145 NE 101 St (6)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 7 9 -ea Time
Type Insp'n
Permit No. 0/d9; -//a26
Name 7 c2 0-77,/
Address / 47/1 /0/S7
Company /l 7�
Phone # Mc /6 QO
For Inspector: 7 / 7 _ 92) Name . • .
Approved
Correction
Re -Insp' n Fee
PROPERTY OWNER
VI ale. 11C f ;' v'tfcr P A-4 ,. Qi-flo- D
Ad ni€ 16) - i - 1
rIll N om; .1 10(4–C 33
)
Home Telephone3 `p p - - 633
Alteration Exterior
Business Telephone O S 1 7 s 1 ...-) 5j Z/
Repair
� �
Fax C — 1 J SR -q6 6q
Alteration Interior
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
INSTRUCTIONS - The following steps must he 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 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: 1 M S E 1
5
Address
4ee
Apt.
``__ '' State 61
Zip
Folio Number )escription of Work vV b a J 4
to
Lot Block
Subdivision PB PG . Zoning Linear Feet
Current Use of Property Square Feet Units ,,11 Floors
Proposed Use of Property 'v alue of Work 7 5 - 4 431dg Value
Tenant Information Tax Assessed/Appraised 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
PERMIT APPLICATION
Master Permit No.
Subsidiary Permit No. BP - c LOOS - / lc(
City
Sic , ft
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone
Fax
Qualifier Name
Page 2
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.
it
f i
J■4.nt Name
S � to and subscribed before me this = ( day of
ature of
State of Florida
•
PI
aY P OFFICIAL NOTARY SEAL
♦ P
PO ANGELA M BECKER
2 ,r i °OMMISSION NUMBER
< CC7B6697 •
' O
MY COMPASSION EXPIRES
OOR, Prbtfafed
STATE OF
f
Signature
SEAL:
Personally known
ORIDA,
tary Publi
Type of Identification Produced:
F MIAMI -DADE
�b• 6510•(o &•3
•
PERMIT APPLICATION
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:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 -795 -2204
Printed: 6/20/2002
Applicant:.t.P./Ltrek
:Owner: .MOLINA
JOB ADDRESS: 145 NE 101
Contractor
Local Phone:
Permit Status:
Work: WOOD FENCE 5' HIGH
Approved Permit Expiration: 12/17/2002
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2002 -1126
`1trt6m -NA
`GERARDO
ST
Contractor's Address:
Fees: Description Amount
FEE2002 -3477 Building Permit Application Fee $60.00
FEE2002 -3478 CCF $1.80
FEE2002 -3479 Notary Fee $5.00
Total Fees: $66.80
Construction Value:
(INSPECTOR) BY:
BY:
Parcel # 1132060131940 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 20 & E1/2 LOT 19 BLK 14 LOT SIZE
Total Fees: $66.80
Total Receipts: $0.00
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 • 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, serve s or employee
Signed —s �./
In consideration of the issuance to me of this pe it, 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 specifi s 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 pr employes.
C
6ti 0
50 ce
40:70, k
,
5'-O" MAX
2 -0"
Owner's Side
I —l G °4 II-
_
_III = 111
-II 1 4 ° III
-111 G I = III
1 =III
4 " X 4" Wood post
2" X 4" Wood kali
I" X6" crl" X8"
Wood pickets
Concrete
WOOD FENCES
2915 Fences •
Wood Posts
4' -0" High or Less = 6' -0" O.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 spaced 5 fee. -0 inches on
centers, having 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
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 heights.
5'-O" MAX
2' -O"
Owner's Side
TI I
1 ° ° II �
- =
_ III
_ I -II ° ° III -
-III G I —III
I III ° III_
=III 1 11 111 M—
—II ° a —III —
_I II I ° III — I I
_ I III ° 1_1
1 ° III III
I =III I I I = = I I =III=
illl rill1171-14111-1-FA=m I I
- - II 0 I
4" X 4" Wood post
/ 2" X 4" Wood Pall
I" X6" a- I" X8"
Wood pickets
Concrete
WOOD FENCES
3 1 -0"
Wood Posts
4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
2915 Fences
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 spaced 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 heights.
STATE OF FLORIDA)
COUNTY OF D
' Muni Siore6 Vdtage
AFFIDAVIT
ADE)
The undersigned Affiant, OA/Li° REZ does hereby attest that the
(pro erty owner)
attached survey, performed by ; c I L J
C/ v C D S r
Witness(sign and print) Witness(sign and print
Notary
(name of surveyor's company)
performed on lo ' -07
, 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 t this or other p
Further, Affiant sayeth naught.
SWORN TO AND SUBSCRIBED before me this day of
Affiant is personally known to me, produced as identification.
6 41 4 , a
•
t w
®J L-
:..:.':• :'.•:
LEGAL DESCRIPTIC�hl: " :.: _ :.. ' I 4-
LOT • . . . • • • • •••
BLOCK -
SUBDIVI$ION.AN
-„: L-J (:?-1-. 7 r- . ...1 7 .ri . :.:--tT---•-:* iiii :*: V p Lh r 4 { :tni i.14 •-. _' = 1 2.. AiE�T7oN i4.
..
ACCORD1N ;TO' FI '0.,,s et iTNEREUF.. AS , RECORDeB IT4 :PLAT. "'�OOK .: I P • AT PAGE•1�
Or THE! kJ SIC • t COODS dF f 1 11 p :e COUNTY, ` FLO . " . •.
, . • • •.
• • • • • • •.•. .
LOCATION SKETCH
.CERTIFIED TO: MICHELLE M.PIJUAN, MARIO
'R.PEREZ, SOUTH TITLESERVICES,'INC.,
STEWART TITLE GUARANTY COMPANY, FIRST Q!
NATIONWIDE BANK,FSB, IT'S SUCCESORS -
AND /OR ASSIGNS.
BEARINGS ARE ASSUMED ON
NOTES!
THIS PROPERTY IS
FOR, miLt4eu, e '' . p r J U -J V
re Pi
ORDER NO..
NOT - VALID VITHOUT THE SIGNATURE AND ORIGINAL . •
RAISED SEAL OF A FLORIDA LICENSED SURVEYOR
AND MAPPER..
LEGEND
VM=VATER METERFDI4=FOUND DRILL HOLE ,UE =UTILITY EASEMENT.IME= DRAINAGE AND MAINTENANCE EASEMENT,RJV•RIGHT OF VAYIITS.•NDT TO SCALE,
F NLD•FOUND NAIL AND DISK,OUL=OVERHEAD UTILITY LINE; IP•FOLR(D 3/4' IRON PIPE UNLESS OTHERWISE NOTED,SIP •SET 3/4' X 18' IRON PIPE LB4476
P/L= PROPERTY LINE, CONC TE,CL=CLEARA/S=OFFSET.CLF =CHAD4 LINK FENCE.VF =VOOD FENG£,O/LZON LINE,TEL ■TELEPHONE,
CBS•WNCRETE BLOCK STRUCTU E, SVLK= SIDEVALKPAV =PAVEMENTPVY=PARKVAY,R=RADIUS, •CENTRAL .ANGLE,T•TANGpNTA•ARC,C•CHORD,
M/l=MD#RMENT L'INEPC =POINT OF CURVATIR E,ID= IDENTIFICATION, RES •RESIDENCE,PLT =PLANTERFIB=FDUND 1/2' IRON BAR,FN•OUND NAIL,
MH=MANHOLE.VME =VALE MAINTENANCE EASEMENT,B/L •BASE LINE,VP =VOOD POI. E, CB •INLET,FH#IRE.HYDRANT,VVPVATER VALVE.B•BLOCK FENCE
PBL•PIAT TED BUILDING LINE,STL•SURVEY TIE LINE,PRC•POINT OF REVERSE OUR VATUREPCC•POINT.OF.COMPOUND CURVATURE,BBL•BASE BUILDING LINE.
EPIC =ENCROACHMENT , IY= IRONVORK ARRECORD,0044EASURELSNLD=SET NAIL AN DISK L84476 .PRM =PERMANENT REFERENCE KENT,
C•CENTERIINE, DELTA •CENTRAL ANGLE BM= B NCH MARK , EL =ELEVATION,SEC•SEC THIN P08=POINT OF BEG1MINGPOC•POINT CIDOCNCEMEN LE =EL r.'
'1"'r.7'i"
THAN 2 MILES AWAY FROM THE MIAMI -DADE COUNTY LAKE BELT ARF
ALL DISTANCES AND DIRECTIONS SHOWN ARE MEASURED UNLESS OTHERWISE NOTED, AND UNLESS INDICATED
TO THE CONTRARY THEY ARE THE SAME AS THE PLAT DISTANCES' AND DIRECTIONS
LEGAL DESCRIPTION AS PROVIDED BY .CLIENT -
UNDERGROUND PORTIONS OF FOOTINGS OR OTHER IMPROVEMENTS VERE NOT LOCATED
EXAMINATION OF THE ABSTRACT OF TITLE VILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS
IF ANY AFFECTING THIS PROPERTY t r
THE NATIONAL FLOOD INSURANCE RATE HAP DATED - 1 1 . 17 DELINIATES THE ABOVE DESCRIBED
LAND ' TO BE SITUATED' WITHIN ZONE
-
. I HEREBY CERTIFY THAT THE ATTACHED BOUNDARY ,SURVEY OF THE . ABOVE DESCRIBED . PROPERTY IS CORRECT
AS RECENTLY SURVEYED 'UNDER MY DIRECTION, ALSO .THAT THERE ARE NO VISIBLE ROACHMENTS ; UNLESS .,
SHINN,' AND. SURVEY •MEETS MINIMUM TECHNICAL STANDARDS SET BY THE . FL' - IDA ..f•. D OF LAND
SURVEYORS AND MAPPERS, AS • SET- FORTH IN' CHAPTER 472.027 (FS.) 'AND CHAP • ' 61 -6 OF . THE- FLORIDA •
ADMINISTRATIVE :CODE. THIS - SURVEY DOES NOT REFLECT OR DETERMINE" OVN
CONTINENTAL:: LAND S.URVE_VORS INC...
1700 SV` AVE, ':SUITE ".201 -'
MIAMI, l,ftpRIO4
TELEPHDNEI :105t262=1
LB °,4476 `.
SCALE 1'= WO
ELECTRICAL
'FIT
Minimum Fee
QTY.
nil:
Dryer
(yrv.
i v,l,t,:
Outlet, Appliance
QTY.
Typi•:
Service Repair
()iv.
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
1\'I ECHA NI CAL
i'VPI:
Minimum Fee
QTY
TYPE
Condensate Drain
QTY.
TYl'I
Generator
QTY
.F\'l'I;
Refrigeration, Tons
()Ty.
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
PLUNIBING
'rm.:
A/C Condensate
QTY.
TYPE
Drains, Roof
()Ty
.l.ypi..
Miscellaneous Fixture
()T,
TYPE
Soakage Pit
Q.Q.Y.
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:
SECTION
BY
D,. TE
Zonin _
/.' f i . / _e
-
Electrical
,
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
# %�i,
®°
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)
PERMIT FEES
$
(s .60) x/1000
x
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OE APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvil