /g/ 5. Surety:(Payment bond required by owner from contractor,.if.any) Name and address: Nfr Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: Notary Public Print Notary's Name My Commission Expires: Address: /V./"/ /Ali F L - 3 1 ; 8/ Oe n relai40 bat+r07� a p1 _ 10N Deena 0 ts w 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in 9 ° �' v Section 713.13(1)(b), Florida Statutes. cu co Name and address: n 0 U 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a 0 different date is specified Ft O J I{r l ra U. ignatwe o1 Owner ��(( / Print Owners Name /"I e �.�,s•,/ Prepared by: P S M G 'h' Sworn to and subscribed before me this jv day of Oj , 1.g Zan,. ( €O& i✓ pc( S'1 2_007 WHEREAS, requests permission to install: SIGNED, SEALED AND DELIVERED in the presence of: Th ia,ni Sliore� l/iC�ccc�e SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this CL.b OCL (owner) Asphalt, concrete, brick pavers ] Landscaping [ ] Other 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305)_756-8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY , hereinafter referred to as the Owner of the pRWC1.4jiiti I 1 p Pe creK s°f! following described property: Legal description /folio #: Lot 7— 2. Block t S Subdivision 4 5 r 0 T /Ulv .. Tax Folio #: within the public road right of way of (address IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 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). _33 f3f V ic o rm i UNS • O( &� S M I UC) UMBER B2. COUNTY NAME DBE B3. STATE FLORIDA B4. MAP AND PANEL sor B5. SUFFIX T B6. FIRM INDEX DATE 312I B7. FIRM PANEL EFFECTIVE/REVISED DATE 7/21/95 B8. FLOOD ZONE(S) X B9. BASE FLOOD ELEVATION(S) (Zone AO, se depth of flooding) I l IA BU L ING W ME A�ep N BUILDING STRUT ESS (Including t., Unit, Suite, and /or Bldg. No.) OR P.OoRbUTEANrBOZ • • 5 N.. 93 re- m.• • • • . •. • • • • to E ' CITY iOm i SnorcS .. • . Q ri�il�i" PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.) LATITUDE/LONGITUDE (OPTIONAL) ( ##° - ##' - ##.##" or ##.;; °) ADDRESS ,, 6494 S.W. 224 Sttedt SIG FEMA F PROCESS # FOLIO # C.O.R. -31, AUG 99 • • 0410 • • • 00* • • • • • • • • • • • • • • • • FEDERAL EMERGENCY AQANkj;GEVIE�SR;AE'ENFY NATIONAL FLOOD INSt1RANCE•PROGRAM• ••• ELEVATION Q TE • • ••• • • • • •• Important: Read the irNtju "4 ns on • . • es 4 .7. SECTION A - PROPER • NIl INl:QRW47ION • • HORIZONTAL DATUM: SOURCE: 1_1 GPS (Type): NAD 1927 1_1 NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B10. Indicate the source of the Base Flood Elevation (BFE) data or base floor depth entered in B9. 1 -1 FIS Profile 1_,1 FIRM fJ Community Determined ('Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: (7- {.NGVD 1929 1 1 NAVD 1988 (J Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 11 Yes Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: (JConstruction Drawings* 1 'Building Under Construction* 1NFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations – Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR /AE, AR/A1 -A30, AR/AH, AR /AO Complete Items C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion /Comments Elevation reference mark used Does the elevation reference a used appear on the FIRM? 1 1 Yes 141 No Ta ❑ a) Top of bottom floor (including basement or enclosure) ft.(m) ❑ b) Top of next higher floor 1 rk ft.(m) ❑ c) Bottom of lowest horizontal structural member (V zones only) _ ft.(m) 2 0 ❑ d) Attached garage (top of slab) 10 .53ft.(m) E 2 Li) a3 / Vv Al r 11 J 1=1 e) Lowest elevation of machinery and /or equipment servicing the building N/A . ft.(m) ❑ f) Lowest adjacent grade (LAG) 8 . -Ift.(m) ❑ g) Highest adjacent grade (HAG) q . ft.(m) 2 ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade -C - E ❑ i) Total area of all permanent openings (flood vents) in C3h '7" sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME MIGUEL ESPINOSA LICENSE NUMBER 5101 TITLE .-.T /.T.T. A T (.r TT Tr\rllr, 0 MAPPER DDL'D COMPANY NAME MIGUEL ESPINOSA LAND SURVEYING. INC. CITY MIAMI DATE 31 0p1 SEE REVERSE SIDE FOR CONTINUATION • • ••• O.M.B. No. 3067 -0077 Expires July 31, 2002 For Insurance Company Use: Policy Number Company NAIC Number ZIP CODE Li USGS Quad Map Li Other: No STATE FL ZIP CODE 33155 TELEPHONE 305- 740 -3319 REPLACES ALL PREVIOUS EDITIONS 004/ . • • 00* • • • • • • • • • • • • • = • IMPORTANT: In these spaces, copy tI a coirespendlig irforrOation from Section A. BUILDING STREET ADDRESS (IncludiagApt., Unit!SAite! aAC/dr Mo.) OR P.O. ROUTE AND BOX NO. CITY SECTION - iUiniEtOR, EIVINE'R, ORARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS SIGNATURE COMMENTS LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS FEMA Form 81 - 31, AUG 99 . For. insurance tpnpany:Use: 'Policy Number : :Company. NAICNumber...; • • • • • • • • • • • • • • • • •• •.• .. •. • • ••• • • . • • • • .. 000 • • • • • 410 I I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) t-or one Au and one /i twnI IUUL Drt) eurnprete Hems unuuy„ _.,,.___.. __•- .••-__- .- ... • • information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is Li -I ft.(m) LLin.(cm) L above or L below (check one) the highest adjacent grade. E3. For Building Diagrams 6 -8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is ft.(m) LLfin.(cm) above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1_1 Yes 1 No !Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION SL%TE . ZIP CODE The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or community- issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE DATE TELEPHONE SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. Lj The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation.data in the Comments area below.) G2. Li A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. - G3. Li The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE /OCCUPANCY ISSUED G7. This permit has been issued for L New Construction L1 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: TITLE TELEPHONE DATE I Check here if attachments ft.(m) Datum: . ft.(m) Datum: Check here if attachments REPLACES ALL PREVIOUS EDITIONS r.I.r' 1 L • NO I.D. 1.00' LOT 26 BLK 65 , W.P. 90 16.00' 12 0 CONC. ( Drtly :U1 /4Y LOT 27 ELK 65 2 5.50' ^ 18.50' 15.10' N CONC. 1 DI 29.50' GARAGE 10.53' A/C czn 1 5' CONC. WALK 10' ASPHALT) 2 15.00' 100 LU w ,5 ONE TORY RESIDENCE `' #715 F.F= 11.31' 75' RIW (PER PLAT) od 9.10' 5.60' • 5' C.L.F. 4 3O CONC. 24.10' CONC. 100.00'(R&M) ` `V I 23' PARKWAY � I ` yll 21.30' 18.50' 15.20' co 9. N. E 93rd STREET 0 . CONC. WALK LOT 28 BLK 65 m 20' ASPHALT 10.80' 13.60' 0 0 •P• F.I.P 112° v' 0 I.D. 5.80' 18.50' 20.10' 18.30' F.I.P 112' NO I.D 9 8 cia cc LOT 29 ,y BLK 65 Legal Description Lot 27 & 28, Block 65, MIAMI SHORES SECTION NO. 3 according to the plat thereof as recorded in Plat Book 10, at Page 37, of the Public Records of Dade County, Florida. Certified to: Abel Pabon Community Number: 120652 Panel: 0093 Suffix: J Date of Firm Index: 3/2/94 Firm Zone: X Base Flood Elevation: N/A Date of completion: 3/7/02 Property Address: 715 N.E. 93 Street Miami Shores, Florida 33138 Survey S -1031 I; 8 zdtiln 'NW SCI @dd1 1` 11:111211401111 ill IQ , 4 • '+1 : papj gC�gCRp l i uC /. f j1111-41±r-l' ar•ccr :Dona .AO, MIAMI SHOR S .;; SECTION TI O. •.3• , i L a .Y.. • • ru a. = w.�i.•G .. ,. • GENERAL NOTES: 1) LEGAL DESCRIPTION PROVIDED BY OTHERS 2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. 3) UNDERGROUND PORTIONS OF FOOTINGS. FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 4) ONLY 67S1BLE ENCROACHMENTS LOCATED. 3) WALL TIES ARE TO THE FACE OF THE W..4LL. 6) BEARINGS REFERENCED TO LINE NOTED .4S B.R. 7) NO IDENTIFICATION FOUND ON PROPS CORRNERS UNLESS NOTED. 8) NOT VALID UNLESS SEALED WITH THE 1/ KING SURVEYORS EMBOSSED SEAL. I 1) Ar TH ° 1 7 S E IDS. 9) DIMENSIONS SHOWN ARE PLAT AND . a� URED UNLESS OTHERWISE SHOWN. 10) ELEVATIONS IF SHOWN ARE BASED "N:V.GV.D. !9_9UNLESS OTHERWISE A BOUNDARY SURV LES:OTHERWISE:VOTED. 1 HEREBY CERT! r T THIS BOUNDA , 'vEY IS A TRL'E.4ND CORRECT REPRESENTATION i"FA SURYEYPREP. DER MT DIRECTION SIGNED LAA FOR THE FIRM UEC, ESPINOSA� S.M. NO. 5101 ATE OF FLORID MIGUEL ESPINOSA LAND SURVEYING, INC. 6494 5. W. 24 STREET MIAMI, FLORIDA 33155 PHONE: (305) 740 -3319 LB #- 6463 1 A A/C ADD ADJ AE ALUM. ASPH B/C BCR BLDG BLK. BM BNDY B/W C CB CB5 CD CJB CLF CM CMP CONC. COR. COV. D DB OCR D.E. DOT E/F E/P EN/ ELEC. ELEV. ENCL. EM ESMT F/C F/L FF FH FIP FIR FN FND FN &D FN &T FP &L GAR GAW HW ID INV IR IP L LB LC LD LFF LP LS ARC LENGTH AIR CONDITIONER ADDITION ADJACENT OR ADJOINING ANCHOR EASEMENT ALUMINUM ASPHALT BUILDING CORNER BROWARD COUNTY RECORDS BUILDING BLOCK BENCHMARK BOUNDARY BACK OF WALK CALCULATED CATCH BASIN CONCRETE BLOCK STRUCTURE CHORD DIRECTION CABLE JUNCTION BOX CHAIN LINK FENCE CONCRETE MONUMENT CORRUGATED METAL PIPE CONCRETE CORNER COVERED DEED DEED BOOK DADE COUNTY RECORDS DRAINAGE EASEMENT DEPARTMENT OF TRANSPORTATION END OF FENCE EDGE OF PAVEMENT EDGE OF WATER ELECTRIC ELEVATION ENCLOSURE ELECTRIC METER EASEMENT FENCE CORNER FENCE LINE FINISHED FLOOR FIRE HYDRANT FOUND IRON PIPE FOUND IRON ROD FOUND NAIL . FOUND FOUND NAIL & DISC FOUND NAIL & TAB FLORIDA POWER & LIGHT GARAGE GUY WIRE HEAD WALL IDENTIFY, IDENTITY INVERT IRON ROD IRON PIPE LENGTH LICENSED 5USINE55 CHORD DIST /.NCE LEGAL DES:.'.IPTI'YI LOWEST FINISHED FLOOR LIGHT POLE LAND SL'P.V_Y0P. LEGEND OF SURVEY ABBREVIATIONS M MAINT MH N0. N.T.S. 0/H 0.P. 0.12.13. 0/5 0/W P PAR PB PC PCC PCP PG PI PK POB POC PP PRM PRC PT PVMT R REC RCP P,E5 RET RNG R/W SAN SBT SCN SE SEC SEW SN &D 5P SP &C SR SRC STA 5TM STY SUED T TB TBM TRANS STWP TYP UE UGD WD WM WV MEASURED MAINTENANCE MANHOLE NUMBER NOT TO SCALE OVERHANG OPEN PORCH OFFICIAL RECORDS BOOK OFFSET OVERHEAD WIRES PLAT PARCEL PLAT BOOK POINT OF CURVATURE POINT OF COMPOUND CURVATURE PERMANENT CONTROL POINT PAGE POINT OF INTERSECTION PARKER KALON POINT OF BEGINNING POINT OF COMMENCEMENT POWER POLE PERMANENT REFERENCE MONUMENT POINT OR REVERSE CURVE POINT OF TANGENCY PAVEMENT RADIUS OR RECORD RECORD REINFORCED CONCRETE PIPE RESIDENCE RETENTION / RETAINING RANGE RIGHT - OF - WAY SANITARY SOUTHERN BELL TELEPHONE SCREEN SOUTHEAST SECTION SEWER SET NAIL & DISC LB #6463' SCREEN PORCH SET 1/2" PIN & CAP LB #6463 STATE ROAD SET REFERENCE CORNER STATION STORM STORY SUBDIVISION TANGENT TOP OF BANK TEMPORARY BENCH MARK TRANSFORMER TOWNSHIP TYPICAL UTILITY EASEMENT UNDERGROUND WOOD WATER METER WATER VALVE ■ • • J Phone: (305) 740 -3319 740 -3320 MIGUEL E SPINOSA LAND SURVEYING, INC. LAND PLANNERS — SURVEYORS 6494 CORAL WAY MIAMI, FLORIDA 33155 F .:305) 669 -3190 ELECTRICAL '1'1'I'E. Minimum Fee QTY. 'I'1'PI{ Dryer (fry. i'1'PE Outlet, Appliance (1'1' '1'11'1; Service Repair Q'I1. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch 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, IntercordTeleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New PLUMBING TvPE A/C Condensate QTY. TYPE Drains, Roof QTY. TN PE Miscellaneous Fixture ()Ty. '1'1'1'1•: Soakage Pit Q'I'1'. 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 11 Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. MECHANICAL Minimum Fee A/C Central, Tons A/C Wall/Win. Tons Air Handler, Tons Barbecue Bath Fan - Vented, # QTY. '1'YI'E Condensate Drain Cooling Tower Dryer Vents, Number of Ductwork, Cost of Fire Sprinkler System Fireplaces, Number of Generator Heating Strips, each Paint Booth Piping, Flammable Liquid Process/Pressure Piping Pressure Vessel Refrigeration, Tons Vent Hood, Cost Ventilation, Cost Periodic Inspections RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning ca.( 24 Electrical !/ Mechanical Plumbing Fire Public Works Structural Building Official y( -fir Page 4 OFFICE USE ONLY CHECKLIST ❑ 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) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ $ 11 5 ( x/1000 ¢ ) $ (¢.005 / sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ 7 b, 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 CONTRACTOR i1 f J / OWNER Name e. I PA--6 am e [ E` C.." /■ ,} ®m v / t'D g -e5 I DI' C • License No. 6.6 0 1 7'7 3 q 9 Business Telephone / 3 0 l .1 q 9— 7 Q 33 Ad SO 1'E /141 ST. *2-007 /v. hIi' h 1-- GL . 3 c 3 y / e' Telepho�{0 J qgl _ /g.j Z. Fax (3D.S) d7 2 - O 77 Qualifie ame �A/I e 5 ff - 6 PROPERTY i1 f J / OWNER Name e. I PA--6 Address 4 IQ 6 9 3 3- iiiii,vw51,,Q P . .3)3 Home Telephone ( 5 l �k c ^ 3 a / 5/ Business Telephone / 3 0 l .1 q 9— 7 Q 33 Fax 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 INSTRUCTIONS - The following steps must Or taken to obtain a permit from the Miami Shores Village: Step 1. Current Use of Property Proposed Use of Property Tenant Information 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: 11 6 Address Folio Number Lot 2-7- Z k Block M tAPi Subdivision c. ptQR L PB / D PG 3 7 PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other V ME, .93 51. ItA ir,u4n i skolfc5 ik/7,A PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Apt. City i7\ Description of Work Master Permit No. Subsidiary Permit No. Sr cbO,,I. b State 10A.Ciil 4 1 PERMIT APPLICATION 3 / 313 Zip Zoning ,V1.4 Linear Feet 90 L,f Square Feet Units Floors alue of Work 3 fl no -- Bldg Value ax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax 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 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. SEAL: e of No '1I tt tate of Flori Personally known "o" OR, Produced Identification Type of Identification Produced:1) L P IS — 0 - q C) V J - 1/S -0 s s.osxY .4, Doris E. Gomez cCommissdon f# DD 000603 �, a= Expires March 6, 2005 5 Banded Tore 'i,,, ,, Atlantic Banding Co., Inc. STATE OF O IDA, COUNTY OF MIAMI -DADE gnatur,% •.ntrac "r /Qualifier -sAh 4 Z Print Name Sworn t nd subscribed before me this I I day of Signature of Notary Public - State of Florida SEAL: Personally know PERMIT APPLICATION ASHANTI N. KING ''� MY COMMISSION # CC 932742 • EXPIRES: May 1, 2004 %?�:�•if;� ndedThN Notary Public Underwriters Type of Identification Produced: