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80 NE 94 St (24)Law Offices BURTON and LEE Thomas G. Lee Attorney at Law 11955 West Dixie Highway Tel. (305) 893 -6600 Miami, Florida 33161 Fax (305) 893 -1718 4\ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Q`' Building Inspection Request ---, Type Ins Permit No. Name Address Company Phone # Date Time For Inspector: Approved Correction Re- Insp'n Fee 7 \4 3 Name & Date o o MIAMI SHORES VILLAGE BUILDING DEPARTM 305- 795 -2204 V Buildin Inspection Reques 1 � Permit No hi i q —f g Name Address E Q x.F Company Phone # For Inspector 1 /1)63 dame & Date Approved Correction Re- Insp'n Fee C Miami Shores Village 10050 NE 2nd Avenue g Phone: 305 - 795 -2204 Printed: 3/12/2003 Applicant: Owner: WOLFE JOB ADDRESS: 80 Contractor Local Phone: Parcel # 1132060130300 If there is no permit package access& 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 underste 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. Signed: In consideration of the issuance to me of thi: with the plans, drawings, statements or specif myself, my agent, servants or employes. Signed: NE 94 M em , 2 Legal Description: PAY ORD o f E Building Permit Permit Number: BP2003 -401 AUGUST ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 9/8/2003 Construction Value: Work: $1 .00 REPLACE DAMAGED SIDE WALK AND REPAIR / REPLACE DRIVEWAY PARKWAY AUGUST T, W MIgM 0 l 30 8 0 sFE MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & LOT 2 & E1/2 OF LOT 3 BLK 3 Amount LOT $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 ° nsoectors to verify, there will be no inspections. Re- inspection ' 1 ?3 DAT, 4 6 . 8483 75 3' 6 u C U s Page 1 of 1 `"shed in the application herefor in strict compliance with all - ^ortifications that may have been submitted to • are changed without -~ knowledge of the sibility for work done 4 7 3 $ 66 -Z v DO «A2s B , T o M E °`° a and in strict conformity work done by either Lcgcnd of SiIaccy Abbri Ialirn,a Note A /Sic Distance (C) Calculated CL L11C LIP 011 Overhang I•U Plat nook P/L r,oper ly Line lIP Uld.ly Pole ( 'tangent EL QI/WEE: x EL`Q_QRJNE9.RMAILD& Community Number: . Panel Number/Map # : Suffix:• F.I.R.M. Index Dato: • Base Elevation: 110) VALID WII110U1111E SIGDAIURE ADO 111E 011 RAISED SEAL Or FLORIDA %ACCIISED SURVEYOR AHD MAPPER Clear Lncloadvnent round lion ripe A/C Ai, Conditioning Pad CD Catch Ilatin C/l Center 1 b,. CIP Eleclrlr. Ilanflame, red nn r ound I. on nod • 0110 ofliclal ',scorch Oool.l PC Point of Curvature POD Point of ()ginning WM Water Adele, -1 LME Lelia M.unl. Eaemenl a) All Clearances and /or encroachments shown hereon are of apparent nature. Fence ownership by visual mean . Legal ownership 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 i in the certification. Any other inlended use will require writlen approval from the certifying surveyor or firrn. c) Code restrictions and lisle searcli4are 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 property will or will not be free from fiol ling or damage and does not create liability on the part of the firm, any officer or employee (hereof, for any damage th .1 results from reliance on said information. O The lands depicted hereon were surveyed per lho 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- 1 -95 Not Available Bearings, if any shown based on -'(reforonco)• QEI1TIEIED TO: Rapid Title Services Company; Attorneys' Title .Insurance Fund, Inc.; Wolfe, August, and. Wolfe, 'Jacquelyn, and Homecomings Financial Network, Inc. , its successors and /or a,p•SiCjr:14. • • • • • • • • •• • •• •• • • • •• • • • • • • • • • • • • • ••• • ncn ,COS COLIC rn IM) OUl rcc roc A AE Wolfe, August, and PROPERTY OF: Wolfe Jacquelyn 80 N.E. ••• • • A_BOU.NDARY : Stipp• • 1 hereby codify that the survey NI preee4ed: hewn, meets the minimum: lech,lcah eland.,d• set forth by the Doard of Lind Surveying In chapter •1017 -e Florida AdmInhibatly. Cods xursuant to Section 472.oZ7 Fla. Statutes. Tlmr• re no •nc'o•ch • mettle, overlaps, ea Amm %RAN' I dh • • the Plat, other limn ire girl hf.lo • : • •. •• • • • • • •e O,owa,d County neco,dt Concrete 0locI Slruchne Coombs Found Measured Ove,I,e d Ulility Elnaa Point of Compound Curve Point QI Commencement • Central Angle Anchor Eeternenl •• • . • •• • • • • • • • • • • • . • . • • ••• •• • • .•• • ••• • • • • ••• • • • • • • • • • • • • • • • ••• • • • • • • • • • •. • • • •• •• • • • ••• •• ••• • • • ••• • • • • • • 0100 Cll br rll 11GV0 r PD roc Oudd.. g Chen d Ib,laoce IJ t•nleminl 1...1101. ant IIalinua1 Geodel.e V,, buI Datum Plat Page Point nl 01,11)1 Cu, valu %/`,f,: ; 7± v, {k, •• TIM) DATE t SCALE DnhWN Dr 1 Nu*. sunvE von AnaI.Grrrn lee; M.1 • �- eY]eF•" "^'.. . Pagt 2 of 2 I. 1 1 I . ! 1 ! K 94th Street, Miami Shores Florida ••., :BEALE SMITH #52:18 • • • • • OIIIco Address: 359 Alcazar Ave, Coral Gables, FL 33134 • (305) 666 -7909 ' (954) 523 -066 3 I DRAY'IUUG MO 142008 0,,)• 11 „1 t Dgh MWay Saco in Sv ned Set 1 nn Pipe Side •.Ih I nd. t es nenl P1 Point or l angency .1 Vial. • Melt/ 0/S 011eel • 33138 •� • • � LANNES AND GARCIA, INC. • •• . ; + L.t3. /1209(3 • Surveyors- Mappers -Land Planners — PROPERTY OWNER ^� �• `Name n J5v s ; T W0 IT E Address Pr s�(C l i 4 ( 3313 Home Telephone � ins S 6 3eRct ,D Business Telephone 305 608 -Coct .Z e y 1 7 Fax •3 s . ' sop 2. 8 Z Fi ., . p C 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 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which mre t be • �etb • th po sr • owner and qualifier. Both signatures must be notarized. Please P P PP S �'$r �� o P� P fY 4 g print or type to allow for a more accurate processing:Ayoer application. D'roofint,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 ob Address: 0 E -t 4" Address Apt. Folio Number Lot Block Subdivision Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PB PG PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • ••• • • • • • • • • • • • • •. • • • • City A Description of Work • • • • • • •.• • • • • Master Perrl�it.No. • •'• • •� Stiblicfiajyf errnit No. •••• • • •• • • • • • ••• •• wort k LENd. Zoning Square Feet alue of Work t 3 03 • ax Assessed/Appraised Value L,. PERMIT APPLICATION L1 i t5 R. X7 : '9 State Zip c IJ • w►a• scL s d ,q�, 1\r eyl c Q r-i0£ wJj Linear Feet Units 00 Floors Bldg Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name stliCk Page 2 Personally known OR, Produced Identification • • • • • ••. • Type of Identification Produced: • • • • • • ••• • • • • • • • • • ••••••• • • PERMIT APPLICATION IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVIIQG REXEZVED t'OE)R \A PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are liirutedto: 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 Irl A cLEAt , NFAT SANITARY .CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL 43E KBPI':FI h 1 ART PAD DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DA 4AGEI )BYCQU:Pi41EJTT2)IFVEHICLES, 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 al4 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. int Name Sworn to and subscribed before me thi STA • DA, OU %etc- MIAMI -DADE azure f Notary ' lic -State'. Florida par o Angela M Becker My Commission DD150048 Expires November 15, 2008 SEAL: Personally known OR, Produced Identification Type of Identification Produced: ELECTRICAL '1'1 'PE{ Minimum Fee QTY. TYPE Dryer • • • Q11. • ".'1'.';•: 'Outlet A•pllliatiee Q'rY. TN pi.: Service Repair Q IY. 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 QTV. nil.: Generator QTY. TYPE Refrigeration, Tons Q'I'Y. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/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 PLUI'sIBING TYPE A/C Condensate QTY. .1.1.1.E Drains, Roof QTY TYPI, Miscellaneous Fixture ()Ty. Tvi , l ,, Soakage Pit QT) . . 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 • • • • • • • •• •• • • • • • • • • • • • • • • •• • • • • ••• ••• • • • •• • • • • • • • .•• • •• • • .•• • • • • PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of wortc•I eing•parfovined axd cquantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: 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 Metropolitan Dade County (C.C.F.) Inspector State Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary • .• • • • • • • ••• • • • CHECKLIST ❑ PROOF OF OWNERSHIP • (Aback) • • • . • • • • • • • • • • • • • ❑ wriv vI L • • (Septic / Sewer) • ••• • • • • • • • • • • • • • • • • ••• • • •• • • • • • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES g $ 1, a ( sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) $ SECTION Zoning Electrical Fire Mechanical Plumbing Public Works Structural Building Official BY DATE 00/0 • •• • • • • •• •• PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ,b I / O ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com