249 NE 97 St (2)APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing cr 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 ,'hores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein sp ,ci'�d or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address.1/Y_A ° PU _
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot___ — 2 t Block Subdivision _& _ 44`'IfNa __? ''� � =E
Street and Number where work is to be done
Se
State w rk to done and . se of building by floors)__
Remarks_-__
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
permit, as are licensed by Miami Shores Village.
Date
PLA `_ G BOARD
NOTE: A charge of $1.00 will be made for making corrections
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
(Signed) _
Chairman
Member
Member
Council Approved Date Disapproved
Date__ 5 v . _ , 19
No -1 Street
Notary Public, State of Florida
DATE
x
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 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__ .. .
% hereby submit all the plans and specifications for said building. All otices with reference to the building and its construction may
be sent to__ I G y' Gw �sl` X ?'1 3_(1_ C.y,
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, o rk to))performed under this
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 arefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are =
Permit No._______ Z Date_ "________ /.______ Z Read, Sworn to and Subscribed before me.
Building Inspector J ' My Commission Expires
Member
Member
Member
Date
or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
02-9
Type Insp'n
For Inspector:
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING !EPARTMENT
305- 795 -2204
Building Inspection Request
Date rill 1 Time
Permit No. BU Z0c n63-
Name COCArM
Address z4 -q °qj 9 r s
Company" 4Ocke.
Phone # ( OS — g c 1Q 0
f5Oo01
Name & Date
3 ( 4 i >'D
Name C�j Cp C-n
MIAM SI1ORES VILLAGE
BUILDING 'DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp'n ',� '6n) CC_
Permit No. CJi
Address 2A-C4 F 9' s
Company n /v n \
For Inspector: n ; , Name & Date
` r
Approved tom['
j
Correction in
Re- Insp'n Fee ❑
Phone # r g 90
Page 2
PERMIT APPLICATION
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 PROTEt:I'ED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FL' OUNTy' O AMI -DADE
Signature of 0
SEAL:
Personally known
Ar CA CZ
Print Name
�� rn to and subscribed before me this day of. t
n
r
gnature of Notary Pub c Staf 7r-
COREA
A °fY8' s PUBLIC STATE OF FLORIDA
COMMISSION NO. CC944701
MY COMMISSION EXP.
13
OR, Produced Identification
Type of Identification Produced:
STATE OF MIAMI -DADE
Signature of Contractor / Quali er
ft t.0 pe 2
Print Name
Sworn to and subscribed before me this day of
rte),
SEAL:
OTARYSEA[
MARTHA COREA
AM WAY PERM STATE 07 O:A
COMMLSSION NO. CC944l81
MY COMMISSION EXP. ,gam
Arc_ ,
Personally known OR, Produced Identification
Type of Identification Produced:
CONTRACTOR
Name .is tlf Y r ic, 't' ;, �� _
y'° i�f'
License No. CI R , 5 ,., _ cc; Lci
�
\
Address '1 E �. ...ck�ebE�c'
1 ci\1e - k-- L c� o �,
Y
Telephon� !; ^ dry yam Fax _ ER ._ ! i. I2, 0
Qualifier Name isa6 �—
C�C..i
PROPERTY OWNER fl 4 g.. e Kg7zl q c! - vegiel
Name , • sa --
Address a K E fi - s+ -
1 t etn■ S
L
Home Telephone 1, c,, l _ c c
" q
✓
Business Telephone
Fax
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
RECEDV D
I 7 2003
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
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: 4 1. E
Address
Folio Number
Lot 11 4 1O Block 31
Subdivision ill S N� PB PG 70
Current Use of Property
Proposed Use of Property eS; ( - 441
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Apt.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
S
City State
Description of Work
a\e, 2 ( I-1° X 4'40
Zoning Linear Feet
Square Feet Units Floors
Value of Work 51 l( ,) • (%
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
�
, PERMIT APPLICATION
JPX M aster Permit No. U O T \167
Subsidiary Permit No.
Bldg Value
caste tnai (uQ r \e4-1- v1'V
Zip
I!1INCI14, ul.4h(SiOCI
(e53/ t 1
ENGINEER
Name
License No.
Address
Telephone
Fax
ELECTRICAL
TYPE
Minimum Fee
QTV.
TYI'P.
Dryer
QTV.
Tl'PI?
Outlet, Appliance
QTY.
'1'VI'I?
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan
Dryer Vents, Number of
Outlet, Wall
Ventilation, Cost
Service, Temporary
Air Handler, Tons
A/C Central 4 -7 Ton
Piping, Flammable Liquid
Fire Pump
Outlet, Switch
Fire Sprinkler System
Signs
A/C Central 8 -15 Ton
Bath Fan - Vented, #
Fixture - Fluorescent
Pressure Vessel
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. TYPE
Refrigeration, Tons
QTY.
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
Solar Water Heater
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Cap - Fixture
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Pump and Abandon
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTV.
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain '
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
SECTION
BY
Zoning
`�i? L�
� TE
1 7 /;/
Electrical
4
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
/
tJ - 4 201
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(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
$
$ �
03
3
(X .ft. = x/1000
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL - L J
ISSUING OFFICIAL
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
CRITIQUE SHEET
JOB ADDRESS
APPLICANT
PHONE t#
APPUCATION
SHEET OF •
MISCELLANEOUS
DATE
/1
ZOJVING
otppro■ea
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT
SECTION
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
BY
DATE
I. Subject to compllance with elt Federal, State.
County.Yalage rules end regulations. Village yes
no responslb(ltty tor accurecy odor resutts trora
these plans.
2. This copy of plans mutt be available cc
building site or no Inspection 'Mil be conducted.
COMMENTS INITIALS
FefAcey Ito -Parif yard leL f z ,
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant,
Further, Affiant sayeth naught.
f� G
Witness(sign and p uit)
AFFIDAVIT
oes hereby attest that the
(property owner
attached survey, performed byG(k* C l��r��• )
(name of surveyor's company)
performed on 1 , 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 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 p =, its..
itness(sign and print)
SWORN TO AND SUBSCRIBED before me this , 90 day of :r .
Affiant is (p;:rsonally laic o me, produced as identification.
i
MA COREA
N OTARY PUBLIC STATE 07 FLORIDA
COMI'ZiSSI3N NO. CC94,4+ 701
4 ;..;', ' ;,''rF ION i ;(.°' r,JZ_v'3,2034
5'-O" MAX
2 -0"
Owner's Side
fa'
- - I' -O "
4" X 4" Wood post
2" X 4" Wood fail 4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
1 "X6 "orl "X8"
Wood pickets
d n
Concrete
III
I I
Tr
WOOD FENCES
5
2915 Fences
Wood Posts
2915.1 Wood fences, so located on a property
that by zoning regulations they cannot be used
as a wall of a building, shall be constructed to
meet the following minimum specifications.
(a) Fences not exceeding 5 feet in
height shall be constructed to meet
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts spaced 5 fee.-0 inches on
centers, having a fiber stress of
1200 p.s.i. in bending, and shall be
embedded 2 feet -0 inches into a
concrete tooting 1 fcot -0 inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply with the
provisions of this Chapter and
Chapter 23.
(b) Fences not exceeding 5 feet and 4
feet in height respectively shall be
constructed as provided in
paragraph 2915.1 (a) herein,
except that the spacing of posts
may be increased to 5 feet -0
inches and 6 feet -0 inches on
centers for these heights.
SQ 'UDC 1 1/4"X1 1/4x1 4G
2 PI.
POST •-■,_
SO. TUBE
2"X2"X1/8"
PICKET
SQ. 1wx1"xi4d.
• !.
12"
= Z
1■••••■•■
.■■••■••■
4
Gs iNCRETE FOOTING .
•-1
•
6' max.
(C11 Standard Residential Shop Drawing
R ail Ens
B Band
Tension
and
lie Wt. per ft. Size
21"
1 5/8 or 2"
Wt. per ft. Size Wt. per ft.
1 3/8" or 1 5 8"
Size - outside dimension * Weight-Is pounds per linear foot
no 41
T. II-
IO'-O" to center
maximum
1
Tie
Wire
Post hole diameter is 4 times the diameter of the post.
TERMINAL POST
LINE POST
Top Rail
Sleeve
TOP RAIL
B Tt
Top Rail
Cap
Chain Link
Fabric % Gouge
111
t l ea' "
u
a
I
II
2
a
t %1
i
[ .�'�l
•
FAX NO. :3057566491 Jun. 30 2003 02:46PM Pi
1 ke_t - -fe 2,19
LOCATION MAP Gas)
eye .e * 5r
T1 e. . '01 " er
PROPERTY ADDRESS: 249 NE 97 Street Miami Shores, Florida 33138.
ILL DES RIpUa : Lots 17 & 18, Block 31, "MIAMI SHORES", according to the
plat thereof, as recorded in Plat Book 10, at Page 70, of the Public Records
of Dade COunty, Florida.
FOR: AL SSANDRA FRANCEQNI & MARIAGIRAZ IA GUER1tA.
TO ALESSANZRA FRANCIUM & MARIAGRAZIA GIER A.
GNICN TITLE SERVICES, INC.
STEWART TITLE GUARANI"' COMPANY, INC.
NORT STAR MORTGAGE COMPANY, its successors
their interest may appear.
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