FENCEMIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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.
k ACT Name and Address._
Registered Architect and/or Engineer _
Name and address of licensed contractor_ 3PNEAAL. FeNce. itqc . I 85 NM. P.-6 " AW"
Location and legal description of lot to be built on:
Lod 6 Block 3 2. Subdivision MI 31 (2E4 SECT I
Street and Number where work is to be done
State work to be done and purpose of building (by floors) oF•
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me,
peared
Disapproved _
(Signed) C
Date._ .... &TULY 6 ,
No 2 49. streeiN z . 98 4 .6 3r.
Plar I m
14 4 CHAJ LIN F e. - V41 GE
and for no other purpose.
New Building Remodeling Addition__ Repairs .. No. of Stories
To be constructed of Kind of foundation__ Roof Covering..
Estimated Total cost of improvements $_.45.;) eta Amount of Permit $
Zone cubage required _Plan Cubage.
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor._
hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may
be sent to..Sat.Y.grA.".. c.0 INC- • - 7 1 S 5 N.W. 2 ' Ave. F Lair •
The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act, being Sec:ion 5968, 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 suc tors on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (S
: fl e
.1•10
undersigned authority, a notary public, duly authorized to administer oaths and take aanowledgments, personally ap-
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 true.
Perna No Date 7( ____ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commission Expires_
PL INC BOARD__ DATE
Chairman 7 Member
Member ....... Member
Member . Member
Council Approved
Date Disapproved
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the Planning Board.
A re-inspection fee of 51.00 will be charged when such re-inspection is made necessary by improper notice
materials and/or workmanship.
Date
has been obtained from
for inspection or faulty
`TQ u.s.N Ld. .07' v!//\
- ;ENC
ENCF �. &Aca � :,c Live
72'
IN alb
ex'
8 " ST-
CONTRACTOR
�{
Name �� z - 5, 1,j�`�"F IsC'1i
Name ISIQn d, Fenr. e— 0p r
Home Telephone °° V /_ �9 _
�,
r-y�"�_
License No. -c J 7
Fax -5C , eL1-5y
Address. c 0,kttril ebsr e
Q de h Pe (
Repair
[
Telepho Q F was
`lam awl
�'`�`'
7 7
Qualifier Namgp or irk) ) f
Demolish
PROPERTY OWNER
�{
Name �� z - 5, 1,j�`�"F IsC'1i
Address
Home Telephone °° V /_ �9 _
�,
Business Telephoned 1 � _ 445
Fax -5C , eL1-5y
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
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•propeety :owpar ai 1 Jalret. Betfi signatures must be notarized. Please
print or type to allow for a more accurate processing of your applicatioh. It? fipg wo ;kdiilshe 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.
APPLICATION
Job Address: t Liq
Address
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Apt.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
• • • • •
• • • • • • • • • • • • •
• PERMIT APPLICATION
Mastr Per> lit J;TQ.
Subsidiar Parmlt : . •
• • •
. . ••• ••••
• . .
• ( .E•
I- ►ctirv; Shore PL
r-03 r7/
City State Zip
P Q y � C
Fplio Number Description of Work 1o$ G q 1 h a) cc() 1- F'
aiie> Ate west' /ac�f= s
Lotl L�4 1 Block 32 ■ :f _ t
Amenao
Subdivision b o Q lAt�
ffli P.I`Ori PB ie PG ID
Se On no 1
Current Use o roperty �,es den
Proposed Use of Property a a en4;e1 1
Tenant Information
0 ,.
Zoning Linear Feet
Square Feet Units
Value of Worlt++• �, 20. Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Floors
Page 2
IMPORTANT NOTICES
DO NOT BEGIN ANY WORD WeITI4O1JT HAVING'IVCEIVEQ'YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. FTOURS 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 arevr1U5'1 E 14A,INUINF.D iN ACLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPEOEE 4-14 ,341aPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTE(:t'bD FROM VEjlt(3 17�U AGE1} Ba' EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street /.id.waik. • • • • • • •
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.
STA
Si
Print Name
Sworn to and subscribed before me this -� day of Harr-1 L ,
4•
State of Florida
O FICIAL N I ARY S. L
MARTHA COREA
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC944701
MY C. " MISSION EXP. 132004
ignature of Notary
SEAL:
Personally known
•
• •
• •
L
• • • •
• •.. • • •
• • • • • •
•.•• ••••••• •
Y OF MIAMI -DADE
OR, Produced Identi 'cation
Type of Identification Produced:
PERMIT APPLICATION
STATE 9i� GRID . C : ` OF MIAMI -DADE
Signature of Contractor / Quali ter
9 lac:A° lam .
Print Name
Sworn to and subscribed before me this day of IN
• •ry Pub i y ri THA COREA
i�w'1Ai6'>ARYS L
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC944701
MY • MMISSION EXP. ' 132004
CI
Signature of
Personally known ' OR, Produced Identification
Type of Identification Produced:
ELECTRICAL
.1.1.1,1,
Minimum Fee
Q
TYPE
Dryer
Q.11
.1.1.1
NtJ&, IpDlifgct : : : • • 1
QTY.
• •
' I YPE
Service Repair
Q . I . N .
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
T YPE
Minimum Fee
QTY.
TYPE.
Condensate Drain
Q'I'Y.
TYPE,
Generator
O'FY.
TYPE
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
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE.
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
QT\'
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
• ... • •
• • • ••• •
• • • • • •
• • • • • • • • •
.•. • ...
• • • .•• • • • •
AI
•
• • PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quintity(i4.):intlye space provided below.
RECEIVED AND REVIEWED BY: DATE:
SECTION
BY By
DATE/
60 Y i
Zoning
a- e
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
Building
�
�
�` �7
Page 4
OFFICE USE ONLY
❑ OWNER - BUILDER FORM •
(Attach)
•• •••
•
❑ FIRE DEPARTMENT . • •
•
APPROVAL (Commercial / • • • • •
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
• IEWED • D
1
•
• •
• •
.•. •
••. •
•. • ..
• • • .
• •.• • • •
• • • • • •
••••••• •
••• •
•..
•
CHECKLIST
• • •
❑ PROOF OF OWNERSHIP
(Attach)
•• • • • ••
• Cel: H129 / • 4RIv1 APPROVAL
• • • • • • •
• • (Septic ?Selltr)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$3.00 per page (Scanning Fee) $
Miami Shores Village $ 0-7
Bond $
Metropolitan Dade County (C.C.F.) $ 7 (sq.ft. = x/1000
x ¢.60)
Inspector State Educational Fund $ (¢.005 / sq.ft.)
State DCA (Radon) $ (¢.01 /sq.ft.)
Code Enforcement Fine $
Zoning Review
Notary
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ 4 1,815
ISSUING OFFICIAL
1 05
PREPARED BY: DATE:
CONDITION OF APPROVAL
,LocA -r 6 re-F Ac§:6Q Widaa
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: 3/25/2003
Applicant: BRENDA
Owner: WESTHORP
JOB ADDRESS: 249
Contractor ISLAND FENCE OF
Local Phone: 305 - 888 -9090
Parcel # 1132060134400
If there is no permit package accessible o
fee is 5
EVELYN L. PASCAL 03-99
ARTHUR J.
359 S.W. 164TH AVE. 330271085
PEMBROKE PINES, FL
Pa>ttothe /v/ //)/n/ 5/-0-0/25
g
g
ONE A s4
Bankof Aimeric a
—.
AcH FIT 0891 f
/ 0
e
�
O
Dora i
iii 1
1
1 :063 L00 2? 71: 0034375 285 Lae
Building Permit
Permit Number: BP2003 -471
WESTHORP
BRENDA
NE 98 ST
FLORIDA INC Contractor's Address: 711 E OKEECHOBEE RD
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 16 & W1/2 LOT 17 BLK 32 LOT SIZE
Fees:
FEE2003 -1729
FEE2003 -1730
Description
Building Permit Application Fee
CCF
Total Fees:
Amount
$60.00
$1.80
$61.80
Total Fees: $61.80
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 9/21/2003 Construction Value: $2,720.00
Work: WOOD FENCE WITH 3 GATES 1 DOUBLE GATE
Bate „ o 3
1-a & $ ,/ SD
Bank of Anierica Advantage°
Dollars 8
1639
63- 27/631 fl
773
ify, there will be no inspections. Re- inspection
tion.
e equipment or device described in the application herefor in strict compliance with all
th any plans, drawings, statements or specifications that may have been submitted to
not done in compliance with such ordinances or if the plans are changed without
or or builder named above assumes the responsibility for a thorough knowledge of the
s or in the statements or specifications and that he assumes responsibility for work done
BY:
ompliance with all ordinances and regulations pertaining thereto and in strict conformity
Village. In accepting this permit I assume responisibility for all work done by either
Page 1 of 1
Further, Affiant sayeth naught.
Wi ess(sign and print)
(date of survey)
Affiant is personally known o me, produced
AFFIDAVIT
•
••• • • • •••
• • • •• • • • ..
• • • • • • • • • •
• • • • • • • •
• • • • • • • • •
• • • • •
•
•• • • • •• ••• ••
•
• • •
•• • • • • • ••• ••
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, 13 renC! 0 S`f trr - r , does hereby attest that the
(property owner
Y
attached survey, performed by k(,�� {fit S c�oreiq
(name of surveyor's company)
performed on q - /L/- -., , 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..
Affiant/Property owne
0 -d/Px-ez-det 6
Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this day of rive-c
•
as identification.
•
O FICIAL N r ARY SEAL
MARTHA COREA
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC944701
MY COMMISSION EXP. 132004
5'-O" MAX
2' -0"
O
.. • • • •• ••• ••
4" X 4" Wood post '. • • •. ..
•
/ 2" X 4" Wood Ball
1" X6" or I" X8"
Wood PIckets
4
_ Concrete
O d � < II -
a 4 4
- I -11 4
III
= 11 = I
. II 1 III 4
I I I 11
i tll i i i tll i i i lll i i i tl i i i lll I I I
III
• • ••. • • • •••
•. .• • • • •. •• •
• • • • • • • • • • •
• • • • • • • • •
WOOD FENCES'
• • • '�'
3' -0"
••• • ••• • •
• .. . •
• • .. •
• • • • • • •
• • • • .. •
• • • • •
•• .. • .......
2915 Fences
Wood Posts
4' -0" High or Less = 6' -0" G.C.
5' -0" High or Less = 5' -0" O.C.
2915.1 Wood fences, so located on a property
that by zoning regulations they cannot be used
as a wall of a building. shall be constructed to
meet the following minirnum specifications.
(a) Fences not exceeding 5 feet in
height shall be constructed to meet
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts speced 5 fee. -0 inches on
centers, having a fiber stress of
1200 p.s.i. in bending, and shall be
embedded 2 feet -0 inches into a
concrete footing 1 fcot -0 inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply with the
provisions of this Chapter and
Chapter 23.
(b) Fences not exceeding 5 feet and 4
feet in height respectively shall be
constructed as provided in
paragraph 2915.1 (a) herein,
except that the spacing of posts
may be increased to 5 feet -0
inches and 6 feet -0 inches on
centers for these hei hts.
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• • • •••
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1".” property described
a:s :: All of Lot 16 . and
• • • the vest 1/2 of • Lot 17,
Block 32,
• • • • AJ • AftZNDED PLAT OF
• • • •• 'M;[$Mr.SHORES SECTION
• . ' • Nt 1 ''according to the
Plat thereof as recorded
• •• • P l ay • Book 10, Page 70
• pf *the Public. Records of
• 'Dade: County, Florida.
•••••••
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PROPERTY Or: Westhorp,'Brenda, 249 N.E. 98th Street, Miami Shores, Florida
mar
LANNI S AND GA11CIA, INC,
1..11. 11 21198
stilt V I •:VOIlti- NIAI'I'F :ItN- I,AN1) 1'I.ANNI• :Ilti
BELLE SMITH 15238
I IIIke add1rr1:.159 Altaiar Avenue, (' 1 :nhlrt, 1'lutIlls • 1,11.1.1
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• • • •••
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1".” property described
a:s :: All of Lot 16 . and
• • • the vest 1/2 of • Lot 17,
Block 32,
• • • • AJ • AftZNDED PLAT OF
• • • •• 'M;[$Mr.SHORES SECTION
• . ' • Nt 1 ''according to the
Plat thereof as recorded
• •• • P l ay • Book 10, Page 70
• pf *the Public. Records of
• 'Dade: County, Florida.
•••••••
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PROPERTY Or: Westhorp,'Brenda, 249 N.E. 98th Street, Miami Shores, Florida
mar
LANNI S AND GA11CIA, INC,
1..11. 11 21198
stilt V I •:VOIlti- NIAI'I'F :ItN- I,AN1) 1'I.ANNI• :Ilti
BELLE SMITH 15238
I IIIke add1rr1:.159 Altaiar Avenue, (' 1 :nhlrt, 1'lutIlls • 1,11.1.1
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