1167 NE 99 St (15)BUILDING
PERMIT APPLICATION
FBC 2001
Permit: Type (cir Building Electrical
Owner's Name (Fee Sump M e colder) d
Owner's Address
City fl% a.tut,t 5 k're 4
Tenant/Lessee Name
Job Address (where the work is being done) it o2 4- a-
City Miami Shores Village County Miami-Dade
Is Building Historically Designated YES NO X
Contractor's Company Nanie
Contractor's Address
City State
Qualifier
Submittal Fee
Notary $
Scanning $
Code Enforcement $ ems'
Total Fee Now Due $
60,
(Continued on opposite side)
AIC 1ST ..
State
lva �am� nores v mage
Building Department
10050 N.E.2nd Avenue, Ivfiami Shores, Florida 33138
Tel: (30 ) 795.2204 Fax: (305) 756.8972
RECEIVED
FE302 5
ijrag
PI nbiu Mech
g
C,,
** * * * * * * * * * * *#, * *fir ** rip* ee s * * * *** * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $ • OS tAi CCF $
Techuology Fee $ e
Training/Education Fee $ 20
Structural Plan Review. $
Permit No. f O 41
er Permit No.
Phone #
Zip 3.3 t3 $'
Phone #
Phone #
Zip
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Square Footage Of Work:
Type of Work: ['Addition ❑Alteration DNew ❑ Repair/Replace
❑Demolition
Describe Work: 3u Mittl b elk lz P eireft ettkee
0/CC
Radon $ Zoning Donal $
(47
Rooting
g , tv , gF
.110- A dep.
Bonding Company's Name (if applicable)
Bonding Company's Address 4
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant rust
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
e me thi
Signature
The fore oin
Chc 05/13/03
APPLICATION APPROVED BY:
ho has produced
s identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBL / y cii twit LIC:
Sign: 1 � — _ /Viii.; ° ; , , rv� - . , 17032P7.0 I/_ �I/� • �-� • nr,: 'S 2008
Print: _ 7, ;. n +r'; i Clllt' •
06 Atiansa L:onding Co.. Inc.
My Commission Expires: My Commission Expires:
4 ,1,1 ++
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 , by
who is personally known to me or who has produced
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ***
:s6K
Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -161
Printed: 3/7/2005
Applicant: JOEL PEREZ
Owner: PEREZ JOEL
JOB ADDRESS: 1167 NE 99 ST
Contractor
Local Phone:
Parcel # 1132050180080
Signed:
(INSPECTOR)
Building Permit
Contractor's Address:
Legal Description: REV PL MIAMI SHORES SEC 8
Permit Status: APPROVED Permit Expiration: 8/1/2005 Construction Value: $1,000.00
Work: INSTALL DECK ON TOP BACK PORCH AND EXTEND APPROX. 8 FT MOVE INTO YARD AREA
Page 1 of 1
PB 43-69 LOT 19
Fees: Description Amount
FEE2005 -2936 Building Fee $225.00
FEE2005 -2937 CCF $0.60
FEE2005 -2938 Training and Education Fee $0.20
FEE2005 -2939 Technology Fee $5.63
FEE2005 -2940 Submittal Fee ($50.00)
Total Fees: $181.43
Total Fees: $181.43
Total Receipts: $0.00
0 oaQ0
ar-c ,
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BLK 178 LOT
Miami Shores Village
Building Department
BUILDING CRITIQU SHEET
l7 yes. p,Z
74
Mia
1
Per No. /S 0 5--/61
J: • Name
50 N.E.2nd Avenue
Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
2 X 8 galvanized joist hangers
existing metal post columns
2" X 6" treated
2" X IT treated joist
2'708' treated ledger
3' -11 1/4" -�
5/4" treated deck boards
(or equal
4'-0"
2'X8" treated joists 16" O.C.
4" X 4" treated post
typical 48' O.C. .
15'- 101/4"
4',0" __ 3' 11" —
2" X 8" treated band Joist
2" X 6" treated
3/8" Wedge bolt anchor into block
face 24" O. C. staggered
c+)
to
2" X 6" treated
2" X 8" treated joist
8' -2 7/8"
15'-10 1/4"
5/4" treated deck boards
(or equal) 2" X 8" treated band joist
c ;\
�- 3' 0"
min. 8" concrete bearing on
stable soil
2" X 6" treated
sidewalk
4" X 4" treated post (extend
to rail height if desired)
Pro
Was ac
By
owledged bef_re me this
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
. OWNER BUILDER DISCLOSURE .STATEMENT
Jf -( Pe being the legal property owner, for the property
Located at: (161 ■E 51*- S# • i tu'Gt'U skorgG
Legally described as O e' 1* ( a0 — d ( r o : D
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7),.nd I have read and understand the following disclosure
Statement, which entitles me td 3ibrk as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction yourself. You may build or
improve a one - family or two-family residence or a farm out - building. You may also build or improve a
commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the
construction is completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that people employed by you have licenses required by state law and by county or municipal licensing
ordinances. Any person working on your building who is not Icensed must work under your supervision
and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) initial of reviewjng clerk. The foregoing instrument
0
who is perso - ally known to or who has
DISCLOSURE STATEMENT
0
as identification and w o did take an oath.
y I I. Gonell
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7th STREET. SUITE 202
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Notes:
DH 4015. 10/911 (Rpleas HRS-H Fpm 4015 which may be used)
(Slack Number: 5711. 002 - 401541
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permit Application Number
PART II - SITE PLAN-
Scale: represents inch = 50 feet. c l,4_ cc v(4- rier14
Site Plan submitted by:
Plan Approved
By County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
Signature
Not Approved
Title
Date
Page 2 of 3
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Notes:
DH 4015. 10/911 (Rpleas HRS-H Fpm 4015 which may be used)
(Slack Number: 5711. 002 - 401541
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permit Application Number
PART II - SITE PLAN-
Scale: represents inch = 50 feet. c l,4_ cc v(4- rier14
Site Plan submitted by:
Plan Approved
By County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
Signature
Not Approved
Title
Date
Page 2 of 3
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(Mock Nal= 6744. 00240154
S IAI t 01 I
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permit Application Number
PART II - SITE PLAN
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Title
Site Plan submitted by:
Plan Approved
By County Health Departmei
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
Date
Page 2 of
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor ' 1_ ra ei.a 1 -
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done ,/ / Al f
Stat work to be done / et' purpose of building (by floors)_.
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'-L: (I E Eh
w Building Remodeling 01- �' Addition
To be constructed of Kind of foundation
ve °
Estimated Total cost of improvements $__
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
Permit No
Disapproved
(Signed) 6 - )
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
_e_ r ,- t
BUILDING INSPECTION DEPARTMENT
Date 4/ /4 - 1.-
-
/let L , 19 _ 7
No..././ 7 street_/ �! -7
w r c' 4 _A2 11
Zone cubage required
Distance to next nearest building
Remarks
(Signed).
Date -
Building Inspe• or
1 CZ 11 S-k 1_. t:i
and for no other purpose.
Repairs No. of Stories
Amount of Permit $
Roof Covering
- A ,-o
.Plan Cubage
Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
/ ti/
TJC
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackgowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are,jrue.
S7 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
y Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
1 7