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284 NE 102 St (9)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 • ob Address de'l' 146 (0 2 9 Tax Folio 1 / 3 06 � 0 /3 0/0 Legal Description Owner/Lessee / Tenant V LL \') I' Owner's Address IS4 Contracting Co. 1.1n tief'S old r t n Qualifier L. Coo State # 6: Z33 (a Municipal # ■ Archi gineer Bonding Com Mortgagor A1 (' Historically Designated: Yes No L aa�a Master Permit # ? ( 3. Phon a5),8 4q Address 1. J- l (aC 74-u.e., 4.2-/ SS# 3 Sq J Ins. Co.5t.tQ anr) l Competency # Address Address Address Permit Type (circle one): BUILDING :d ECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION El -et t—f (.L Mot_ ezoLtA /net-J.- Square Ft, Estimated Cost (value) T 000 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 AN 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 ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT‘ ' RADON C.C.F. Notary as to Contra My Commission E NOTARY APPROVED: Zoning Building Electrical Mechanical , i/ wner- Builder Da e 7 /r Dat BOND 'l TOTAL DUE 0 Plumbing Engineering Type Insp'n Permit No. N Compa Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu'Wing Inspection Request Dat b Time - Address . __ `/ Via— For Inspector: I D( Zl Approved Correction Re- Insp'n Fee 3 I} Name & 2,2, MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 3 `,)_ er 1 Time Type Insp'n j414 )ye Permit No. G `,t,DO ,2-30 Name fl 01/6 Address I+ /v ii / / 3 Phone # filt ef'' 570 2; For Inspector: ,3 - o2 -ez Name & Date Approved Correction Re- Insp'n Fee X " � n �,1J 1Ai m•-' 4 dd <5� 10.7' S ehv< 4G"/' c /2% / ' " a � • �� �� .rte, f "� • UNIVERSAL WIRING, INC. 1304 S.W. 160TH AVE. SUITE 212 FORT LAUDERDALE, FL 33326 PH. 954 - 389 -5702 AY TO THE ORDER OF FOR BANK OF AMERICA 02992 FL ACH RfT 063100277 4 VLLK--tO 11•00447611' 1:063 L00 2771: 00387 L39983611' 4476 63 -27 Tar` A RS n m� &„, HP 8t'�!w«�%a,�i::.`•'✓'i•��Y /rtl( III \�1'�ITi�`��'a'�.�"^.. ��i'.; r"/• Grii/ i�+ �4:.` ��i. ?li�l�. t+` h', �v rti�+" r. FlQiiil\ �54�f /JUttl•�tiiSS11�i.���+YSl1bf#. �I r PERMIT APPLICATION FOR MIAA,MI SHORES VILLAGE � J� Date 1 Z.13 (0 Job Address'34? , (. (V Tax Folio 1/ 3c I ✓ 0 & • 0 13 • / /v Legal Description ,L o4 /,+—Z, Q2 /ec k 3S p8 I0, eff 70 Historically Designated: Yes Owner/Lessee / Tenant kr fatal i 4vo C V i V Jc c Master Perini Owner's Address 7.e4 r■ i✓ 03 'Z J' t , Phone 3c6 - 71 d 7c' 7 C o n t r a c t i n g Co. /Q v 1 4 i °t- s y l d A trl _Pc -o 3 Qualifier "e(/lo ' o;S e' x),€.11.11 State # CPG 0/ 830$ m # Architect/Engineer K t? VI. SS# Address Bonding Company Address Mortgagor Address Address ( Zz - 4S SW t (z 37' �8 - 30- 0990 Phone Competency # Ins. Co. s w 7 7 A v-e c� Permit Type (circle one): BUILDING ELECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION T o O ( pip/ Square Ft. Estimated Cost (value) 6200 . 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 AN 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 perfonned to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. constri l tion s and zoning. 1 Furt rmore, I authorize the above -named contractor to do th y �i � V tated. OWNERS AFFIDAVIT: I certi that all the foregoing information is accurate and that all w . 11 be d•ne in comp 'ance with all applicable laws regulating Signature of owner and/or Condo President VLA . r>1rY) 'R VuKo'IIL • My Commissi Owner ad /or.Coudo�?'rgsidenL • j G - ;ra,MISSIov 6 CCP' 526 ` . �,, «: w " XPS E:� NOV m3.2��3 s ure BONDED THROUGH l n02:2A ADVANTAGE NOTARY FEES: P APPROVED: Zoning Building Mechanical n, RADON /-ab W.rA ■a43 %i art Signature of Contractor or Owner -B der Notary as to Coiltml Owner- Builder_, My Commissio xp r es: r .:f 4 » : +LSERT CC•.5267 P ea r XNRES NOV 03. 213 ., (ETA BONDED THROUGH 27(Y ADVANTAGE NOTARY • •;a••••• <�•/ Electrical BOND TOTAL DUE TO 4.1-/'34 Date Date Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date t 2 ) 3fo I Job A.ddteSSkX \ E) I 0 f 2* Tax Folio / 1 3 -O D /3 , `7 v Legal Description l-G} 5 P# Z (Rork 73 P (3 10, (g. - 70 edc l -i- beef . Square Ft. 1.& V- 1 3 9 pop / - O w n e r / L e s s e e / Tenant V } ° A A u \c o v Master Permit # Historically Designated: Yes No Address Estimated Cost (value) /1 0 00 Ins. Co. D-000 -3'i Owner's Address 2 -P-t n4:5 05"2- 2- s "( Phone •3 e 7 $ r - 7 007 Contracting Co. A kf\ + f , vv r is Si () Mn — P c50 l 5 Address 1 ZZ4 � S w 1 t 2 ST. Qualifier - t"1' o nn d\ 1'/1.e V \ a SS# / State # CPC. 6 / g 30 S' m # Architect/Engineer K P v1 T' P ( i r Bonding Company Mortgagor Address Permit Type (circle on BUILD I ' G LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Phone Q\S \k` y � 10 (j Competency # A d d r e s s c 3 S W 7 7 A vs / o 2 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 AN 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 ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. a' ••••••■■.l11 O 'S AFFIDAVIT: I certi t all the foregoing information is accurate and that all w. j, j 11 be done in compliance with all applicable laws regulating cons c 'on end zoning. Furth ore, I authorize the above -named contractor to do the w Notary as to Own My Commission Zoning ka owner and/or do President Date V ci President C' MR4IS5:ON 0 C PU?ES NOV 03 k.FJYDED TM A'ovio t,k6E FEES: PERMIT "), 5,0 RADON APPROVED: 3� (11.- A v - 76 - /P4' Building C.C.F. Signature of Contractor or Owner- /c.) ) Notary Contractor or Owner - Builder mate My Co r • E vest= _.:",x::: y U ? .,! '.. r . i_.:?LSC:RT e ' " ,i. i# C.C. •: 5267 ` 0.p < almua �' r. � w, �C P�' "..:: NOV 03. 7L-153 } QAA91E o PC "�O THRO i F:.2Rk AOV. MOT ARy NOTARY'' ' BON t 0 4 © 0 Electrical TOTAL DUE �/�� / 2/7 / 491 Structural Engineers/ JOB ADDRESS APPLICANT PHONE f# APPUCATION 5 W. U!" POOLS SHEET OF MISCELLANEOUS 1tLN Z ONING , • dos -� i D. 3�s - k Z o f leNyl COMMENTS /II 4 , �4 )7 1 (1.\._ INITIALS DATE 41 f3. \OI afs% (0.2.51. V k koUi�C CRITIQUE SHEET 5icl 3 /A 4 or de ck rat ,"oa/ PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT SECTION ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL BY DATE 1. Subject to compliance with ett Federal, State, Comty.Wdtage rites sr.d reg4ations. Mtge usual= no responslblllty for accvrdcy of /or resutts trove these plans. 2. This copy of plans must be walla(' on twffding site or no Inspection Mit be conducted. a X70 -7 9 ANTHONY AND SYLVAN POOLS CORP. DBA POOLS BY ANDREWS MIAMI PERMIT ACCOUNT #277 / .V:SSk) ..,...c4— rn /AM 33/ a'o PAY TO THE ORDER OF FOR / ///4)h? / First Union National Bank N ° firstunion.com Org. 075 R/T 031000503 DATE 10 L8 L 211' 1:0 3 L000 50 31: 200000 3 3 26 L900 //q DOLLARS 8 a 1812 3- 50/310 r Date ( 7,1`3 (° Miami Shores Village Building and Zoning Department Attention: Building Official • • ••• • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • ... • • • • .. • • • ••• • • .. • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • ••• SWIMMING POOL OWNER'S C.ERTIF1GA1 ON • • • • . . . • . ••• • .. I certify that I am the legal owner of the property described as Lrr{ s f 4 Z , 6 L o c t< 3� of +M; ,Sid -r -5, fl -k Ilea& to pi -a- 7o , located at 244( n / 3' �/UI i a. wt S�►c" 3 3(??. In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. RACTOR'S SIGNA :Y PUBLIC .-410-vkLes P/c-11 ZACTOR'S I�fANrE ( PLEASE P ) �rn z n„v h s 7 i:. ; °. .54 iZ '. ,ki.:. y ate' ... _ VV.�� . r. UCH" D. CABER `e•`'� "`' t cln ,wuSS O C • "�:i267 � C 3. 2�: 3 BONDED THROUGH ADVANTAGE NOTARY • • .•. . • • • • • • • • • • • • • • • • • • • • • • • • • • .•. • • .. • • .. • • • • • • • • • • BUILDIM OiiARTMENT• 10050 N.E. SECONO AVENUE MIAMI SHORES. F1R61D.:6 3 38 1 38.1136!•• •• TEL EPHO , NE 13051 1 • •• • • • FAX (30 51 7 ••• .,• • . • • • • • • • • • • •• • • • • • ••• •• NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or stalled at 2 /g ,oZ s r te; Miami Shores,. Fl., and hereby affirm that one e following methods will be used to meet the requirements of Chapter 515, orida Fl of Mutes. p M ease initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; z/ The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with release mechanisms placed no lower than 54" above the floor or deck; derstand that not having one of the above installed at the time of final inspection, or n pool is com • leted for contract purposes, will constitute a violation of Chapter 515, and will b nsidered as committing a misdemeanor of the second degree, punishable nes up to j 1 0 /or up to 60 days in jail as est l'shed in C apter 775, F.S. OWNER'S NAM ( u PLEASE PRINT ,i4NA 0. . I li t MISSION 0 CC8iit.2671 ■PiRtS NOV 03. 2e..;3 9 '4 NOTARY PUBLIC • • • ' • • ••• St DATE ADVANTAGE NOTARY STATE OF FLORIDA) COUNTY OF DADE) performed on - (date of survey) cn sign and print) tami. : .I. .. D • • • • • • • • • • • •• • • • • •S S • • • •• • ••• • • • • • • • • • • • • ••• • • • • • • ••• •• • • • •• ••• •• AFFIDAVIT • • • • •• • • • • •• • • The undersigned Affiant, Vi-ADI0A l ► . \[VNDJ �c . , does hereby attest that the (property owner) attached survey, performed by 0 t LT S v t V C7o (t r Z.N,C (name of surveyor's company) t `j , is an accurate representation of the existing conditions and 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 : (6) months old. The 4ffiant, 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 ap(icable to this or other permits.. Further, Affiant sayeth naught. Affiant/Property owner Witness(sign and print) SWORN TO AND SUBSCRIBED before me this 5 day of Dec O( Affiant is personally lmown to me, produced as identification. ;tbacks Main Bldg. Access. Bldg.' Front 25' Bear yd. only Side 10' 10" Side St. 15' 25" Rear 15' 5" laximum Building Height:2 Stories, 30 ft. llninium lot Size:75It. frontage, 7500 sq. ft. COI(I Lli. Lr►'1' ZONING STANDARDS • • Access. Buildings must be 15' from main bldg. and 10' from any contiguous side /12.x' or front yard and may cover 20% el rear yard. Side sL setback is determined by adjoining lot. SIDEWALK i STREET 10' 25' 15' • �PRIMABY BUILDING SETBACKS Front 25' 'PROPEB111.1IHES Side 10' Side St. 15' • Rear 15' POOL SETBACK$ CESSORY ilUILDINilSTBUCTURE SETBACKS • ti SIDEWALK 25' �z °• N -A CO ° Z7 o 01 CO m c1 X d m 0 -1 D O 0 0) N C. m 20 m O D X \ 01 \ m � 0 o -. o oo m D 8 A C 0o m m r