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1220 NE 94 St (8)STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved (Signed) MIAMI SHO ES VILLAGE BUILDING INSPECTION DEPARTMENT. A PUCATION F` R =-U LDING PERM8T Application is hereby wade 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. Owner's Name and Address ...... (" 242-' Registered Architect and /or Engineer Name and address of licensed contrpctor Location and legal description of lot to be builfon: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) Da¢e..._... _. _.._._._ .._.... ,1B .' _ No ..... 7...�i._7. 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 $ 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 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 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will 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 the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such (ubcon• ctors, on wgrlr to be performed under this pennit, as are licensed by Miami Shores Village. I r _ Remarks (Signed). �-••� 10 7g [ l Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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.._.�7.1Z& Date... /(/ / � 7 r Z.- Read, Sworn to and Subscribed before me. Notary Public, State of Florida uilding Inspector My Commission Expires to me well known, PLANNING BOARD DATE Chairman Member Member Member Member ...... — - -- - ._ Member Council Approved Date Disapproved Date NOTE: 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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Owner / Date 3 - 2' Job Address IC '' TS1 Tax Folio J' ..9020_5" e / B//o 1--' Legal Description I E ' ., C. L_.,+ _ C s So Z. Ens B�. S / � � j Q it /,r ��. ' " Tenant A" • ,4oLI a�+J j , e C_' Master Permit #5 Lessee Owner's Address Contracting Co. Sl1V1 IMJA)0ct-\\S, �4; Qualifier 4— :n10,1 L SS# ' State # G aS 4 Municipal # Competency # Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING FENCE SIGN WORK DESCRIPTION 2 : eac1-1,._5 (' ... (Jr ,P71 46 � Square Ft. ) e #S O Estimated Cost(value) 1, 0UU WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I 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, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Date: / owner and /or Con 144 . j 04. 1 d , s to Owner an or Condo Notary of / President My Commission Expires: APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE l 1NX ZC f 3h T itleg d Phone F5 't NOTARY PUBLIC STATE OF FLORIDA MY COMAGSSION EX'.DEC.14,1995 BONDED THRU G.E VERAl. INS. UNi . ** * * FEES: PERMIT )15(O`Y" RADON Fire Zoning Buildi Mechanical Plumbing - Phone co-cos W-7,16-Vo3 Signat Date: * * * Address - P•0•7 3 mx 4 3 2 -to '/ r47i[i Notary as to Contra or or Owner- Builder My Commiss Ins Co . �• 04ia Owner - Builder # 4/ ecanchk AUNA M. SANCHEZ °` MY COMMISSION o CC 0460:. �: ��,,r; EXP ?R : Septemb 10.1394 * ,t4 410 Banded lhm Notary FOE Ilidan/fflers ** C.C.F. Pv 66 NOTARY TOTAL DUE 7 __d Other Electrical Engineering SKETCH OF SURi/EN. .e,"a:31- -4 /O79 ia/ 47 94 Mi•NO/ S t'G "La 4', 3 @a8 ,if,41 , L 1 LEGAL DESCRIPTION ',that part 42 Tract 1Wf plat of Government Lot 4, of'ction `i, Township 53 South, ge Eat, as recorded in Plat Book 5, Page 90, of the Public Records of Dade County, ' Florida, bounded as follows: Starting at the intersection of a line parallel to and 8U feet North of the South line of Tract "K" and the data of Fast Dixie Highway; ruattrz,viisterly along the West line of East Dixie Highway a distance of 76 feet; Thence West Parallel to the South line of Tract "K' a distance of 133 feet to the point of beginning of the Tract h rein described; Then continue West parallel to the South lime of Tract "K" a distance of 117 feet; Thence: Smut at right angles to the last mentioned line a distance of 74.28 feet; Thence East at right angles to the last mentioned line a distance of 117 feet; Thence North at right angles to the last mentioned line a distance of 74.28 feet co the Point of Beginning. 1078 N.E. 94th Street Miami Shores, Florida 33138 T H E F L A F O O NSU DATED UNITED STATES OF ROOM DELINEATES THE HEREIN SITUATED WfFHIti ZONE NOT VALID mums EmaoSSED Sf • ,, A_ RATE MAP, PUBLISHED BY THE AND URBAN DEVELOPMENT, 1 LAND TO BE LOC 11O'N SKETCH SCALE: 1° =5-) ci:a -'w �.;- .e . - J I I v ATE OF Ps. IDA DATE: War ary 15. i988 CONTINENTAL LAND SURVEYORS INC. 1700 8. W. G7 AVENUE, SUITE 201 MIAMI, FLORIDA 33156 TEL. Woo 202 -1935 WE HEREBY CERTIFY: Thal the attached SKETCH OFF SURVEY of Plc dime described correct to Iho of our moody belief 'NS nth surveyed under ow direction, also CM are rt .. w.. • :` y :r..: ;•� � and ft* sunmly roasts Wnanum Tedvta9 S1andarda let by the FLORIDA BOARD OF LAND SURVEYORS as set fcrth in Chapter 472.027 (F.S.) and Chapter 21 HH 6 of the Florida Administrat Code FOR: __.�u1x uA. iiazve�y S„ ORDER t °. 2 - 0 - 14 • i 4 . / _ PRLF SS . < LAND SURVEYOR No 2052 Page 2 1 MPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT H,R1jING'112CEIVEp VALQ10ED 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 MAWTP•INED Ile 4A C IJEfti'.AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SMALL $ )r ilea ntE 044 114 DOT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEIPQ3 DAMA1Fj1eY C JIEMtNr 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. , T.ATE '1 Signature of Oyler mem 1>< Eici •nt Name _" Swo to and subscribed before me this t day of i- -� b(tl,O Signature of Notary Public - State of Florida SEAL: Personally known • • • • • • • ••• • IAMI -DADE Type of Identification Produced: Ft_ . . 1- 4 5 a • • • • • •.• • • • • • • • • • ••••••• • STA 4h F FLO Y OF MIAMI -DADE Name Sworn to and subscribed before me this 1 cg day of SEAL: (2'rmot - !U.6" Signature of Notary Public - State of Florida Type of Identification Produced: PERMIT APPLICATION ts ar America Mattes • • my Commission DD141009 V. r ,,d" Expires August 12, 2006 America ,Matias 4 ISAyCommission DD141009 a ,:df Expires August 12, 2006 OR, Produced Identification Personally known OR, Produced Identification • O r . PROPERTY OWNER Name (.1.K‘_ A ....0 Address \ % Wt c \S \Sc+O S Q i Home Telephone 11)05 _ CA 3b�� Business Telephone (7;<■3 + t iog — 4,\ \\a Qom\ N3-)` 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'I Detachment Other Step 1. Job Address: 101 Address Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property 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 • ••• • • • ••• • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • ••• PERMIT APPLICATION .•. • tvlaRteq Petit NQ. £ P , Co_gi . • • S *bsidi iry PeImit No. ••. •.• • • • I NSTRUCTIONS - The following steps must be taken to obtain a p rmit from the l\'liami Shores Village: •• • • • •• ••• •• Complete the attached permit application which must be si WTbrope yy Veer'agd qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of yrreptlioartiln.stfrodfing world 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 Apt. City State A rrscription of Work �) �w � $2•\.; Zip Zoning Linear Feet Square Feet Units Floors l)f alue of Work 010 — Bldg Value ax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name ) (\c" TO 39dd Alan Smith Resident Miami Shores on) Date: December 2 To: Deco Concrete and Asphalt From: Alan Smith Re: Sealing and Painting of Concrete Driveway and walkways This memo is to notify Deco Concrete that notification is being made to the Miami Village Town Hall and contractor's board regarding poor workmanship (paint popping off of driveway and walkways) of work performed last Feb. 2003. 1 have attempted contact with Gus Torres numerous times over the last two months, and have had retum phone calls twice. He has stated that he would come two times and has never came as far as I am aware. I am forwarding this email to Miami Shores Village Hall to prevent other customers from using this concrete company.1 was told when I signed the contract for this work that I could call for any problems, and the customer service has been much less than satisfactory. Many people have stopped and asked who did the work, and I have given them the business card of this company. I am very unhappy with the quality of the work and would not recommend their use in the future. Cc: Miami Shores Village /0 /vg s l, 1WJW BS"D 43P 03— .‘qf 8TESS8SSOE BTzSSBSSB2 OS :BO 1700Z/0E/it 0 c] co 0 0 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/19 /2003 Applicant: MAR11.41 Owner: — B914-T-®T JOB ADDRESS: 1078 NE 94 Contractor Local Phone: Parcel # 1132050070190 Permit Status: APPROVED Permit Expiration: "'--- Work: DRIVEWAY SEALING • N memo' <- DECO CONCRETE, INC. 9804 NW 80TH AVENUE HIALEAH GARDENS, FL 33016 PH. (305) 828 -5158 8/18/2003 ST Contractor's Address: BOUI01 ill,<PePie 11'00575411' 1:0670084 L4l: 11' 9660 L6 LL Construction Value: $1,000.00 UNION PLANTERS BANK HIALEAH GARDENS, FL 63-841/670 ermit Permit Number: BP2003 -269 ;.J Legal Description: 5-6 53 42 .19 AC M/L PL OF GOVT LOT 4 Page 1 of 1 PB 5 -90 PORT OF TR K DESC BEG SE Fees: FEE2003 -1045 FEE2003 -1046 Description Building Permit Application Fee CCF Total Fees: Amount $60.00 $1.20 $61.20 Total Fees: $61.20 Total Receipts: $0.00 .5754 $ colla4s 8 ;pection lerefor in strict compliance with all s that may have been submitted to 1e plans are changed without Iity for a thorough knowledge of the assumes responsibility for work done taining thereto and in strict conformity isibility for all work done by either MIAMI SIJORES:VILLAGE • Paint'i:�lor �ppr q �� l a nd:Agreement • ••• • ..• • •• • • • OWNER'S NAME: , 4/� 7 D ' . ••' ••• *ALONE: 3 (5- 75/ x257 ADDRESS: 1O7y NE 1A- 1A- � C J31 **** * * * * * * * * * * * * * * * * * * * * * * * ** ** * * *1 4�ks��c 'c * * * * * * * * * * * * * * * * * * * ** • • ADDRESS OF SITE: `\.:, \�: . •°� y� ; asp � , 51 � c L 33 ��� CONTRACTOR & LICENSE (ifapplicable) COMPANY NAME :Go� - �, \ @ ��e�••• ■ .q PHONE: 3()5 - � Ca -3 ��,�� ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** DATE: � -/N sa les. , ,44.9f Signature of Owner APPROVED: Building Offic Date • • • All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Drip Cap/Drip Edge Soffit Roof Flower Bins Shutters Awnings �\ g Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other c:9 Date � TERRA COTTA *t • OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above - named contractor, if • •plicable, to do the work stated. Furthermore , the paint colors 1 be as the • ttached EN PAINT F G IS FINISHED, CALL FOR FINAL INSPECTION re of Contr • 'r Da e ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, * * * * * * * * *. * * * * * * * * * * * * * * * ** 4/23/01 ELECTRICAL 'I'YI'E Minimum Fee QTY. '1'1'1'1? Dryer _ QT` :. • • • "1'1'1'1- Outlet, • penance _ • • (En'. TYPE Service Repair )"rv. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of 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 QTY. Minimum Fee TYPE: QTY. Condensate Drain TYPE Generator QTY. 'INN.: QT\J. Refrigeration, Tons 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 Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPI. Drains, Roof QTY . 1 ypE Miscellaneous Fixture QTY Ty pi.: Soakage Pit ()Ty 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 • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • .•• • • ••• • ••• • • •• • • • • -1P-41-0 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work beidg perfdrmedand tiu'intitAies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY D E / Zonin_ `' / £ ( 25 Electrical / Mechanical Plumbing Fire Public Works Structural Building Official 02% i I 1 I I ��7 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) •• ••• •• • • • •• DBRM'f LOYAL • • (5Cptfc P SedVer)• • • • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) 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 Notary $ b $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) ••• • • • ( x .6 x/1000 ) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ t 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