1044 NE 97 St (6)BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circl
-
Owner' s Name (Fee Simple Titleholder)_ > ; R : �1., r t F t . =" . ).. ° Phone # • `(. "
Owner's Address 4 4 Nt ' 't
City si vii 17.6m. ( State
Tenant/Lessee Name
Job Address (where the work is being done) (
City Miami Shores Village County ' iami-
Is Building Historically Designated YES A da NO
Contractor's Company Name
Contractor's Address
� t .\
City State
Qualifier
Architect/Engineer's Name (if applicable) Phone #
Architect/Engineer's Address
City State Zip
$ Value of Work For this Permit Jr- ( I l
'Miami Shores Village
Building Department
Building , A ilectrical Plumbing Mechanical Roofing
-.
Permit No. `_)P7't -- j(e-
Master Permit No.
Zip : ;?'
Phone #
Phone #
Zip
Zip
'§quare Footage Of Work: "(I('
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Number of: Bays Stories Families Bedrooms Baths
Type of Work: DAddition DAlteration :New )54 Repair/Replace D Demolition
%t
Describe Work' 1 2 .t - ',1-/.) ti 'e i' - '_� �',� t j t
% � �` _ ' � z � + _ , d �3 i J'
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Phe .
County Escrow Fee $ Permit Fee $ Notary $
Education/Training Fee $ Tech $ Scanning $ Radon $
Code Enforcement $ Bond $ Struct. $
Minus Plans Check Fee $ Total Fee Now Due $
(Continued on opposite side)
Signature 461/
-it
Chc7/7 /03
Bonding Company's Name (if applicable) A /-
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) A) /A-
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.
l9 wner or Agent
The foregoing :instrument was acknowledged before me this
day of 0 6 , 20 a, by A
ay of , 20 by
who is personally known to me or who has p oduceil ikage.44 L azgas who is personally known to me or who has produced
As identification= rP rii@ k€sky 8
NOT PUBL : * Expires: u , 2007 as identification and who did take an oath.
,* itr Brindcd] Thri NOTARY PUBLIC:
, •••• o`' Aflatitiq Inn
Sign: Sign:
Print: l�,� I S Print:
My Commission Expires: My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
************,**************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Signature
Contractor
The foregoing instrument was acknowledged before me this
Plans Examiner
Engineer
Zoning
v
ff
5'-O" MAX
2' -0"
Owner's Side
•
1
• 2" X 4" Wood Bail
I" X6° or l" x811
Wood PIcket5
cncrete
4 � II
d d I I �
4 I = I I I
4 G I I I _
I III
• 111-11I
ill ll
d
II II I-
II I - i
I I 11 111
111
WOOD FENCES
3' -0"
2915 Fences
2915.1 Wood fences, so located on a property
that by zoning regulations they cannot be used
as a wall of a building, shall be constructed to
meet the following minimum specifications.
(a) Fences not exceeding 5 feet in
height shall be constructed to meet
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts spaced 5 fee: -0 inches on
centers, having a fiber stress of
1200 p.s.i. in bending, and shall be
• - embedded 2 feet -0 inches into a
concrete footing 1 fcot -0 inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply with the
provisioqs of. this Chapter and
Chapter 23.
(b) Fences not exceeding 5 feet and 4
feet in height respectively shall be
constructed as provided in
paragraph 2915.1 (a) herein,
except that the spacing of posts
may be increased to 5 feet -0
inches and 6 feet -0 inches on
centers for these heights.
Wood Posts
4' -0" High or Less = 6' -0° O.C.
5' -0' High or Less = 5' -0" O.C.
MIAMI SHORES VILLAGE
FENCE WALL AND HEDGE REQUIREMENTS
Maximum height of fences walls and hedges, in any required front yard, 3 -1/2 feet except on
Biscayne Boulevard where fences and walls are 5 feet and hedges are 7 feet Maximum height
of hedges in any required side yard rear yard is 7 feet and maximum height of fences or wall
in any required side rear yard is 5 feet.
FRONT YARD FENCES
All walls or fences in any front yard shall be constructed either or ornamental masonry or of
ornamental metal, but not including any wire fence . All front fences must be approved by
Planning and Zoning Board prior to issuance of a permit.
SIDE OR REAR YARD FENCES
Walls or fences in any side or rear yard, shall be constructed of chain link, wood, ornamental
iron or aluminum, precast concrete, concrete block stucco, or. ornamental masonry. The use
of all other materials or attachments such as slats, fabric, reed screening, etc., is prohibited.
Any fence, wall or hedge established adjacent to a rear plot line along an alley shall provide
a clear space of at least forty (40) square feet in area long the alley line available for the placing
of waste materials for removal.
WOOD FENCE
Permit application accompanied by two copies of survey and two copies of drawing indicating
ways to install wooden fence. Location of fence should be highlighted on survey. Owner -
builder permit may be issued.
CHAIN LINK FENCE
Permit application along with two copies of survey indicating location of fence.
Owner - builder permit may be issued.
MASONRY FENCE
Permit application must be accompanied by two copies of drawings signed and sealed by a
registered Engineer.
ORNAMENTAL IRON
Permit application must be accompanied by two sets of drawings depicting style of fence.
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 compliancy with aft Federal, State.
County. Yana rotes and regulations. Wtage asses
no responsibility for accuracy odor mutts from
these plans.
2. This copy of plans meat be ayattabte on
building site at no Inspection wilt be conducted.
JOB AODRESS
APPLICANT
PHONE#
APPUCATION Tice
SHEET OF
MISCELLANEOUS
DATE
CRITIQUE SHEET
ZOJVING
COMMENTS
g - e ae ITel ct rreS 3(tr J e - �
INITIALS
4( bey
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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
MIAMI SHORES VILLAGE
BUILDING INSPECTiO;'<' DEPARTMENT
Registered Architect and /or Engineer.
Name and address of licensed contractor
Location and legal description of lot to be built on:
Date
No. Street
Lot Block Subdivision
Street and Number where work is to be done .>.< g' C V) ,2 n .
State work to be done an e of wilding (by floors )___4 _f '.� , ' -� , /C
o " and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation „____,. ` Roof Covering
Estimated Total cost of improvements $ C`' _ r Amount of Permit $__. ® " ��
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the 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 obligations as an employer
of labor under the Florida Workmen'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 to employ only such subco actors, on work to baperformed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)_
19,E e7
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
//---
and who, being y me first duly sworn, upon oath deposes and says that he is the
of the above de cri1ed construction, that he h carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him ated are true.
�[ /.L ' e�� ° .. l
Permit No !1 ,--,-- �� �' Dat Y / _.__�.. Read, Sworn to and Subscribed before me.
to me well known,
Disapproved / „/. Date
(Signed) _ - / 7
BAlding In ector
PLANNING BOARD DATE
Chairi an Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Notary Public, State of Florida
My Commission Expires