657 NE 92 St (3)PROPERTY OWNER
Name eg,ior Z /,rg
Address 67.2 Ale qcp T 6 F
,7)/4 • srrieo , PL .?313r
Home Telephone 305 Z�� _ (a99
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
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: T /V e 9 s7 4pr &F /i)/ f A7 3/ p
Address Apt. City State Zip
Folio Number
Lot Block
Subdivision PB PG Zoning Linear Feet
Current Use of Property quare Feet Units Floors
Proposed Use of Property Value of Work
Tenant Information
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
escription of Work
Master Permit No.
Subsidiary Permit No.
PERMIT APPLICATION
A &4rite /0
020®
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
Bldg Value
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone
Fax
Qualifier Name
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.
J
Signature
Print Name
/ cane r
/221re
S orn to and subscribed before me this day o
TATE OF
,COUNT
OF MIAMI -DADE
.0 is a fi &� ♦ I LA - are of ,.tary Public tat o orida
SEAL: 4
Personally known
Type of Identification Produce
An M Becker
My Commission DD150048
o. n Expires November 15, 2008
OR, Produced Identification
C./
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
, . Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE.
Outlet, Appliance
QTY.
TYPI',
Service Repair
QT\.
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, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY.
TypE
Generator
QTY.
TYPI'.
Refrigeration, Tons
QTY.
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
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
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. I
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
CFIECKLIST
❑ 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
Code Enforcement Fine
Zoning Review
Notary
$
Inspector State Educational Fund $
State DCA (Radon) $
❑ PROOF OF OWNERSHIP
(Attach)
❑ FIRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
6
- p
Metropolitan Dade County (C.C.F.) $ , v 0
$
REVIEWED AND PREPARED BY:
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
( x sq..60) x/1000
(¢.005 / sq.ft.)
(0.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ p 6 ( )
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
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
'"_ Printed: 12 /10/2002
Applicant: C� _&JL
Owner: E,S '
JOB ADDRESS: OS NE 92 ST
Contractor
Local Phone:
Parcel # 1132060430200
Legal Description:
Fees:
FEE2002 -7074
FEE2002 -7075
FEE2002 -7076
Description
Building Permit Application Fee
CCF
Notary Fee
Total Fees:
Amount
$60.00
$0.60
$5.00
$65.60
Total Fees: $65.60
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 6/8/2003 Construction Value: $200.00
Work: CHANGE EXTERIOR DOOR
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
ordinances pertaining th
and approved by the pro
authorization. A further c
ordinances and regulatio
by his agents, servants o
Signed:
In consideration of the i
with the plans, drawings,
myself, my agent, servan
\ igned:
CARLOS A. RAMIREZ
673 N.E. 92ND ST. APT. 6
MIAMI, FL 33138 -2963
FOR
Building Permit
Permit Number: BP2002 -2134
-- BULNES
6F
Contractor's Address:
SHORES PLAZA WEST CONDO UNIT 6 -F - 1ST FLOOR BLDG 2 UNDIV .03310% INT
r 2 /2%Z_ ;� - _ 63 27;63,' FL
DATE 396
a7A4r, $ 6' 3;
DOLLARS 1±1 wa
1 Bank o merlca Advantage
Page 1 of 1
plication herefor in strict compliance with all
cifications that may have been submitted to
es or if the plans are changed without
.:.sponsibility for a thorough knowledge of the
! : that he assumes responsibility for work done
l tions pertaining thereto and in strict conformity
e responisibility for all work done by either
MIAM1.OADE
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Stanley Door System's
7300 Reames Rd.
Charlotte ,NC 28216
Your application for Notice of Acceptance (NOA) of:
"Sta - Tru" S/E 6'8 Out - swing Opaque acs. Ills. Steel Door - Impact w /wo Sidelites(Non Impact)
under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of
Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this
product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this
product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the
use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is
determined by BCCO that this product or material fails to meet the requirements of the South Florida
Building Code.
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 01- 0928.05
EXPIRES: 11/01/2006
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMMITTEEO
This application for Product Approval has been reviewed by the BCCO and approved by the Building
Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set
forth above.
APPROVED; 11/01 /2001
1\ I \pc2000 \ \templuci\nottce acceptance cover pages of
• Raul Koangucz
eMIANII -D:ADE COUNTY. FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
MEi1t0 -DADIi F1.AGLI:It BUILDING
140 WEST Fl.\C1.l:R STREET, surit 1603
MIAMI. FL.ORlt)A 33130 -1563
(305) 375-2901 FAX (305) 375 -2905
CONTRACTOR I.1CRNSI SFCrtOV
(305)375 -2327 FAX(305)375.235S
CONTRACTOR ENFORCEMENT DIVISION
(305) 375.2966 FAX (305)375.2901C
Chicf Product Control Division
PRODUCT CONTKOI. DIVISION
(305) 373.2902 FAX (305) 372 -6339
Francisco J. Quintana, R.A.
Director
Miarni -Dade County
Building Codc Compliance: Office
Stanley Door Systems ACCEPTANCE No.: 01- 0928.05
APPROVED : November 01, 2001
EXPIRES : November 01, 2006
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
1. SCOPE
1.1 This renews the Notice of Acceptance No. 01- 0129.21, which was issued on May 10, 2001 It
approves a residential insulated steel door, as described in Section 2 of this Notice of Acceptance,
designed to comply with the South Florida Building Code (SFBC), 1994 Edition for Miami -Dade
County, for the locations where the pressure requirements, as 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 "Sta -Tru" S/E 6' 8" Outswing Opaque Residential Insulated Steel Door w / wo
Sidclites - Large Missile Impact Resistant Doors / Non — Impact Resistant Sidclitcs and its
components shall be constructed in strict compliance with the following documents: Drawing No.
43967 titled "Stanley Outswing Opaque 11 -4 x 6 -8 Steel Edge Door W/ & W/O Sidelites" Sheets 1
through 7 of 7, dated 12/26/00, prepared by R.W. Building Consultants, Inc., bearing the Miami -
Dade County Product Control approval stamp with the Notice of Acceptance number and approvai
date by the Miami -Dade County Product Control Division. These documents shall hereinafter be
referred 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, as shown in approved drawings. 'Single door units shall include all components described in
the active leaf of this approval.
4. INSTALLATION
4.1 The residential insulated steel door and its components shall be installed in strict compliance with the
approved drawings.
4.2 Hurricane protection system (shutters):
4.2.1 Door: the installation of this unit will not require a hurricane protection system.
4.2.2 Sidelite: the installation of this unit 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 Noticc 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 (SFI3C) in
order to properly evaluate the installation of this system.
I51 \ t •
Ishaq 1. Chanda, P.E. Product Control Examiner
Product Control Division
Stanley Door Systems ACCEPTANCE No.: 01- 0928.05
APPROVED : November 01, 2001
EXPIRES : November 01, 2006
NO'1'ICF: OF ACCEPTANCE: STANDARD CONI)1'1'IONS
1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed
and the original submitted documentation, including test supporting data, engineering documents, are
no older than eight (8) years.
2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state,
and the following statement: "Miami -Dade County Product Control Approved ", or as specifically
stated in the 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;
b) The product is no longer the same product (identical) as the one originally approved;
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.
4. 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.
5. Any of the following shall also be grounds for removal of this Acceptance:
a) Unsatisfactory performance of this product or process.
b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other
purpose.
6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed
by the expiration date may be displayed in advertising literature. If any portion of the Notice of
Acceptance is displayed, then it shall be done in its entirety.
7. A copy of this Acccptance as well as approved drawings and other documents, where it applies, shall
be provided to the user by the manufacturer or its distributors and shall be available for inspection at
the job site at all time. The engineer nccd not reseal the copies.
8. Failure to comply with any section of this Acccptancc shall be cause for termination and removal of
Acceptance.
9. This Notice of Acceptance consists of pages 1, 2 and this last page 3.
j . 5G4.1 1 • c..,l..., �..1
!shag 1 Chanda, P.G. Product Control Examiner
Product Control Division
END 01. 'TIIIS ACCEPTANCE
•