1205 NE 95 St (6)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date . U 1 - Time
Type Insp'n 0 c�
Permit No. (- o t' ^ 113
Name ¢
Address P . e_ t sj
Company 7 4fV"
Phone #
For Inspector: -Z 1 / 0/ D Name to
C- 77 /
Approved
Correction ❑
Re- Insp'n Fee ❑
CONTRACTOR 0 tk5 Y&) E
Name � y &"(-5 Ale g'L 1_
I
License No.
Address —. e, as 5 -7-- Ida N-
Telephone 2 , J y 4 ' Fax
Qualifier Name
PROPERT OWNER /
i .1
Name P' r,W p
P' J V/'
Enclosure
` Address 40
Alteration Exterior
Home Telephone 4J �
``77
_-72 r _g
Business Telephone
Alteration Interior
Fax
Demolish
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
t...-
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.
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:
Folio Numbe
Lot
Subdivision
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.
Address
Current Use of Property R S
Proposed Use of Property i
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
Apt.
Description of Work
PERMIT APPLICATION
Master Permit No.
Subsidiary Permit No.
ity
State Zip
(A ) o d. / 1/(- 5
PB 2 PG 3 7 Zoning
g
Square Feet X 5 Units Floors
X Value of Work 12 56 B o Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
Linear Feet
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
IA'IPORTANT 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.
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.
ST OF FLORIDA, C �OF
Sig o Ownn
Pnnt Nar�le
SEAL:
ure of N
Personally known
Type of Identification Produce
day of
AMI -DADE
PERMIT APPLICATION
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of Contractor / Qualifier
Print Name
Sworn to and subscribed before me this day of
o , ri ` WGE t.A ?•ir 8, ".:1-t Signature of Notary Public - State of Florida
�� "! �* � COMM:Seow r;,jri,. -;
' ^ �Q MY COStb:: ;f' oM - :;r:9�?_S
F FV C T � h2`. ,i
OR, Produced Identification Personally known OR, Produced Identification
D - ' 375- O Type of Identification Produced:
SEAL:
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYI'E.
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
QTY.
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
QT1'.
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
�/
y2 7`i
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
_
--e-1
#;I
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.) $ 0
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
(sq.ft. = x/1000
x ¢.60)
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
'PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERF%IIT FEES
TOTAL $ ‘r, g d
;4 n
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 o http:/ /www.miamishoresvillage.com
■ w 50 75.5
10 9 8 7
50
50 o 732
34 35
• 50
FD. I.P.
7
E. 96
HINT & ASSOCIATES, INC.
AND SURVEYORS
th
95 th
LOCATION MAP
SCALE z I =160
)WAR C. GAMBLE
SURVEYOR & MAPPER NO. 1683
!ATE OF FLORIDA
DATE: MARCH 25, 2002
SCALE: AS SHOWN
ION: WE HEREBY CERTIFY: THAT THIS SURVEY
IMUM TECHNICAL STANDARDS FOR LAND SURVEYING
DA, CHAPTER 472 OF THE FLORIDA STATUTES.
V.PRES.
ST.-,
r5' c
OCK 84, OF "MIAMI SHORES, SECITON NO. 5 ",
THEREOF RECORDED IN PLAT BOOK. 10 AT PAGE 37
OF MIAMI- DA.DE. COUNTY, FLORIDA, BEING SITUATED
°II SHORES, FLORIDA.
v. ♦ice 4 , 1.10 4 1 V4 •/V: IA %i L. 1
SCALE : I °= 25
E/P
�
951
ST.
-FD. NAIL
IN CONC.
O�
.iCL.
N
c0
O.5 CL.
W
2
2
FD.1.P.
5'-O" tiwx
2' -O"
Owner's Side
1 -I
^111 11
_Ill
I -III- Ill
1 111 111 =111 =111=1 11=
= III =
I I
WOOD FENCES
2" X 4" Wood kaiI
I "X6 "orI "X6"
Wood pickets
Concrete
i ill lll l i ll iiilll 1 I111
5' -0
2915 Fences
Wood Posts
4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
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.
(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 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.
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/28/2002
Applicant: JAQULYN
Owner: NOELL
Parcel # 1132060143970
Job Address: 1205 NE 95 ST
Signed:
Contractor Address:
Local Phone: Cellular:
Fees: Description Amount
FEE2002 -1801. Building Permit Application Fel)60.00
FEE2002 -1802 CCF $0.60
FEE2002 -1803 Notary Fee $5.00
Total Fees: $65.60
Permit Status: Approved Permit Expiration: 9/24/2002
Work: WOOD FENCE 5' HIGH
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2002 -638
NOELL
JAQULYN
Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 21 & 22 BLK 84 LOT SIZE
Construction Value:
$250.00
Page 1 of 1
Total Fees: $65.60
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.
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.
SPECTOR) 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.
BY:
5'-0 ' MAX
2'-0"
Owner's Side
I "X6 "crI " X8"
Wood PIcket5
Concrete
WOOD FENCES
"-0"
2915 Fences
Wood Posts
4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
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.
(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 spE.ced 5 fee' -0 inches on
centers, having a fiber stress of
1200 p.s.i. in bendinc', 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.
Buil g Inspect
MDAMII SH$ .E9 V LLA E
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILD NG PERM OT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structwc herein described. This application is made in co :npli.uc 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.
1
ee-S
Na-
Date
- p .IS 7/
No, / z Street.
Owner's Name and Address.... / 1.. .
Registered Architect and /or Engineer.
Name and address of licensed contractor Ce ✓e s' e_._--
Location and legal description of lot to be built 9:
Lot al/ 22 Block Q Subdivision • 4 3
Street and Number where work is to be done... /nos -we-
State work to be done and purpose of building (by floors )./-'t1b'... -.. � Gt .N 41 1' • 'ei1 c..e_
/01 Atkil6vell,
h4/91 331
and for no other purpose.
New Building Remodeling Addition.... Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost �of improvements $ j Amount of Permit $.. ocy
Zone cubagc required .flan Cubagc
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby s bmit all the plans d spe g'ficationss for said building All notices with to the building and its construction may
be sent tog Ce- s e, — /d/ 6 AN ) /. - 3316C
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5';66, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- eontrac cam o 'd .' him
in the work to be performed under this permit; and will post or cause to be posted for inspection the site of th ork sucl hIubli .notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontract on to c t ' s
permit, as are licensed by Miami Shores Village.
Remarks • (Signed)
STATE OF FLORIDA, i
COUNTY OF DADE. ` ss•
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 sane, and that all facts
therein by him stated are true.
Permit No I Date vlJ l , � Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed) - 14U1 Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman
Member
Member ;\tcmhcr
Member .. .. Member
Council Approved Date Disapproved Date
NOTL: A charge of $1.00 will be made, for making 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.
•1
'1 r
I
Jr
MAILING ADDRESS: P. O. BOX 176 • RIVERSIDE STATION • MIAMI, FLORIDA 33135
/ 2-o.r/Y
de/me24'0ao gi/at 90te e'nce —Vince 7883
COMPLETE ERECTION SERVICE —ALL TYPES AND HEIGHTS Of CHAIN LINE FENCE
01010LNTIAL • INOU6TRI*L • CLMtlLAIL6 • SCHOOLS • 1NOl.TUTIOMO • naRFB • PLA■GROUIIOA • GOLF ODORS
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date U 1 - Time
Type Insp'nn
Permit No. '� o►� �) () d� ' ' h� 4
Name
Address . [D5 1A----cfl
Company CrLAM -
Phone #
For Inspector: 1 / Cl I ) Name ate
Approved
Correction ❑
Re- Insp'n Fee ❑