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1170 NE 97 St (8)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. 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 Address Company Phone # For Inspector: y Approved Correction Re-Insp'n Fee Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ Permit No. Name ' 0 OD 7 / C� 56 —26 --6 13/Dua me & Date Master Permit No. PERMIT APPLICATION 03 - g . Subsidiary Permit No. ti 411i C+toMs 3313 City State Zip :ription of Work 4 I WQ U '€ oD E JC • t J 1 `7 �i Q £ A T N V U- Cpl. Je& (Su) wboem Pe icc j PS. N4.0JF( K ng Linear Feet tre Feet Units Floors e of Work t 1QO0 • ©a Bldg Value Assessed/Appraised Value d Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND 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 KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTEC 1ED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, 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 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 LORID ;r C 4 NTY OF MIAMI -DADE ignature C %QO o . Let-Tv-An, +>L9 l K nt Name om e subscribed before me this 1 day of Person•iI1y known V OR, Produced Identification ��1,1r DEBRA B. DAVIS y � MY COMMISSION # CC 848632 'tor 101* EXPIRES: Jun 22, 2003 1 8 3- NOTARY Fla. Notary Service & Bonding Co STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name • 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 Type of Identification Produced: Type of Identification Produced: ELECTRICAL TVPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTV. Tl'PI: Service Repair Q I Y. A/C Central 1 -3 Ton - Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel 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 QTV'. A/C Central, Tons QTY. Cooling Tower - Heating Strips, each Vent Hood, Cost A/C WalUWin. 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 Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTV. 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 Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DAT Zonin Electrical Mechanical Plumbing Fire Public Works Structural / ,, A Building Official %_ ff . 7A Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (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 ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ ISSUING. OFFICIAL REVIEWED AND PREPARED BY: DATE: 3 (s .60) x/1000 x (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL V / �1 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/22/2003 Applicant: CIRO Owner: BELTRAMINI JOB ADDRESS: 1170 Contractor Local Phone: Parcel # 1132050170150 Fees: FEE2003 -359 FEE2003 -360 Permit Status: Approved NE 97 Description Building Permit Application Fee CCF Total Fees: Building Permit Permit Number: BP2003 -88 BELTRAMINI CIRO ST Contractor's Address: Legal Description: 5 -6 53 42 Amount $60.00 $0.60 $60.60 Permit Expiration: 7/20/2003 Construction Value: $1,000.00 Work: REPAIR EAST WOODEN FENCE 5' HIGH INSTALL CORNER WOODEN FENCE REMOVE Page 1 of 1 PB 43 -51 REV PL MIAMI SHORES SEC 8 LOT 2 LESS E25FT BLK Total Fees: $60.60 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. This Permit is granted to the contractor ordinances pertaining thereto and with the and approved by the proper municipal autl authorization. A further condition upon wh ordinances and regulations pertaining to ti by his agents, servants or employees. Signed: In consideration of the issuance to me with the plans, drawings, statements or s myself, my agent, servants or employes. CIRO BELTRAMINI MARIA C ALIBERTON 21860 REFLECTION LN BOCA RATON FL 33428 -2514 WACHOV!A 1520 63- 1356/670 DATE RANCH 4083 Y TO THE ORDER OF _TA M=OylA wacbovia Bank, N.A. Boca Raton, FL 33434 FOR 7 c 1 :0670L3 �r r n ..: ;> DOLLARS DIP 'n strict compliance with all lay have been submitted to are changed without thorough knowledge of the as responsibility for work done thereto and in strict conformity for all work done by either 'STATE OF FLORIDA) COUNTY OF DADE) • The undersigned Affiant,C /eO 0. 36z7704/M/A.P, does hereby attest that the (property owner) attached survey, performed by A AA/VS , -Aj D AM /� 74/C. (name of surveyor's company) performed on /0 / /lo / , is an accurate representation of the existing conditions and date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. SWORN TO AND SUBSCRIBED before me this day of ■, 3003 Affiant is personally 'mown to me, produced as identification. aloola DEBRA B. DAVIS MY COMMISSION # CC 848632 ItOf p EXPIRES: Jun 22.2003 14300.3-NOTARY Fla Notary Corvice & Bonding Co. .aJt7 m �C ' do oil i hos %`. • `` .eh5l — �2 /. 021 . r/ t!$'4lol 9 15• PROPERTY OF: Beltramini, Ciro 0., MY VALID WO u n1E SIGNATURE AND rue ORIGINAL RAZED SEAL OF PIAIRIDA u('E.nSEDSURVEYOR AM, IrtA ?►R M 1 GOGA -T /O// MAP This property described as: Lot 2, less the Easterly 25.00 feet thereof, Block 181 REVISED PLAT OF TRACTS I80B, S1 /2 OF TRACT 180C, TRACT 181A AND TRACT 181B, OF THE REVISED PLAT OF MIAMI SHORES, SEC. 8, according to the Plat thereof, as recorded in Plat Book 43, Page 51 of the Public Records of Dade County, Florida. Aliberton, Maria C., and A BOUNDARY suavEY t Thereby certify that the MI+^cy repre- sented hereon meets the minis—tuns technical standards fee forth by the Board of Land Surveyors in chapter 67Ci17 -6 Florida Adminisa eive Code pursfrerfr to Section 4710V. Fla, Sansei Thee are no enaoadwndra. ~naps, easements appearing on the Plat, other than as shown hereto. 05 ' 1170 N.E. 97th Street, Miami Shores, " Page 1 of 2 . - Florida 33138 I.ANNES AND (;ARCI A, INC. LB. #_2098 . SURY"E YOBS- MAPPERS- tANI) PLANNERS , BEALE SMITR #5238 Office address: 359 Akasar Avenue. (bra) Gables. Florida 33134 (363) 666.7909 1954) 5218663 atlaYaaea AN.•uare. , V FIELD DATEJSCALE DRAWN BY DRWC. NO r !4// 'Pk' 2o A•Of _ 132302 I Al I t ( il °3 1 .,.. • 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. t1 y� Date Owner's Name and Address ._.._J 3._ hiskag No Registered Architect and /or Engineer 0 Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 2D. State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation oo Estimated Total cost of improvements $__.__.'34 Amount of Permit $_ f ��e Covering 43%4, Zone cubage required Flan 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks e. (Signed) ' 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 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. Q Permit No I t° & A Date ^ , — I Read, Sworn to and Subscribed before me. Disapproved Date (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 6 0` to me well known, Notary Public, State of Florida , E Street_. .�J rkc#'17 Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $LOO 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. - - 9