841 NE 95 St (5)Name and address of licensed contractor
New Building
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
de for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein
desc i made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida. and all provisions of the Laws of the
Stall is of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether
herein specanea or -A copy of approved plans and specifications must be kept at building during progress of the work.
Owner's Name and Address M R. l✓NA e.b S • G 1J
Registered Architect andior Engineer
Location and legal description of lot to be built on: // g (z0' d oN e2 /ter
Lot f l W L 7a / Bloc_ Subdivision �_� /,Ai
Street and Number where work is to be done t S ) .
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
Remodeling Addition Repairs
Date R N A
No 8 2 Street 0'
tt)c
�AIk)
and for no other purpose.
No of Stories
To be constructed of r �7 Kind of foundation Roof Covering
Estimated Total cost of improvements $ � •.9 Off/. e O Amount of Permit S J 0
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 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 obligatons 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 are required by the Act. The undersigned a to employ only such subcontractors. on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA
COUNTY OF DADE.
}SS.
Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared
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 fo egoing application. and that he did sign the same. and that all facts therein by him stated are true.
Permit No.
Disapproved ► ■ 1 Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 525.00 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 525.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and -or workmanship.
Date 5
15
Read. Sworn to and Subscribed before me.
Notary Public. State of Florida
Village of Miami Shores
10050 NE 2nd Avenue
Miami Shores, FL 33138
Phone: 305 - 795 -2204
Printed: 1/9/2002
Applicant: MARSHA
Owner: FIGURA
Contractor
Local Phone:
Parcel # 1132060020010
Job Address: 898 NE 95 ST
Fees:
FEE2002 -182
FEE2002 -183
FEE2002 -184
Description Amount
CCF $1.20
Building Permit Application F46O.00
Notary Fee $5.00
Total Fees: $66.20
If there is no permit package accessible on the job -site for in
fee is $50.00, which must be paid in advance before calling for
This Permit is granted to the contractor or builder named above to construct the b
ordinances pertaining thereto and with the understanding that the work will be perfor
and approved by the proper municipal authorities. This Permit may be revoked at al
authorization. A further condition upon which this permit is granted is the understani
ordinances and regulations pertaining to the work covered hereby whether shown or
by his agents, servants or employees.
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work cl
with the plans, drawings, statements or specifications submitted to the proper author
myself, my agent, servants or employes.
Signed: (Contractor or B�
Building Permit
Permit Number: BP2002 -63
Address:
Cellular:
FIGURA
MARSHA
Legal Description: 6 53 42
Status: Approved Permit Expiration: 7/8/2002
PP p Construction Value:
Work EXTERIOR PAINTING AS PER AGREEMENT (ONWER BUILDER PERMIT)
PAY TO THE
ORDER OF
FOH
PB 41 -60 PL OF 1ST ADD TO MARILYN HGTS LOT 1 LESS W4.72FT
$2,000.00
RICHARD J. FIGURA OR
MARSHA A. FIGURA
RJFAACCOU_INT
898 N.E. 95TH STREET
MIAMI SHORES, FL 33138 -2564
037 -002
701 BrIckoll Ave.
Mlaml, Florida 33131
Page 1 of 1
Total Fees: $66.20
Total Receipts: $0.00
1:06 ?003985 /464 2386931
265
63- 398/670
z
__DOLLARS YES
rr
DATE: st/ glo►'
OWNER'S NAME: R, c ,1 1 .2 - PHONE: 306" -7-C6 L
ADDRESS: 89 8 N `IrL ST
MIAMI SHORES VILLAGE'
Paint Color Apj ,roval and Agreement
ADDRESS OF SITE: OfA m e
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
Nexaeae3 * �exx
All Elements on the site must be listed and indicate the color to be painted.
Walls
Fascia
Drip Cap/Drip Edge
Soffit
Roof
Railings
Fences
Decorative Metal
xxxxx
Mil / z c
All brick (simulated or regular)
Stucco Banding /4-
Any other stucco features w/
Accessory Buildings f`' (01
Other
X xx X x x x x >C x ?t it
/ /
LC) 333
&H ,re S w
— l1 —
Flower Bins 2i //4
Shutters - dc-
Awnings Wit c SW mitre
Chimney R' /4
Doors and door jams xi A-i z e cu.) 3 3 S
Garage Doors D k !I row /+) S co ;2_ 3
Jtt XxXXxXxxxxxxx >C >C X
x x X
W2203
he actu
y
( SW2338
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 applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
s les.
Signature :1 Ow r Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
Building Official Date 4/23/01
ELECTRICAL!
TYPE
Minimum Fee
QTY.
'rl'1'E.
Dryer
QTY.
'I'VI'E
Outlet, Appliance
QTY.
r
Tl'1'I:
Service Repair
QTY.
A/C Central 1 -3 Ton
Cooling Tower
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Paint Booth
Fire Pump
Ventilation, Cost
Outlet, Switch
Air Handler, Tons
Signs
Ductwork, Cost of
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
- Process/Pressure Piping
A/C Central 16-20 Ton
Fixture Light
Bath Fan - Vented, #
Parking Lot Lights
Fireplaces, Number of
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
Disposal
Refrigerator, Domestic
Interceptor
Temp for Test - 30 days
Roof Inlet
Deep Freezer
Water Closet
Low -volt, Fire
Domestic Well
Renew - Temp Service
Laundry Tray
Septic Connection
Demolition
Water Heater
Low -volt, Intercom/Teleph.
Drainfield, 4" Tile/Res.
Repair Circuits
Lavatory
Septic Tank
Dishwasher
Water Heater New
]Low -volt, Television
Drains, Area
Service, Number of Amps
Meter Set (Gas)
Sewer Connection
WI'CHANICAIT
TYPE 1
Minimum Fee
QTY. Y.
rYPE
Condensate Drain
QTY. TyPE
Generator
QTY.
"I'YPE i ,
Refrigeration, Tons
Q I lly
=
A/C Central, Tons
Bath Tub
Cooling Tower
- Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Filter Replace
Ventilation, Cost
Pool Piping
Air Handler, Tons
Sprinkler Repair
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
- Process/Pressure Piping
Cap - Water
Bath Fan - Vented, #
Pump, Domestic
Fireplaces, Number of
Pressure Vessel
Cap - Sewer
PLUMBI$it
: rYPE
A/C Condensate
QTY.
I YItE
Drains, Roof
()Ty.
TYPE l'I�-
Miscellaneous Fixture
Q"I l'•
"I l'I' i
Soakage Pit
9 -
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
Relay Repair
Utility - Water
Vacuum Pump
Dishwasher
Indirect Wastes
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
' F _ _ . '.. [. b 7 li[lT` e3 ali ': :.QTY$,.: 1 N .1; L [ 1
I- 1!H • .II Li,Zffil r 1.. 1.n]
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
Zonin:
./....4
s
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
1
Building Official
/ /I ( -4,ti,
Page 4
OFFICE USE ONLY
C11 ECKL1ST
❑ 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
Inspector State Educational Fund $
State DCA (Radon) $
Code Enforcement Fine
Zoning Review
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
O IMPACT FEE
(New Construction)
Metropolitan Dade County (C.C.F.) $ / • Z�
❑ OTHER
(Specify & Attach)
PERNII'I' FEES
$
(sq.ft. = x/1000
x t.60)
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
PERMIT APPLICATION
O CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ (.p al)
REVIEWED AND PREPARED BY:
DATE:
CONDITION OF A PPROVAL.
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
PROPERTY OWNER
New Construction
Name R ich tin,d J t • v A-
Enclosure
Address
9/8 AJ % q c S' s
ti4i ,•.,„ t S' /dy re- 33/3.)
Alteration Exterior
Home Telephone (3 o n • r . z _ 0 40 1
/
Repair
Business Telephone
0 a
d i . ) . 03 7
Fax a 0 C . ) 7 rG --0 3 4°
TYPE OF MANAGEMENT (/ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Add'l Attachment
Foundation Only
Other
Add'l Detachment
Other
ISTIZIJC7'Ii6 The follow inY s'm ist be `tal�cn to obta 'a$permit fro [hc C 3hores`�'tlla e' :17
Step I.
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:
iFolio NumtI/ 3)-0'6 --- O02-" 00/Q
Lot
Subdivision PB__ PG Zoning Linear Feet
Current Use of Property Square Feet Units Floors
Proposed Use of Property Value of Work 0 0 2 d 0 v Bldg Value
Tenant Information Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
PERMIT TYPE (/ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
ARCHITECT
Name
License No.
Address
Telephone
Fax
Complete the attached permit application which trust 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.
89 9 A/c 9 H
Address
Block
S%
Apt.
PERMIT CHANGE (/ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinfection
Master Permit No.
Subsidiary Permit No. 19 . &OO ,,,,)- • &
l�ld4rnt /t a re, Ft
City State
escription of Work E X'te r t .r PA, a r •
PERMIT APPLICATION
3 ? /3b
Zip
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTO
Name
License No.
Address
Telephone Fax
Qualifier Name
INIPORTANT NOTICES
Page 2
1. 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, P' 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 . F FLORIDA, CO fY OF MIAMI-DADE
STATE OF FLORIDA, COUNTY OF MIAMI-DADE
Signature of Owner Signature of Contractor / Qualifier
int Name Print Name
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida
SEAL:
PERMIT APPLICATION
OR, Produced Identification Personally known OR, Produced Identification
Personally known L, ?�� ,
Type of Identification Produced�l -PL — 7—r)` _ 0 ' " 1.S • 1 Igpe of Identification Produced: