210 NE 102 St (10)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT (4\
305- 795 -2204
Building Inspection Request
Date 7 c2.3 Time
Type Insp'n lrQ1 re �- i 1 r V' C
Permit No. 692003 _
Name Pined° .
Address 4t2 1 0 NE
Company
Phone # 1-56 01-3 1
For Inspe&a
Approved
Correction
Re- Insp'n Fee
Yi•
ame & Date
R FV6tA
Type Insp'n
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
- 305- 795 -2204
Building Inspection Request
Date 7\
No. 61' 200i 11
Name Preda
Address p � 10 , 40R s [ .,
Company Ad/140r 9p0.
Phone # 325 6_ OR 7,2
For Inspector:
Approved
Correction
Re- Insp'n Fee ❑
Time
0 Name & Date
Pasd 1.2. ■n5 (.� C T(;2
is() et. 34G
BUILDING
PERMIT APPLICATION
FBC 2001
$ Value of Work For this Permit
Miami Shores Village
ID Building Department
b Jog' v
County Escrow Fee $ 1 , l D Permit Fee $ v Notary $
Education/Training Fee $ Tech $ Scanning $
Code Enforcement $ Bond $ / / Struct. $
Minus Plans Check Fee $ Total Fee Now Due $ /� (� , a p
I t 1toC 1 4W, 00
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. eiP XD I rya
Master Permit No.
Permit Type (circle): Building Electrical Plu bing Mechanical Roo 2
Owner's Name (Fee Simple Titleholder) (j� -%/ Phone # -+ �� 3
Owner's Address 1 / V e zo G T
City State j' Zip 3?
Tenant/Lessee Name Maq r jGt 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 P bit C.c>ie p. Phone # 78(.^ 2:7 3 Z S S
Contractor's Address g a p ) 4- 3
Cit -'1 } /a State '-:( . Zip s? 1
Qualifier /4 grail b....) L- n/14.,
Architect/Engineer's Name (if applicable) _ Phone #
Architect/Engineer's Address
City State Zip
Square Footage Of Work:
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ['Addition ❑Alter tion ['New Repair/Replace D Demolition
Describe Work: (e Q t {/ foot
S
Radon $
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address ~ ,
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State 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 i . ed. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Si
P
Owner or Agent.
The foregoing instrument was acknowledged before me this ,
day of , 20 22, by I■4),Y � P I MdC1
p Ioduced
who is persona ly known to me or who has
As identification and who did take an oath.
NO
Chc7/7 /03
LIC:
3C)
Signatur
c2 90S0 - NOTARY P
Si
Contractor
The foregoing instrument was acknowledged before me this
day of
who is p sonall known to me or who has produced U C C.
as identification and who did take an oath.
� -�•-
SD, \ pct DIO -o.
,20(I3,by (f)ES Pr 1UrU,c1
8
91,/ Expires November 15, 2008
• • My Commission Expires: M y Commission DD150048 My Commission Expires:
y omm on p ? Expires November 15, 2006 y p
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Plans Examiner
Engineer
Zoning
BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building. Department
Permit No. BP cx OTh " 1) 4a,
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
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 #
Architect/Engineer's Address
City State Zip
$ Value of Work For this Permit Square Footage Of Work:
Number of: Bays Stories Families
Type of Work: ❑Addition ['Alteration ['New
Describe Work:
Bedrooms
❑ Repair/Replace
Baths
['Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
County Escrow Fee $ Permit Fee $ Notary $
Education/Training Fee $ Tech $ Scanning $ Radon $
Code Enforcement $ Bond $ Struct. $
Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State 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.
�ptARY P
Signature Signature ! ' . 6'
aya . * M Y
Owner or Agent ow� 0 MM/ '; "• .••
` x0
m
The foregoing instrument was acknowledged before me this The foregoing instru nt � } 1 <' :ed before a this Z
day of ,20 day of ISL. l ( ,2d0 ,by" ^
who is personally known to me or who has produced who is personally known to me or who has •roduced
As identification and who did take an oath. as identificatio and who d • take an oath.
APPLICATION APPROVED BY:
Chc7/7 /03
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.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
-L-
;
..L l
.'aster Permit No.
Contractor's Name
❑ Low Slope
❑ Asphaltic
Shingles
❑ New Roof
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
Sketch Roof Plan: Illustrate all levels and sections, roof
scuppers and overflow drains. Include dimensions of
Identify dimensions of elevated pressure zones and locati
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Section A General Information
❑ Mechanically Fastened Tile
❑ Mortar/Adhesive Set Tile
❑ Metal Panel /Shingles ❑ Wood Shingles/Shakes-
❑ Prescriptive BUR -RAS 150
ROOF TYPE
❑ Re- Roofing ❑ Recovering
• ROOF SYSTEM INFORIVATION .
i - r 1 • -- —1— •1 •
•• •
•
.1 4 1
T } • r }. 1 ? - J. _ . -T .L1. .
- -. . --- A i i .: r4 . 1_
Process No.
ROOF CATEGORY
Section B
Roof Plan
• i •- • 1 r • • -• r • •
. J a - t ';
1 17 Repair ❑ Maintenance
verflow
clearly
c..vAk, pf.,e ..o
•
Job Address
t_ 711.71 . y..
.L.._. _i ,••
•
•
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Section A (General Information)
° ast Permit No.
Process No.
Contractor's Name Lbu `D* -v0
C30,v 3 ).1..27 s
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile
❑ Asphaltic ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes_
Shingles
❑ Prescriptive BUR -RAS 150
ROOF TYPE ::z•
❑ New Roof ❑ Re- Roofing ❑ Recovering 1 'Repair ❑ Maintenance
• ROOF SYSTEM INFORMATION ,
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains,
scuppers and overflow drains. include dimensions of sec 'ons
identify dimensions of elevated pressure zones and location
L J. pjec
V L tgi .
3 "1
scuppers, overflow
anti, levels, clearly '•
pets,
JC.AQUIN VAZQUEZ
PROFESSIONAL ENGINEER
1965 Brickell Ave. - Apt. Al202
Miami, Fla. 33129
Miami Shores Building Dept.
Miami Shores, Fla.
RE: Roof Framing Inspection of
Residences under construction
at 210 N.E. 102 St. and
205 N.E. 101 St.
Gentlemen:
Miami, October 10, 1980
This letter is to certify that I have inspected
the framing job done by contractor on the roof
trusses of those residences and after some co-
rrection recommended by me and done by contrac-
tor, I find the job acceptable to me and I
approved them.
I rechecked the concrete bezm in cantilever,
supporting the roof struct4'e at the rear porch
and find it'good and sound' ,for the job.
i t
Very truly yours,
/
7)
Joaqu n Vazquez,
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval 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.
Dace..._. _._.._ ..._._ _....... ,18..
Owner's Name and Address • Alvaro V hues , .____ _ No Street ?J.0...Na ....1!12.. txe et
Registered Architect and /or Engineer .1 -',,._ ,1222,,_.
Name and address of licensed contractor ACOSt } g CO. 28.4.. . 111,. aill et..Masi
Location and legal description of lot to be built on:
Lot Block %A.CI .... Subdivision
Street and Number where work is to be done 'a!@e N.E. 102 Street Mi sm hones
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building X. Remodeling. Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof vering X
Estimated Total cost of improvements s5 s972.00 Amount of Permit S,. �Q..I.OLJ
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 submit all the plans and specifications for said build ng. All notices with reference to the building and its construction may
be sent to 1-30 felt Install 2x2" eave drip nop 1 -90 slate Install concret flat tile color nutman
brown.
The undersigned applicant for this building permit does hereby certify that he understands and accept
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La
and has complied with the provisions thereof, and will require similar compliance from all contract
in the work to be performed under this permit; and will post or cause to be posted for inspection
or notices as are required by the Act. The undersigned agrees to employ only such subcontract
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss
rida, Pennanent
- contrac
to of the
work to
an employer
> »lenient,
by h
notice im
der this
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments,•personally ap-
peared
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.._.._ Date. 4/ 040 Read, Sworn to and Subscribed before me.
Disapproved ... . date
( Signed)
Notary Public, State of Florida
. -
Building Inspector My Commission Expires _.
Chairman
\lcrr.bcr
Member ......
Council Approved
PLANNING BOARD _.._ DATE
to me well known,
Member
Member
Member — .._.....
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 SI.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty
materials and /or workmanship.