BP2003-1765Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida. and all provisions of the Laws of the.
State of Florida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
APPLICATION FOR BUILDING PERMIT
Registered Architect and/or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on: // J g 0 n
Lot 179 (� Block % _ Subdivision j i `�� A tC..P'
Street and Number where work is to be done 0 ( • / ��'
for colors (submit samples)
i e
State work to be done and purpose of building (by floors). state
/ / \
and for no other purposc
New Building Remodeling
To be constructed of Kind of foundation
a go& -}--
Estimated Total cost of improvements S
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
1 hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida \ \'orkmen's
Compensation Act. being Section 5966, Compiled General Laws of Florida. Permanent Supplement. and has complied with the provisions thereof, and will require similar
compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection
on the site of the work such public notice or notices as are required by the Act. The undersigned agrees employ only such subcontractors. on work to be performed
under this permit. as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared
to me well known.
and who. being by me first duly sworn. upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application. and that he did sign the same, and that all facts therein by him stated are true.
Permit No.
�a l3a.E G i e c /#i fi 33/6
Disapproved Date
(Signed) fil�
BuiltriRg4sspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
G c 6c 1Weofi
Addition
IJI 37/P
Amount of Permit S
Date /gf9f Read. Sworn to and Subscribed before me.
PLANNING BOARD DATE
y /
Date 19
N0.71 Street_9 - f — '
Repairs
Roof Covering
J - ®7
Notary Public. State of Florida
No of Stories
My Commission Expires
e 6-
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 825.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship.
CHASTAIN FENCE COMPANY, INC.
901 N. W. 143R0 STREET
Exist' 14
C.L.
1
'Mk
• MIAMI, FLORIDA 33168 • PHONE 688 -0541
/C A
/66/ / E 6 : 4'
Lo f / 7c Ic
k 532
Scc- heti
/0 3
BuLL'ders of Better. 'Jenee
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): : ildin Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) �TOs -e- ��P Phone # ODS) r? S''7 '76 4 / 4 /
Owner's Address /Dc' / 9A Cvl
City , 44y2/ .S! a r e8 State Zip - /3 P
Tenant/Lessee Name Phone #
Job Address (where the work is being done) -s/
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO v
Contractor's Company Name
Contractor's Address
City
Qualifier
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit ,gS 3D0 .49 Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration :New la Repair/Replace ❑ Demolition
Describe Work: �XIli/ic// >rr7 c e e /2 /VLel e'Q /74°. /^ a' (� ce'i/ .74' // ' F /
/�ij/i/ ,:-., /' / GAS+ /-c. G- /)ii G /DUL /� . '3;4 ,- z6/4 eyar r /'s1
(3-(1-4. * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ 50 .00 Permit Fee $ /Oa� 00 CCF $ 0,40
Notary Nota $ Training/Education Fee $ (J' o ® Technology Fee $ t 5 0
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ di. 3 0
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
°-° i Tel: (305) 795.2204 Fax: (305) 756.8972
ne7
Master Permit No.
Phone #
Permit No P2 2 r e i S
Zip
4
Bonding Company's Name (if applicable)
•
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
a
Owner or Agent
The foregoing instnunent was acknowledged b
day of , 20 by
who is personally known to
NOT
Sign:
Print:
My Commission
APPLICATION APPROVED BY:
Chc 10/14/03
ho has produced
As identific Viat
P _ Coommmission #DD2 1984
ul 13 2007
me this
e an oath.
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: .
My Conunission Expires:
******** *** * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******,*****************,************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
NOV 1 2 2003
Plans Examiner
Engineer
Zoning
VILLAGE OF MIAMI SHORES
I �� Alfa being the legal property owner, for the property
Located at: /o o/ ,VE PA , brit e C
Legally described as '
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7),And I have read and understand the following disclosure
Statement, which entitles me to' 3 ork as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction yourself. You may build or
improve a one - family or two-family residence or a farm out - building. You may also build or improve a
commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the
construction is completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that people employed by you have licenses required by state law and by county or municipal licensing
ordinances. Any person working on your building who is not licensed must work under your supervision
and must be employed by you, which means that you must deduct F1.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) r�. initial of reviewing clerk. The foregoing instrument
Was acknowledged before me this / day of t OUQ , 20 c
who is personally known to me or who has
as identification and who did take an oath.
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE STATEMENT
Owner
DISCLOSURE STATEMENT
bet Vargas
ission #DD231984
pires: Jul 13, 2007
°° Bonded Thru
aA `' Atlantic Bonding Co., Inc.
November 6, 2003
Permit for: 1001 N.E. 96 Street
Owners: Patricia Broggi and Jose Dap
Project: Extend the fence in the NW comer of property adjacent to the alley 9'.
Add a 10' gate with double door which open in.
Materials wood
Refer to survey and enclosed photo of gate design.
CRITIQUE SHEET
JOB ADDRESS Wit l" 7; F S T
APPLICANT 0
PHONE it
APPUCATION
SHEET OF
MISCELLANEOUS
r
DATE
ZONING
COMMENTS
c Se 7'64 e.1' O'
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT
SECTION BY DATE
ZONING
ELECTRICAL •
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to corapilancs with aft Federal, State,
County. Village cotes end reputations. Village assumes
no responsibility for accuracy *Mr results fro
2. Thls copy of plans moat be available on
!wilding site or no Inspection tall ba conducted.
INITIALS
15 /ie?
Miami Shores Village
10050 NE 2nd Avenue
Building Permit
Phone: 305 - 795 -2204 Permit Number: BP2003 -1765
Printed: 11/12/2003
Applicant: PATRICIA ANN BROGGI
Owner: BROGGI PATRICIA ANN
JOB ADDRESS: 1001 NE 96 ST
Contractor
Local Phone:
Parcel # 1132060143740
Signed: (INSPECTOR)
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 5/5/2004 Construction Value: $300.00
Work: GATE FOR BACK ENTRANCE AND EXTEND FENCE
Page 1 of 1
Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 17 & 18 BLK 82 LOT SIZE
Fees: Description Amount
FEE2003 -7083 Building Fee $100.00
FEE2003 -7084 CCF $0.60
FEE2003 -7085 Notary Fee $5.00
FEE2003 -7086 Training and Education Fee $0.20
FEE2003 -7087 Scanning Fee $3.00
FEE2003 -7088 Technology Fee $2.50
Total Fees: $111.30
Total Fees: $11130
Total Receipts:
GS SO (- �
NOV 1 7 PAID
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 accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
MIAMI SHORES VILLAGE ,�
BUILDING DEPARTMENT G c
305- 795 -2204
Building Inspection Request
Datet*3 Time
Type Insp'n b/ -r Io 1 C
Permit No. SP 63 f 1 WSJ S
Name al ja3e
Address IOU 1 NE qb
J-
Company
Phone #
For Inspector: 0101 J Name & Date
Approved
Correction
Re- Insp'n Fee
4
MIJ\MI VILLAGE
B4DING DEPARTMENT
305- 795 -2204
Building Inspection Reque.st
Date Q I O 3
J I Timee
Type Insp' n i(U -r1 / IU Ctncis
Permit No t ' .. e)P V 1
Name jo.)e.
Address 100 i NE q (o .
Company
Phone #
For Inspector: 0.04 Name & Date
Approved
Correction
Re- Insp'n Fee
Boundary Survey
Scale: 1" = 30'
This Survey Map is not valid without the signature and original raised
seal of a Florida Registered Land Surveyor and Mapper.
30.00'
30.00'
1.22'
FD. D
HOLE
FD. NAIL
25.08'
8
OCK 82
L.P.()
P.C.
D.:DF.f1
21.30'
21.30'
35.00'
//- //- //- / /-- //
17
BLOCK 82
100.00' P.
1
7
Lu
C -1 M.
= 89 °50'57"
R = 25.00'
T = 24.93'
L = 39.20'
C -1 P.
= 89 °22'02"
R = 25.00'
T = 24.73'
L = 38.99'
FD. DRILL\
HOLE
y\
N--15' ALLEY
N.E. 96TH STREET
70' TOTAL RNV
LEGEND & ABBREVIATIONS
A• ARC DISTANCE L. LENGTH "®'' CONCRETE NC. AIR CONDITIONER A E.. ANCHOR EASEMENT ASPH• ASPHALT D.B.• DEED BOOK
BLDG. BUILDING ELEV.• ELEVATION C.M.• CONCRETE MONUMENT CLF • CHAIN LINK FENCE D.E.• DRAINAGE EASEMENT CH• CHORD
B.M.• BENCH MNiA D.M.E.. DRAINAGE & MAINTENANCE EASEMENT B.C.• BLOCK CORNER D.• DESCRIPTION OR DEED ENCR.• ENCROACHMENT
D.R.• BEARING REFERENCE C. CALCULATED F.N.. FOUND NNL F.0.H. FOUND GRILL HOLE F.I.P.• FOUND IRON PIPE F.I.R.• FOUND IRON ROO
C.O.• CATT)I BASIN FD.• FOUND F.P.N.• FOUND PARKER-(NON NAIL F.F . FINISHED FLOOR M.M• MANHOLE PO . PAGE R.. RADIUS
�• CENTRAI ANGLE/DELTA CH. BRG.. CHORD BEARING CI • CLEAR E • CENTER LINE N.R. NON RADIAL C8.5.• CONCRETE BLOCK STRUCTURE
W000 FENCE CATV • CABLE UTILITY BOX M.• FIELD MEASURED M° MONUMENT LINE C.E33 COVERED AREA RAD.• RADIAL
LANG. BLOCK' HALL TYP N.T.S.• NOT 00 SCALE O.M.L.. OVERHSAD UTILITIES 0.9.8 . OFFICIAL RECORDS BOOK SEC.. SECTION
-X -X- CHAIN LINK FENCE k PROPERTY LINE P. PUT P.P.. POWER POLE: P.R. PLAT BOOK P.C.• POINT OF CURVATURE
P.S.M.• PROFESSIONAL SURVEYOR AND MAPPER P T.• POINT OF TANGENCY P.C.C.. POINT OF COMPOUND CURVE P.O.L.• POINT ON LINE
P.R.C.• POINT OF REVERSE CURVE 9.0.6.. POINT OF BEGINNING P.O.C.• POINT OF COMMENCEMENT P.C.R. PERMANENT CONTROL POINT
P.8 9.. PERMANENT REFERENCE MONUMENT REC.• RECORDED DIMENSION RAY. RIGHT OF WAY 5.I.R.• SET IRON ROD 8 CAP SINK. SIDEWALK
TEL. TELEPHONE. FACILITIES TX. TRANSFORMER T.B,M.• TEMPORARY BENCH MARK T.O.B.• TOP OF BANK TYP. TYPICAL T.. TANGENT
INNS= TOWNSHIP U.E.• UTILI YEASEMENT W.M.• WATER METER W.C.• WITNESS CORNER W.F.• WOOD FENCE 0 . 00 ' EXISTING ELEVATION
E.O.W.• EDGE OF WATER ® WOOD DECK /' \• •ASPHALT
x 1.95'
FD. 1/2"
I.P.
Page 2 of 2
Survey No: 01491
16
BLOCK 82
Odalys C. Bello, P_S.M_
PROFESSIONAL SURVEYOR AND MAPPER
12230 S.W. 131st Avenue, Suite 2Q1
Miami, Florida 33186
Tel: (305) 251 -9606 Fax: (305) 251 -6057
Boundary Survey
Property Address:
1001 N.E. 96th Street
Miami Florida 33138
Certified To:
Jose Antonio Dap
Citizens Title Services, Inc.
Old Republic National Title Insurance Company
Argent Mortgage Company, LLC
its successors and/or assigns, as their interests may appear.
Flood Insurance Rate Map (FIRM) Information:
Page 1 of 2
Survey Number: 1491
See Reverse
Flood Zone X Base Flood Elevation n/a
Community Number 120652 Index Date 07/17/1994
Suffix J Panel Revised Date 03/02/1994 Panel Number 0093
Notes:
1. Legal Description provided by the client. This survey does not determine or imply ownership. ",
2. Examination of the abstract of title will have to be made to determine recorded instruments, if any, affecting this property.
3. Unless comparison shown, all bearings,.angles and distances shown along the boundaries are same as plat values.
4. Elevations and vertical data, if Chown are referred to N.G.V.D. 1929.
5. Underground utilities, footings, and /or underground encroachments are not located on this survey map.
6. Fence ownership not determined. Apparent fence clearances and /or encroachments are noted by visual means only.
7. No identifications caps found on recovered monuments, unless otherwise noted.
8. This survey is exclusively for the use of the parties to whom it is certified.
9. Additions or deletions to this survey map;end /or'report are prohibited.
10. This survey map is not valid without the signature and original raised seal of a Florida Registered Land Surveyor and Mapper.
4
Legal Description:
Lot 17 and 18, Block 82, MIAMI SHORES SECTION No. 3, according to the map thereof, as recorded in Plat Book
10, Page 37, of the Public Records of Miami -Dade County, Florida.
•
I hereby certify that this Sketch of Survey of the hereon described property is a true and correct representation of a
survey made under my direction and said survey is accurate and correct to the best of my knowledge and belief.
Field Wok Date: O$ . 260' 03
•
Certif ions Revised: 09/26/2003
Completion Date: Og io
Odalys C. Bello, P. S. M.
Professional Surveyor and Mapper No. 6169
12230 S.W. 131st Avenue, Suite 201
Miami, Florida 33186
Tel: (305) 251 -9606 Fax: (305) 251 -6057