857 NE 97 St (7)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 4 Time
Approved
Correction
Re- Insp'n Fee
Type Insp'n �y
Permit No. 13/ ®2 - / 7
Name JQ J If.
Address 8.4_7 /K97 7 5/ 4 4 k)
Company E GU tv 7a 4i€4) &) ,4//
Phone # � �� C ' p d�
For Inspector: 9 _ Nam ate
l 1-
❑
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
QT1'.
A/C Central 1 -3 Ton
Heating Strips, each
Fan
Outlet, Wall
Service, Temporary
Paint Booth
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
- Piping, Flammable Liquid
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Process/Pressure Piping
Oven
Space Heater (kw)
A/C Central 16 -20 Ton
Pressure Vessel
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY. TYPE
Generator
QTY. TYPE
Refrigeration, Tons
QTY.
A/C Central, Tons
QTY.
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
Pump and Abandon
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Gas - Appliance
PLUMBING
TYPE
A/C Condensate
QTY
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
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 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
DA E
Zonin_
�_ arha
0
Electrical -
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
iree i.
�. /_
o
___ ^
Page 4
OFFICE USE ONLY
GI I�IE� K�I�I S °T
m OWNER - BUILDER FORM
(Attach)
LI FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
CONCURRENCY
(New Construction)
CI OTHER
(Specify & Attach)
rPERMIT'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
LI PROOF OF OWNERSHIP
(Attach)
4-IRS / DERM APPROVAL
(Septic / Sewer)
LI IMPACT FEE
(New Construction)
CI OTHER
(Specify & Attach)
$ (j2 D D
$ 3b0.
$ ` 2 (sq.ft. = x/1000
x t.60)
$
f 1°SSUING
REVIEWED AND PREPARED BY:
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
PERMIT APPLICATION
® CONDO ASSOCIATION APPROVAL
(Attach)
BPR APPROVAL (Restaurants)
CI CONTRACTOR REGISTRATION
(On File)
TOTAL s 3 Le CO c Q
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL 0 (305) 795 -2207 o FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com
2
Page 2
IMPORTANT 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 $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1 Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Ne [mil V
Signature of Owner
ature of Contractor / Qualifie
M O\ r 1 (.9( t r\ ` e, L MIA 1210 c�
Print Name Print Name �� }
SEAL:
and subscribed before me tit)
4 .14
1 k .% / ��.� i *
,)1
_n e '
SEAL:
F FLORIDA, C
brie-=
O ,,-.L . Q
C7 �.h -•
• . et' - r,
CF�
F
PERMIT APPLICATION
OF MIAMI -DADE
Personally known OR, Produced Identification V Personally known OR, Produced Identification
Type of Identification Produced: F yS - 4 1 a pe of Identification Produced:
PROPERTY OWNER
1
Name Mark 4- 1 M 1 G[ r V 6-P ti, 0 r l 4,.. 4.
Address 1 111 I A n-11'
1 SIN ei c-2 S
g - 7 AJ 1 51L pc. ; 3►3cP
Home Telephone ( 3 o Y) 7 s q— O y- -- 7-6
Business Telephone ( O s .-) -7 s k - ON) 7 Z.
Fax (3o -1 s - 9 5-
CONTRACTOR
Name 1 f2 /fi)h,s L ^ L 4/1 co(.
License No. /-r p 34 0
9
Address !3 9 ' Y / � � ' s y / / , 4 : v e &/ CJ ,
u.) :D. a . r-k , 3-54( z_
Telephq �/ / G5_35g 2 Fax( ?0/) q e i. c 7
Qualifier Name ,I e.. 4 x 6 0 L ti4 A.A. IIv 0
TYPE OF MANAGEMENT (1 )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration llnterior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
000
mR
t &
rc. � u$
r o �
®anvj
• INSTR U(, The follovin , steps must be taken to obtain per nut 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 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.
TA PPLICATION
Job Address: 2.. S - 7 Ate c) ( - 7 5 -
Address
Subdivision
Tenant Information
PERMIIT TYPE (1 )
Building
]Electrical
Mechanical
Plumbing
LPGX
Roofing
]Fence
Other
PB PG
PERMIT CHANGE (J )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCIEIITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
Subsidiary Permit No. p — P-O0 a— '�— 3- /
(n m 1 ' 5 h o FL.
Apt.
City
State
PERMIT APPLICATION
3313•
Zip
Folio Number Description of Worker Q0b �t - �+ t rt
Lot Block r■CA J SIcb IC3✓' J cr y e ran
Linear Feet
Zoning
in
Current Use of Property Square Feet Units Floors
Proposed Use of Property $slue of Work IF 7 C Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGIINEER
Name
License No.
Address
Telephone
Fax
0
ACH FVr 083100277
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/17/02
Applicant: MARK
Owner: ORLANDI
JOB ADDRESS: 857 NE 97
Contractor MARINO'S PAVE IT ALL
Local Phone: 561 795 - 3542
Parcel # 1132060142620
MARK A. ORLANDI'
MARY YAGLE ORLANDI
857 N.E. 97TH ST.
MIAMI SHORES, FL 33138 -2527
Wi
1:0 63.i00 2771: 0000 700 4 4 1 2811 2564
Permit Number:
Dollars
ORLANDI
MARK
ST
Contractor's Address: 139996 KEY LIME BLVD
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E1/2 OF LOT 19 & LOT 20•
Fees: Description Amount
FEE2002 -2216 CCF $1.20
FEE2002 -2217 Building Permit Application Fee $60.00
FEE2002 -2218 Notary Fee $5.00
oad $381.0D
Total Fees: $466.20
19 .C,
Total Fees: $G0'
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 10/13/02 Construction Value: $1,875.00
Work: CONCRETE DRIVEWAY IN REAR; CONCRETE SLAB FOR GARBAGE CANS IN REAR
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
- -- -- - _- " -- • - - -� - a •......... I+nfnrn annthAr insoection.
2564
Date 0). 63-27/631 F1
827
Pay to the 1/�/�
I . I
order of �� VV tt W1 (/ � fr • 1 $ /_ /
F 24 A.0
Bank ofAmerica.
Premier Banking in compliance with all ordinances and regulations pertaining thereto and in strict conformity
res Village. In accepting this permit I assume responisibility for all work done by either
For
(c2n
BY:
BY:
Pavmk
P2002-771
Page 1 of 1
BLK 73
the equipment or device described in the application herefor in strict compliance with all
with any plans, drawings, statements or specifications that may have been submitted to
s not done in compliance with such ordinances or if the plans are changed without
ctor or builder named above assumes the responsibility for a thorough knowledge of the
ngs or in the statements or specifications and that he assumes responsibility for work done
FLORIDA SEM
I Isc Stni,hine StItc
4 11ARK ANDREW ORLANDI
400 NE 102 ST
MIAMI SHORES, FL 33138 -0000
07 -03 -65 M X 5-07
08 -22 -1991
0645 - 541 -65- 243- 0.•.' 07 -03 -1998
CLASS: E
SAFE DRIVER i 0941994
. S 9
NOT VALID UNLESS EMBOSSED wn?ri
SURVEYOR'S SEAL
REVISED:
`
)
tt
.
12\
c
E
c
-ToLMO
WID
?we-
1=
O
dV
- 10
pt9e-
•
r-
4 Go-.&G
(411:
(upt,lc,
Li)
t3 ,
of (R-EK) 1\2.1
3,00
1 /2_ or L•o-r 19
32.05
.00
3'1.3
0
149
1 ■r
O
Elevations based on
GSM a
Elev. NGVDa:,:rn.
Locator Index #
\o.0
N
Lo-t 20
(K) <<2s l '
s4 Qtre.
•24' Go
LEGEND : FIP= Found Iron Pipe
S.P.C= SET 1 /2" PIN & CAP L84789 F 78/9° Found Nail & Disc
S.PCP= SET PERMANENT CONTROL POINT LB4789
M H. CENTERLINE, MANHOLE. WM PROPERTY
WATER METER PP= POWER POLE
F.C= FENCE CORNER R= RECORD. M= MEASURED
CHAIN LINK OR WIRE FENCE= • - -
WOOD FENCE =
MASONRY WALL=
CONCRETE= ' . • • . • . _
MAINTENANCE & DRENAGE EASEMENT = E.
NOTES: UNLESS OTHERWISE SHOWN, THE FOLLOWING NOTES APPLY.
1) Record and measured calls are in substantial agreement. 2) Bearings, if shown are based on Plat data. 31 The lands
shown hereon were not abstracted for Easements or other recorded emcumbrances not shown on the plat and he same, if
any may not be shown on this sketch. 4) Underground portions of Footings, Foundations or other improvements were not
located. 5) Elevations are based on National Geodetic Datum. 6) Fence Ties are to the Centerline of the fence. 7) Wall
Ties to the face of the Wa1I. 8 BEARING WHEN SH0W ARE REFERED TO AN ASSUMED VALUE SAID PB PAGE
I HEREBY CERTIFY That the survey represented
hereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board o1 Land
Surveyors pursuant to Section 472.027 Florida
Statutes. •
There are no encroachments. overlaps. easements
appearing on the plat or . visible easements other
than as shown hereon
Add_
MARK M. KRAJMIK
Registered - Land Surveyor No. 3 37
State of Florida
L O C A T I O N S K E T C H
:.. S . C• i • Z. N:? S
• • • • • • • • •.• • • ••• • • •
• • • • • • • • • •
• • ••• •
•
••
•.
••
• •
•
•
•
•••
•••
•
h
• • •
' ?NI
•
Certified to: Mark Andrew Orlandi, Mary E. Orlandi, his wife; 857 N.E.
97th St. Miami Shores, Florida 33138., Christopher P. Kelley, P.A.,
Attorneys' Title Insurance Fund, Inc., Preferred Home Company, its
successors and /or assigns as their interests may appear.
L EG .L OE : (Furnished by CUent)
LEGAL DESCRIPTION: LOT i Lot 19, all Lot 20 BLOCK
OF MIAMI SHORES SECTION NO. 3
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10
OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA.
BLANCO, DANIAL & ASSOC. INC.
Land Surveyors • Planners ,
4100 Aurora St. (Mailinc Address)
Coral Gables F1. 33146 555 N. Shore Dr.
Suit B Mia. Beach Fi. 33141
(305).865 -1200 Fx (305)865 -7810
SUFFIX: - b7 DATE: 3/2/94 BASE: Q-1\
•1
tutu l A Y ►I tut:
FLOOD ZONE:
• •
•• • •
• •
• Iii
• •
• ••• •••
0
DATE: SCALE:
5-1— 97 i " =20'
• •
• • • •
• • •
• • •
• • •
• •••
1
•
•
•
•
••
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DWN. BY:
F, $(Ai$ co
SUBDIVISION
AT PAGE 37
JOB No.
73
• 97� = • g_