92 NE 95 St (8)7 CONTRACTOR
Name I�Op ' e R N
e
`'
\ License No. 1 G � � /
w
Address O O 1 2 s ry —
Telephone /lv/.�7 q9 Z s-3-2? Fax 2 61 ", i ,
a ° C/
Qualifier Name 64-0,46 ��
PROPERTY OWNER
- PO
New Construction
\Name I
V 1 CA
I �,7 ,_. 1
K-ov iM- J , {(
Address /n C/ pfc
MA-. 54ortf `
\ ' '2 D -- St 3 g
Home Telephone
Repair
Business Telephone
Alteration Interior
Fax
Demolish
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
ti'
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
Step 1.
� Job Address:
Folio Number r.
Lot it ll& -t- p 2 Block 4
Subdivisionfrl to .54pfeS e6 I PB / 0 PG7 0
Current Use of Property C� S l�o
Proposed Use of Property
Tenant Information
PERMIT TYPE ( ✓)
Building 1/
Electrical
Mechanical
Plu�inbing
LPGX
Roofing
Fence
Other
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INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
•
li
Complete the attached permit application ic: fritis;bei�ea b� fhe prdbirty owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accuratpptoc:ss:rg ttyoQr pion. # 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
Address ( S`s
Ap . City' f State Zip
I � � l U /DescpfionofWorkl� t I 0'1 Del
Zoning
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Address
Name
License No.
Telephone
Fax
• • •. ..
• • • • $st i:Petmit No.
• . . •. •
• : : : Sitbridi Oy Permit No.
... ... • . .
Square Feet Units Floors
Value of Work 4'� 5 O Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
PERMIT APPLICATION
a' ataCg wA (l
Dihear Feet i —/
ENGINEER
Name
License No.
Telepho
Page 2
STATE 0
Signature of Notary Public - State of Florida
SEAL:
IDA, CO r , OF MIAMI-D.. DE
_'14f41
ANA M. TORRES
My Comm Exp. 6/6/2003
No. CC 843457
l I Personally Known I I Other I.O.
Personally known OR, Produce
cation
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PERMIT APPLICATION
IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALMATEfl'PERNVT1T'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 14 ACLVAI I, SAMITAIW CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEgt FREE tRol&D11tT:414:1 ];1EBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED'UEQy:'IvZE* blieVE llt'L)RS,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.
Signature o der 4 0
Print Name ✓ t
Siiin subscribed before me this / S day of . ] A-0 ,
Type of Identification Produced:
S1 A OF FLORID NTY OF MIAMI -DADE
il k AA A
t grt.turiiif ontractor / Quali er
64 7�9-i2<- 7a1 2 - 4 6S
5
Print Name
Sworn to and subscribed before me this " . day of
TARP
PUBLIC
/' ` 4&
S .... • • • • : 0 - .. of Florida
SEAL:
ANA M. TORRES
MY Comm Exp. 6/6/2003
No. CC 843457
11 Personaly Itno•.i 1) Opw IO .
Personally known OR, Produced Identification
Type of Identification Produced:
ELECTRICAL
'1'1'1'1:
Minimum Fee
()'1'1'
TV'1'I?
Dryer • • • • •
Q'::'
• '
TY'1'E
O+et,
()'Il'
Tl'1'1:
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
NIECHANICAL
TY'PI'.
Minimum Fee
QTY'.
TY'I'E
Condensate Drain
QTY.
TY1'I:
Generator
()'1'1'.
TN IT
Refrigeration, Tons
(fry.
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C WaWWin. 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
PLUiIBING
TYPE
A/C Condensate
(in'.
'1'V'I'I?
Drains, Roof
QTV'
1 1'PI{
Miscellaneous Fixture
Q
"I
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
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Page 3
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PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type etworlo being performed quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
CHECKLIST
❑ 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.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
• • •
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• • • • • • • • • • •
❑ PROOF OF OWNERSHIP
(Attac41 ••. •• • •
•
• •
❑ HRS / D M. iPKQVAL•
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
••• •
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• • • • • •'
• • • ••.• •
❑ OTHER
(Specify & Attach)
PERMIT FEES
$ 0 ,
$
1 J V ( sq.ft. = x/1000
x ¢.60)
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
SECTION
Zonin
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
ATE
•
• •
❑ CONDO ASSOCIATION APPROVAL
• • • (Attach)
• •
• A BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL
ISSUING OFFICIAL
REVIEWED AND PREPARED BY:
PERMIT APPLICATION
DATE:
CONDITION OF'APPROVAL
Revised July 2001
10050 N.E. 2• AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1 /22/2003
Applicant: DOUGLAS
Owner: ROMANIK
JOB ADDRESS: 92
Parcel # 1132060130450
Permit Status:
Work:
If there is no permit oar_kana
First Union National Bank
° firstunton.com
Org. 003 R/T 067006432
FORgL 4 ss7 1
11
NE 95
Approved Permit Expiration: 7/21/2003
2' HIGH WOOD FENCE ON TOP OF EXISITNG 3" CBS WALL
ttir...... ._.. ••
1:06700643 21: 26 24806? 26
Building Permit
Permit Number: BP2003 -104
ROMANIK
DOUGLAS
ST
Contractor POPEYES FENCE & CONSTRUCTION CO Contractor's Address: 10801 NW 27 AVE
Local Phone:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 3 & W1/2 LOT 2 BLK 4 LOT SIZE
Fees:
FEE2003 -412
FEE2003 -415
Description
Building Permit Application Fee
CCF
Total Fees:
Amount
$60.00
$1.20
$61.20
Total Fees: $61.20
Total Receipts: $0.00
Construction Value:
•
$1,500.00
PAY
TO THE
ORDER OF
Comany
l ence 17055 NW. 78th A ve.
Siialeali, 5L 33015
63- 643/670
BRANCH 13093
/28/o 3
I $;6./g
1
.O /od DOLLARS E
Security
R -+E�il L
Page 1 of 1
PR
B2
2e- inspection
ration herefor in strict compliance with all
ications that may have been submitted to
or if the plans are changed without
onsibility for a thorough knowledge of the
hat he assumes responsibility for work done
s pertaining thereto and in strict conformity
esponisibility for all work done by either
N
• • 4 • • •
• • ....... .. ..: •
•.. •. Ili f . : . . • i - _ "1
Legend.
— Centerline
Res — Residence
Ftl — Found
Conc — Concrete
Cu —. Clear
R/W — Right of way
C11 — Chain Ink fence
Ms — Measured
Encr — Encroachment
SOUTH MIAMI ORAPHII(
•
•
CL K.
( Oat Will - 1
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ti
ti
k
Vg
N 7 ' /o s
ei
. t\ ` co,-;:-. L
t r :
i 4 7-.7 7"l'ic4. ;-. '
r
— Q4VatT6lts basefSbTt
Note. Lands shown hereon were not abstracted DCBM M AI— 44+,
for easements and / or right -of - ways of record. Bev. -Hop, NGV Datum
Legal description provided by client. 1929
i
Bearings if shown are based
on assumed in dian and
r . 1
NOT VALID UNLESS EM BOSSED tMTN
SURVEYOR'S SEAL
.. r•L.:...._ 77717* -r .n
.... • ...e ee .
••• • • •
Law. : C�2IP'S'I01V:: : : : .:.
I of 3 and the West 1/2 o C Lot 2, Block 4, AMENDED PLAT OF
;'Wi't :S 1 SECTTpN W. 1,, <1,cc riling to the plat thereof
as recorded' n ; F ok„ 1, , 10,e 70, of the Public records
of Dade County, F1brl:la. : : • :
••b ••s • • • • •
SURVEY FOR:
ID'IANIF, 2a$ V.„ 4;r% Mid '
92 NE 95th 'St1t,.:11ni: thoi'os , FL
•
CERTIFIED TO:
Douglas W. Romanik and Haydee Pomanik
Marcus & Marcus, P.A.
Attorneys' Title Insurance Fund, Inc.
Combank Mortgage Company, its successors and /or assigns
BOUNDARY SURVEY
I Hereby Certtty: That the attached Sunny ens made
Unger my faeponaible charge and substantially meets
the rittalm fm technlcel standards as set forth by the
FLORIDA StOARO OF U110 SURVEYORS In Chapter
610174. Florid* Adnantetrattre Co • r a 1 to
Section 472.0 S
33138
oc, /O/tY N/,4,o
FLOOD ZONE: X
GARY B. CASTEL SURVEYING, INC.
LAND SURVEYORS
12016 S.W. 132nd COURT, MIAMI, FLORIDA,33186
(305) 253 -9720 (305) 253 -67.67
.1
_ .
r . 1
NOT VALID UNLESS EM BOSSED tMTN
SURVEYOR'S SEAL
.. r•L.:...._ 77717* -r .n
.... • ...e ee .
••• • • •
Law. : C�2IP'S'I01V:: : : : .:.
I of 3 and the West 1/2 o C Lot 2, Block 4, AMENDED PLAT OF
;'Wi't :S 1 SECTTpN W. 1,, <1,cc riling to the plat thereof
as recorded' n ; F ok„ 1, , 10,e 70, of the Public records
of Dade County, F1brl:la. : : • :
••b ••s • • • • •
SURVEY FOR:
ID'IANIF, 2a$ V.„ 4;r% Mid '
92 NE 95th 'St1t,.:11ni: thoi'os , FL
•
CERTIFIED TO:
Douglas W. Romanik and Haydee Pomanik
Marcus & Marcus, P.A.
Attorneys' Title Insurance Fund, Inc.
Combank Mortgage Company, its successors and /or assigns
BOUNDARY SURVEY
I Hereby Certtty: That the attached Sunny ens made
Unger my faeponaible charge and substantially meets
the rittalm fm technlcel standards as set forth by the
FLORIDA StOARO OF U110 SURVEYORS In Chapter
610174. Florid* Adnantetrattre Co • r a 1 to
Section 472.0 S
33138
oc, /O/tY N/,4,o
FLOOD ZONE: X
GARY B. CASTEL SURVEYING, INC.
LAND SURVEYORS
12016 S.W. 132nd COURT, MIAMI, FLORIDA,33186
(305) 253 -9720 (305) 253 -67.67
F
k
5'-O° MAX
2'-0"
Owner's Side
4
a
WOOD FENCES
4" X 4" Wood post
2" X 4" Wood Pad 4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
1" X6" or l" X8"
Wand PIckets
Concrete
".0')
2915 Fences
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.
Wood Posts
(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 foot -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.