262 NE 98 St (15)Date
Type Insp'
Permit No.
Name
Address
Company
Phone #
For Inspector
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILL • E
BUILDING DEPART
305- 795 -2204
But .ing Inspection Requ
MIAMI SHORES VILLAGE
BUILDING DEPARTM
305-795-2204
Bui uing Inspection Requ
Date 0 me
Type Insp'n
Permit No.
Name
Address ( -
Company
Phone # 0 S - 7 ()
):
For Inspector / 2 0 / b3 B & Date
Approved
Correction
Re-Insp'n Fee
152 of Lot 6, Block 31
AN AMENDED PLAT OF MIAMI SHORES
SECTION NO. 1,
according to the Plat
thereof, as recorded in
Plat Book 10, Page 70
of the Public Records of
Dade County, .Florida.
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PROPERTY OF: Leoni
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Victor, 262 N.E. 98th
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73
LANNES AND CARL' . INC.
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sIIItVI•:1 ORS- 111A1'I'I':Itti- I.AIJI) I'I.ANNI {ItS
BEALE SMITH #5238
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This property described as:
All of Lot 5, and the East
1/2 of Lot 6, Block 31
AN AMENDED PLAT OF MIAMI SHORES
SECTION NO .', j , '
according i.o` the Plat
thereof, recorded in
Plat Book 10, Page 70
of the Public Records of
Dade County, Florida.
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PROPERTY OF: Leoni, Victor, 262 N.E. 98th
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BEALE SMITH #5238
23
LANNIS AND (;AQ(.IA, INC.
1..19.11 211
SI II(VI •:1'()145- MAPPERS- I,ANII 1 :u
Mice NJJ1rtc .159 Alva/or it trow.. ('urn11 :uhlrt, 1.1in Ids .1.11.1.1
1.1115) 61.(1. 79119 195.1) 52.1 /11.11
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137572
o' tAl
CONTRACTOR
Name \A GM_ Leo
r-y�
Name I� 1 c.T(Q/0 J'ep )-
Home Telephone ,c us „ 515 I
License No. c5 c o 1 Sq 7
Fax 9 .., 6 . 6-7 72- 40
Address 5 1 12 --• Z . ‘ >-5
iPiI A-WI I Fe,
Repair
Telephone Fax p-� 3 6664 Fax ? Sr, (...)c 17•3
4,04,0 4,04,0
Qualifier Name vi croj ... ( i
Demolish
PROPERTY OWNER
Name \A GM_ Leo
Address
Home Telephone ,c us „ 515 I
Business Telephoner" 71 k , - D c
Fax 9 .., 6 . 6-7 72- 40
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'1 Attachment
Other
Add'l Detachment
Other
(INSTRUCTIONS - The followingl niust 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
b,c Job Address:
0 iJ6 6 1A 91i--
Address
Folio Number 11 V6& o,C r -/ �V
Lot Block
Subdivision PB PG
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
State Zip
d escription of Work VEPti Day 1441k Q Sep LFA Z '
CM , OS el S / 14 6( ) kW 641463 1 . 4 " ° b
Apt. City
Zoning
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
A C !ITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
Subsidiary Permit No.
PERMIT APPLICATION
4623
Linear Feet
Square Feet Units Floors
dlue of Work ,caU ° Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
PERMIT APPLICATION
L IMPORTANT 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
Signat e of Owner
SEAL:
Personally known
Type of Identification Produced:
RI PAW OUNTY OF MIAMI -DADE
$
pti$$ate�, lofr apl!
la O •� I NOV _ .15,2002
OF
OR, Produced Identification
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of Contractor / Qualifier
Print Name
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida
SEAL:
Personally known OR, Produced Identification
^ Type of Identification Produced:
rr --
I
Page 4
OFFICE USE ONLY
CIITECKLIST
® OWNER - BUILDER FORM
(Attach)
® FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
® CONCURRENCY
(New Construction)
LI OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.) $ A
Inspector State Educational Fund $
State DCA (Radon) $
Code Enforcement Fine
Zoning Review
L PROOF OF OWNERSHIP
(Attach)
• HRS / DERM APPROVAL
(Septic / Sewer)
• IMPACT FEE
(New Construction)
D OTHER
(Specify & Attach)
PERMIT FEES
0
$
O o
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
(sq.ft. = x/1000
x ¢.60)
(¢.005 / sq.ft.)
(¢.01 /sq.ft.)
REVIEWED AND PREPARED BY:
PERMIT APPLICATION
U CONDO ASSOCIATION APPROVAL
(Attach)
• BPR APPROVAL (Restaurants)
LI CONTRACTOR REGISTRATION
(On File)
TOTAL $ 77 . ((
TS'$UING 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
ELECTRICAL
TYPE
Minimum ]Fee
QTY.
TYPE
Dryer
QTY.
T'PE
Outlet, Appliance
QTV.
TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
Dryer Vents, Number of
Fan
Ventilation, Cost
Outlet, Wall
Ductwork, Cost of
Service, Temporary
Periodic Inspections
A/C Central 4 -7 Ton
Fire Sprinkler System
Fire Pump
Outlet, Switch
Fireplaces; Number of
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, IIntercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE
Minimum Fee
QTY. TYPE.
Condensate Drain
Q'1'1'. TYPE
Generator
Q'I'Y. TYPE QTY.
Refrigeration, Tons
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
Bath Fan - Vented, #
Fireplaces; Number of
Pressure Vessel
PLUMBING
TYPE
A/C Condensate
QTY
TYPE
Drains, Roof
QTY
TVPI;
Miscellaneous Fixture
Qi'y
TVP
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:
Village of Miami Shores
10050 NE 2nd Avenue
Miami Shores, FL 33138
Phone: 305 - 795 -2204
Printed: 3/6/2002
Applicant:
Owner:
Parcel # 1132060134170
Job Address: 262 NE 98 ST
Fees:
FEE2002 -1342
FEE2002 -1343
FEE2002 -1344
If there is no permit i
fee is $50.00, which mu
This Permit is granted to the
ordinances pertaining thereto a
and approved by the proper mi C,
authorization. A further conditi
ordinances and regulations pei Y
by his agents, servants or emp
Signed:
In consideration of the issua
with the plans, drawings, state
myself, my agent, servants or .;
Signed:
c >
Contractor CONSTRUCTION DEPOT
Local Phone: 305 - 573 - 6060
PAY TO THE
ORDER OF
Description
CCF
Building Fee
Notary Fee
Total Fees:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & E1/2 OF 6 BLK 31 LOT SIZE
City of Miami Shores
City of Miami Shores
Building Permit
Permit Number: BP2002 -463
Address: 578 NE 99 ST
Cellular:
Amount
$2.40
$70.00
$5.00
$77.40
Permit Status: Approved Permit Expiration: 9/2/2002 Construction Value: $3,500.00
Work: REPAIR DRYWAI 1 RFSI IRFAC:F C:ARIINFTS REPAIR DAMAGEWOOD
LEONI DEVELOPMENT, INC. 01 -92
225 NORTHEAST 34TH STREET, #203
MIAMI, FL 33137 -3800
UNION PLANTERS BANK
NATIONAL ASSOCIATION
3550 BISCAYNE BOULEVARD
MIAMI, FL 33137
63- 841/670
$ 77
MEMO 262 NE 98th Street
0007267» I:067°0134 01C II' L45000 L46 ?II'
Page 1 of 1
Total Fees: $77.40
Total Receipts: $0.00
3/6/2002
7267
U
NP