27 NE 94 St (5)Page 2
IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVE° VOUfi•VAL4QA'iEl33 PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION ars Zimate&to. Mon eeythrroQgh 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 weekengs or holictys
2. All construction of demolition areas MUST BE MAINTAINED IN•,Q CLEAN, IQEA S 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.
STATE OF FLORIDA, CO IAMI -DADE
Signature of Owner
Print Name /
Swo . o and subs ribed before me this t/O day of
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STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of Contractor / Qualifier
Print Name
Sworn to and subscribed before me this
ignature of No y Public - State of Florida Signature of Notary Public - State of Florida
PERMIT APPLICATION
day of
SEAL: ,"„ Raysa E. Torres SEAL:
�■' Commission #DD164127
. \ ): Expires:Nov 11, 2006
nded Thru
o iv antic B 1
Personally known Q91vpore&aripIdentification Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
PROPERTY OWNER
Name 114/— — / w r y a
, V� 7�
Address
0114 in/ 514O/T S 1✓ /CUE-
Home Telephone : cks- 7}75,:i 0 0 55
Business Telephone
�+ J
Fax " C5 �5 / S6 6 /
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
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e
•1Vlaste,Pehmit No.
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PERMIT APPLICATION
Subsidiary Permit No.
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INSTRUCTIONS - The following steps must be ta;:eti to abtair, a permit frem the Miami Shores Village:
Step 1.
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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: 23 /OE c)41 - i rz457 slain/ 5o /Z5 re- 33 )3
Address
Folio Number
Lot Block
Subdivision PB
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
Apt. City State
Description of Work
Zip
PG Zoning Linear Feet
Square Feet Units
Value of Work 0
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
Floors
Bldg Value
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone
Fax
Qualifier Name
l. .,, :. :. - - - - -
• B
Contractor
Local Phone:
Parcel # 1132060130540
Fees: Description Amount
FEE2003 -1095 Building Permit Application Fee $60.00
FEE2003 -1096 CCF $2.40
Total Fees: $62.40
Total Fees: $62.40
Total Receipts: $0.00
Permit Status:
Work: WOOD FENCES AROUND THE PROPERTY
ordinances pertaining thereto and with the understanding that the work will be performer
and approved by the proper municipal authorities. This Permit may be revoked at any ti
authoi._ation. A further condition upon which this permit is granted is the understandinc
ordinances and regulation rtaining to the work covered hereby whether shown on the
by his agents, servants ply -es. d "
Signed: .�r' ,�/ // �� %" PECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work cove
with the plans, drawings, statements or specifications submitted to the proper authoritie
myself, my agent, servants or employes.
APPROVED Permit Expiration:
8/19/2003
(Contractor or Build
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 4 LOT SIZE 100.000
Construction Value:
satllloO
If there is no permit package accessibleri 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.
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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 anntirati t,PnP in afrie^r rnrnnL en. n .•��� -+II
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PR
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W , ACC( ING TO THE PLAT
001( 10, PALE 70, OF THE
FLORIDA.
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NOT VALID
LESS SEALED
WITH THE
BOSSED SEAL
OF
ERTIFYING
SURVEYOR
"MIAMI SHORE SECTION DNr,AMFN
THEREOF, AS RECOR15 D IN MAT
PUBLIC RECORDS OF DADE COUNTY,
CERTIFIED TO: ;
MARCOS SANTOS PAO LAS[
PEDRO ROIG AND ASSOCIATES, P.A.
ATTORNEYS' TITLE INSURANC. FUND
NATIONAL CITY MORTGAGE d /b /a CO
CITY MORTGAGE, ITS SUCCE : : SORS A
Date: . �t �J02
FL. Reg. No: 43I1
OPERTY ADDRESS: ( 2 . 7 N r G. M
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gTR PST 7 1,4
CERTIFICATE BOUNDARY SURVEY
I horoby certify that this sketch of survey of the hereon doscribod
property is a true and correct representation 01 a survey mado under
my direction end that sold survey is accurate and correct to the best
of my knowledge and bellol, and unless otherwise shown, thero are
nn visible encroachments. I further cell' that tho survey r. present-
ed hereon moots the Minimum Tech ' • ards ass otth by the
Florida Board of Prolessional Lend S ors In C. for 611x17.6
hlutide ndmInisuutive Cade, purse to Sectl 7 027 Florida
Statutes
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MMONWEALTH NATIONAL
ND /OR ASSIGNS
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I A1411 I Si-1012-'ES PL.,
Alvarez, Alguesvives & Associates, Inc.
Professional Land Surveyors
8230 Coral Way, Suite B
Miami, FL 33155'
(305) 385 -0385 Office
(305) 385-0023 Fax
(306) 298 -2708
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Owner's Side
MAX
Concrete
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•
• WOOD ERJC•S
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2" X 4" Wood Pall
1 "X6 "crl "X8"
Wood Pickets
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3' -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 minirnum 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. -0 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-O 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.
ELECTRICAL
TYPI'.
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
'i'1'PE
Service Repair
QT1'.
A/C Central 1 -3 Ton
Heating Strips, each
Fan
Outlet, Wall
Service, Temporary
Paint Booth
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Piping, Flammable Liquid
Signs
A/C Central 8-15 Ton
Fixture - Fluorescent
Process/Pressure Piping
Oven
Space Heater (kw)
A/C Central 16 -20 Ton
Pressure Vessel
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
QTY.
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
Pump and Abandon
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Gas - Appliance
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TY1'E
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
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PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of ivrotk beirg pe ifor ad aid quantity(ies) in the space provided below.
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RECEIVED AND REVIEWED BY: DATE:
SECTION
BY
D TE
Zonin •
d or . i ! ��
I 8 —
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
4 ,
Building Official
M/
�J/
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
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
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Metropolitan Dade County (C.C.F.) $ � �
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CHECKLIST
❑ PR.00F { O ` t OW P,R3JP:
(N1Acb *: : : • • •
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$
$ o,
Inspector State Educational Fund $ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
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( s .ftt. = x/1000
•
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
CONDITION OF
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
BUILDING DEPARTME
305- 795 -2204
Building Inspection Request
Date
Type Insp
Approved
Correction
Re- Insp'n Fee
0S3
Time
iltWO I _ i
Permit No. • P Zoo3
Name
Address
Company
Phone #
For Inspect / 1 1 1 ° 3__S Name & Date
Daa
Type Insp'n
Permit No.
Name
Address
Company
Phone #
For Inspecto
Appro
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
��Name & Date
Time
80_ -.�-�