Loading...
DRIVEWAYMIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Reques Date g Time Type Insp'n Permit No. • Ai Name Address Company Phone # g - 3a4— 1 o 7 For InspectarJ / 7 ( P3 ame & Date Approved Correction Re- Insp'n Fee 7t, Date Type Insp'n Permit No. Name Address f For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTM 305 - 795 -2204 Building Inspection Request Company (-- --15C - 4 Phone # ?g,0 A L- ° 10 Name & Date Time CONTRACTOR New Construction Name - TOAD ,.1 rg)t.S 0.- •1 an_ �° License No. Alteration Exterior Home Telephone (30 5) .1,' C - 1 2 -4 / G o .332 Address o f =-3,..4. S . 4 Lk w.t-Q , - Telephone( Relocation of Structure 6) / .3 26 4,044 Fax Qualifier Ne Foundation Only PROPERTY OW ER New Construction Name ex Jac_ Enclosure Address ar i g 61.E. 9 2. „`, 'Lsu?'\ 4L .-18 Alteration Exterior Home Telephone (30 5) .1,' C - 1 2 -4 / Repair Business Telephone Alteration Interior Fax Demolish 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 Step 1. Folio Number Lot 1 dock Subdivision v t640 G r- PG Current Use of Property S • * Proposed Use of Property S ° Tenant Information Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • • • • • ••• • • • • • • • • • ••••••• City Zoning Square Feet Value of Work 97 • • • • • • ..• • Master Perm ° it No.... � � • tt�bsi;iiah 'en uC N0. • • •••. ... ••• • • • . INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be sigrelby1he;.propestyownesand qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your 'dpplir'Strpn; If ropfrng work will be done, a roofing application must be submit- • ted along with this permit application. • • • • • • • • •• • • • • • •.• •• 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. A PPLICATION Job Address: ► g 4.E. 92 S 6.0_0 J State Description of Work 0 .` ^t its ° � Zip Linear Feet Units Floors 20" Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 1. • • • • • • • • • • ••• • • • • • • • • • •••• ••••••• • PERMIT APPLICATION IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT RAVING RE €EIVE1 YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS O?CON §TRUCTIMI are Gmited't8:' 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 11 MA,MI'AIN I •A CLEAN, e tl EAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHAi,L33ESK1WIbFRE6FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM EING D!M.4C4ED Be' F•QIiIPI NT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalle • ••• • • • • : : • .. 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°I Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance ith Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosi ._� ( ontractor. JI . Sign . e o ersonally ozik before me this Print Name Sworn tto�d subsc 2 5 , AL: o .O At R / vi $ • , %- OF MIAMI -DADE • er otary Public 4,ar 11 � N 1 l���.i� * : } ft d ice ,118e iiifica ion STA . ; FLORIDA, u'• UNT O MIAMI -DADE gnature o tractor/ Q Print Name Sworn to and subscribed Signature of SEAL 0411141- ( S �� S � �y' L ELI' 3 Ai: Mqk ` 0=5 M ersonally know OR, P r uce " e n n pe of Identification Produced: Type of Identification Produced: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -349 Printed: 3/3/2003 Applicant: RAFAEL Owner: DURAN JOB ADDRESS: 918 NE 92 Contractor ICOA CONSTRUCTION Local Phone: 786 - 326 - 4041 Parcel # 1132060060080 Fees: Description Amount FEE2003 -1280 Buildier's Bond $300.00 FEE2003 -1281 CCF $1.80 FEE2003 -1282 Building Permit Application Fee $60.00 Total Fees: $361.80 Total Fees: $361.80 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/30/2003 Construction Value: $2,200.00 Work: PLAIN CONCRETE DRIVEWAY 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 built ordinances pertaining thereto and with the understanding that the work will be perform€ and approved by the proper municipal authorities. This Permit may be revoked at any authorization. A further condition upon which this permit is granted is the understandin ordinances and regulations pertaining to the work covered hereby whether shown on th by his agents, servants or employees. Signed: In consideration of the is nce to me of this permit, I agree to perform the work cov€ with the plans, drawings u or specifications submitted to the proper authoritie myself, my agent, serva iiimen employes. TJ I! Building Permit (Contractor or Buik DURAN RAFAEL ST Page 1 of 1 Contractor's Address: 901 S. W. 4th Avenue, Apt. B1 Legal Description: AMD PL GOLDEN GATE PK PB 7 - 54 LOT 10 & N7FT OF LOT 9 IN BLK 1 OF 5t 't 2 .091 0609432,00f05 t 0130L92 •I / 49 • 006:;0090 upA wawpn • Incn Maar E uoiun iiao+o •open `1=._ 1VIONYNtd 1111315113 4 -1^ o II SH HONVtl9 0L97JL109 9142 nxnpu 10(1 e - O1 2 aQa6 a otftnd 8£1££ U 'sa O4S 1 Z6 '3'N 8 NVUf1Q ' L 13V IV I WHEREAS, following described property: Legal description /folio #: Tax Folio #: COVEN NTOF CONSTRUCTION WITHIN RIGHT OF WAY (owner) Lot Block Subdivision requests permission to install: t iti Asphalt, concrete, brick pavers [ ] Landscaping [ ] Other gig A. E, q2 thko4 - e'Pk V &LI awei) 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: 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 ully au , orized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLE IGNED, SEALED AND DELIVERED in the p flh jami SIlorQ� WVCtQ 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 - 2207 Fax: (3051756 -8972 , hereinafter referred to as the Owner of the L) K R) to /} PPe O►4•ct nce of: owner c L 62063 ! GE ''this � dayof t/ _ _ -r VERIMo s BOUNDARY SURVEY 01.1.4, • • • • • • • • . l•-•• ,.... • • • • ••• • • • • • • • • • • • • . • • • • • • • • • • • • • •'• • • • • • • • • • • • Lot 10 o) Plat there the Publi( North 7 according 39, at Pa Florida. • Commune Suffix: J Field Woi • Certified Rafael Du Insurance successor. Properly, 918 NE 9; Miami Slit Survey Nu PERMIT NO. •, • ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT• SECTION BY DATE ZONING • ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compliance with alt Federal. State. Cocmty,Wlage rates and regulations. Wage tsstxstes no retponsibWQty for accuracy otlor mutts (rosy these plans. 2. This copy of plans must ba available on building site or no Inspection will be conducted. CRITIQUE SHEET JOB ADDRESS __7/C‘ /, 7,;1 APPLICANT PHONE It APPUCAT1ON j C L V L SHEET OF MISCELLANEOUS DATE } 1° ) iv 3 ZUNING COMMENTS seAme-k_ J p lit s rvk QIc r 6ho/ s INITIALS t Miami ,Siz.or "0„itta . AFFIDAVIT • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • • • .• • • • • • • • • • •• • • • ••• ••• •• STATE OF FLORIDA) • • . . • • • • • • • • • • • • • • • COUNTY OF DADE) • • The undersi°nea Affiant, ca,,cL/ • 9 , does hereby attest that the (property owner) attached survey, performed by performed on 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 applic..le to this or other permits.. Furt , Affiant sayeth naught. sign and prin •• (name of surveyor's company) is an accurate representation of the existing conditions and (date of survey) r Cet &Cott Affiant/Pro owner Witness(sign and print) SWORN TO AND SUBSCRIBED before me this / 7 day of ,' 13 Affiant is personally known to me, produced as identification. Az ' 41(.../OP 471 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer Q1 .-. • '1 t•l.l:, 0 t . 4•Appliale • • ••• QTY. (NIT Service Repair Q'rY. 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. TYPE 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 Q .1.1 TYPE Drains, Roof QTY . TYPE Miscellaneous Fixture QTR• TYPE Soakage Pit (yF Y. 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.I?erform$d acid quatayNie ;) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY LI 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 ••• • • • • • • ••• • ••• • • • • • • ••• • • • • • • • • • • ••• • • • •• • • • • • • • CHECKLIST • • •• ••• ••• ❑ PROOF OF OWNERSHIP (Attach) •• •o• •• • • • • •• • • • • • • • • • • ❑• • • (Septic P Se*Vet) • • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $3D0 $ / �- 0 (sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: 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 BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N° 6696 Contractor s ❑ License No. Work to be performed under this Permit ` ' f ` ' Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot Bl DATR 195 1 Subdi- vision Value of II Amount of Project $ I! Permit $ --� 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• • 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 *: