80 NE 94 St (14)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Type Ins
Permit No.
Name
Address
Company
Phone #
Date Time
For Inspector: �� 3
Name & Date
Approved
Correction
Re- Insp'n Fee
Permit No.
Name
Address ve . 7\0-5k-
Company
Phone #
For Inspector J 6 3 131ame & Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMEN
305- 795 -2204 / O5
Building Inspection Reques
cc)
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/12/2003
Applicant:
Owner: WOLFE
JOB ADDRESS: 80 NE 94
Contractor
Local Phone:
Parcel # 1132060130300
Legal Description:
Building Permit
Permit Number: BP2003 -401
AUGUST
ST
Contractor's Address:
Page 1 of 1
MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & LOT 2 & E1/2 OF LOT 3 BLK 3 LOT
OT
$1.20
$60.00
$5.00
Fees:
FEE2003 -1506
FEE2003 -1507
FEE2003 =1508
Description
CCF
Building Permit Application Fee
Notary Fee
Total Fees:
$66.20
Total Fees: $66.20
Total Receipts: $0.00
Permit Status:
APPROVED Permit Expiration: 9/8/2003 Construction Value: Work:
$1 .00
Signed:
REPLACE DAMAGED SIDE WALK AND REPAIR / REPLACE DRIVEWAY PARKWAY
If there is no permit package accessiJ
fee is $50.00, which must be paid in adv
This Permit is granted to the contractor or builder
ordinances pertaining thereto and with the understa
and approved by the proper municipal authorities.
authorization. A further condition upon which this
ordinances and regulations pertaining to the work
by his agents, servants or employees.
In consideration of the issuance to me of thir
with the plans, drawings, statements or specif
myself, my agent, servants or employes.
MEly
PA Y TO rNE
O
RDER OF
- r nsoectors to verify, there will be no inspections. Re- inspection
' ' 4 Ctlon.
AUGUST r W
44 `E 33 j 8 O 6FE
11
l it a t sh n nM ngto
%m ;ns U tuaI
I1 gs. r 3 66 er 1756
147 6 84 / hi: 488 8'►(� S
x PS
1
4 ?3
-•' —ihed in the application herefor in strict compliance with all
- ^ °rifications that may have been submitted to
""'Qns are changed without
knowledge of the
sibility for work done
63 ' 1 4/V2 67 ,
8 848
DA _V
0
s 66 .zv
4 7 3
Rs e
O M E '+ �'
R
and in strict conformity
work done by either
LcgcndsLaur_yeyllbLrmdalism
Notu
A Aft Distance A/C Air Conditioning rad
(1:) Calculated CO Catch natin
Cl Clear C/L Center 1 Ins
(IIC Encroachment (IP Electric, Random., Pad
rlr Found bon Pipe Fin round bon nod •
011 Overhang
I'U Pbl Dook
r/l
Properly Line
UP Ulddy Pole
r lenient •
ELSLQQ2QNE: . x
EI.Q_Q UE9.RMAIIQM:
Community Number: .
Panel Number/Map )# :
Suffix:
F.I.R.M. Index Date:
Base Elevation:
1101 VALID W1111OUI IIIE SIGHAIURE AHD
111E 011iGIHAL RAISED SEAL Of 110111114
MIcll0(0 SUnVEYOn AIM MAPPER
ono Official Record, Dooks
PC Point 01 Curvature
POO Point of ()ginning
WM Water Aldo
WE Lake M.,inl. Easement
a) All Clearances and /or encroachments shown hereon are of apparent nature. Fence ownership by visual mean .
Legal of fences not determined.
b) The issue of this survey is only for the exclusive and specific use of those persons, parties or institutions show in the
certification. Any other intended use will require written approval from the certifying surveyor or firm.
c) Code restrictions and Idle searcli,are not reflected on this survey.
d) Underground utilities and encroachments, if any, not located. .
The flood information shown hereon does not imply that the referenced properly will or will not be free from floc ling or
damage and does not create liability on the part of the firm, any officer or employee thereof, for any damage Ih .I
results from reliance on said information.
() The lands depicted hereon wero surveyed per the legal description and no claims as to ownership or matters o title
are made or implied.
g) This survey is not to be relied upon for construction.
120652
12025C0093
J
7 -17 -95
Not Available
Bearings, if any shown based on '(reforence)•
QEIUJFJED T0:
Rapid Title Services Company; Attorneys' Title Insurance Fund, Inc.;
Wo.l.fe, August, and .Wolfe, Jacquelyn, and Homecomings Financial Network,
Inc. , its successors and /or a0Sit4,. • •
•
•• ••• •• • • • ••
• •
••••
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• • • • •
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IICR
,C(IS
COIIC
Fl/
(M)
flu(.
rcc
roc
A
AE
••• •
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&BOU.NDARY sup • •
1 hereby county that the survey Attpressya•d:
e
hereon meets the ndrit hn` Iechdlcab
sland.,rds set forth by Ib• Board of Lind
Surveyor@ In chapter 810174 Florida
Administrative Cods f ureuant to Section
472.017 Fla. Statutes. Tlu• no •ncro•ch
manta, overlaps, •aAmnrlb trlpvla dh
the Plat, other than + s i�uw�l hfelo • •
•• ••• • •
Elmwood County Record/
Concrete OIo:1, Structure
Concrete
found
Measured
Overhead Ulilily Lint
Point of Compound Curve
Point 21 Commencement •
Census Angle .
Anclwr Easement
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Wolfe, August, and
PROPERTY OF: Wolfe Jac uel 7n 80 N.E. 94th Stree
•
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,Miami Shores Florida
• • ▪ • L.B. 112090
•�• •..: LANNES AND GARCIA, INC.
• • • •
•
•
•••
Surveyors- Mappers -Land Plann(1rs
••• IDEALE SMITH #152:18
had. r
I. 1 slid. t
I� l n•gb M Way
• Sect
Sa. ned
Sell nn Pipe
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IIDI. ,
tar. nerd
flat.. Melt.
33138
•
• orrlco Address: 359 Arcazar Ave. Coral Gables. FL 33 134
• (305) 666 -7909 • (954) 523.066 3
scAle
Dll /WWN OY ORAY'1UG 110
• 142008
A.4111••1•1•11 VIM
— PROPERTY OWNER
Q
Tame
['
` c V% T U7 o IT E
Address
rr t Prwt.t skoC(s -Ft 3313
Home Telephone . s-4 7 e{y q trr 6 , Dm40
3
Business Telephone 2 Qb81 re Y1Z 7
Fax '305—e Z @ ?IS ,
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'l Detachment
Other
Complete the attached permit application which mti t be r ed b • the po erty owner and qualifier. Both signatures must be notarized. Please
P P PP S ��' o
Y P P Y 9 8
print or type to allow for a more accurate processing:Ay1r application. tf'roofirlg 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.
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
APPLICATION
ob Address: O E -( 4 ✓
•
Address Apt. City State
>+ olio Number
W 4
IS E � 1 �J PC W1A �C CL Si A / �
Lot Block C L escription of Work �n3 Cl. At f t � brioE N YIF /kAJ � £E P � y
Subdivision PB PG Zoning Linear Feet
Current Use of Property Square Feet Units Floors
Proposed Use of Property aloe of Work 3 ob • 190 Bldg Value
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
• • •
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• • • • • • • • • • •
•
• •
• •
• .••
• • • • Master Peri t.No.
'• : Stjbsidiagya)el+mit No. 1
•• • •• ••••
• • ••• • • •
•• • • • • • ••• •• •
L.
•
1/27
PERMIT APPLICATION
IM, r l4\--Uti, t 51 1115 f(. Q/.'
Zip
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
Page 2
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IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVIIIG REtEtVED \'OIJR Ni:A LIDAT O PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limiteIto: 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 MAINT AINED Ir1 A ct,,EAIy, NFAT SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL 43E I: • r:FI'j�E ,71VI41 ART PAD DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING D AMAGED B Y 4EQUJP141EI IT3)F 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 ali
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.
STAT • F FLO A, CO OF IAMI -DADE
EAL:
Personally known
ry Pubic- ta eofFl• da
.19,00 Angela M Becker • 4
My Commission DD150048
% w adQ Expi November 15. 2006
OR, Produced Identification
Type of Identification Produced:
• • • • • • •
• ••• • • •
• • • • • •
• • • • • • • •
SEAL:
PERMIT APPLICATION
lic - 'State'. Florida
R ,pu
PLik Angela M Becker • My Commission DD150048
n d Expires November 15, 2006
Personally known OR, Produced Identification
Type of Identification Produced:
ELECTRICAL
TYI'I:
Minimum Fee
QTY.
'I'YI'P:
Dryer •• •
Q 11.
•
': Y:' ;
'Ouflef; AlIfiliaftee
Q'I'Y.
'I YIT
Service Repair
Q'I'
A/C Central 1 -3 Ton
Fan
Dryer Vents, Number of
Outlet, Wall
Ventilation, Cost
Service, Temporary
Air Handler, Tons
A/C Central 4 -7 Ton
Piping, Flammable Liquid
Fire Pump
Outlet, Switch
Fire Sprinkler System
Signs
A/C Central 8 -15 Ton
Bath Fan - Vented, #
Fixture - Fluorescent
Pressure Vessel
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
Minimum Fee
QTY. TYPE
Condensate Drain
QTY. TYP1.;
Generator
Q•I-y. •l'yl'E
Refrigeration, Tons
QTy.
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wa11/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Solar Water Heater
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Cap - Fixture
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Pump and Abandon
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTV'.
TYI'F
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 wort'Iieing •parfo,med and cquantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
CHECKLIST
O 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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••• • • • • ••• •
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❑ PROOF OF OWNERSHIP
• (Attecb) . • • • • • •
• • • • • • • •
•
❑ IMPACT FEE
(New Construction)
SECTION
Zonin:
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
1
DATE
MAIM
BY
• •
I4U • •,r.•Ah• • • •
(Septic / Sewer)
O OTHER
(Specify & Attach)
Metropolitan Dade County (C.C.F.) $ 1 t DN (sq.ft. = x/1000
x V.60)
Inspector State Educational Fund $ (¢.005 / sq.ft.)
$ (Q.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
O CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
TOTAL $,b
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL 0 (305) 795 -2207 o FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com