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MIAMI SHORES VILLAGE BUILI?ING DEPARTMENT - 305- 795 -2204 Building Inspection Reques Date 0 Time Type Insp` Permit Name J - ^f Address l o S 1 V �� 9.9 Approved Correction Re- Insp'n Fee Compan Phone # For Inspector: 1 3 171 Afee y 0; Name & Date r ze, ape, Company Phone # Cl/ ( v r / For Inspector: D Approved 1 Correction Re- Insp'n Fee MIAMI SHORES VILLAG BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Req Date Type Insp'n Permit N Name Address Company Phone # For Inspector: ) Z O / O3JTame Re- Insp'n Fee 3 ti S MIAMI SHORES VILLAGE BUILDING DEPARTMENT 1 305- 795 -2204 Building Inspection Request Correction s" // 6 (7 e c--P C au Sq e G Pe /lc e— MIAMI SHORES VILLAGE BUILDING DEPARTMENT '305- 795 -2204 Building Inspection Request Date /0 - 0 1-03 Time Type Insp'n Permit No. ICJ P- Zelda- Z55 For Inspector: /0-07 - 0 3 '9 "Name & Date Approved ❑ Re- Insp'n Fee 4■o\ Name Address /0 95 A' • 99 S T Company Phone # 3 - Z Z 6- 757 v J(1 � e c1 „k c� e �., ., W��i 6 G t ) as MIAMI SHORES VILLAGE ING DEPARTME Qqrn /') 05- 795 -2204 Tim (1• Date Type Insp' /�� k Permit No, 1 D a 1 S q Vh Name 6&"- C 1•i Address /0'7S / g ' 6 'a Company L . y. Phone # � ' 75/ For Inspector / / Name & Date Approved l ❑ t Correction f71 PleP/ 493 Re- Insp'n Fee li toe--€"7" " 4c e 17®ttkod a my 'e,zs A 7 I- /va ®,r/ P, &8131ei•.' V9 9, a40 y4 2I/ /yf fAPAP ¥'(r`f Date 3 — J3 ` Time Type Insp'n )2/4;i44. C4 -6414, Permit No. / 7 ; � 2®O 2 -34 Name C.lti1. -rfr74Va/ . / Address Company Phone # For Inspector.? — /V.- Qa ame & il iI \I""" Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request // 75'Al0 99 30C 226- -2, Date 2,)(Y4105 Type Insp' n ' (Y CN f)Y")CA 1 Permit . ` No a - � �. 3 b Name ��oroO Address Ltb ok_` J Company 1 t/ Phone # 2Z C , I 0 1$ , , ' or Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date /�Z Time Type Insp'n / �413.1 Permit No. D L. a DO z -34 Name J 0 G1 ■ CCi/ ! Ae 10 7( /1 7fSt Pe ems) 3.os -7 /v For Inspector: #1-0 Approved Correction Re- Insp'n Fee ❑ Date 4t "" Type Insp' Permit No. ' Name Address Company Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Req aolo,>)-(3& Ti 7 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n q � Permit No. 3 7,®o;. °- � Name -7 /� Address /i l .5 f F 9. `7 Company � 9 -di /n z4zJ Phone # 32 at 75 W For Inspector /ii, 2. Name & Date 305- 2 \ c - &: Approved orrection �r� - ' 7 ' 4e.„._ U - MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 3 "�'_O Time Type Insp'n J1QiV//v Cal? 2-z _) Permit No. ` 02.o02 3 Name a4~ 6--40 Address /O4/ 99 - 57h T irel:ee.%) Company Phone # 3 ,OJ 7,5 For Inspector: 3_0247.°0 Name Dat Approved Correction /`' ❑ Re- Insp'n Fee ❑ ��,�, 6.16 TD-19/..4 IAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 3 2 - 6 1 2 Time Type Insp'n 4 ' e 4 Permit No. � �r Name 6;11/71//g71) Address / �.� /4 7,'s' r Comp an; /( Phone # 38S 2 aZ--6 7 /0 For Inspector: X f- z Name & Date Approved Correction Re- Insp'n Fee 71 o 3oj ,C62-S 82..62 Date Type Insp Permit No. Name Address Company Phone # Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request For Inspector: 2 �,D 7 Name & Date Approved 1 ' ❑ �� Re- Insp'n Fee ❑ ��- f Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 9-3z Z Time '/' 02002 - 2 S "s For Inspector: 5 f -O2 Approved t Correction ❑ Re- Insp'n Fee ❑ !L' 75 f 7 ,- 2 111 - .#4,4 Jos 022- 4 -7si0 Name to Type Insp'n Permit No. P 002 eZJ 5 Name �.(ii[Ctr ` Address 10 7S /I 99S't Company 7g 7;46 /P44 ait ) Phone # � � f o.5 02 - 75 . 7 0 / rr boas y For Inspector — pZ`� Namd D :t Correction Re- Insp'n Fee t Date 3 / 9 ?9Z Time EI MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request rQ 0 A 0 fict 30 Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n �11 9)69 . Pcl cc Werner) Permit No. " Pa-00 - -S Name b26 -0 • Address I S f-sE Company - — 'redrTh .. Phone # 3nS ZZ 1J' 0 _ Inspection Date 010510 1-1 Date Type Ins Permit No MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Tim 10_7 A on L 19e ----, Name . Address -- Company Phone # For Inspector g 1 0 Name & Date V Approved 1 ❑ Correction Re- Insp'n Fee ❑ 1/:'"' MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Date Type Insp'n Permit No. i' Z, -- LcQ), 3 1 Name g Address Company ) Phone # For Inspector: Approved Correction Re- Insp'n Fee cf-A o o Name & Date AI) a \ C f f MIAMI BUILDING DEPARTMENT 305- 795 -2204 "0 Building Inspection RequestCA) Phone # Ap For Inspector: P- 0 (‘ Name (- 0/0L ��� Address v l ��% t� Company a Th0 ��r.k o5, Name & Date Re- nsp'n Fee ❑ '7 .10 )16(10kit-z009_, (....p( 07v4"..r.---64—i 2 C, 3 (.., .6.- ) Ye( ) a m_A ,,,o,„ 5 ' 2o,s'= ,,2 6'75 ! D .)a MIAMI SHORES VILLAGE BUILDING DEPARTMENT o X1'`305- 795 -2204 ZN -3 Building Inspection Request` Permit No: i .0 Type Insp'n Name • Date AddresC- / A/ / 9 Compalt .e.l tL/- C_/t.�(� Lt . Phone ((# 7 > ( ( ' ' 716 C l / ' / 9 ( / For Inspect r: // 2 Name & Date ( 5 Approved ge Correction Re- Insp'n Fee ❑ Time Village of .Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 2/6/2002 Applicant: ALBERTO Owner: ANTONACCI Contractor POOL TECH OF MIAMI INC Local Phone: Parcel # 1132050180030 Legal Description: REV PL MIAMI SHORES SEC 8 Job Address: 1075 NE 99 ST Fees: Description Amount FEE2002 - 745. Building Fee $90.00 Total Fees: $90.00 Permit Status: Approved Permit Expiration: 8/4/2002 Construction Value: $19,000.00 Work: SWIMMING POOL & SPA If there is no permit pa fee is $50.00, which muss by his agents, s- ants or emplo: This Permit is granted to the ci ordinances pertaining thereto anc and approved by the proper un authorization. A further con itior ordinances and regulation perta Signe Signed: Y PAY TO THE ORDER OF K Terrabank, N.A. Plumbing Permit Permit Number: PL2002 -36 Address: 9002 BIRD RD Cellular: �s ANTONACCI ALBERTO POOL TECH OF MIAMI,INC 9002 SW 40TH ST MIAMI, FL 33165 - nrr' rr . n r. $r M1ack r Ar r oil z Gr. -r7-u Page 1 of 1 PB 43 -69 LOT 14 BLK 178 LOT Total Fees: $90.00 Total Receipts: $0.00 DATE rJ` " / 63- 1233/660 2 In consider o e lssuanc with the plans, drawings, statemi University Center Branch myself, my agent, servants 'or en t 1615 S.W. 107th Avenue land Florida 33165 ® FOR )17- a .0 t.t "00021311' 1 :0660L23331: 021,00069L5006 213 D.OLLARS 8 Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 2/6 /2002 Applicant: ALBERTO Owner: ANTONACCI Contractor Local Phone: Permit Status: Approved Permit Expiration: 8/5/2002 Work: SWIMMING POOL & SPA If there is no permit packac fee is $50.00, which must be l This Permit is granted to the contrac ordinances pertaining thereto and with and approved by the proper municipal authorization. A further condition upon ordinances and regulations-pertaining t by his agents, servants or employees. Signed: In consideration of the issuance to rr with the plans, drawings, statements e myself, my agent, servants or employ( a Signed: PAY TO THE ORDER OF Terrabank, H.A. University Center Branch 1815 S.W. 107th Avenue lama Florida 33165 FOR Building Permit Permit Number: BP2002 -255 ANTONACCI ALBERTO Address: 9002 BIRD RD Cellular: Parcel # 1132050180030 Legal Description: REV PL MIAMI SHORES SEC 8 Job Address: 1075 NE 99 ST Fees: Description Amount FEE2002 -746 Building Fee $285.00 FEE2002 -747 Buildier's Bond $300.00 FEE2002 -748 CCF $11.40 Total Fees: $596.40 Construction Value: $19,000.00 POOL TECH OF MIAMI,INC 9002 SW 40TH ST MIAMI, FL 33165 Page 1 of 1 Total Fees: $596.40 Total Receipts: $0.00 PB 43 -69 LOT 14 BLK 178 LOT " 000 2 L311' 1:06601 2 3 3 3 1 : 0 2 1000 6 9 1 511'06 , - . , ®— .a ...._....ti.+.n ���e..ts.a.�. �:«�c � ? .e.1wi.. — iucci - s ::fia NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF 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 informations provided in this Notice of Commencement. 1. Le description of property and street address: 2. Description of improvement: igna ure .1 •wner n1 Print Owner's Name t� l Notary Publi Print Notary . rr My Commission E pir nL � SPc4- rr s) name and ddress: Interes 'n property: Name and address of fee simple titleholder: Ail'r 4 tr�ctor's name and ad es I s: � ` 1 f� © { � c 1002. c 1002. ) '1O � . 2 5. Sur :(Payment bond required b owner from contractor, if any) Name and address: tJ Pr Amount of bond $ /Jik 6. Lender's name and address: W j._ 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., Flor(drSttatutes, Name and address: ��VV 1)r 8.1n 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 Sta s. Name and address: 1 / /Y 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) cho ac c Sworn to and subscribe • fore e h day of , 20 67 . v �; IriI�i1i! "' Maria V. Butcher MY COMMISSION # CC749756 September 12 200 AININSURANC; STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that this is a tAie co y of the original filed In this office on day of &ail LI , A D 20 ...(2 „` WITNESS my han land Official Seal. HARV : UVI , CL . , s , rc and County Courts By �+ _ D.G. 028086632 2002 FEB 12 14:12 101-5 NE qq - ” pared r"'�— p d b n0 1� (2Q ss: q 002 4 ° I< 7-L PERMIT APPLICATION FOR N E9 Q c'40 ( 5 N g9Gtreet" CPC (e)cDSG'3k Qualiner Q. Oap of i State # L Municipal # Date 10'14-0 Job Address Legal Descriptionl„ a I t (?oc( Owner/Lessee / Tenant a ik 1 Owner's Address Contracting Co. Architect/Engineer A qua. cl j 'n,cx `(n C S Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL P MECHANICAL WORK DESCRIPTION u) w 1 \ 9 �1 ook. My A P' .r findo Pre'sidera Date mmi ion E pires: Maria V. Butcher OMMISSIC NI CC7,0756 EXPIRES September 12, 1002 BO — ` NDED THRU TROY FAIN INSURANCE, INC FEES: PERMIT ondo President Date RADON 1049104 C.C.F. APPROVED: Zoning Mechanical Plumbing Building r IA % MI SHORES VILLAGE amts a x Folio 41/G9 on ally Designated: Yes No a me ` � Master Permit # l 1 � T 1. 3 30 Address q 0 p 2 s W `1 0 StrtiLT ss# 59 04-0?) 5 2 9 Phone b' 10 Competency # Address Address Address •q tO S 42 J)e km? L - NOTARY Electrical ROOFING PAVING FENCE SIGN P� Ins. Co. Square Ft. q 1 Estimated Cost (value) 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 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. 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 zo ' g. Furthermore, I authorize the above-named ctor,to do the workjated. _.Ag Al& .n a ' +r or Own + - Builder Expires: Marla V. Butcher : MY COMMISSInI' : (7/ EXPIRES • September 12, BONDED THRU TROY FAIN INSURANCE, INC BOND TOTAL DUE Date Engineering 305 226 2205 11/14/2003 10:26 POOL TECH OF MIAMI -, 3057568972 POOLTECH OF MIAMI 9002 SW 40 STREET MIAMI, FL 33165 TO: MIAMI SHORES BUILDING DEPARMENT FROM: POOL TECH OF MIAMI ATTEN:BUILDING OFFICIAL MR,CRAIG CURTIS DATE :11 -12 -03 FAX: 305- 756 -8972 PAGE:2 FAX TR.ANSMI T TAL MR. ANTONACCI'S POOL LETTER ADDRESS:1075 NE 99 ST MIAMI SBORES,FL. NO.197 P01 424.2.6.3 Water velocity. Pool piping shall be designed so the water velocity will not exceed 10 ft/s, except that the water velocity shall not exceed 8 ft/s in copper tubing. Exception: Jet inlet fittings shall not be deemed subject to this requirement. 424.2.6.4 Piping to heater. Water flow through the heater, any bypass plumbing installed, any back- siphon- ing protection, and the use of heat sinks shall be done in accordance with the manufacturer's recommendations. 424.2.6.5 Piping installation. All piping materials shall be installed in strict accordance with the manu- facturer's installation standards. 424.2.6.6 Entrapment Protection for Suction Inlets. 424.2.6.6.1 Location. Suction inlets shall be pro- vided and arranged to produce.circulation through- out the pool or spa. 424.2.6.6.2 Testing and Certification. All pool and spa suction inlets shall be provided with a cover that has been tested and accepted by a recognized testing facility and comply with ANSI/ASME A112.19.8M, "Suction Fittings for Use in Swimming Pools, Spas, Hot Tubs, and Whirlpool Bathtub Appliances." Exception: Surface skimmers. IMPORTANT SAFETY NOTE: Do not use or operate pool or spa if the suction inlet fitting is missing, broken, or loose. 424.2.6.6.3 Entrapment Avoidance. If the suction inlet system, such as an automatic cleaning system, is a vacuum cleaner system which has a single suc- tion inlet, or multiple suction inlets which can be isolated by valves, then each suction inlet shall pro- tect against user entrapment by either an approved antivortex cover, 12 "x12" grate or larger, or other approved means. In addition, all pools and spas shall be required to have a backup system which shall provide vacuum relief should grate covers be missing. Alternative vacuum relief devices shall include either: 1. Approved Vacuum Release system 2. Approved Vent piping 3. Other approved devices or means 424.2.6.6.4 Suction Inlets Per Pump. A minimum of two suction inlets shall be provided for each pump in the suction inlet system, separated by a minimum of 3 feet or located on two different FLORIDA BUILDING CODE - BUILDING 424.2.6.3 - 424.2.8.4 planes; i.e., one on the bottom and one on the verti- cal wall, or one each on two separate vertical walls. These suction inlets shall be plumbed such that water is drawn through them simultaneously through a common line to the pump. 424.2.6.6.5 Cleaner Fittings. Where provided, the vacuum or pressure cleaner fitting(s) shall be locat- ed in an accessible position(s) at least 6 inches and not greater than 12 inches below the minimum oper- ating water level or as an attachment to the skim - mer(s). 424.2.7 Pumps 424.2.7.1 Strainer. Pool circulating pumps shall be equipped on the inlet side with an approved type hair and lint strainer when used with a pressure filter. 424.2.7.2 Mounting. Pumps shall be mounted on a substantial base in a manner that will eliminate strain on piping. 424.2.7.3 Capacity. Pumps shall have design capacity at the following heads. 1. Pressure Diatomaceous Earth —At least 60 ft. 2. Vacuum Diatomaceous Earth -20 inch vacuum on the suction side and 40 ft total head. 3. Rapid Sand —At least 45 ft. 4. High Rate Sand —At least 60 ft. 424.2.7.4 Materials. Pump impellers, shafts, wear rings and other working parts shall be of corrosion - resistant materials. 424.2.8 Valves. 424.2.8.1 General. Valves shall be made of materials that are approved in the Florida Building Code, Plumbing. Valves located under concrete slabs shall be set in a pit having a least dimension of five pipe diameters with a minimum of at least 10 inches and fitted with a suitable cover. All valves shall be located where they will be read- ily accessible for maintenance and removal. 424.2.8.2 Full -Way (gate) valves. Full -way valves shall be installed to insure proper functioning of the fil- tration and piping system. When the pump is located below the overflow rim of the pool, a valve shall be installed on the discharge outlet and the suction line. 424.2.8.3 Check valves. Where check valves are installed they shall be of the swing or vertical check patterns. 424.2.8.4 Combination valves. Combination valves shall require approval of the administrative authority prior to their installation. 4.141 11/14/2003 10:26 POOL TECH OF MIAMI -, 3057568972 November 13, 2003 To: Village of Miami Shores Attention: Building Official Mr. Craig Curtis Fax: 305-756-8972 From: Poolteeh of Miami, Inc. Re: BP- 2002-255 Address: 1075 NE 99 Strcct, Miami. Shores, FI. This is to certify that we have installed an anti- vortex main drain and a hydrostatic valve in the swimming pool referenced above. I appreciate your attention to this matter. Respec fully, rank de Izagu.i Poo]tech of Miami, Inc. tec OF MIAMI, INC, NO.197 E02 9002 S.W. 40 STREET • MIAMI, FLORIDA 33165 • PHONE: (305) 226 -7510 - FAX; (305) 226 -2205 JOB ADDRESS APPLICANT PHONE tr APPLICATION PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL SHEET OF MIS CELLANEOUS 101C N. €. `?' Sr 0 .-63ykacc.; P64 ,pq DATE ZVJV1JG CRITIQUE SHEET COMMENTS BUILDING OFFICIAL 1. Subject to carepIlanci with alt Federat. State. Ca„- 1ty.VVlage rotes snd regulatlo:tis. Viggo t sun= no responslblllty for accurecy otlor results trosa these Flans. 2. This copy of plans must bs aYallabte oa NRding site or no Inspection wilt ba conducted. INITIALS 4. )2rwfbvr9t. of Ek/sT /rte A( 'FL4j - ieFated A / i �Z ar1n c bed u re tore ! ck /#v ,' € t/T rt ' 9 v ! ' r t ] 3 s V 2 Y L (� ti - r r _ i l V r n I, a n r r J I . S e e back f a r d e t a i l s . 61 PAY TO THE ORDER OF ®Terr k, N.A. University Center Branch 1615 W. 107th Avenue Mlnl, Florida 3110 /•,ham -w POOL TECH OF MIAMI,INC 9002 SW 40TH ST MIAMI, FL 33165 oo '0-s 10000 L S00 1:0660 L 23331: 0 2 L00069 L511 °06 2/v Gal i1iIOOT . ° N 63-1233/660 ,�7 /) �� DATE ! '( - Cf 2 2.7_,3111.6=1,3",. ..w mwmw.rc: mm a- r=Hnnt._rcasam+ :m. . —. wars ?oamm.uaamwsv.iconromvtraummin_ 1130:10 A3NOW )IO3 sae-noa ' 11v . �i 0/ , r . y -v - 1°0 150 DOLLARS 8 31Va m m 0— 3fla - WS _, — _� 1N3WA`dd 1 Ll 1NflOa0V -- rt ' 9 v ! ' r t ] 3 s V 2 Y L (� ti - r r _ i l V r n I, a n r r J I . S e e back f a r d e t a i l s . 61 PAY TO THE ORDER OF ®Terr k, N.A. University Center Branch 1615 W. 107th Avenue Mlnl, Florida 3110 /•,ham -w POOL TECH OF MIAMI,INC 9002 SW 40TH ST MIAMI, FL 33165 oo '0-s 10000 L S00 1:0660 L 23331: 0 2 L00069 L511 °06 2/v Gal i1iIOOT . ° N 63-1233/660 ,�7 /) �� DATE ! '( - Cf 2 2.7_,3111.6=1,3",. ..w mwmw.rc: mm a- r=Hnnt._rcasam+ :m. . —. wars ?oamm.uaamwsv.iconromvtraummin_ 1130:10 A3NOW )IO3 sae-noa ' 11v . �i 0/ , r . y -v - 1°0 150 DOLLARS 8 31Va m m Date 1-.?)0 o Miami Shores Village Building and Zoning Department Attention: Building Official o-cc/7 SWIMMING POOL OWNER'S CERTIFICATION Legal Own I certify that I am the legal owner of the property described as Q ti io - 124., GU • , located at 1.01 S 1� � Cj t Wit' • In accordance with Section 33 -12(0, Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. • Note: This certification is to be submitted with a swimming pool permit application in duplicate. Date to 3),) Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as e-Pt , located at in IC y J & qq, __m r ;I\ In accordance with Section 33 -12(0, Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owne Note: This certification is to be submitted with a swimming pool permit application ni application STATE OF FLORIDA) COUNTY OF DADE) The undersigned attached survey, performed by performed on , 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. 7rharni SIiorp Vdiage AFFIDAVIT 0 Affiant, A\.Q_rkO �acc1 does hereby attest that the (property owner) (name of surveyor's company) SWORN AND SUBSCRIBED before me this Oct day of Affiant is personally known to me, produced 4 Witness(sign and print) Ma Butcher COMMISSII # CC749756 r"' September 12, 204 BONDED THRU TROY FAIN INSURAN,,. • .. identification. NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or stalled at lt22S f .J�. � miami Shores following methods will be used to meet the requirements ementsof Chapter affirm that one of Mutes. Chapter 515, Florida ease 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 with release mechanisms placed no lower than 54" above the floor or deck; derstand that not having one of the above installed at the timef final inspection, or n pool is completed for contract purposes, will constitute a violation of Chapter 515, and will be considered as committing a misdemeanor of the second degree, punishable nes up to $500 and /or up to 60 days in jail as established in Chapter 77 , F.S. RACTOR'S SIGNATURE 8c DATE ZACTOR Y _L ILII er SSION # CC749756 EXPIRES September 12, 2002 RraNnFA THPH NAY FAIN INSUPANCE, INC -? V C( CCT C Clate:Viliar BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138.2382 TELEPHONE (3051 795.2204 FAX (3051 756.8972 Maria V. Butcher /4 September 12, 2002 BONDED THRU TROY FAIN INSURANCE, INC CRITIQUE SHEET JOB ADDRESS APPLICANT PHONE# APPLICATION t# SHEET OF MISCEL EOUS DATE Z d 1^ COMMENTS PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT SECTION ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL BY DATE 1. Subject to compliance with alt Federal, Stat. County.Ytfage rules snd regulations. YKlage ssszmtc no responslbplty for accuracy oflor resutts tro- those Bans. 2. Thls copy of plans moat be available c biHding site at no Inspection will be coadocte INITIALS /o /3v /o/ .6) 6 /.s /nl/ F a/1/7* )i9 , /DT /961¢,e 41 L'i /fraiiiic Es 577 PL/9 4-4 Dui* /cif 1 TTMf' / gv6 7-2 a 'i t'( 116,44,0 RuIle_F S VAIEI4Nzr R40-1 t t-ft Ad* iv 4 x/1 1304 • Pooc a is a'A/C. y 3 ' f Pf,Pc)e Ty Love. s . i 5e 7.64 - c,/ (met u 1i Cff1411.1 L-IiJ cE v7 i cow V 14g 1c" CONTRACTOR n Name _ _ (.12_(04._ 0 ( , License License No. �� e_ OSTC,. 3--u . p0 2 7 5 Add � c (c�S t- Telephone( c9's 4C� /_ _ D Fax TM, 1.aimA�0k I) Qac cc to PROPERTY OWNER Name Id - 1 1 ii , 1 i► : • p .i._ r 1 Address (01 S c i. c t ./— t-K ln,afC-s Home J Telephoned ) o s 5 s� —30 1 6 • 3 Business Telephone J g ,a 3 a (.0 + Fax y or- S73 61 59 - TYPE OF MANAGEMENT (✓ ) New Construction I Enclosure Alteration Exterior a Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step I. 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: X01 {t■ q S� ' 1r/l 1 tett S/i Address Apt. _ City 1 )3 05\ Oig Folio Number Lct Block Subdivision Current Use of Propert Proposed Use of Property �1 Tenant Information PERMIT TYPE (✓) Building J Electrical Mechanical Plumbing LPGX Roofing Fence Other PB PG PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Description of Work State ''nn SWlwtwt; S— � WOOL PERMIT APPLICATION Master Permit No. Subsidiary Permit No. a cD L J Zip ,oning Linear Feet uare.Feet q S?) Units Floors Value of Work P 0 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPOR'T'ANT 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. STATE OF FLORIDA, CO OF MIAMI -DADE Signature of Owner Print Name Sworn to and subscribed before me this Signature of Notary Public - State of Florida SEAL: day of Personally known OR, Produced Identification STATE OF FL' _ID • , COUNTY OF . IAMI -DADE ature of Contractor / Qualifier Print Name Sworn to and subscribed before me this Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION day of Personally known OR, Produced Identification Type of Identification Produced: Type of identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. 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. Tvii Refrigeration, Tons QI•V 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 QT} 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 DATE Zoning � Electrical VAg ` l/ / , , Mechanical Plumbing fJ.aa -el Fire d Public Works Structural FP to 00 Building Official Page 4 OFFICE USE ONLY CHECKLIST LI 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 El PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $S� ®� $ 317©2 0 $ 1, L1 ( s = x/1000 x ¢.60) $ (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL !. 6 r y C� ISSUING OFFICIAL REVIEWED AND PREPARED BY: REV. 410 Z DATE: CONDITION OF' APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/15/2002 Applicant: ALBERTO Owner: ANTONACCI Contractor LIGHTING ELECTRIC OF MIAMI INQlddress: 20311 SW 83 AVE Local Phone: Cellular: Parcel # 1132050180030 Job Address: 1075 NE 99 ST Work: ELECTRICITY FOR POOL & SPA Signed: Legal Description: This Permit is granted to the contractor or builder named above to construct the ordinances pertaining thereto and with the understanding that the work will be pert; 1 ' and approved by the proper municipal authorities. This Permit may be revoked at- • c authorization. A further condition upon which this permit is granted is the understc, ordinances and regulations pertaining to the work covered hereby whether shown.'! by his agents, servants or employees. tf (INSPECTOR) Electrical Permit Permit Number: EL2002 -84 1 In consideration of the issuance to me of this permit, I agree to perform the wot with the plans, drawings, statements or specifications submitted to the proper au; myself, my agent, servants or employes. Signed: (Contractor • 4 ANTONACCI ALBERTO REV PL MIAMI SHORES SEC 8 `" Permit Status: Approved Permit Expiration: 9/11/2002 Construction Value: $750.00 FRANCISCO JIMENEZ NIEVES JIMENEZ 12401 WEST OKEECHOBEE ROAD LOT 419 HIALEAH GARDENS, FL 33018-2938 Pay to the Order of Bank of America. �.� ACH Nr 063100277 Page 1 of 1 For ': 06 300004 71: 00 L X966 34 3 190' PB 43 -69 LOT 14 0 Total Fees: $e.:99 Total Receipts: $0.00 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 fo „r,thec.�nspection BLK 178 LOT 3063 3— 11 Date ~ / v 63 - 4/630 FL 1383 % o Vi I I 49 $ /00 (19 - 1 Bank of America Advantage y, Dollars 8 Nv CONTRACTOR New Construction Name /% Ce h fi /✓6 ao (f. b 1 g1 , -G License No. / �O / /r / !! Address 1 O N E Address 2e* !l 544 1) 4 re Telephone Z 52 '7 Fax Business Telephone Qualifier Name F�� 1 Y C) c` ( 2 h9 e /re PROP TY OWNER New Construction Name Ilotri--0 " n t -�- o Lac (1 `- . Address 1 O N E GinStc Home Telephone Repair Business Telephone Alteration Interior Fax Demolish 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. 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: 1 04 S NE 9 Folio Number Lot Subdivisio Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. City PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • PERMIT APPLICATION Master Permit No ? — r J 5 Subsidiary Permit No. ( o20c ' ore S State Zip Description of Work d TI ` O Q 1. J P n"' Bloc — v 1 n In0(e B 1 �y 3 PG G 9 Zoning Linear Feet Current Use • Property Square Feet Units Floors Proposed Use of Property Value of Work Bldg Value Tenant Information Tax Assessed/Appraised Value - 7 DO. %' Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 INIPORTAN'I' 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. STATE gna a of Owner Int Name Sworn to a subscribed b this day of &■ 1 k , „ kirmire„ Signature SEAL: Personally known F ,ORIDA, COUNTY OF MIAMI - DADE Type of Identification Pr • ida Maria V. Butcher :4: MY COMMISSION # CC749756 EXPIRES September 12, 2002 .. o BONDED THRU TROY FAIN INSURANCE, INC OR, Produced Identification uced: STA r OF IDA, COUNTY OF MIAMI - DADE Si .natut �� • ry '�; too Flori SEAL: Personally known PERMIT APPLICATION Maria V. Butcher COM "'KSION # CC749756 EXPIRES Sep. tuber 12, 2002 Rr3NnFn TH ?I I iko +V FAIN INSURANCE, INC. OR, Produced Identification Type of Identification Produced: 02 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. 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 b Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential I 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 TYI'E 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 /21,A 43. SECTION BY DATE Zoning Electrical , '(/ /1 Mechanical Plumbing Fire Public Works Structural Building Official 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 ( sq.ft. = x/1000 x0.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION El CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ l o n. _ o r) 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 Date I D-29 - 01 Job Address U S N E q 1 Legal Description,) O y 4 (40C,114- 49 a C - Owner/Lessee / Tenant IB S OE tvett Contracting Co. C PC O S 6 3 4 Owner's Address Qualifier D n C ..1 d Y State # F L Architect/Engineer Jo& 0 Q► (1)/1\il `t Bonding Company Address WORK DESCRIPTION W ( Taf l ng Square Ft. 3 3' Municipal # ondo ' esident Date Butcher ?7 CC149756 EXPIRES tember 12, 2002 BONDED THRU TROY FAIN INSURANCE, INC FEES: PERMIT RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE onde- President Date /o /zS /o / APPROVED: Zoning Mechanical Plumbing C.C.F. 0 I l� g 4C l olio oxs fap92/69 stoncal y esated: Yes No My Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL P,J UMBING MECHANICAL ROOFING PAVING FENCE SIGN • p sPA 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 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. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate at all work will be done in compliance with all applicable laws regulatin_ construction and zoning. Furthermore, I authorize the above -n ed co tractor to do the work stated. Building Master Permit # c4D n2 .qw Dr€Lt SS# Phone sos 0 Competency # Ins. C Address y 91c) Su D JC. Estimated Cost (value) NOTARY 'tb0S- 543 30 I O 17 or or Own es: Electrical - Builder Date - Builder vlaria V. Butcher MYCOM SSIC y:• ''1 EXPIRES September 12, 2002 BONDED THRU TROY FAIN INSURANCE INC BOND TOTAL DUE Date Engineering CONTRACTOR _( New Construction a Name (� 1 / � b L 1 , w .„. .... , 1 IQ6�i f� _ - , ��c License /� l / C // '14 t � Address f(95— qoou) • Demolish Telephone r1"1 � - Fax cm Y lJ Relocation of Structure t Qualifier Name 0 el I /) , Foundation Only PROPERTY OWNER / New Construction a Name . ►r� n „ ` �� --LCJ• // �6 f� _ - , ��c Address (.01 N�.C1. S— '14 t � Home Telephone - i t - S ) W / v 1 6 • Demolish Business Telepho Relocation of Structure Fax Foundation Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other NoREs 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 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 1 -4;1) Address: in 1 _ l 1 J Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. City (), D! g '09 , 3% , Description of Work Folio Number Lot Block Subdivision PB Current Use of Property ;t n Proposed Use of Property �� Tenant Information PG Zoning Square Feet e of Wor PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. 03 Ion u\At • 1 I State Zip hAV401 N-D PERMIT APPLICATION Linear Feet Units Floors Bldg Value Tax Assessed/ ppraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPOR'T'ANT 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 IO 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. AFFI DAVIT' - 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. ST;j E OF FLO' ID A, C • / Signature of Notary Public - State of Florida SEAL: Y OF MIAMI -DADE Print Name Sworn to and subscribed before me this day of STA. OF FL _ 4 i SEAL: I A , ra• Signature of Owner ignature of Contractor / Qualifier COUNTY OF MIAMI -DADE Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida PERMIT APPLICATION Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPP. 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 -� - Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon • - PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof Q1'1'. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit Q'I'Y. 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: Page 4 OFFICE USE ONLY CHECKLIST 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 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) PERMIT FEES g 9� Metropolitan Dade County (C.C.F.) (sq.ft. = x/1000 x ¢.60) $ SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ v. PERMIT APPLICATION ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com