445 NE 96 St (3)BUILDING
ELECTRICAL
PLUMBING
ROOFING
❑ PERMIT N° 8954
Owner of 0 iffC S
Building
Architect
Contractor f d 1
or Builder id • 1 ! ' / ,- r A
Legal Lox
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
Signed! Y P
In consideration of the issuance to me of
pertaining thereto and in strict conformity with
In accepting this permit I assume responsibility
�= :} ivi .
CONTRACTOR or BUILDER
Work to be performed under this Permit
r , -1 G
I I
II Bl -
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 applica-
tion 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 respon-
sibility for work done by his agents, servants or emfloyees. J s
Date
'oL- 40
19 1
Contractor's
License No.
AUTHORITY
Subdi-
vision
Sq Ft
Value of II Amount of
Project $ II Permit $
- -KIC1SPEC } o _., BY
this permit I agree i)erform the work covered hereunder in compliance with all ordinances and regulation.
the plans, drawings, ttatements or specifications submitted to the proper authorities of Miami Shores Village.
for all work done 1i either, myself, my agent, servant or employee.
Name
Address
Compan
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date Time
For Inspector:
Type Insp'n •
Permit No. 50 L i
43 Aka(0)
,4
74 i tat ■ ( A 0
•
Approved
Correction
Re-Insp'n Fee
Name & Date
PROPERTY OWNER
New Construction
Name M , Wait/
• Q
Alteration Exterior
Address � NC 46 MiA.kl Sl`lal?,ES
3 1 ;
Home Telephone 7
` r V
Alteration Interior
Business Telephone ^ 3
l 'c/
(
40 Z.
'
Fax
Shell Only
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'1 Attachment
Other
Add'I Detachment
Other
Ammo
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
B1'' O / W5
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 submitted
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 A/ 6= q 4/1/t; 51-601E-5 F1- 3.v38.
Address City State Zip
Folio Number L I 32p6, o l 0110 )( Description of Work WW , t TO f& zAc
Lot 117 Blo
Subdivision /W. PL. 4 ' .ofd
Current Use of Property R&Si.AbN7r4Z
Proposed Use of Property FZFSFPE.v7t 4 1
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
P&
(305) p' 1 )g
ck $6 t'h OLD ckiC4Go &et a✓ ✓nz;ve
PB /5 PG / Y Zoning Linear Feet eeJJ
Square Feet -i • ' I Units Floors
OKValue of Workt' Ooo o
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Bldg Value
PERMIT APPLICATION
Master Permit No.
Subsidiary Permit No.
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone
Fax
Qualifier Name
Page 2
IMPORTA NOTICES
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.
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 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 FLORIDA, COUNTY OF MIAMI -DADE
Signature of r
c
an subscri d efore m+ this
Print N
Sworn t
Signat
SEAL:
day of
Maria V. Butcher
MY C MMISSION // CC749756 EXPIRES
September 12, 2002
NWT) THPII TROY FAIN I\'SUAANCF !NC
ida
Personally known OR, Produced Identification
Type of Identification Produced:
0
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of Contractor / Qualifier
PERMIT APPLICATION
Print Name
Sworn to ands day of
II1 A .
Signat re of to V.
. ' ; -1:04;; '� V. bUtLilei
SEAL: ;9•
.. _ MY OM ISSION n' CC749756 EXPI121-;
• S ptember 1 7.002
BOND , THRU TROY FAN'NSU2ANCE, INC
Personally known OR, Produced Identification
Type of Identification Produced:
SECTION
BY
DATE
/d/
Zoning
j r - - 0 ,
Electrical
//
Mechanical
Plumbing
Fire
Public Works
Structural
7 ti 1
Building Official
1
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
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
, (Specify & Attach)
$ 60,o0
3O .O l)
$ ( sq.ft. = x/1000
x ¢.60)
$
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
REVIEWED AND PREPARED BY:
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $3 A3-- A 6
ISSUING OFFICIAL
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.
'TYPE;
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
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
PLUr 1BING
'TYPE;
A/C Condensate
QTY.
'TYPE
Drains, Roof
QTY.
TYPI:
Miscellaneous Fixture
QTY.
'rvPE
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:
Paulo RAMOS 03-00
Ruth Cordeiro
rel. 305-759-0508
455 ,A 90th St.
81 Portal, 3.0 33138
OCIange Amerkan
•.1_
Pay to the v /46 6 - M
Orderof
46.4e Wv/viyacK Anet
NationsBank ,
NationsBank, N.A.
ACH WY 063000047
Owner of
Building J94 1'2rLg
- • Architect
Contractor •
or Builder
- Legal Lot
Description
547
For Z/V d. 59' -Awe
Date
1:06300004'N: 00344 2665? 2 So 054?
• 1.; •
1.1 .•
•
‘ S; - • ,-;) •
” "1st Melo • run •••••• _ •• •■ flfln 11)
/
r -
PERMIT CARD MUST BE AVAILABLE FOR ALL INSPECTIONS--,
Work to be performed under this Permit
63-4/630 FL
100 Dollars
1348
SEM*
M. co MO.
PLAYFULVALSO'VIPP,..._
BUILDING
MIAMI SHORES_ VILLAGE, FLORIDA
0
} ', ELECTRICAL 0 305-795-2204 Date
--_,„- PLUMBING a PERMIT NE: 50443
• ROOFING 0
0
Contractor's
License No.
20 0/
ha (1 e4 C111..P
/_ e , ' /Lc -62 //oh./
c0 ij4U/t'
(v1.
aia.tx.1162,
d I 0
(../
Sq. Ft.-
Value of
Project . 62 / , 0 00 • OD
Permit:
CCF: R • 6 0
Notary:
Bond: Or,
Radon:
Amount of
Permit: 3 6 0
s„. Address-of...„1 Y-5 ) 1-F-- 5
ref Building - --
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 applica-
tion 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 appioVed 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 buil der named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether4a ,3 the plans or drawings or in the statements or specifications and that be assumes respon-
sibility for work done by his agents, servants or e V yet ' ,.
\
Signed- ,...., (INSPECTOR) - BY
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.
A 11714 OR ITV
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. 1.1 3206 a?' 0110
STATE OF FLORIDA:
COUNTY OF DADE:
1 R 699 243 2001 DEC 17 13:50
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: yys NC G 5' A 7' D P2 O F
S ES -7c - Lv
15
2. Description of improvement: /95
chmg &3n,;ckg
3. Owner(s) name and address: 7HOZ /V
,A4 .1 R/ 3 5) - '1.265 3r3
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address:
Lender's name and address:
Signature of owner
Print Owners Name
Sworn to and subscribed before m
Notary Public
Print Notary's Name
My Commission Expires:
1•(i /.3cf Re '&Ica VA T ,
ni Wit/4
enGA-1e
i/s , r 57L
5. Surety:(Payment bond required by owner from contractor
Name and address:
Amount of bond $
FLORIDA C^.L,
�- C..tiiY x.17 ,,1r
ri;"
_ D.C.
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owner 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)
as fovided
Prepared by: .AQL- 1-01(704 Z
Address: 311 C0.0 1 4% Pc-
pk. 33I ?S
12101.52 2193
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SURVEY FOR:
• • • • • • ,‘• • • • • •
• • • • • • • • • •
• • • • •ii• • • •
. • • • • • %ID • •
• • • • • • • • • • • •
• • • •
•
' • •
LEGAL • DESCRIPTION
I HEREBY CERTIFY:
• • • • •
FLOOD ZONE: 4/V
THIS IS A BOUNDARY SURVFY
SCALE: 1 = 7e2
DATE:
• • • /— • 7
•
• •
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• • • • • • •
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//'.--22/
. Lot 16, less the North _15_ B f lo e ck e . e \- -._ a:l.ot 17
less the North 15 feet and East 35
c
-Leet
Subdivision AMENDED PLAT OF MIAMI SHOilt4SSECTTO?
according to the Plat thereof as Recorded in Plat Book 5
at Page /4 of the Public Records of i2 (2E CoAty, Florida
— /44/zik
That this "SKETCH OF SURVEY" of the property described hereon is true and
correct to the best of my knowledge and belief as recently surveyed and drawn
under my supervision. This survey complies with the Minimum Techni.
Standards adopted by the Florida State Board of Land Surveyors pursuctrit 1
Chapter 21 NH-6. Florida Administrative Code.
Note: Not Valid unless sealed with embossed Land Surveyor's Seal
DELTA SURVEYORS, INC.
LAND SURVEYORS LAND PLANNERS
12888 S.W. 53rd ST. PHONE: 223
APPROVED BY:
PAEZ
y. s,
By: Pr es.
Waldo F. Paez
Registered Land Surveyor. 3284
State of Florida
MIAMI. FLORIDA
DRAWN BY: /
,••••
•••_, . •
STATE OF FLORIDA)
COUNTY OF DADE)
attached survey, performed by
performed on - / — S 7 , 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.
The undersigned Affiant,
Witness(sign and print)
'Miami Sliore�
AFFIDAVIT
SWORN TO AND SUBSCRIBED before me this
Affiant is personally known to me, produced
9'7' Ai % st .
1t4 4) R 1./t/ ielloN6,does hereby attest that the
(property own r)
Q_ C
(name of surveyor' company)
sign •. d print)
of
AA
i I IPA
as identificatio
Maria V. Butcher
'COMMISSION # CC749756 EXPIRES
September 12, 2002
BONDED THRU TROY FAIN INSURANCE, INC
1