Loading...
1269 NE 94 St (9)Type Insp'n Permit No. of Mt- 1381 Name 5/ 4 4 5 Address I A 6 9 4/E qit-- Company Phone # Inspection Date A \ ? Li& 6 Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / N O tH-b_5-- MIAMI SHORES VILLAGE 0 BUILDING DEPARTMENT 305- 795 -2204 Buildpng Inspection Request 8 � Date I D Type Insp'n ��fJ goys Permit No. /o' /3 Name - 171A—VYVA--v Address 1 21 / /C) V g (k Company P� Phone # D 5Q 9 `� J ,l /) Inspection Date /// ! Approved Correction Re- Insp'n Fee Date Type Insp'n Permit No. Name 1 '3' n '" Address / 2 4 5 1jl 5 i Sir Company / Phone # 9) l) / 1.� ( � 9 5 t 5/ Inspection Date //S « 1 Approved MIAMI SHORES VILLAGE BUILDING DEPARTMENT Building Inspection Request Correction ❑ Re- Insp'n Fee ❑ BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Vil Permit Type (circ14 Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple ( 4,.. Mellor er) 0.it.t dY Phone # 3 © s - 7s CCJ.? J Owner's Address 1 L11,c N i ci Li 5-t' • City/nik'W 0 a&c, State zL_ Tenant/Lessee Name Job Address (where the work is being done) r2- N)E 44. . City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO K Contractor's Company Name Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 5 771 Type of Work: Describe Work: ..Q . r ['Addition Code Enforcement S --�' Total Fee Now Due $ (Continued on opposite side) ❑ Alteration Structural Plan Review. $ Building Departnt 2 c 10050 N.E.2nd Avenue, Miami Shores, Forida 33 Tel: (305) 795.2204 Fax: (305) 7544.8922 Zip Phone # Phone # Zip Permit No. 1 P 6 -- f Master Permit No. 3 3 if Square Footage Of Work: .p c�7e J "7 7 / fpt- ❑New 'Repair/Replace ❑ Demolition , r ►! \cL * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** bmittal P e $ �+ Permit Fee $ 1 50 CCF $ 3, CO /CC Notary $ Training/Education Fee $ it Technology Fee $ 3r 73 Scanning $ 1' Radon $ Zoning — Bond $ 3 cr, ' Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) no v1-e' Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature /f- Signature t- Owner or Agent The foregoing instrument was acknowledged before me this 1)'1i The foregoing instrument was acknowledged before me this day of /c -t`chrt, , 20 (,]� by 1 61 / Ave hl S t S , day of , 20 —, by who is personally known to me or who has produced 0,04^Lty who is personally known to me or who has produced S " identificatio id w did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: rint: � My Commission Exp * * * * * * * * * * * * * * * * * * * * ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 as t�C 5 RD . UNARB My Co:Trnrdon Espies Feb 222175 Commiuion # CC994650 NOTARY PUBLIC: Sign: Print: My Commission Expires: Contractor ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** pa 282004 Plans Examiner Engineer Zoning Located at: By VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT 2 • Legally described as Ii 1 02(x• �. 77 1/, ite Lk —J( L, 7 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to State of Florida, F.S. 489.103(7),s'}nd I have read and understand the following disclosure Statement, which entitles me td cork as my own contractor, I further understand that must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence or a farm out - building. You may also build or improve a commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument Was acknowledged before me this /) itr day of j'c-- , 20 P� /14/4 7 ST1 A r (4.4S being the legal property owner, for the property Produced Liz- 0-0 .43e -'lfi'Ool4'. " as identi Owner Owner Ho— - ' L 33 who is personally known to me or who has n and who did the laws of the I as the owner th. Mee �t A .= Wary pubic f ptiq� OY7 '•p; c rrr an • CC•94660 GL BAL D MENSIONS INC. Land Surveying Services 8200 NW 27 STREET, SUITE 108, MIAMI, FL 33122 PHONE: (306) 612.4226 FAX: (306) 612 -1914 SCALE 1'=20' JOB NO: 0410-082 FIELD DATE 10 -18-04 TYPE OF PROJECT: BOUNDARY SURVEY FOR TOM J. SIMS pROp, ADD: 1269 NE 94 STREET, MIAMI SHORES, FL 33138 LOT: 9 BLOCK: PLAT BOOK: 40 PAGE 16 LEGAL DESCRIPTION: SUBDIVISION: MIAMI SHORES BAY VIEW OF: MIAMI -DADE COUNTY, FLORIDA, 4.70' 16.70' 20.35' 2' Wood Steps ONE STORY CBS RESIDENCE # 1269 FF =6.94' 20.10' 4.77' 16.35' 0 14.60' 4.86' 10.09 4.81' r dIf 9.90' 4.71' 18.85' 4.88' As alt Driveway 10.16 4.73' FND.I:P.1/2" (NO ID) 4.80' 4.65' 0 J 4.88' 5.02' FND.I.P.1 /2" (NO ID) 4' CBS FND.NA L (NO ID) TMS PROPERTY IS MORE THAN 2 MILES AWAY FROM THE MIAMI-DADE COUNTY LAKE BELT AREA. Wall NE 9 SURVEYOR'S NOTES: 1.) THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION FURNISHED BY CLIENT. 2.) UNLESS A COMPARISON IS SHOWN, ALL BEARING, ANGLES AND DISTANCES SHOWN ARE THE SAME AS PLAT VALUES. 3.) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT AND THE SAME, IF ANY MAY NOT BE SHOWN ON THE SKETCH. 4.) UNDERGRAUND PORTIONS OF FOOTINGS, FUNDATIONS OR OTHER IMPROVEMENT WERE NOT LOCATED. 5.) FENCES TIES ARE TO THE CENTER LINE OF THE SAME. 6.) WALL TIES TO THE FACE OF THE SAME. 7.)ELEVATION WHEN SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM (1929) UNLESS OTHERWISE NOTED. 8.) THERE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN. 75.00' FND.I.P.1/2" (NO ID) 4.84' 03 U .NAIL (NO ID) CERTIFIED TO: 0.95' o o N 0 Tti J TOM J. SIMS Zon i Approved 300.00' BC FND.I.P.112" NOli ABBREVIATIONS: SWK= Sidewalk, CBS= Concrete Block Structure, CLF= Chaln Unk Fence, PL= Property Line, DUE= Drainage Utility Easement, IP= Iron Pipe, AIC= Air Conditioner Pad, P /C= Property Comer, DM= Drilled Hole, WIF =Woad Fence, RES= Residence, CL= Clear, RB= Rebar, UE= UtlIty Easement, CONC. Conc. Slab, RAN= Right of Way, DE= Drainage Easement, CIL= Ceder Line, 0= Diameter, TYP= Typical, M= Measured, R= Recorded, ENCR= Encroachment, COMP= Computer, ASPH= Aaphait, HID= Nall & Disc., S= Set, FFE= Finish Floor Elevation, OS= Offset, PIP= Power Pole, OHP= Ovemeaa Powemne, WM= Water Meter. (FLOOD ZONE INFORMATION) ZONE: AE COMM: 120852 PANEL: 0093 SUFFIX J DATE. 7 -95 BASE: 8.00' NOTE ALL BEARING HEREON ARE BASED TO THE PLAT BEARING OF ON THE CENTER LINE OF PROPERTY LINE EASEMENT VIOLATIONS: ❑ YES NO APPARENT VISIBLE ENCROACHMENTS: O YES )X(MO COMENTS: 80 VEY OF R RE' ' ESEITATIO MIIMUM B• DOP RIBA • RIDA STATUTES. • I HEREBY CERTIFY THAT THE ATTACHED SR a ABOVE DESCRIBED PROPERTY IS A • ' 0 CORRE OF A FIELD SURVEY MADE UNDER •IRECTIOI,AN =AL STANDARDS SET FOR il THEFLORI PRO • IAL LAID SURVEYOR CHAPTER 2 ADMIT THE CODE, PS ' ' = ECTR7R mg, w ti i L. I r CH REGISTERED LAND S - VEYOR # 4: STATE OF FLORIDA LB # 0006874 NOTE: NOT VALID UNLESS SIGNED AND SEALED SHEET 1 OF 1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/1/2004 Applicant: THOMAS Owner: SIMS JOB ADDRESS: 1269 Contractor Local Phone: Parcel # 1132050100080 Permit Status: APPROVED Work: NE 94 Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -1381 SIMS THOMAS ST Contractor's Address: Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOT 9 LOT SIZE 75.000 X 125 OR Fees: FEE2004 -10648 FEE2004 -10649 FEE2004 -10650 FEE2004 -10651 FEE2004 -10652 FEE2004 -10653 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Builders Bond Total Fees: Amount $150.00 $3.00 $1.00 $3.75 $6.00 $300.00 $463.75 0 Permit Expiration: 4/18/2005 Construction Value: $4,500.00 REMOVE ASPHALT DRIVEWAY TO INSTALL PAVERS AND TILE FRONT ENTRY BY: Page 1 of 1 NOV 02PAID Total Fees: $46,3 Total Receipts: $00 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. Permit No. rOP Name €f r d i5 f 6/51— Address i G2q 1 v E CI Type Insp'n Phone # Date I li4 1 CCU�'� Company Inspection Date Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request ?a5- "1S (- 3321 Re- Insp'n Fee ❑