999 NE 94 St (4)Cv T T► lia G 0 R P .
New Construction
(�
Name p o i-(� M 4- y` P v&-72-
Name 3 0 -- s o 9 3- 1 34-
/tie- . 94 sv ,t4 . 4-04/ site0,0
Home Telephone
License o. 9 9 0 t i4,4( ! 2 Oe *sot
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5 /' - `
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Address !' , 1 �l S P e4-c ,( Ft r 3 3)
3 384)-616ga
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Telephone LCO,✓4Q 1J Jo , fj� A
V
Relocation of Structure
Qualifier Name
Foundation Only
PROPERTY OWNER
New Construction
(�
Name p o i-(� M 4- y` P v&-72-
Address
9
/tie- . 94 sv ,t4 . 4-04/ site0,0
Home Telephone
0 257 '
257
f
5 /' - `
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Business Telephone
Demolish
Fax
Relocation of Structure
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
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PERMIT APPLICATION
• Master Permit No. ▪ •
• • . . . •
• • • • Su Permit No. "a0Op2 • c-1 d
• ...
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
•
Complete the attached penfl{I mrt be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a r of a :curate peoc of your application. If 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
Job Address: 9 q e i C q 4- ST , R / 1 4 , s ifo f5 L—
Address
Folio Number > \ Description of Work ' 0 a r4 r �/✓� .
Lot Block
Subdivision PB PG Zoning
Apt. City State Zip
Linear Feet
Current Use of Property Square Feet Units Floors
Proposed Use of Property iX Value of Work
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Y
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
ST "' F ' ' COUN Y MIAMI -DADE
SEAL:
Signatur:(.f Notary Pu is - State •f Flonda
,••• AngelatiBeCker
My commission DD15064e
'). ., dR Expires Wafter 15, 2006 r
Personally known OR, Produced Identification P l 1
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•
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PERMIT APPLICATION
IMPORTANT NOTICES
I . DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIILL TBD PERMrr AND PERMIT CAttbf 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, NLrA'r $AVC114,r'GOtDCFl 1Eree from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROIYv MRT A11D b 2 n.s.: : • ; • •
4. SWALES MUST BE PROTEC;1'bD FROM BEING DAMAGED BY EQUIPMEN T; ORMHI1Lt,S, 14 Y 1■07' 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.
STATE OF FLORI n A, C F MIAMI -DADE
Signature o i r / Qualifier
1.� tu '2 t-o (/
Print Name
Sworn to and subscribed before me this
to pi pgjdaBecker
My Commission D0150048
a
+� �� „or Expires November 15, 2006
Personally known OR, Produced IdentificatJ
Type of Identification Produced: CI 1 v ' J _J /G L/ 6 Type of Identification Produced Y p ' - V"
SEAL:
ELECTRICAL
'1'1'1'P.
Minimum Fee
QTY.
TYrE
Dryer• • • • • • • •
Q rV.
• •
i'VI'E
Outlet, Appliance
QTV'.
TVPi:
Service Repair
Q'rV.
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
TYPI',
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY.
TVI'1•;
Generator
QTY.
'I'VI'E
Refrigeration, Tons
Q'rV.
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.
'rYl'1•:
Miscellaneous Fixture
QTY.
'rm.:
Soakage Pit
Q'I'V'.
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 i icatwthe t'y df vorlkleing,performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
SECTION
BY
./91
D
7 1
Zoning
IP /0% _e/lf
Electrical
1
Mechanical
Plumbing
Fire
Public Works
Structural
)
Building Official
_.—i 1
l`t -
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
$
Cl PROOF OF OWNERSHIP
(Attach)
• •••
• ❑ •
HRS / DERM APPR(VAL : • • • C� BP�t iPPJJVAL (Restaurants)
•• •••
• • •
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
6 —
$ ,0
•• • _ : . . :
• ••• • •
• • • • •
• • • ••• •
.•• •
( sq.ft. = x/1000
x ¢.60)
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
•
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••.• • • • • • ••
• • • •••••• •
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
.. • (Atiaoto)
• • • • • • •
• •
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL Sep" _ o�
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 m FAX (305) 756 -8972 http : / /www.miamishoresvillage.com
3
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12 /19/2002
Applicant: AURELIO PEDRO
Owner: MARTINEZ
JOB ADDRESS: 999
Contractor
Local Phone:
Parcel # 1132060350010
Permit Status: Permit Expiration: 6/16/2003 Construction Value: $1,200.00
Work: EXTERIOR PAINTING AS PER AGREEMENT
Fees:
FEE2002 -7282
FEE2002 -7283
FEE2002 -7285
Description
Building Permit Application Fee
CCF
Notary Fee
Total Fees:
Amount
$60.00
$1.20
$5.00
$66.20
Total Fees: $66.20
Total Receipts: $0.00
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.
,,FIZZSga -,
NE 94
This Permit is granted to the contractor or builder named above to construct the build
ordinances pertaining thereto and with the understanding that the work will be performe
and approved by the proper municipal authorities. This Permit may be revoked at any
authorization. A further condition upon which this permit is granted is the understandin
ordinances and regulations pertaining to the work covered hereby whether shown on th
by his agents, servants or employees.
Signed:
(INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covti
with the plans, drawings, statements or specifications submitted to the proper authoritie I
myself, my agent, servants or employes.
I r
Signed: (Contractor or Bui■ (:
Building Permit
Permit Number: BP2002 -2190
MARTINEZ
AURELIO PEDRO
ST
Contractor's Address:
Legal Description: 5 6 53 42 MAGEE & HAWKINS SUB PB 51 - 5 LOT 1 LOT SIZE 84.250 X 148 OR
?71: 0035009
rA Pedro
•.` F.O. Box 530516
'Miami Shores, FL 33153
Pay tot)
Ordc
Banko
ACH FVT 00
For
IMF, 3 LOO
Page 1 of 1
his+
1267
63- 27/631 FL
937
ate
29 ?11■ L 26?
t66: &
erica Advantage"
DATE:
1V11L�.ly Y .►� 'lJ' �C.� V YLLAI - J+
Pant c i•i *pproval and Agreement
•.. • ...
col27-.- •
•
• •
OWNER'S N A M v I E : ! V V . ) : t 1 erlrt ,4., }, -/--'PpPHONE:
ADDRESS: 9 f 9 Z,Ps+
* * * * * * * * * * * *r* * * * * % * *; ** s********* ** * * * * * * * * * * * * * * * * * * * * * * * * * * * **
. •. •..
ADDRESS OF SI: : •
CONTRACTOR & LICENSE•(ifapplicable) 4Q.nN -a as Y, 5 0 9 7 3y
COMPANY NAME: 1/ 1,4- 4-1 lQ C 0 rtc, PHONE: *3 a S • " 9• 6, 3
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * i * * * * * * * * * * * **
All Elements on the site must be listed and indicate the calor to be painted..
Walls Cc I o 9 i 1 6'1 S; e n f) us, s7
Fascia hA.:t :
Drip Cap/Drip
Soffit
Roof �,� oat,
Flower Bins Tc - fi -
Shutters
Awnings L
Chimney
Doors and door jams
Garage Doors •
Railings
Fences
Decorative Metal
All brick (simulated or regular
Stucco Banding
Any other stucco features
Accessory'Buildings
Other
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
sam
APPROVED:
Buil• ing Offici
Date
303 7S/ -
r
0
0
•
cn
r
cn
SiP�yt�
CU; s
ignature of Owne Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
•
4/23/01
MIAMI SHORES VILLAGE
Pairii•a1ar..Approval and Agreement
DATE: • • • •• •
OWNER'S NAME: ,• fie ?illrA••N��-�.
ADDRESS: ••• • • 9'9 4 /e 9
APPROVED:
• • •
************************1********* * *** * * * * * **** * * ** * * * * * * * ** * * * **
•• • • •. •• ••• . ••
ADDRESS OF SI'tE:.•, , • • •
CONTRACTOR 8t•)✓IttI17 (if epplicable) LEni✓Ae,90 (ter 3 0 .-so °7 /3 4-
COMPANY NAME: t/r (& TI (. Co P-P . PHONE: 31,5 -- 3 e 9 - ,C 3,‘
************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls NS 2 a
Fascia M
Drip Cap/Drip Edge IA) k
Soffit
Roof 101 f —
Flower Bins riA/ -> f i
Shutters
Awnings W ( (
Doors and door jams 'wH ITT-
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regular
Stucco Banding
Any other stucco features
Accessory
Other
Building Official Date
4OYY 90/519
Rayo do Sol
R ;tor
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 contra • , if applicable, to
do the work stated. F rthermore , the paint colors ill , •e;rA the attached
sa s
ature of Owner Date Signature of Contractor Date
SLnsno /or
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
/2 -3- oz
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
4/23/01
•
The Sunshine State —
LICENSE RiIABER
V400- 520- 65 -086-0
LEONARDO VILA
990 BIARRITZ DR 0602
MIAMI BCH, FL 33141-0610
BIRTH DATE SEX HOT. REST. ENDORSE.
03-06-65 M 6-10
ISSUED EXPIRES
11 -1049 08-06 -08
U3130124
Operation of a motor vehicle constitutes consent to any sobriety test required by law
zr
DUPLICATE
03 -13-01.