85 NE 94 St (11)WHEREAS,
J, f,C'
(owner)
• • • • • • •
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
following described property:
Legal description /folio:
Lot Block Subdivision
Tax Folio R:
requests permission to install:
• • ••• • • • .
•• • • • • • • • •• • •
• • • • • • • • • • •
.
•
• • • • .
... •
• . 4oreO
. • . • . • •
• • • ••• . • . I . • 100SQTIL,SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
• • • • ..Telepho .e: (305) 795 -2207
•
• ••. . • . •...ax 305).756 -8972
. • •
•• • • • •
, hereinafter referred to as the Owner of the
Asphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way o �_ 8 q14,
J .
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
SIGNED. SEALED AND DELIVERED in the presence o
Q
Y
I f
To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may rise by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the
item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all
costs incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and
shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWL 'GE an'th, day of
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2002 -2081
Printed:12 /4/2002
Applicant: J FRANK MC
Owner: COY
JOB ADDRESS: 85
Contractor
Local Phone:
Parcel # 1132060130580 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 22 & 23 BLK 4 LOT SIZE
Fees:
FEE2002 -6874
FEE2002 -6877
NE 94
Description
Building Permit Application Fee
CCF
Total Fees:
Permit Status: APPROVED Permit Expiration: 6/2/2003
Work: RESURFACE ASPHALT DRIVEWAY
If there is no permit package accessible on 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.
This Permit is granted to the contractor or builder named above to construct tl
ordinances pertaining thereto and with the understanding that the work will be pF
and approved by the proper municipal authorities. This Permit may be revoked
authorization. A further condition upon which this permit is granted is the unders
ordinances and regula • s pertaining to the ered hereby whether show
by his agents, sery -:tsi' Qmployees
Signed: ECTOR)
In consideration of the issuance to me of this permit, I agree to perform the we
with the plans, drawings, statements or specifications submitted to the proper at
myself, my agent, servants or employes.
Building Permit
(Contractor
COY
J FRANK MC
ST
Contractor's Address:
Construction Value:
J. FRANK McCOY
85 N.E. 94 ST. PH. 305- 757 -6989
MIAMI SHORES, FL 33138
! G�54
Lvv� u -1
n /
�) � a,,„ .Q t /100 ` 2
Pay to the
order of
Banko
ACH A/T 063100277
For
Amount
$60.00
$0.60
$60.60
$450.00
Page 1 of 1
Total Fees: $60.60
Total Receipts: $0.00
Date
2537
Dollars
63-27/631 FL
993
Bank of America Advantage®
0.31 aqua.
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer .. • • ■
(;T :'.
•
TYPE
l h t et, Appliance
QTY.
TYPE
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
MECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY.
TYPE
Generator
QTY.
TYPE.
Refrigeration, Tons
QTY.
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
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
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE
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
.,__s.. ,
Page 2
IMPORTANT NOTICES
• •
• • • •
• • • • ••
•
• • •
I. DO NOT BEGIN ANY WORK WITHOUT HAVING RECFIV' D YOUP. V.1L: DATED PEI'MI7 A ND 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 k 3F' F EE F20 .I T>I12 f A ND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY 3QUWPMENT OA \EI+ICLES, 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.
_AFFIDAV_I_T - 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, 1s` 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.
E • •i .D
�i g'Ifi
STATE
Signat
TY F MIAMI -DADE
Print Name / Print Name
worn to and subscribed before me this ' day of
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of Contractor / Qualifier
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida Signature of Notary Public - State of Florida
SEAL: SEAL:
PERMIT APPLICATION
Personally known OR, Produced Identification Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
Page 3
•
•
•
• • • ••• •
• • • • • •
• • • • • • • •
•
lb
• .• •
• •.
• • • •
•
• •
• •
• .••
• •
• • . •
PERMIT APPLICATION
. • • • -• - •
INSTRUCTIONS: Please indicate the t} of .yyork bving gerforIndd atld quantity(ies) in the space provided below.
••.
RECEIVED AND REVIEWED BY: DATE:
PROPERTY OW
1 R j j k Jo it. c
Name
Address
J 0 L�- -S,
n
3 c 6 — S !
Home Telephone
Repair
Business Telephone
r
Fax
Demolish
TYPE OF MANAGEMENT (✓ )
New Construction
DATE
Enclosure
..
Alteration Exterior
Electrical
Repair
Alteration Interior
Demolish
Plumbing
Relocation of Structure
Shell Only
Foundation Only
Public Works
Add'l Attachment
Other
; ��E,�
Add'l Detachment
Building Official
Other
SECTION
BY
DATE
Zoning
..
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
; ��E,�
Building Official
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$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
•
• •
• •
•• •
• • ••• •
• •
•
❑ PROOF a OWNERSHIP
(Attach)
•• •• •• • • •
• • • • • • • •
❑ HRS / 17ERIvi AIrtO�A
(Septiok Sewer): • • • •
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
• ••
• ••• • •
• • • • •
• • • ••• •
(X .ft. = x/1000
$ (¢.005 /sq.ft.)
(¢.01 /sq.ft.)
•
•
•
•
• •
• • ••
REVIEWED AND PREPARED BY:
•.
•
PERMIT APPLICATION
• •❑ CONDO ASSOCIATION APPROVAL
(Attach)
•
• ❑ BPR APPROVAL (Restaurants)
••
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ v • 14 0
ISSUING OFFICIAL
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
S
St
K lob Address:
NC_D
Address
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Oat
al
or
llil
PAN AMERICAN
CONSTRUCTION CO /MIAMI
�-
ROROA'S PQSM:ER ROAD BIRDER
FAX (305) 477.4262
APPLICATION
Apt.
Folio Number J �O � O /3 -u /
Lot ?-' Block 7
Subdivision
Current Use of Property
Proposed Use of Property
Tenant Information
tion with all necessary documents to the Building, Planning and Zoning Department for processing. During the
n, you may be asked to submit additional information.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
lVM
8000 NORTHWEST 74TH STREET
POST OFFICE BOX 660596
MIAMI SPRINGS, FLORIDA 33166
J. FRANK McCoy
EXECUTIVE VICE PRESIDENT
City
escription of Work
PB PG Zoning Linear Feet
Square Feet its
I ue of Work I Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
State
PERMIT APPLICATION
si natures must be notarized. Please
TELEPHONE a roofing application must be submit -
(305) 592 -5030
Zip
4Q ,f a
Floors
ENGINEER
Name
License No.
Address
Telephone
Fax
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE. FLORIDA
❑ DATE 195
❑ PERMIT N? 4341 Contractor's
License No
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description — B1
Address of
Building
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. ;
Signed.
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
Subdi-
vision
Value of Amount of
Project $ ` +I Permit $
BY AUTHORITY s