1235 NE 100 St (9)RMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 t . 2nd Avenue'. Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972
Historically Designated: Yes No
Owner /Lessee/Tenet g:_tisct J n Q Te.rfyyr . 'Master Permit # p 0 1
Owner's Address 1 N E I On SF Phone _ )E nq LQS Z .
Contracting Co. �S��� C FL Address�ii �� ' f? ( Q lL°Q!) ,FL
Qualifier Pine,.
Ae, Co t-os: :Z SS# 21,6-1C1- Fo S Phone i7C./ )2F . t Jul0
State # — 1 D ISq'afn Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION: abi x 5 1 qh toad Ft° LA ■ III 0 Sif nice- A, f (..0
bx.),kie_cAf.
Li
"5q'fI'�Ft. p, � Q Estimated Cost (value) 41 100- Du
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 ANY 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 all disciplines.
OWNERS 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 zoning. Furthermore, I authorize the above named contractor to he work stated.
i/
OFFICIAL NOT
MARTHA COREA
• f OrTARY PUBLIC STATE OF FLORIDA
• COMMISSION NO. C 01
ignature of owner and/or Condo President
otary as to Owner and/o
My Commission Expires
FEES: PERMIT
APPROVED:
Zoning
RADON
4i
Mechanical
Building
ate
Date
C.C.F
Tax Folio
Signature of Contractor or Owner Builder
Aid
Notary as to Contra
My Commission Expires
NOTARY
Date
•FILIAL NOTARY SEAL
MARTHA COREA
N • AR PUBLIC STATE OF FLORIDA n_ d_ as
• N NO. CC944701 / `f'
A • e ' gmm JUNE 13,2004 Date
BOND
NOV 14 1003 TOTAL DUE
Electrical
Plumbing Structural Engineer
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No. 131 03 7#6
PERMIT APPLICATION Master Permit No.
FBC 2001
Permit Type (circle): uildin Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder)
Phone #
Owner's Address
City
State Zip
Tenant/Lessee Name
Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name
Phone #
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 700
Type of Work: ❑Addition
Describe Work:
(Continued on opposite side)
❑Alteration
:New
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F e e s * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Submittal Fee $ 0 Permit Fee $ /00— CCF $ 060
Notary $ Training/Education Fee $ a ? 0 Technology Fee $ Q / 5
Scanning $ 3 Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ /0/ 3
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Signature Signature
Zip
S ta t e
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I 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: 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 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 must
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
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 , by , day of , 20 __, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Sign:
Print:
Print: .
My Commission Expires: My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: NOV 1 4 2003 Plans Examiner
:hc 10/14/03
Engineer
Zoning
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant,
AFFIDAVIT
property owner)
attached survey, performed by kA A c _„ St 1 t'.h i f r nC-
(nam of sufveyor's company)
oes hereby attest that the
performed on u- O -0 , 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.
SWORN TO AND SUBSCRIBED before me this
Witness(sign and print) Witness(sign and print)
day of ) nvember
Affiant is /personally known to me, • produced as identification.
OFFICIAL NOTARY SEAL
MARINA COREA
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC944701
MY COMMISSION EXP. JUNE 13,2004
5 MAX
2' -0"
1
d
4
a
a
WOOD FENCES
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 minimum 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, leaving a fiber stress of
1200 p.s.i. in bendinc, 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
paragrap'i 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 heights.
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LEGAL DESCRIPTION:Lot 4,Block 1,GORDON SHORES,according to the Plat thereof as recorded
in Plat Book 45,page 8 of the Public Records of Dade County,Florida. -
GENERAL NOTES
1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE.
2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY.
3) (2.22) DENOTES THOSE ELEVATIONS REFERRED TO NGV DATUM.
4) LOCATION AND IDENTIFICATION OF UTILITI,ES ON AND /OR ADJACENT TO THE PROPERTY WERE NOT
- SECURED AS SUCH INFORMATION WAS NOT REQUESTED.
S PRO ER Y IS 1 F x Updated:April 30,2001
Via �AMM 9
unaerl rounTi a
CERTIFIED TO:Louis and Susana DeThomas Baron & Cliff,Attorneys' Title insurance Fund. inc
Steven Lee,Esa. and Kenneth and Evelyn Cutchens DATE :August 24,1993
APPLICABLE ZONING. UNDERGROUND. ZONING AND BUILDING SET BACKS . MUST BE CHECKED BY OWNER. •
ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION BEGINS ON THIS PROPERTY.
442711CD
1 HEREBY CERTIFY: That the attached Plan of Survey of the above described property is true
and correct to the best of my knowledge, information and belief, as recently surveyed and
platted under my direction, also that there are not above ground encroachments other than
those shown. This survey meets the minimum technical standards set forth by the Florida
Board of Land Surveyors pursuant to Chapter 472.027 Florida S •
SURVEYING,INC. ��j�._
L.B. NO. 3333 jd �/
/ ��
2 41
147 ALHAMBRA CIRCLE No. 210XX
/LCCZARO D. ALONSO
CORAL GABLES, FLORIDA
PROFESSIONAL LAND SURVEYOR
Phone: l30sl 444-7359 THIS IS A $OUNDARY SURVEY CERTIFICATE STATE OFFLORIDA
0
44F3- t��8
NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S SEAL
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PLAN OF SURVEY
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Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2003 -1786
Printed: 11 /14/2003
Applicant: LOUIS DE THOMAS
Owner: THOMAS LOUIS DE
JOB ADDRESS: 1235 NE 100 ST
Contractor ISLAND FENCE OF FLORIDA INC Contractor's Address: 711 E OKEECHOBEE RD
Local Phone: 305 - 888 -9090
Parcel # 1132050080040
Legal Description: GORDON SHORES PB 45 -8 LOT 4 BLK 1 LOT SIZE 100.000 X 111
Fees: Description Amount
FEE2003 -7140 Building Fee $100.00
FEE2003 -7141 Scanning Fee $3.00
FEE2003 -7142 CCF $0.60
FEE2003 -7143 Training and Education Fee $0.20
FEE2003 -7144 Technology Fee $2.50
Total Fees: $106.30
Total Fees: $106.30
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 5/10/2004 Construction Value:
Work: 26 X 5 HIGH WOOD FENCE WITH 1 SINGLE GATE AND 1 DOUBLE GATE
Signed:
(INSPECTOR)
Building Permit
$700.00
Page 1 of 1
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:
MIAMI 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.
Owner's Name and Address -___
Registered Architect and /or Engineer
Name and address of licensed contractor.. ..3j i ' _ _ ' _ .ci2.e
Location and legal description of lot to be built on:
Lot Block
Subdivision
Street and Number where work is to be done
State work to be done p oss /q !AA._ �bbJ gilding y flloAors) // / gyp/, CAL
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 $ 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
I hereby sub the plans and spec' ' tions for said building. All notices with reference to the building and its construction ay
be sent to ...... _ 00 e 33 _b -- - 77e /01.. e.s-b 7
The undersigned applicant for t is building permit does hereby certify that he understands and accepts his obligati n6 s as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent 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 subcon)ractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. v s
Remarks____ (Signed) _ & Oj,Q C�LCt.C�,
STATE OF FLORIDA,
COUNTY OF DADE. J u '
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
Disapproved Date - _ ___..________._
(Signed) `L4J 3.. C.. _ i. • - - -- C-
Building In .fctor
Date LS:Q 15 .,19.7
No.. /Z35 Street -,, .Z.... /tie
- - - - -- 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.
Permit No.__ _2.ct'_ ? 2 Date /0 '�1 — 7v Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My 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.