372 NE 98 St (15)III II 1 IMI
Page 2
IMPORTANT NOTICES
I I' I 1r
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 throulfi•Fjida•ftom 7:40 to.6:(0 pa., 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 6 2 QJ 1T�1/ free fton• construction debris.
• •
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND �Bkl'�'. • • • • • • ..
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. l: 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 i, Construction Lien Law and
Choosing a Contractor.
azure of 0
ST: OF " RIDA, COUNTY h�
t tit
s I
W Sr: n
Print Name
Sw rn to and subscribed before me this / 9 day of
Signature of Notary
SEAL:
er
Personally known
E
��,0.Y PUB DOROTHY R. DAPOLITO
_� ' ..., < % * MY COMMISSION # DD 061015
EXPIRES: September 30, 2005
,p0 Bonded Thai Budget Notary Services
UR, Produced Identification
Type of Identification Produced:
ry public = Stat
ST • ' O FLORID , C •l' TY OF MIAMI -DADE
Si
Print Name
Shorn to and subscribed
Signature
SEA
••• • • •
• • • • • •
• . • . • • • •
• • • •.• • •
••. • •
• •• • •
• • • •
• • • .
• • • • •
• • ••• •• •.
• • . • •. • • • •
• • •
PERMIT APPLICATION
Personally known OR, Produced Identification
Type of ldentification Produced:
PROPERTY OWNER
A
Name L -44IJ.4 YC 1 icso4 G �JLJr /4 A.14.6
Address 3 1 Z N .e ,/ e sv'ri e el .
Ai t 1}ir• ; S in LA( e.s 1 tee- 3 3 0 Cr
Home Telephone 3 O S 3 3 6 3i,:77
Business Telephone
Fax 3 e5 -- 7S 7 i 0 70
CONTRACTOR
New Construction
- r - Oz.b. 30(4....,N1 .,,,gf
License No. e x 3 j C R./
`
Address
Ci \ a 4 11 .. cz , W11 „ s ts _ `
2) JO G-- 2T , %‘.s �� S4.3
Repair
Telephone
' L) ,S 2 .4 6 4 ( Fax
/
Qualifier N e
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'l Detachment
Other
Step 1.
• •••
•• •• • •
•
• ••• • • •
•. •
• •
•••
• ••
• • • •
•
• .• ••• •
• • •••
• ••• ••• ••. •
•
INS'T'RUCTIONS - The fo lowiig steps must be taken to obtain a permit from the Miami Shores Village:
. • • • • •• •
Complete then ttachtd Qe►try'Papbli atioi whicii must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
2_ Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
A PPL 1 CAT ION
ob Address: 37 Z /) E / 8 r,4- f✓ C T /quell `s1(Ye s r` 33 /3 8
Address Apt. n A City State Zip
Folio Number I 1 - 3 Z' 01 °O 1,3 -vac 2O escription of Work C1 al.0_, b a 1 i& SWd4L(y
Lot 3i, •E'I z °L� GALtIrLi Block 1 Z ifiQi/n 6-0 e L t c . 7&
1
Subdivision PB PG
Current Use of Property .K 4 L-t.t. / 4«t..c.'_I S uare Feet
Proposed Use of Property -i. t» Li L.t 1+.-t l4 alue of Work
Tenant Information Ta Assessedl> .praised Value
Flood Zone Base Floor Elev.
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Zoning Linear Feet
Master Permit No.
p
PERMIT APPLICATION
( i c;
Subsidiary Permit No.
Units a 4) Floors
Bldg Value
SECTION
BY
D • TE
Zonin •
//' �
�
/ 3 03
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
i y L^T
f
111'1 II PI'I1'1111'
O
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
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
$ (0.005 /sq.ft.)
$ (¢.01 /sq.ft.)
( sq.ft. = x/1000
x ¢.60)
••• • • • ••• • •
• • • • • • • • • • • •
• • • • • • • • •
• • _ • • • • •
• • ••
• • • •
•
• • • • • •
• • • • • • •
• • • .•
• •• •
REVIEWED AND PREPARED BY:
•
•
PERMIT APPLICATION
• •
• • ••
• ••
• •
• •
•
• •
•
•
•
•' ❑• f + i ON�}O J.SSOCjA1 jON APPROVAL
• • • ( nclr . •
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
TOTAL $
ISSUING OFFICIAL
DATE:
!!CONDITION OF APPROV
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
ELECTRICAL
'I'VI'P.
Minimum Fee
Q I'l.
'1 1'1'p.
Dryer
Q'I'1'.
'I'vp1:
Outlet, Appliance
()'1'1'.
'I'1'I'I?
Service Repair
QT1'.
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
M EC HA NI CA L
T' 'PE
Minimum Fee
QTY. TYPE
Condensate Drain
Q'I'Y. TYPE
Generator
QTY. TYI'E
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
Cap - Fixture
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Pump and Abandon
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
'FYPE
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
QT1'.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
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
• • • • .
•• •• • • •
• • • • •
• • • •
• • • • • 0
• •
•
• ••••
•• • •
• . . • • • •
• • • • • • • • •
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
•• • °°°°°°°° �• •
• •
RECEIVED AND REVIEWED BY: DATE:
Cs■
1
Miami Shores Village
10050 NE 2nd Avenue
_ t
'v
Phone: 305 - 795 -2204
Printed: 1 /23/2003
Applicant: JULIE
Owner: SANCHEZ
JOB ADDRESS: 372 NE 98
Contractor ICOA CONSTRUCTION
Local Phone: 786- 326 -4041
Parcel # 1132060135680
Fees: Description Amount
FEE2003 -115 Buildier's Bond $300.00
FEE2003 -116 Building Permit Application Fee $60.00
FEE2003 -117 CCF $0.60
Total Fees: $360.60
Total Fees: $360.60
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 7/6/2003
Work: CIRCULAR DRIVEWAY (SWALE)
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, rvants or employees.
Signe
In consideration of the issuance to
with the plans, drawings, statemen Lr
myself, my agent, servants or emp
Signed:
aP -40-lif6a-poR)
Building Permit
Permit Number: BP2003 -23
SANCHEZ
JULIE
ST
Contractor's Address: 901 S. W. 4th Avenue, Apt. B1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 3 & E1/2 OF LOT 4 BLK 42 LOT SIZE
Construction Value: $500.00
BY:
Page 1 of 1
f this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity
i cifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either
RE 4 ial 0 13 00 M Clilll 00 4 gtC{, rC! j rr
(Contractor or Builder) BY:
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Time
Date
--� Type Insp'n
Permit No. — •� �x �J
°-° Name -
Address
Company
Phone #
For Inspect
O , Name : f , 4
Re-Insp'n Fee
•
ea e, .se I v
r f
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
For Inspector:
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspe• 'on equest
Name & D
Zo
1
r�
a• z o
ate.
•
o••••
•
9 93 o
.ti
•
•
• •■
• •••1',. 1 •
• •
.••••
•
•.•••
cP.
•
p,
1
• 1
1 1
—I
p
. ^ ss
r...• 4 -
• •
t4
•••
,e
•
5-7 .70
• • p
• •4 • • ?/.O
•
•• LIP � ■
•± : l • • • • •
O
r I, • ••
• • C
°
•.r..
r-
7ir_a"
7S. •
/9.45
/S
C9/2e ie
' ,lam ' !;/e -
• • ?, •
ce
9
o
•
ry . 0
0
75 7c 2
9.o .47,0} // ,q' g y
2j°i7�6 />/ vlr�l�hT
�S - Ca .ac
Ce
'• 4 4 r D)
r40'0r 'o1: yclkson, Liana, and 6anchas, Julie, 37i H.1,. 9111.13 Street,
N.• IL.O,1 •0••1 r111 V.Y1M1
• s1111 •..•.M1 Sh1 1111 V
it “011•60 a.•14010110.1
A BOUNDARY
1 —1* ,remit OW r1• M•�..ti
10•11•10 l..•.• .M•• H
.• v x.1•.01.. bra, • 1» b• 1
• IAN • ■ d. .. • •.■
II•.•. 010 .401160,•. (/. )la'w.+. w
1l.1* ."LP la. 1010►, n•M M..
moor lS r•. •.wta., .
000.10( M 1 P.
01i ye • •.
..1..M..1 .• •..•Or.. 110 _ _ .
0
TAfs property descr:ted or.
All of lot 3 and t).e telst
25 .00 feet of Lot 4, tuJock
AN Y ND or PLAT Of )t3 Aril
SHOPBS sec-non No. ) ,
according to the Plot
tb•oreof , as recozde.i In
Plat book J0, Paye 70
of the Public Record.1, o)
Dade County, Tlozids.
ji 4 .1
/ 2 1: ,c37
/1 J , -,lo
yi.+n1 SFio1ra, Nos d4 J3i
\ \131:,1Rt 11.1x1'
LIt. Iv),
.rnt rl 1114∎•nar1El7S-1. t■:> 11,0•0 I t.
LRNESTO C LSPINOSA 17
11 r•r .••..+.. )y L..•.w tip. I•e /I..II. 14.,1.11IJJ
OM, W •• (A.4 0/1. 11.1
YMEL n DA IT
c - Z -99
VIt.ti\ I
104 14
/46.
2.70 •
/.0
N 3
0
� \ 23 • ,4L,/ ,L 7 v fmr -h/ -
• •• •
S'Corx
Scv,C
•
•
•Gv
CC
pall P.O
.o /Q' '`' °i/
• • • • • . • . . • • ?
. • ;; • • - 111 ,
••• •.•
• •••• •• • •
• •
• • • •
• ..
• • • • • • • •
-. • : . : •
:: • • • •
• •• •• •.• .:.:. • •
•
••
•
•
:•
•
•
• •
••
•••
•
• ••
• • •
•
• •
•
•
•
•
••.•.•
••
•• • •• • •
•
• • • •
��. gal
RE S ► t
••.••• ..• . •
OOOOO
OOOOOO
•••
..•oe •o ° � • • •
OOOOOO
• • • OOOOO
• •--' ice`° • • • • .�. ._�- .,..r._l _ ___ --
12'
34
- 75 ,
C 23
• • • • • • • • •
• • . AFFIDAVIT
•.•. • •
STATE OF FLORIDA) :::. • • : ° • . • • •
COUNTY OF DAI • •
S!")
The undersigned Affiant, 41•A V4 ks 0, 3 '‘ j4 4 es hereby attest that the
(property owner)
attached survey, performed by L A A) 4") f 6-44— A / � C-. -
(name of surveyor's company)
performed on 5 i L- 99 , , 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.
Wimess(sign and print)
I I/ l 1%; /r/1
• .
' • ' °
•
• ...
•
• •• • • • •
•• • • • • • • • • • • • . •• • • • • .. • • •
• • • • 4)4.0
• • •• ••• •
Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this /9 day of . book i kkea, .'? C
Affiant ism personally blown to me, produced as identification.
DOROTHY R. DAPOLITO
MY COMMISSION # DD 061015
EXPIRES: September 30, 2005
Bonded Thru Budget Notary Services
• •••
•
•
• •• •• • •
• • • • . •
• • •
• R • • l
•
LamL Sor� L l
requests permission to install:
• • •
• • •
• •••
•• • • . • • •••
• ••
• . • • • •• •
.• •
. ••... ••
•
•. • • • • • .•. ••
Tax Folio 4: /1 -D — 013 ' .5T ,g0
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (3051756-8972
,,// COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, L,.lal/t K tksO,) ° ILA E 4- .l4A.chrx,. hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description /folio#: 11 ' 3 L - 06 - 01 3'' J
Lot 3 E E ±2_ 2 of Lai Li Block y Z Subdivision
D
P cricr4
[,Asphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of 3'72- Svc �, M ■c ( C J ) 14L' 3 3
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may rise by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the
item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all
costs incurred in the removal and disposal of the item(s). -
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and
shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this !4 day of
C . `
SIGNED. SEALED AND DELIVERED in the presence of:
DOROT . R. D 0
Y COMMISSION # DD 061015
EXPIRES: September 30, 2005
Bonded Thru Budget Notary Services
PERMIT NO. •
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT"
SECTION
BY
DATE
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. SubPict to compliancy with alt Federat. State,
County. Village rules cod reputations. Wtage assumes
no responslbptty tor accuracy otlor results from
these plans.
2. Thle copy of plans must be available on
Iwildinq cite or no Inspection wtfl be conducted.
CRITIQUE SHEET
JOB ADDRESS 3 - e ' 57
APPLICANT
PHONE t#
APPUCAT1ON
SHEET OF
MISCELLANEOUS
DATE
Z
tiD 7/ct -7;(2 E3/ 49-Ice /AA 0-u
COMMENTS
64- erhoc" /t/ / «- " )1 mik, -
iO) Ml1a0 -Y c C 6(47m6E
INITIALS
6