745 NE 96 St (5)CONTRACTOR
Name Carlos R. Duran
Name S u eat stict yr* Cot JCR if < plc
License No! 1 e 1 9 0 a
Business Telephone
Address .52o14 si 13 q c{ -
11iArli if 1 33175
Telephone 306 _ 11 (93 Fax
3o6 —
220-il49
Qualifier Name 0 i /'! AN i-. S4fAs
PROPERTY OWNER
Name Carlos R. Duran
Address
745 N.E. 96th St.
Miami Shores, FL 33138
Home Telephone
305-757-6864
Business Telephone
Fax
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
OtherYfliVeU 0
Add'l Detachment
Other 11
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.
A PPLICATION
Job Address: 745 N.E. 96th St. Miami Shores, FL 33138 -2519
Address
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Apt.
Folio Number II- 39.0 - 014- 9.9-40
Lot 8 4 q Block (
Subdivision kt.S bTtS 5rd3 PB 0 PG 31
Current Use of Property RES.
Proposed Use of Property t f •
Tenant Information
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
Address
License No.
Telephone
Fax
PERMIT APPLICATION
Master Permit No.
Subsidiary Permit No. 1 7
1111 City State Zip
A bescriptionofWork Concrete Driveway (rear)
Zoning Linear Feet
' Square Feet 1 Units f Floors I
i alue of Work it a�5(o0 Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
Licen'se No.
Telephone
Fax
Page 2
I\IPOI4'I'ANT 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.
A FF1DAV1'I' - Please read carefully.
•
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of th6•propt. ty, 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.iriformation 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.
ST ORIDA, COUNTY OF MIAMI -DADE
0.414a1 • a
- Nignature of Owner
SEAL:
A fZLo6 0. Du RAil
Print Name
S m to and subscribed before me this ___ day of 0 G�
_ •
Signature of Notary Public - State
Personally known
` ,41∎Y ?G� , Marola Franco /Sans
t` ,•�' ''''''Gomm # G_C925828°
�� ,: . c IJxpires'ripril x, 2004 •
'. T n0 , Bonded Am' ' . •
sn it' Atlantic Bonding Co.
OR, Produce 1d
Florida
Type of Identification Produced: ••
•
STA
Signa of Contractor / Qualifier
RIDA, COUNTY OF MIAMI -DADE
(Oill;curn T. Sans
PERMIT APPLICATION
Print Name
Sworn to and subscribed before me this 0 day of
62c.
Signature of Notary Public - State of Florida
I 4. Yeline Sans
SEAL: , * ! J *My Commission CC843290
'4, he •
Expires June 3, 2003
wn OR, Produced Identification
Type of Identification Produced:
ELECTRICAL
T1'1'!
Minimum Fee
Q'I'1'.
Tl'I'1:
Dryer
QT1'.
TV I'1..
Outlet, Appliance
QTY.
'fl l'1.:
Service Repair
11' 1'.
A/C Central 1 -3 Ton
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
'1'1'1'1:
Minimum Fee
QTY.
'I Ypi.:.
Condensate Drain
QT1'.
T1'I'i:
Generator
Q'I'v.
'1'1'1'1{
Refrigeration, Tons
QT1'.
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
PLUMBING
'f1'1'1':
A/C Condensate
QTY.
T1'I'E
Drains, Roof
QTY.
Tl'I'1:
Miscellaneous Fixture
Q'I'1'.
1
'INN.:
Soakage Pit
1
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 u
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
Zoning
e2Q ���4
7d( 3 t L
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
f
Building Official
Page 4
OFFICE USE ONLY
clu:cKLlsr
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Code Enforcement Fine
Zoning Review
Notary
Inspector State Educational Fund $
State DCA (Radon) $
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
I'I;RIMI'I' FEES
$
(sq.ft. =
60) x/1000
x ¢
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL 'D 0
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OFAPPRONAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
0
PAY
TO THE
ORDER OF
FORb 4 1 492.
_.____[J Sec ,; n7 rd
SUPER STAMP CONCRETE, INC.
305 - 220 -1163 OR 305 - 729 -1726
Ib
--dXQ X
Bank of America,
ACH Rff063100277
e t b a( A_ f o e d e l o i1 c. (1301.____ na41_I .' ra
DATE
0 3630 1:06 300004 ?l: 0 0 1 5 9 6 5 2 9
63 -4/630 R.
1622
DOLLARS 8
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2002 -1733
Printed: 10 /9/2002
Applicant: CARLOS DURAN
Owner: DURAN CARLOS
JOB ADDRESS: 745 NE 96 ST
Contractor SUPER STAMPED CONCRETE Contractor's Address: 5204 134 CT
Local Phone: 305 - 220 - 1163
Parcel # 1132060142240
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 8 & 9 BLK 69 LOT SIZE 100.00 X 115.00
Fees: Description Amount
FEE2002 -5688 Building Permit Application Fee $60.00
FEE2002 -5689 CCF $1.80
FEE2002 -5690 Buildier's Bond $300.00
Total Fees: $361.80
Total Fees: $361.80
Total Receipts: $0.00
Permit Status: Approved Permit Expiration:
Work: CONCRETE DRIVEWAY (REAR)
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
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- zany ewarrx.'
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the respo*»czfm -. tom,:.-
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or spevfr2m acr rragr atationas faegaz c3r4iwzzr
by his agents. servants or employees.
Signed: ✓ ��— ' -- �iNSPEC1OR1 417 .: �--=. - "4'-'4'-'
gfe•
In consideration of the issuance to me of this permit. I ee to ;Kelton. p
;Keltnro wuto ! ?� #f + �' " A " ----- 3 �
. - �:...i
with the plans, drawings, statements Of W0011(.610_0 It. Llltemlllptl It• Iles pnl r idfp f' Aim
myself, my agent. servants or einUlue
vski
-., _
7
Building Permit
4/7/2003
4
Construction Value: $2,560.00
Page 1 of 1
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DETAIL
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DONALD W. McIN1O°,H 0.V )CIATES, INC
521 N. E. 91 S7 ST.
N.ILMI !MOMS FU. 3313$
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d
2,
PORTION OF 5EC. 6TWP. 5.3S,K6E 42E
LOCATION SKET
SKETCH OF fUgVEY
— OF
LOTS 8 19 - BLOCK 69
MIA_ MI 5HORE3 - 5ECT /0/,/ /410.3
MIAMI 51 ES VILLAGE. LACE COUNTY, FLOR /OA
According to Rat book '°_... PAR"- 37 of
the Public Records ut Cade County, Flo.
SURVEYOR'S CERTIFICATION: We hereby
certify that the attached "Sketch of Sur-
vey" of tha above described property Is
true and correct to Lie lest of our know)
9dge and belief as recCilly surveyesl/ndfL_
RONALD W. MctNTOSH & ASSOCIATES. INC.
Reg. Stwveyor 2,653 Stale el F/or
NOT VALID UNLE.'', ; CEALED
ELEVATIONS SHOWN THUSLY . 5.
ARE RELATIVE TO THE NATIONAL
CFDDEI IC VFRTIC \ DA TUI.1 OF 1q ?9
C.5 16 -163
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, 67212 2,/'2 , does hereby attest that the
(property owner)
attached survey, performed by
performed on
AFFIDAVIT
(name of surveyor's company)
is an accurate representation of the existing conditions and
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.
Witness(sign and print)
Affiant is personally known to me, produced P L
Affiant/Property owner
`skI pi
�� v' MaI'ola Franco/Sans
C ommissi on
- X 5828
Witness(sign and pr i n t) &,,;, o? Expires April 6.2004
.
� R��� AtlantijBondi g C
C o., Inc.
SWORN TO AND SUBSCRIBED before me this 30 day of 64ff 90 °c.R •
as identification.
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SKETCH OF 5U15VEY
---- O F '.._... _.
LOTS 8 1.9 - ELOLK 69
IZMI _ SNOR . E3 SECT 0 / ./ 4/o.3
MIAMI SNORES VILLAGE_ CAGE COUA)TY r1OR /O/1
_ According to Prat book 'a._. 1'. _ol
D E 7 4 / L_ the Public Records of Cade County, Fla,
9CAL E_/ " 2 0
SURVEYOR'S CERTIFICATION: We hereby
certify that the attached "Sketch of Sur
vey" o tl 1•� a bove described property Is
true an d correct to t.Ue best of our know!
etdge and belief as recCrstly surveye�l.11ndc3_
Qur dnect
cioNALD W. IAcINTOSH & ASSOCIATES. INC. .
Reg. Survey« ZFJ sl.,le ra no. no,.
NOT VALID UNLEr3 C ALED
ELEVATIONS SHOW11 THUSLY . 5•
ARE RELATIVE 10 THE NATIONAL
GTODEIIC VERTICAL DAIULI OF 19?9
DONALD W. MrdNIOSH KcOCIATES, IYC
5.S1 N. E. 91ST ST.
MIi.MI ',HCRI S ILA. 3]138
P,L)C1 IOC DEC. S,I`) t6
N.PR\L \"), \91 , C.5 -16-1G3
Address
Company
Phone #
For Inspecto
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Ti
Type Insp'n - 1 7�Z''?' -�c �`��� l a,L 1
...._....,
Permit No. C
Name 1 4,0'IN
N- 9
!) Name Date
Re- Insp'n Fee ❑