The URL can be used to link to this page

1287 NE 96 St (3)M I SHORES VILLAGE, FLA. JOB „, t -Y r ADDRESS 4 7 _ INSPECTION j T G* . ler TIME READY PECTOR x //'` ?/7. - , / ; 40 N? 5947 P REMARKS: DATE ACCOUNT 4.2"' ( ' ■ rr- . 0 , t • PAYMENT ..) BAL. DUE • - DATE -/ ; / w 10. / REG FROM 0 FOR RENT OFOR v No. 197b68 • DOLLARS t" ( OfcAsm ' FROM CHECK MONEY ,ORDER BY TO e afar 1182 MIAMI•S.Hi)RES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 313 Type Insp'n slab J. Permit No. 6l d 3 Name od S)C Address (2r� N L Company , I.J0.,.� 1 Phone # Inspection Date 3/ Approved Correction Re-Insp'n Fee Type Insp'n MIAMI- S*II2R1Efi. VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 Permit No. t- F � Name (. 31( - C. Y1 L Address 6.'-b C � t Company �'- :jJCje. � ef E . Phone # Inspection Date Approved Correction Re- Insp'n Fee t Type Insp'n Permit No. Name Address Company Phone # MIAMI. S.40 ES VILLAGE BUILDING DEPARTMENT ding Request 9 305- 795 -2204 _ Inspection Date j Inspection Date Approved Correction Re -Insp' n Fee 17L/ ) D In* MIAMI.SES VILLAGE BUILDING DEPARTMENT 305-795-2204 , c/ Building Inspection Request Da ie i ° ) ii) - eV. Type Insp'n I '--t ./., A / • %.;-- -; 1 1 - - , '..) Permit No. ,-) 1.) (-):...- 1 i,...;. i. N •--- __ ( i f ! —.I cn, - - -"*". Name Address [0 1 7 in, 1 Company C-Cir _/' tY _ —. I' , e' , — Phone # Inspection Date , Approved Correction Re-Insp' n Fee QwA /k $9,1d# MIAMI SNORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date! Type Insp' n Slob A Permit No. (P 20(53 + ( � Name MY i Address NE cc z - Company ■C&c\ %73 t itAD t Axe" Phone # Inspection Date 3 04 Approved ❑ Correction Re- Insp'n Fee ,❑ MIAMI SES PILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n " 1 " . Permit No. +f): ;CC — r . Name % Address 'Q N' Q') • Company A�� _ �� : .� w- k Phone # Inspection Date Approved Correction Re- Insp'n Fee 5 6%2 �� Approved Correction Re- Insp'n Fee MIAMT.SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n i3f 03 -- /3 Permit No. Name /� Address 1 �? �(�- 77 -sr Company Phone # Inspection Date s ee `,i, 4'4/ Afibt- MIAMI VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp' n 3 f 03 •-°° f Permit No. Name Address /) ? 'V( 37 Company Phone # Inspection Date Approved ,Correction Re-Insp'n Fee L0=0f‹ ,4 %r `fof.' :1,/' sod / 4r 4,41U / MIAMI. SHORES VILLAGE BUILDING DEPARTMENT ( 305- 795 -2204 9 S..o1 Building Inspection Request Date' 0 * 3 +gyp Time /�` � Type Insp'n S Iee \ OC( z7 �� S `"v Permit No. 6 ( V3 1:?(0 Name Address 12.70 c l b 3+ Compan 5M 'li . 1'%7- UU3 (o2. Phone # For Inspector: Approved Correction Re- Insp'n Fee Name & Date MIAMI- SHOES VILLAGE BUILDING DEPARTMENT t t Y ' Type lnsp'n r -ee < Permit No. Ci Name Address 1 2 . 75 Company ,C i \ e - / Phone # � � q L (, (,, 2 For Inspector: 0 10(0 Name & Date Approved 305- 795 -2204 Building Inspection Request t a �, a Dates (3 t).) Time Correction ❑ Re- Insp'n Fee ❑ IIS• sr t 2. Name Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE L Q BUILDING DEPARTMENT 305- 795 -2204 Bµilding Inspection Request Date Type Insp'n /(ib f7co/ 1c Permit No. 3p , Ws - )t/ . Address 1 2151'" Company5TLk C.f 4€ r)! S. "1 MIAMI•SHO RES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date !IC- Type lnsp'n Permit No V '),t'� - I Name Address 2 bi- N ' Company ; i c 7 E r( `% I , ! f Phone # Inspection Date ', 1 x Approved ❑ Correction Re- Insp'n Fee ❑ 1 Savage Pool, Spa, and Patios, Inc. 10804 South West 156 Terrace Miami, FL 33157 �g ��l 78'4, -4} 4'3- lo�l0 2 - 29 June 2004 Mr. Curtis Craig Pool Village of Miami Shores Shores, FL 10050 NE 2 Avenue Miami Shores, FL 33138 Dear Mr. Craig, Respectfully, .+4' cN 33 ( €) <F) With this letter you are being informed of a grievous violation of the Florida Building Code 2003, as well as a potentially dangerous situation. In addition, I am requesting the cancellation of those permits listed above. The above -cited client of mine has refused Savage Pool, Spa, and Patios, Inc. entrance onto his property. He has absconded the plans and permit card, and consequently will not allow me to call for my final inspections. In violation of FBC 2003, and still after repeated warnings from me to not fill the pool, he has done so. There is no pool barrier of any kind installed and the water is so green, you can't see the bottom! Yet, all the equipment is functional. Besides Mr. Brodsky's refusal to comply with the code, he has denied payment as scheduled by the contract. Therefore, Savage Pool, Spa, and Patios, Inc. has been forced to lien the property. Mr. Craig, Savage Pool, Spa, and Patios, Inc. can no longer expose itself to such libelous conditions. Please contact me immediately with the information I will need to expunge my permits and remove Savage Pool, Spa, and Patios, Inc. entirely from the Brodsky job. Thomas Selvaggio, Pres. Savage Pool, Spa, and Patios, Inc. 7e6 2- sky Swimming t, Miami r ' 'BP2003 -1462 & P: it PL2003 -169 Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305- 795 -2204 Permit Number: BP2003 -715 Printed: 5/7/2003 Page 1 of 1 Applicant: MARIA MARTIN Owner: BRODSKY MARK JOB ADDRESS: 1287 NE 96 ST Contractor CAMP CONSTRUCTION Contractor's Address: 3616 NE 2 AVE Local Phone: Parcel # 1132060143770 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 3 & 4 LESS PORT OF LOT 3 DEDICATED Fees: Description Amount FEE2003 -2660 CCF $3.00 FEE2003 -2661 Builders Bond $300.00 FEE2003 -2663 Plans Processing Fee (Other) $30.00 FEE2003 -2664 Building Fee $55.00 FEE2003 -2665 Structural Fee $50.00 Total Fees: $438.00 Permit Status: APPROVED Permit Expiration: 11/1/2003 Construction Value: $520.00 Work: EXTENSION OF EXISITING RETAINING WALL Signed: 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 employe (Contractor or Builder) BY: 0.6 cof Total Fees: $438.00 Total Receipts: $80.00 3S8•oo 0 41C1(113 1Lt! %1 )t MOT/ CIARCE 1. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. fL2oo3 — TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: 42? 7 Ng 9 S 4 2" 4 / 3 d ref 2. Description of improvement: pod / PJce 4''* 3. Owner(s) name and address: af4,^9 of 'Plant' -grog& 4,2F7 w L r /4' . $' p. f Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address' iilvi4je PbriLs S rts R1aCro -- /0SOY So.J, 1 rentee - •2 Si .• ... • tie nd Official Seal. �F1(, of ircu, , County Courts �nIf SS I IARVEY f y� F p Y CERTIFY that this is a Virg opy of the 5. Surety: (Payment bond required by owner from contractor, i s iui f1LzC.n t IS off CC on i day or Name and address: Amount of bond $ 8. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date Is specified) d% 4 Signature of Owner Print Owner's Name et.4 �/I s zw" sty Sworn to and subscribed before me this /a day of fu Notary Public Print Note ry'a'tame a '/ t# My commission expires: _ I 122.01-52 PAGEI 1/02 1111111111111111111111111111111111111111111111111111111 CFht 2003804.73083 OR Bk 21418 Pa 3934; (1Ps) RECORDED 07/11/2003 14:59:13 HARVEY RUVIN, CLERK. OF COURT MIAMI —DADE COUNTY, FLORIDA LAST PAGE Prepared by d' / l! .20 a3 Add Oft ADVA rEN• '' 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. 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." Signature State Certificate or Registration No. chc7nros Owner or Agent The foregoing instrument was acknowledged before m JAN. 15, 2007 @ENDED THROUGH Au AN! AUL NU I 64 day of 49tgv , 20 03, by (44.1t1/ts area who is personally known to me or who has produced As identification and who did take an oath. NOTARY P • LI Signature�� Contrac The foregoing instrument was acknowledged before me this 9 day of Ai.- , 200_.., by 7iar.. s .Si / who is personally known to me or who has produced as identification and who did take an oath. My Commission Expires: My Commission Expires: ***,)****** Je*************************************************** ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) Certificate of Competency No. APPLICATION APPROVED BY: 71R, 9/25 (s'traell SEP - 9 2003 Plans Examiner Engineer Zoning , 8f. aL2cc3c`iC(e SE? t; 2.H3 BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department Permit Type (circle): guilding) Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) / g/��"'Ocid , Phone # 30 5 F - 70 a Owner's Address /� 2 7 N Rte741 S" City /-71/Qs44, sot aro,s State / Zip S /j V Tenant/Lessee Name Phone # Job Address (where the work is being done) /_21F 4U6' ?' ' ' City Miami Shores Village County Miami -Dade Zip 3373 Is Building Historically Designated YES NO 4.0/.1 Contractor's Company Name S P PA Contractor's Address MgL'l < /.3 7 //Q c City M o'C}Yll % L_ State f - Qualifier 76') vi S 56l / ✓. /0 Architect/Engineer's Name (if applicable) KoA 1e /fl /' fT Phone # � 1 97/ Architect/Engineer's Address State`, Zip 1 73'1'7 Citv ~ / rr .� $ Value of Work For th rmit r 2 2 ,i Number of: Bays Stories Families Type of Work: ['Addition ['Alteration Describe Work: e . p . Permit No. 92003_ I L I O Master Permit No. ? t .003 i Q Phone # (1,1 1: r T1A6- 443- . • . Zip 3 31S 7 Square Footage OfWihrk:" • 7c 0 Bedrooms Repair/Replace d 1.L_ 4 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Baths ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ 00 Permit Fee $ Notary $ Education/Training Fee $ - Tech $ Scanning $ Radon $ 2• 2 S � Code Enforcement $ Bond $ ? U .�% Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) 2,C .00 $50 55(O .00 App i 0 (01 0 qc) ) g ` 9 r t Vh7 J L rq (.1/ ( 7 r awl hilt fi'• •Je t 9 <c k v i td Afro 6 Our Of f sr-r i 6Ark. 7 _ fi hi) q If qv /3-1) r t /P b/r Or' gi-er Rs (4- -Ta 9 e r Duty &J4 /( 1287 NE 96 Street - East Elevation 1287 NE 96 Street - Pool Deck NE View 1287 NE 96 Street - Pool Deck NE View r1 1287 NE 96 Street - Pool Deck East View , ..r.... ._ - t , :-- . :-. ., -7,4...,.,..rr,:-.," i ---r- . , ... . . . _ ..-7.......r • , r • • -.: • .,- • . ••• • • • • Witness(sign and print) AFFIDAVIT Notary attached survey, performed by TA/p 4-2 s (7. ,C� / / / 4' • . . ..s • •• • • .•. • • • • • . • • • • • • • • • • ••• • • •• 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, C'4 C 44* Olen ° s A/ , does hereby attest that the (property owner) (name of surveyoi company) performed on C/4 s/a z. , 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 1' day of r t Affiant is personally known to me, A/produced /Vat ife•P r as identification. • ••• AN. 15, 2007 • $�• ADV ITAGE NOTARY K / Owner's Address Contracting Co. WORK DESCRIPTION: Square Ft. 3 3 L- PERMIT APPLICATION FOR MIt S�IOjE� AT M ILLAGE • • • ; • • 10050 N.E. Avenue • Miami Shores, Florida 33138 ; Pholte: N15.755 -1204. F'dI: 305- 756 -8972 C .t Date .c‘ G / 1 Job Address' /Ze 4 ' 6 f 4. 37€' S 7 Tax Folio / / ?Z. 6 4 $ aai o • •• • • •• • Legal Desc P /a L o /.r a e i< c es.r ,04,/ °f / Historically D ;s ted:: Yes •.• • •. No Owner /Lessee/Tenet / 'c ( C4(t 44 82o es Maser Permit # } • • • • • • • • • • • • • • • • • 1•tipng • • • • • • • • • • • • • • •• • • • • • •.. .. Address .'GZ6 .vE 2't,0 A vc / ,i ✓rl R. 3.T /i/ /z e,/ N6 96 ,57 c g 6 7 Qualifier V.. / h• 1/45 eA•7c4. S SS# State # Cc 0 4` 4i / Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): ( BUILDING) ELECTRICAL PLUMBING MECHANICAL ROOFING o/ �Xi✓ f�/l,G 39a -G' -"3 '/ Phone 30S - S f ) 6 -89oa .eoz / b ; a, 14, L vt. Es ' ated Cost (value) , 4 1 — WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be don in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signature of owner and/or Condo President Not tii E B O N DED T ADVANTAGE NOTARY °ERMIT 'ED: RADON C.C.F r y�� f11 /5 Buildin Date Date : is at 7 of r ontract, or wner Builder ate NOTARY BOND v 0 , r" ` 5 TOTAL DUE 3? 1 O Electrical #//29 3 Plumbing Structural Engineer //J MEMORANDUM BD 07 -03 -04 DATE: July 30, 2004 TO: Miami Shores Inspectors FROM: Curtis Craig, Building Official VILLAGE OF MIAMI SHORES RE: Pool Permits BP 2003 -1469 & PL 2003 -169 No further inspections are to be made on the pool at 1287 NE 96 ST for permit numbers BP 2003 -1469 & PL 2003 -169. I have suspended the permits as the contractor no longer wants to be associated with the job. I have given the owner, Mr. Brodskey, until September 4, 2004 to get another pool contractor to take over the permit. LtuLNU u - JUN Vl y AHHREVIATIONS A ARC DISTANCE C CALCULATED CL.. ENC ENCROACHMENT FIP FOUND IRON PIPE O.H OVER NANO PAL PLAT BOOK PA... AROPERTY UNE UP ... UTIUTY POLE W.M.... WATER METER CERTIFY TO: Mark E. Brodsky Bcloff di Schwartz Attorneys' Title Insurance Fund, Inc. Southtrust Mortgage Corporation Its Successors And /Or Assigns LEGAL DESCRIPTION: Lot: 3 di 4 Block: 83 Subdivision: Miami Shores Sectin No. 2 According to the Plat thereof as recorded in Plat Book: 10 Page: 37 Public Records of MIAMI -DADE County, Florida. ADDRESS: 1287 NE 96TH STREET MIAMI, FLORIDA Encroachments Noted: n/o/s/E LOCATION SKETCH SCALE: / loaf L /MOTS op / ( 4LL ) NOTESI A) All CInereecsa Whir alawdanmfi shwa hereon N d epporent asters. Faaa awwn14 by Nand ems. Lewd wtmnhlp of foam an determined. B ) TAW army 1s Intended for mortgage er rsflasaa pupas, esly exclusively for CAW us by these to whew it W certified. TAW m.asy West to be used fee cuastruNMs. pa^d►HM. dui" er nay Ober we without writtes con- sent N Timers J. Kelly. lea. • . C) Cede natrictise emd Imo man* w alt reflected w tole lump. D) The Heel AAw.estW Awe hareem dots not 4py that the referenced pnp,rty w01 w.Rl not w Imo from flokilso w damp owed does eN crests Debility ea the pen N the fink wy officer or employee thereof. for erg demyo that results front odium IS sold Arr —tI-. 9) The leads depicted hareem went surveyed per the Mpl desoriptien sad we dime ce t• serail` or Lath" of *Is N ma M I lW. P) Lhrderpererl GensdntrNS, N say, rat located. I tartly certify CAN the arasy rspsseted hens mots the minims, tsomiest stem. drds sot forth by the board of ors M 51917 -5 Flsrlde AdairtntM Cede to F1. Stetvto,. EA ' , .5.&M. #4858 TE OF VALID t LESS IMPRINTED WITH Ate SURVEYORS'S SEAL NOTE$t 1. If SHOWN. SEARING ARE TO AN ASSUMED 04131IDIAN (EY PLAT). 2. IF SHOWN, ELEVATIONS ARE REFERRED N.9.V.D 1929. I. THIS IS A EOUNDARY SURVEY. NC'.... AIR CONDITIONING CBS ... CONCRETE BLOCK STRUCTURE C.9 CATCH BASIN O.U.L....OVERHEAO UTILITY LINE C/L ....CENTER LINE P.C.C... POINT OF COMPOUND CURVE P.0 POINT OF CURVATURE P.O.C... POINT OF COMMENCEMENT P.0 9 POINT OF BEGINNING BLD0.. BUILDING C.11 CHORD DISTANCE M ...... MEASURED D.E DRAINAGE EASEMENT CONC .. CONCRETE F.H FIRE HYDRANT P.0 FOUND R RADIUS N r 6 ST r DATE FIELD WORK 06/25/2002 NGVD ... NATIONAL GEODETIC VERTICAL DATUM PRC ... POINT OF REVERSE CURVATURE RAG... RADIAL RIW ...RIGHT OF WAY SEC ... SECTION SCR... SCREENED 3.I.P SET IRON PIPE SWK. . .SIDEWALK U.E UTIUTY EASEMENT CHLF CHAIN LINK FENCE P PLT z/5 m oo Sheet 1 002_ FL D ZONE: AE THIS I5 A FLOOD HAZARD ZONE _ THIS IS NOT A FLOOD HAZARD ZONE PANEL NO.:. 93/J COMMUNITY #: 120652 DATE OF FIRM: 07/17/1995 BASE FLOOD: 9.00 FINISH FLOOR: ELEV LOWEST CERT ADJ GRADE N 1. SCALE = I O SURVEY NO. 3 THOMAS J. KELLY, INC. L.B. #6486 SURVEYORS - MAPPERS -LAND PLANNERS 333 PALERMO AVENUE CORAL GABLES, FLORIDA 33134 (305) 444 -7692 DADE (954) 779 -3288 BRWD (305) 441 -6494 DADE FAX (954) 779 -3260 BRWD FAX SHEET 2 OF 2 DATE,FIEL WORK Oho/ 2 '5p 02 SCALE 1 „ THOMAS J. KELLY, INC. L.B. #6486 SURVEYORS- MAPPERS -LAND PLANNERS 333 PALERMO AVENUE CORAL GABLES, FLORIDA 33134 (305) 444 -7692 DADE (954) 779 -3288 BAWD (305) 441 -6494 DADE FAX (954) 779 -3260 BAWD FAX SURVEY NO, 02.3 ?25 __.., I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or nstalled at 1 t7 /i '7t' Miami Shores,. Fl., and hereby affirm that one of he following methods will be used to meet the requirements of Chapter 515, Florida Statutes. ;please initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing rovidin direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with'release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and /or up to 60 days in jail as establis ed in Chapter 775, F.S. 1) n CONTRACTOR'S SIGNATURE do DATE CONTRACTOR'S NAME (PLEASE PRINT) . Lambet Vazquez NOT Commission # DD267961 a'• .+ ` o � Expires: Not 17, 2007 ..,$ i ii i,` 1400- /twic,:71itta BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33136-2382 TELEPHONE (3051 795.2204 FAX 1305) 756.9972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT 'S SIGNATURE & DATE • iekv„1/21,4r OWNER'S NAME •( PLEASE PRINT) • • ' �- Commission # DD267961 F. = 'o`: Expo: Nov 17, 2007 iF' ig•$. Aaron No /0110 1. 800. 350.516 /0110 : CO Q SIGNATURE do DATE - Iwt,e4T,sai l e BUILOING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138.2382 TELEPHONE (305) 795.2204 FAX (305) 750 -0972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or nstalled at /21 A4 q1 - Miami Shores, Fl., and hereby affirm that one of he following methods will be used to meet the requirements of Chapter 515, Florida Statutes. :please initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices withrelease mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and /or up to 60 days in jail as established in Chater 775, F.S. Qg4 1 e6u e. 1 QGvc� CONTRACTOR'S NAME (P PRINT) . omen en lambert Vazgnez • a ' •' : Co missinn # DD267961 NOT • ! =Expires: Nov 17, 2007 . ''i' • • d % Aaron Notary ( fl % % 1 . 800. 350.5161 &70 OWNERS NAME ( PLEASE PRINT) A.7 1' 1 •Si % =Mission #1=67961 FXP1 NOT 17, 20 Aaron Notary 1.800. 350.51 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): City ': L. Tenant/Lessee Name Total Fee Now Due $ Contractor's Address hLt( / / //, // ,i r City / fi/ Qualifier / " / /(A ! f:4-41 ;;L1�t (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (30 ' J : 8972 .1111 iA) Electrical Owner's Name (Fee Simple Titleholder) , E/14' /� ? Phone # Owner's Address �„ 7 ivr qt, i State , ri Zip / ; Job Address (where the work is being done) //. Ai c// '✓ l City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO [ Cf � {` Phone# r'� 7` Gi L� c i t n/JO Contractor's Company Name State Plumbing Phone # Permit No. Bp 63-1-4, ter Permit No. Mechanical l 7/P Roofing Zip 4t 305.— -4 Zip ; State Certificate or Registration No. tC / ? 5 ��" y l Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ❑Addition 13 Iteration ['New Describe Work: ,i l 5,r r'O l v 'i, v-0/1.... i n.M * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ ❑ Repair/Replace ❑ Demolition CCF $ Technology Fee $ Bond $ Zoning CO /CC Code Enforcement $ Structural Plan Review. $ 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 i spection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wil not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before metbis' Z day of 20 , by d,e r I; s 3 , whoispemanallylnawalame or who has produced As identification and who did take an oath. NOTARY ' I ' L C Sign: - Print: My Commission Expires: A 0 1 1 'j I;'L'•,, Carmen 1ambsViazgI z Chc 05/13/03 '111% $ Aaron Notary 1 1- 800 - 350.5161 Signature NOTARY PUBL Contractor The foregoing instrument was acknowledged before me this 2 yn day of , 20 6", by it / ellen,4c? who is personally known to me or who has produced as identification and who did take an oath. Sign: Print: • — L 24.2 - .c' My Commission Expin! A ��! ''. mm_ carmen Lambert Vazquez : ... : Cm__ # DD26/961 ` � ' /Iii•O 1400- 350.5 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application 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 N/ `is E_ • F5 i �i Registered Architect and/or Engineer Name and address of licensed contractor c yJ ✓� Location and legal description of lot to be built on: Lot Street and Number where work is to be done Block Subdivision State work to be done and purpose of building (by floors), state exterior colors (submit samples) Permit No. Disapproved (Signed) 1-K-0 DE.; and for no other purpose. New Building Remodeling Addition Repairs No. of Stories �.� . ' ,, - 1 .- . C'I P Rai '7 I ti FILL- To be constructed of f I YELLOW P IN S Kind of foundation Roof Covering Estimated Total cost of improvements $ SS Amount of Hermit $ v 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 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 subcont actors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. 1 SS. 1 2S - ►vim 94, S('. Date ' 14 199i No. 1Z6? Street NE 910 F-r \J oc 7 Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. '`" " Date OA- Read. Sworn to and Subscribed before me. 1'v Date Notary Public, State of Florida to me well known. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. Application 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. L �j 4Y/l7 C (�V�! i`C 1�) N� �k l,. t ✓ 2 > � Date 19 Owner's Name and Address L" ' V r ` f � (2 `' / No. 1 2 T Street 61 � ,., f F4 Registered Architect and/or Engineer 04 7e1 -Name and address of licensed contractor Location and legal description of lot to be built on: Lot � •� 7 � Ii'f Block Subdivision 7/) g j / 1 ,-( Pt -5 77, 1 �f -Street and Number where work is to be done f l �� `� 6 "� ! Mt' 'Ate' L `� , ``� 1 4. „....-"State work to be done and purpose of building (by floors). state exterior colors (submit samples) -) - �[1 �y � t f S V►2N.IE DAN //`+! D try r'E_ � DcIEL) `ID Br 11/4,\li) /%-c `J �`�J� f`1z V 1 N-\ y lj !" ��. C�1o� ILL l NT..y, 7 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT New Building Remodeling Addition Repairs No. of Stories lb be constructed of Kind of foundation Roof Covering t/ Estimated Total cost of improvements S _1 G ) 0 Amount of Permit S .5 /,,, 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 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 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 (Signed) �� 1'' -� • 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 foregoi _ application. and that he did sign the same. and that all facts therein by him stated are true. Permit No. K3 7 Date 1.3 ' Read. Sworn to and Subscribed before me. Disapproved � Date (Signed) I. Building Inspector My Commission Expires 1 Notary Public. State of Florida and for no other purpose. PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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. BUILDING ELECTRICAL PERMIT 'N? 11957 PLUMBING ❑ ROOFING ❑ Work to be performed under this Permit Owner of Building i∎A-4. Architect \ -. U ) y , " td ... .. Contractor ,`> or Builder L` ?- J ``'� -- Legal Lot II BI Description ' 1 4- .Address of „ Building i.. _ 1 -. '4 t i \ CI This permit is granted to the contractor or builder named above to construct the building or herefor in strict compliance with all ordinances pertaining thereto and with the understanding t drawings, statements or specifications that may have been submitted to and approved by the prope time if the work is not done in compliance with such ordinances or if the plans are changed without a pon granted is the understanding that the contractor or builder named above assumes the responsibility for thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and tl1&t he assumes responsibility for work done by his agents, servants or employees. 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 responsibility for all work done by either, myself, my agent, servant or employee. , f { CONTRACTOR ORBUILDER MIAMI SHORES VILLAGE, FLORIDA DATE L 1 , Signed Subdi- vision Value of Project d .., 3 �s .,u, of tV — � Permit $ 1 .the eguipment or device described in the application rOill be performed in compliance with ally plans, rauthorities. This Permit may be revoked at any don. A further condition U which this permit is Contractor's License No BY BY AUTHORITY fs:\ AkrtN-:, BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building j CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ❑ DATP f "` 7 .S' / 195 ❑ PERMIT 'NA 12006 Contractor's ❑ License No ❑ Work to be performed under this Permit Bl. • i Subdi- vision Value of Project $ Signed �.. �►.r INSPECTOR This permit is granted I to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. BY Amt. of Permit 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 responsibility for all work done by (tither, myselL,ay„ jgent, servant or employee. BY AUTHORITY vise N9 1374 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION a Miami Shores Village, Fla d / �` Owner, Agent or Tenant of Building rA- - L — Lot d 1 Block ' Subdivision J rte, i Street Address \I j Approved use by occupancy Remarks. This Certificate of Occupancy is issued to the above named ''■ A for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known ss the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. O ' ,'_ti •� /� r , I 1 b r ,,`, 4 !v c.f. i BUILDING DIVISION PAID BY YEAR ANNUAL TAX PERIOD USEIJ AMOUNT PAID DATE PAID RECEIPT NUMBER ADDRESS 12S7 St_ LEGAL l 3 �: b1. l.: a Sec. RECORD GARBAGE TAX — Descritiori t9P Mere& ts H ■ • t it r Mt MM IBM vas 111 ■al Nil •1 ter~ LtRi io ry a " AI • MEGA I 14314 ** ING tTER LA BQ ATORIE I n gineee$ Laboratory d llespeciion Service 0+661 hf W . , 7114 frriEST ' MIAMI 38, FLORIDA, TEST SORIl ; WORT . t •'To, rr0t1 : •4 fir ► *it trsie ' of Dosing To1B0► i ►12 4r: '� 1 * $h DM 8.1 lard whit* J4asroo#t • 'U 4 O DER )4e., tirroit •No HOLE No DATE STARTED c o4.T5' ;O/11.1 !D r.. x saol,ar.''1a, a 4• dR*ing 3iii.* 1i I.Da r P a Astor colt 4s.*:' ow treed at 4>Y I t 1047 ' 12 . 1141 Li s' mutual wow:i kn to and otiirbeta� and ±ours .• the en itialit: : iii the is d ibis icott '. h the' alto a101h trd prior tt► t R- ?orals.ao d . • • PCI 1 . 0 'i'V1ialJs\ RIEMARK3 a mutual protection to clients, the public and twtaeives, aH reports i eubuq fled ss die;sonAdentlal property of clients.: find ivsivisztiifon. for of statements p,td1ng co ' reports is pending our written approval., .' publkatiai ntlut�ions or ea�ratts frgta :'or tom 11 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building "A Architect i r t Contractor or Builder Legal Lot Description o PERMIT NP 55RUS o 0 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA ?.:, r.. t -� Bl ?") Address of Building ef Signed Work to be performed under this Permit Subdi- vision / • , A 3 Value of I Amount of Project $ < I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specificahQns and that he assumes responsibility for work done by his agents, servants or employees. i1ISPECTOR In consideration of the issuance to me of this permit I agree to perform the work coved 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 ac• �epting this permit -I assume respopsibility for all work done by either, myself, my agent, servant or employee. i i BY AUTHORITY 6 MIAMI SHORES VILLAGE, FLA. N? 6254 3 � ADDRESS 1 1 V 1 f S C. INSPECTION pe c C C t- a - 1'S TIME READY A" ti 6 ' 2-47 , '4 7 REMARKS: INSPECTOR V 41- DATE to- 11)4e1t ti /674 f�l +ILA•) + fbc: ea r r 7 Ca:rrr` 64C Or zf'.s. o 24$ 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._.. ME-. J'-, Registered Areisiteet- end4or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot d 'Cl- -" Block Ett - S Subdivision ..._.,/W._t-...Als. t t ' Street and Number where work is to be done 'f Z f.7 Ai. le-. 744 s zT1e e7 c,� State work to be done and purpose of building (by floors) ''SA.la.h[_]e'-.Y 0 0 0 Net t..Kli.aLt we, 4 -- /4 - Co G_t.% ' s 0 .. aP - _ 07 — c Lcw - Q._: 47 ,I — G-, f-a APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date a,/ mik T5—.7 No ... Z. 7 Street . ior and for no other purpose. New Building Remodeli n Addition Repairs No. of Stories To be constructed of_ Afore Kind of tounda ►�o'n Roof Covering Estimated Total cost of improvements $ v !C9C2r.5?.@ 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 LiD1 / .�� 1f- , � 77s'1 "z/ a t — j v - ..ice1/0S7 The undersigned applicant for this building pennit 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 Su e lement, and has complied with the p rovisions thereof, and will require similar compliance fros, . - ractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted f. ection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such s ctors, on work to be perform e nder this permit, as are licensed by Miami Shores Village. „III o •y q - Remarks (Signed ) -� lIF_ ,__ ".�.4.e.--.--) Permit No Date Disapproved ate (Signed) &J ... k.1 Building Inspector 1 -1 F ft Notary Public, State of Florida STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. ead, Sworn to and Subscribed before me. My Commission Expires PLANING BOARD DATE Chairman t � 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. 2- i 3 L Miami Shores Building Department 10050 N.E. 2nd Avenue Miami Shores, Florida Gentlemen: Concerning the pool at 1287 N.E. 96th Street, I feel that due to the location of the pool with respect to existing grade, and the addition of stabilizing materials to the subsurface soils of low bearing capacity, that the pool structure will not warrant the use of piles. AHB:el Cable Address: EDMGEE 775 N. W. TWENTY -FIRST STREET • MIAMI 37, FLORIDA Phones: FR 9 -7359 - FR 1 -1057 Yours truly, 23 May 1957 A.H. Baxter, Engineer #537 u I2) 0 ` PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Dar Job Address 126' N . E , q (0 ' ( Tax Folio N D • I ! 3 2 L t 3770 r• 41 f140Ri SEG 3 PBto 37 L.arrs 33m t- E +SPST' oft r Legal DescriptioniD Dr "'Tr 11' '17%/1 el"' 63 L rr istonc, 1Sy LAsig r i r es P— 1 1.2 13e?No t �667 - .✓d - 08 ga ate�d. [ /l Master Permit # ,� `T 93 7 0 Phone d os 5 71 • ') 121 Owner's Address ' t 124)7 Na 1° ST". CJ,I`OE- •l■JA •3 pp.0 Of./G"CS Contracting Co. 0 13 A 7 40 t-1 PJ S Auk/ hl 1. u t 5 Qualifier Lo W- (2- ''1 - v\ 1 t.V 0.1 SS# Phone "J , 4 9. 5 l State # Municipal # Competency # 0000 c 3225 Ins. Co. Architect/Engineer N !/i, Address Bonding Company I-4 /S. Address Mortgagor N. i A Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 44,0 / t4 1 rt ..1.1 19 vEQI.- t ( 0r EAt,c GN e - tl t.(C, f �.MF A Nf7 1 1 &t7nt r0 0" FLkt ` mkr5 WORK DESCRIPTION Square Ft. d) J 2 A 't 4///' Signa e of owner and/or Condo President / Date Notary as to Owner and/or Condo President My Commission Expires: r P I„aure E. Miller �� , Commission sec 749036 Expires Judy 18, 2002 BONDEDTHRU OF H MLA L CO.. INC. FEES: PERMIT C1 RADON • Fi t ' 5 ,Wt au1 Zoning Building u. APPROVED: * 6 4.4' Mechanical C.C.F. / . C 0 Address - 6 zi rl ? N _ i11.1 5z , M 1 n►it\,.T L 3't 9, 5 Estimated Cost (value) 4 r a 1 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (W YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I 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, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS 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. Furthermore, I authorize the above -named contractor to do the wted. Signature of Contractor or Owner -Buil Notary as to Contractor or Owner - Builder My Commission E pies: OW UAL NOTARY SEAL j BARBARA B KING ! NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC994715 9 MY commigS CN E X1 . FEB 10 NOTARY " -'- BOND Electrical Plumbing Structural Engineer iaeo 8 0 TOTAL DUE / ) // / d/ Date Type Insp'n Permit No. Name Company Date 7' 0 / Address / 8 7 / V For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request L'L aw 3 °5" I t17 Time n/Zt fr / P./4/ (30S) 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 compliance with it Federal, State. Couaty,Yiltage Altos end regutatSons. Village assumes no responslbW(ty for accuracy oflor resutts trans these plans. 2. Thls copy of plans meat be avettabte on twfding site or no Inspection 'KM be conducted. JOB ADDRESS / ? F 7 41 ' E • ? S APPLICANT 4-� 840 D5 K y PHONE f# APPUCATION SHEET OF MISCELLANEOUS DATE MUG L] V y COMMENTS INITIALS il ° 1 7/0/ . /loo t r-t C"( e. m de /o c� 7C r- d r y Jnq,/ t. /rts)cli. i on CRITIQUE SHEET EX ISTft DOUBLE BA R A L.LE'f -- z EX IST "p CAN O PY N FRAME - � , = =SECT10\ CBS TWO STORY 1.4 OUSE LACE BAR ADDITION 1,..1 ELDED TO DOUBLE EDAR B O r ` DM Pi P A N.E. TREET PLAN \/1 E."1 N.T,S. S. - IS ETRIG V1 BXISTN EEL GALVANI ZED CAN O FRAME . REPLACEMENT OF FAeR1C PATIO 52-4 E. > Zone cubage required MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT '¢. ('f' • APPLICATION FOR BUILDIN PERMIT /C L, : Application is hereby made for the approval of the detailed statement of the plans and s pefications herewith submitt - ing or other structure herein described. This application is made in compliance and conformity with the Building Or e f iai Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village all an regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A py of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address L I _ V - 91 L -- - _ _ - / '141/ No Registered Architect and /or Engineer - -- -/_ Cam' Name and address of licensed contractor t L' ". 171.E Location and legal description of lot to be built on: Lot_S .__j T Block g Subdivision Street and Number where work is to be done State work to a done and urpose of building (by floors)_ New Building t L✓ Remo h-d To be constructed 6I _ 0 - - s!sa,b._2 of foundation_ 0 Estimated Total cost of improvements $____ C Distance to next nearest building Q o Maximum live load to be borne by each floor STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, peared _ - Disapproved k .. i Date ( Signed) Building Inspector NOTE: A charge of $1.00 will be made for making the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. Addi Chairman Member Member Council Approved :Z $� 19 .f �• Street 7 /L. ------ - -- - -- - - -- Date Amoud( of Permit $ _Plan Cubage _Size of Building Lot Member Member Member Date Disapproved 4 I PLANNING BOARD DATE s/o_ corrections or changes to this application after approval _ and for no other purpose. tio.n • ' Repairs � -,o No. of SO 'es______�__L' Roof a a'ering KsA I/ X / . I hereby submit all the plans and, sp ications for building. All notices with reference to the building and its construct be sent to- - - �.- ay j 9 A -1,14-44-Y / `1 / U /A4 -�-_ rJ - i- °- -°-�-w --- - ------ - ' 4 =p' r --------- - - - - -- �- 7 - - -- �?t 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 bn 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 (Signed) a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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 ha carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. 1 3 SY Date: L ! L_L___ _ :5 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/19/2002 Applicant: MARK Owner: BRODSKY JOB ADDRESS: 1287 Contractor Local Phone: Parcel # 1132060143770 If there is no permit package. fee is $50.00, which must be i This Permit is granted to the contract ordinances pertaining thereto and with t and approved by the proper municipal a authorization. A further condition upon ordinances and regulations pertaining tc by his agents, servants or employees. 3 Signed: In consideration of the issuance to me with the plans, drawings, statements or myself, my agent, servants or employes. Signed: ea/am NE 96 PAY TO THE ORDER OF FOR Building Permit Permit Number: BP2002 -1997 BRODSKY MARK ST Contractor's Address: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 3 & 4 LESS PORT OF LOT 3 DEDICATED Fees: FEE2002 -6596 Description Building Permit Application Fee Total Fees: Amount $60.00 $60.00 Total Fees: $60.00 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 5/18/2003 Construction Value: $500.00 Work: DEMO BROKEN WALL: REAR ALLEY ANTIQUE WHOLESALERS, INC. 2605 NORTH MIAMI AVENUE MIAMI, FL 33127 PHONE (305) 571 -9721 P4W(t\ • v i u.1�G -6 AUNION PLANTERS BANK t 2,? 7 P jQM rr 11'0078 L90 1:0670084 L41: Page 1 of 1 DATE 17 DOLLARS 7819 63- 841/670 BRANCH 6214F .. Beet 009000043980 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. 'TYPE Outlet, Appliance Q'I'Y. '1'1'1'1{ Service Repair ()Ty. 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 204- 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 PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. 'rm.: Soakage Pit QT1'. 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. MECHANICAL TYPE Minimum Fee A/C Central, Tons A/C Wall/Win. Tons Air Handler, Tons Barbecue Bath Fan - Vented, # QTY. 'TYPE Condensate Drain Cooling Tower Dryer Vents, Number of Ductwork, Cost of Fire Sprinkler System Fireplaces, Number of Generator Heating Strips, each Paint Booth Piping, Flammable Liquid Process/Pressure Piping Pressure Vessel Refrigeration, Tons Vent Hood, Cost Ventilation, Cost Periodic Inspections 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 Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) Cl IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) 6o, $ ( 6 O (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.O1 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ _ (/ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY 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 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, 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. STA OF FLORIII O TY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE C.)(1 1: , `L - p ia ature of Owner Signature of Contractor / Qualifier C'C 2r75 ,Q. 13gc DS Print Name / 7)1„N-I Print Name Sw� o and subscribed before me this n day of Sworn to and subscribed before me this day of Ignature of ' otary Pub c - S to f on Signature of Notary Public - State of Florida f Angela M Becker MY Comm scion DD150048 'N Expires November 15, 2006 Personally known OR, Produced Identification V Personally known OR, Produced Identification SEAL: Type of Identification Produced: RD) )a SEAL: PERMIT APPLICATION Type of Identification Produced: CONTRACTOR Name CU e_en 5 5g_o7S -� L icense No. Address /2F — 7 ry E__- F6, Th sT Telephone Fax Qualifier Name PROPERTY OWNER New Construction R 'Name f"` f r (751. Alteration Exterior Address / 2. 1 e7 ICJ E 9 71,./ $ r a t—t r ! 5-14?-1 2-E5 r -- c `3/ 8 Home Telephone `-p 5 74 o 9 o G ✓ Demolish Business Telephone J 0 5 ✓ 7 Q 72 Relocation of Structure Fax ,U5 57/ 9 7Z Foundation Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Job Address: 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 /1S7 Air ft Address Folio Number Lot Block Subdivision PB Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE ( )� Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit PERMIT APPLICATION gr M14 /.k1i/ g5 38' Apt. City State Zip LDeS of Work /7 r 012—c F — fi`''t e L L' (2,E A PG Zoning Linear Feet Square Feet Units Floors ue of Work 50 ° ' o' Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Da Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request G Time r J1J J) Name 1 ! ` ` 1 ),t Company Phone # For Inspector: i !3 L t Nam Date G 6q Approved Correction ❑ Re- Insp'n Fee ❑ INSPECTIONS DATE PERMIT NO. I J BY RE- INSPECT BY RE- INSPECT BY FOUNDATION ��' '� , » TEMPORARY SERVICE $ H. W. HEATER CONN. $ SEPTIC TANK .' . BEAMS & LINTELS $ SEWER $ MOTORS $ SOLAR HEATER $ FIXTURES $ FRAMING )1 $ / C - •- i / N' . . / f , w -J �0 .. ir,Q,, -!”' ‘ n_OtS!� INSPECTIONS DATE BY r BY RE- INSPECT BY � -- -tt� - - l� 4. FINAL GAS 111 H. W. HEATER CONN SEWER CLEAN -UP RANGE CONN. YL p I 1 , ,/". '•1 I CONTRACTOR y ,! +" �` ' - - - "'� PHONE PERMIT NO. I J DATE y , i f V „,,,, /// FEE $ / NEW BLDG. LALTERATION ADDITION REPAI SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ SEPTIC TANK .' . RANGE CONN. $ SEWER $ MOTORS $ SOLAR HEATER $ FIXTURES $ GAS $ $ / C - •- i / N' . . / f , w -J �0 .. ir,Q,, -!”' ‘ n_OtS!� INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING -- -tt� - - l� 4. ROUGHING GAS 111 H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK i- ! "�•I .� ,/". '•1 I . SOLAR HEATER FIXTURES Ek FINAL FIXTURES ) ' -- , T r / 0 ' %r ". ! i ,) -2 -•.- / II CONTRACTOR , PHONE PERMIT NO. DATE FEE $ NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE J - $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE-INSPECT BY RE- INSPECT BY TEMP. SERVICE - -- -tt� - - l� 4. ROUGHING 111 H. W. HEATER CONN RANGE CONN. FIXTURES Ek FINAL /.--, ! (t •. ) ' -- BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE OWNER•S NAME Helmut Born PRESENT ADDRESS 510 -71st St. I3ialni beach LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1287 N.E.96th St. LOT 3& 4 BLOCK 83 SUBDIVISION I icini Shores Sic. 3 GENERAL CONTRACTOR Arkin Construction Go. ADDRESS PHONE NO. LICENSE NO. 11957 BUILDING PERMIT NO. p t DATE PERMIT FEE $ 36.00 T• ,.. Q BUILD E R'S BOND N01 0 DATE ZONE REQUIREMENTS 25f 000 CU. FT. PLAN CUBE CU. CU. FT. 2 000 EST. COST $ DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE S NEW CONSTRUCTION TYPE CBS STORIES li ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION Terrazzo floors,plaster walls REPAIRS DESCR IPTIO mend ceilings Den,2 bdrm., dining -room, kitchen, livin g- roan,F lorida room, 2 car -ara e ALTERATION DESCRIPTION I ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. . ISSUED . ' L' " BY "' TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N9 635 Owner, Agent or Tenant of Building George Blumberg Lot 3 & 4 Block 83 Subdivision Nlialzli Shores #3 Street Address 1287 NE 96th St. Approved use by occupancy Swimming Pool Remarks • This Certificate of Occupancy is issued to the above named Own er for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. Tax Value - 2,600 Miami Shores Village, Florida, I 9/27/57 l BUILDING DIVISION V IN DATE BY RE- INSPECT BY RE- INSPECT BY I FO ;f4DATION SGF►.q_ O!C ,,,_/, . (0- t-O' S2 wwcs._- G2 ./ " BEAMS & LINTELS $ SEPTIC TANK $ FRAMING $ SEWER $ MOTORS $ SOLAR HEATER (.. o3 ...) 1 ?.,_., (� L j. .j 17 - 7 - t7- -)1 $ FINAL $ INSPECTIONS DATE CLEAN -UP DATE BY I RE- INSPECT BY RE- INSPECT BY ROUGHING F-P- CONTRACTOR je. se VI:l ,,.,, . , I . PHONE PERMIT NO 7 L 2. DATE 7- 3 4-7 FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ SEPTIC TANK $ RANGE CONN. $ SEWER $ MOTORS $ SOLAR HEATER $ FIXTURES $ GAS $ $ $ INSPECTIONS DATE INSPECTIONS DATE BY I RE- INSPECT BY RE- INSPECT BY ROUGHING F-P- p ..,-_ L. - 7 - 3 _ 7 D _< . ,.;i,), GAS ,A t' . 64,4 J_ I', J - ,� SEWER SEPTIC TANK SOLAR HEATER FIXTURES FIXTURES & FINAL CONTRACTOR "Luca Le `. , e., PHONE PERMIT NO. S77 DATE 7 - ' 7 ".7 FEE Z ' NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING /..J 5 Le- ,A t' . 64,4 J_ I', J - ,� H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTION ELECTRICAL. PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY Po' 4101p -.4,1..1 OWNER'S NAME GEORGE BLUMBERG PRESENT ADDRESS 1287 N.F. 96th Street LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1287 N.E. 96th Street LOT 3 & 4 BLOCK 83 SUBDIVISION Miami Shores Sec # 3 GENERAL CONTRACTOR EDWIN M.GREEN Inc. ADDRESS 775 14 .W. 21st Street PHONE NO. LICENSE NO. 1918 BUILDING PERMIT NO. 5 55 6 DATE 5 -2 P ERMIT FEE S BUILDER'S BOND NO. 21 36 DATE 5-24-57 Addition ZONE REQUIE NT CU. FT. Swimming TV PL N CUBE Pool lY 26C/U FT. E EST. COST $ 5200 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C. H. Markel DATE 5 -21 -57 NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION ALTERATION DESCRIPTION - UNITE SWIMMING POOL ADDITION ADDITION SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD R UBMITTED TO VILLAGE COUNCIL APPROVED REJECTED REFERRED TO COUNCIL REMARKS REASONS 9 -27-S? u l cad. (,..e $L.a....a••zer. / CERTIFICATE OF OCCUPANCY NO. / 3 S .-- ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building f14 Architect Contractor or Builder Legal Description MIAMI SHORES VILLAGE. FLORIDA ❑ DATE / - Z PERMIT N° 6373 Lot !!w. A /. ... ..,�,t CONTRACTOR OR BUILDER B1 Work to be performed under this Permit Address of Building I Subdi- vision Value of Project $ .j t' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authori • '1is Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough owledge of th ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawir or in thef'Ca atitements or specificons nd that he umes responsibility for work done by his agents, servants or employees. J / Signed t INSPECTOR Contractor's License No. 1.--• 1957 II Amount of 11 Permit $ In consideration of the issuance to me of this permit I agree to perform the work covered ereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications s fitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY CONTRACTOR I ' (75 - Name e--g -'1.17-' '3 4 .6 License No. (•; c 47,$47 Address r /.6 4,',/ / f/• t1 ✓ / 1 ii Telephone J� p P °. c °C/G °.Y■t! 20 , Fax < 4 . , w " L e7 /6 ° Qualifier Name 5k 4 PROPERTY OWNER Name 0 r 6 f- 'Cog: :i I ' (75 - Address, 2--7 N e C - 4 5 -r . M 1^1 -1 I `7►4-D 2 t 5, FL .351 '3 4 .6 Home Telephone Fax 30 5 •G12�.49.4 L Business Telephone 30c7 57 I 1'7 2 I Repair Fax Alteration Interior ENGINEER Name 3CJl t 1 A P g v\ t_' / Q Z. E/` License No. t7 E • C 7 8 1 Address 142530 Su.3 1 yik Leo e YV\IAW ( teP 1elk 331 a3 Telephone Na 5 - 3S-s If 2. Fax 30 5 •G12�.49.4 L TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair X Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps oust be taken to obtain a permit from the ]Miami Shores Village: Step 1. Step 2. bmit 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: •• • • • •• ••• •• Complete the attached permit application which must be signed by the property owner�n glali ieC nod: sign must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will to roofing application must be submit- • ted along with this permit application. • • • • • • • ••• • • 1227 N-tt 96 5 r - 1--/1 I ANA 1 HoE5 F. i Address Apt. City State Zip Folio Number Description of Work 'Rel 1 V 11A5, o• 11 p .,ry Lot 3 X Block e...? Subdivision f1i•'' % .r4i 0 €aJ Z PB / PG Current Use of Property 4 c r % ce " c c Proposed Use of Property ;nant Information p � 'RMIT TYPE ding Bu Elec Mech Plumbing LPGX Roofing Fence cal Other ARCHITECT \ ✓) Name W t' \ 4w Q d e I lih No. Pt ooto 3 goo License PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Address 240 C o l a 1 fl Oe mtavK. atQaC L, (q- 33 131 Telephone 30 S -- 6 . 1 . 2 F 3 Fax 3 ... 671 - 69( 2 - Value of Wor • • • ▪ • • • • • . . - • • . ••• • • • • • • ▪ ••• • • • P ERMIT APP CATION Master Pem it No. Subsidiary P.erif it N ••• •.. • • ••• 31 Zoning Linear Feet Square Feet Units Floors Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Bldg Value Page 2 INIPORTANT NOTICES • DO NOT BEGIN All)i tvtIPX WITHOCJTJ- VING 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 demelttion %Peas MiJrT BJ3 MIIIITAIVED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORINdPI;(O1tEICt'I4S SIj4LL LIE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PAOTEC11 D ocnocv Q Al • G1AGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or neat tht S`tfeebsi&ewatk. • • •. 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. 1. 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 an any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet t present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or busin ss under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure m ust 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 improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to c your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be 22 N.W. 1st Street, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall n Construction Li Pen Law and Choosing a Contractor. STATE OF FLO , COUNTY OF MIAMI -DADE Signature of Owner CUP-775 E i 207sK. Print Name Sworn to and subscribed before me This 2. 6 Loo 3. Signat Personally known • • • • • • • • • ... • LLt ."` ILLY �� • #DD 77954 SEAL: .. P .JAN. 15, 2007 TOt ' ADVANT e GE NOTARY • • • • • • , - . —• • • ••. • • • • • • . . • • ..... • • day of OR, Produced Identification Type of Identification Produced: STA OF FLORID Signature of Print Name Sworn to and s bscribed before me this 10 Signature of SEAL: Personally known or /u .er Type of Identification Produced: PERMIT APPLICATION ' Y OF MI�vII -DADE t— 24 . day of e t• L p� D 177954 XPI ' ES JAN.15, 2007 BONDED)HROUGH ADVANTA E NOTARY k- /7. s e !wice for 5nsult with r ecorded at: OSTED AT THE JOB SITE in OR, Produced Identification SECTION BY D TE 3 // //03 Zoning 6 Electrical Mechanical Plumbing Fire Public Works Structural Vii/179 Building Official Building = �45 Page 4 OFFICE USE QJLx • .• CHECKLIST • • ❑ OWNER - BUILDER FORM (Attach) . • ••• • • ❑ FIRE DEPARTMENT APPROVAL (Commercial,' • multi - family) ❑ CONCURRENCY (New Construction) Notary • .• • • • • • • ••. • ❑ OTHER (Specify & Attach) $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 • •• ❑ OF OWNERSHIP (Attach) •• • • • •• • • • • • el—F IMS / DERM APPROVAL • • • (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERJIIT FEES 1 $ ( z . x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) A PERMIT APPLICATION LI CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ REVIEWED AND PREPARED BY: 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 ELECTRICAL TYPE Minimum Fee QTY. 'I'' PE Dryer QTY. TYPE Outlet, Appliance • . • • • • ;)i'Y. : • • TYI'I'. ' $ , #ray Repair Q 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) AJC 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 NIECHANICAL TYPE Minimum Fee QTY. TYPE. Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons ("Ty. AJC 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. 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 u^ • • •• • • • • • • • • • ••• • • • • • • • • • PEI MIT APPLICATION • • •1• • • • • • • •• • •. • • • • INSTRUCTIONS: Please indicate the type of work being performed and 4bantityries; in the space j ovided below. RECEIVED AND REVIEWED BY: DATE: