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1235 NE 96 St (11)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 PROTECTED 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 $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a . ntrac or. Si _ . ture of Notary SEAL: Personally known OR, Produced Identification Type of Identification Produced: STATE OF F ,ORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name �( Sworn to and subscribed before me this \ � day of G� � �`) ? t-2) . A . (- A fi t... 0 Signature of . Vil; "' CHRISTINE DE LA PENA SEAL: j :: 1, MY COMMISSION # DD 081349 EXPIRES: April 29, 2006 3onded Thru Notary Pudic Underwriters ti PERMIT APPLICATION Personally known OR, Produced Identification Type of Identification Produced: fL -- CONTRACTOR Name n 1.i[ it l .n 1 A.., ,,. t.a ,p,. ; License No. 67V/900 Address O Z S. . 4 'Z.- A' Q- S M: 0t, ,,,, P- 1- 3 3 15 S Tele hone I F ,fin s � 8� 9 r� 30s-e67- Q 3? Qualifier Name --.-- --- Oge A• �i2 , ,t# C O PROPERTY OWNER • Name O L e 2T F. (O, I (`1$ A A.s Address t a..S c i\ . E. ecco s Q P...T Home Telephone ZO C t0 O D— g n 9) Business Telephone Fax 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 Step 1. INSTRUCTIONS - The following steps must he taken to obtain a permit from the Miami Shores Village: RECEIVED OCT 3 1 2003 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. 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: 1A35 6%. c1 C) 2eo (l"1 t R►.rl 1 ReS { F 1 . 33 13 State 1 Zip Address Folio Number Description of Work Lot Block Subdivision PB PG Zoning Current Use of Property Ref%I cJ e,3 .A Square Feet 15 Units Floors Proposed Use of Property .d• e_ Value of Work 1140 m e Bldg Value Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. City PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax 4s Ck *ssa- Master Permit No. r Subsidiary Permit No. /:e5ro3_ /7,2-g Tax Assessed/Appraised Value PERMIT APPLICATION fk Linear Feet Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair ()I 1. 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. TYl'u; Refrigeration, Tons Q'1 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. .I,1.I'1', Soakage Pit Q'll. 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: 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 SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) $ (sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) Code Enforcement Fine $ Zoning Review $ Notary $ PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: 1 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 Legal Description: Lot 8, 9 and 10, Block 83, of MIAMI SHORES SECTION NO. 3, according to the plat thereof as recorded in Plat Book 10, at Page 37, of the Public Records of Miami -Dade County, Florida. 0 0 s Cti N F1/2P W/N D/ID a 0 Fl /2P zonin ASPH 150.00' P &M NE 96 STREET 28.00' ASPH PAVEMENT Certified To: BOB AND JULIE WILLIAMSON, SUCCESSORS AND /OR ASSIGNS. 8 0 co .a• ■�■ ca ■•uu••••••111111••u■ 1 1 38.30 tt .0 CONC 5.00' CONC S M< 7.50' 7.5 1.. 19.70' w 0 23.50' o,: TWO STORY 2.50.k RESIDENCE # 1235 N 0 0 18 ASPH 1t . o 150.00' P&M 0 Fl /2.P WMo/w fl /2P 1V/WO/ID NORTH SCALE: 1/30 ITS Survey: M19178 Accepted By: Community Number: 120652 Panel Number: 0093 Suffix: J Data of Firm Index: 3/2/1994 Flood Zone: AE Base Flood Elevation: 8 Date of Completion: 10/24/2003 Property Address: 1235 N.E. 96 STREET MIAMI SHORES, FL 33138 SIGNED GENERAL NOTES: 1) LEGAL DESCRIPTION PROVIDED BY OTHERS. 2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT. 3) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 4) ONLY VISIBLE ENCROACHMENTS LOCATED. 5) WALL TIES ARE TO THE FACE OF THE WALL. 6) BEARINGS REFERENCED TO LINE NOTED AS B.R. 7) NO IDENTIFICATION FOUND ON PROPERTY CORRNERS UNLESS NOTED. 8) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSED SEAL. 9) DIMENSIONS SHOW ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. 10) ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. 111 THIS IS A BOUND RYSURVEY LESS OTHERWISE NOTED. I HEREBY CERTIFY T T THIS BOUN REPRESENTATI1N F SURVEY PRE THIS SURVEY IS INTENDED OR .IRTGAGE OR REIINANCE PURPOSE ONLY, EXCLUSIVELY FOR THIS US BY T OSE TO WHOM IT IS CERTIFIED. THIS SURVEY IS NOT TO BE USED FOR CONSTRUCTION, PERMITING, DESIGN OR ANY OTHER USE WITHOUT WRITTEN CONSENT OF MIGUEL ESPINOSA. TE ESPINO . 5101 F FLORI MIGUEL ESPINOSA LAND SURVEYING, INC. 6494 S. W. 24 STREET ML4MI, FLORIDA 33155 PHONE: (305) 740 -3319 LB # 6463 S A TRUE AND C S '.' CT Y DIRECTIO FOR THE FIRM A A/C ADD ADJ AE ALUM. ASPH B/C BCR BLDG BLK. BM BNDY B/W G CB CBS CD CJB CLF CM CMP CONC. COR. COV. DB OCR D.E. DOT E/F E/P E/W ELEC. ELEV. ENCL. EM ESMT F/C F/L FF FH FIP FIR FN FND FN &D FN &T FP &L GAR GAW HW ID INV IR IP L LB LC LD LFF LP LS ARC LENGTH AIR CONDITIONER ADDITION ADJACENT OR ADJOINING ANCHOR EASEMENT ALUMINUM ASPHALT BUILDING CORNER BROWARD COUNTY RECORDS BUILDING BLOCK BENCHMARK BOUNDARY BACK OF WALK CALCULATED CATCH BASIN CONCRETE BLOCK STRUCTURE CHORD DIRECTION CABLE JUNCTION BOX CHAIN LINK FENCE CONCRETE MONUMENT CORRUGATED METAL PIPE CONCRETE CORNER COVERED DEED DEED BOOK DADE COUNTY RECORDS DRAINAGE EASEMENT DEPARTMENT OF TRANSPORTATION END OF FENCE EDGE OF PAVEMENT EDGE OF WATER ELECTRIC ELEVATION ENCLOSURE ELECTRIC METER EASEMENT FENCE CORNER FENCE LINE FINISHED FLOOR FIRE HYDRANT FOUND IRON PIPE FOUND IRON ROD FOUND NAIL FOUND FOUND NAIL & DISC FOUND NAIL & TAB FLORIDA POWER & LIGHT GARAGE GUY WIRE HEAD WALL IDENTIFY, IDENTITY INVERT IRON ROD IRON PIPE LENGTH LICENSED BUSINESS CHORD DISTANCE LEGAL DESCRIPTION LOWEST FINISHED FLOOR LIGHT POLE LAND SURVEYOR LEGEND OF SURVEY ABBREVIATIONS M MAINT MH NO. N.T.S. 0/H O.P. O.R.B. 0/5 0/W P PAR PB PC PCC PCP PG PI PK POB POC PP PRM PRC PT PVMT R REC RCP RES RET RNG R/W SAN SBT SCN SE SEC SEW SN &D 5P SP &C 5R SRC STA 5TM STY SUED T TB TBM TRANS STWP TYP UE UGD WD WM WV MEASURED MAINTENANCE MANHOLE NUMBER NOT TO SCALE OVERHANG OPEN PORCH OFFICIAL RECORDS BOOK OFFSET OVERHEAD WIRES PLAT PARCEL PLAT BOOK POINT OF CURVATURE POINT OF COMPOUND CURVATURE PERMANENT CONTROL POINT PAGE POINT OF INTERSECTION PARKER KALON POINT OF BEGINNING POINT OF COMMENCEMENT POWER POLE PERMANENT REFERENCE MONUMENT POINT OR REVERSE CURVE POINT OF TANGENCY PAVEMENT RADIUS OR RECORD RECORD REINFORCED CONCRETE PIPE RESIDENCE RETENTION / RETAINING RANGE RIGHT - OF - WAY SANITARY SOUTHERN BELL TELEPHONE SCREEN SOUTHEAST SECTION SEWER SET NAIL & DISC LB #6463 SCREEN PORCH SET 1/2" PIN & CAP LB #6463 STATE ROAD SET REFERENCE CORNER STATION STORM STORY SUBDIVISION TANGENT TOP OF BANK TEMPORARY BENCH MARK TRANSFORMER TOWNSHIP TYPICAL UTILITY EASEMENT UNDERGROUND WOOD WATER METER WATER VALVE L 2 * ' \ \\ Itl. .tII • IEmu& •u•••■ •��1•.m_._.■ WNW AWN % :" ...II \ter /Mr Phone: (305) 740 -3319 740 -3320 6494 CORAL WAY MIAMI, FLORIDA 33155 M - I G - E L- -E S - PI - N O S A LAND SURVEYING, INC. LAND PLANNERS - SURVEYORS 9-t Fax: (305) 669 -3190 Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305 - 795 -2204 Permit Number: BP2003 -1728 Printed: 11/10/2003 Applicant: CHARLES ALLEN Owner: WILLIAMSON JULIE JOB ADDRESS: 1235 NE 96 ST Contractor Local Phone: 305 - 667 - 8390 Parcel # 1132060143790 Signed: Page 1 of 1 Contractor's Address: 7302 SW 42 ST Legal Description: 5 - 6 53 42 MIAMI SHORES SEC 3 PB 10 - 37 LOT 8 9 & 10 BLK 83 LOT SIZE Fees: Description Amount FEE2003 -6813 Building Fee $110.00 FEE2003 -6814 CCF $1.20 FEE2003 -6815 Scanning Fee $3.00 FEE2003 -6816 Training and Education Fee $0.40 FEE2003 -6817 Technology Fee $2.75 FEE2003 -6818 Builders Bond $300.00 Total Fees: $417.35 Total Fees: $4F. Total Receipts: .00 33 Permit Status: APPROVED Permit Expiration: 4/28/2004 Construction Value: $1,520.00 Work: repair asphalt (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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: