306 NE 102 St (6)Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/27/2002
Applicant: ELIZABETH
Owner: TREACY
JOB ADDRESS: 306
Contractor PERFECT PAVER INC
Local Phone:
Parcel # 1132060135170
Fees:
FEE2002 -5421
FEE2002 -5422
Permit Status: APPROVED Permit Expiration: 3/26/2003
Work: PAVERS FOR WALKWAY
This Permit is granted to the contractor or builder named above to construct thr
ordinances pertaining thereto and with the understanding that the work will be per
and approved by the proper municipal authorities. This Permit may be revoked al
authorization. A further condition upon which this permit is granted is the underst
ordinances and regulations pertaining to the work covered hereby whether shown
by his agents, servants or employees.
Signed:
Total Fees:
NE 102
In consideration of the issuance to me of this permit, I agree to perform the we
with the plans, drawings, statements or specifications submitted to the proper at
myself, my agent, servants or employes.
Signed: (Contractor
Building Permit
Permit Number: BP2002 -1664
TREACY
ELIZABETH
ST Owner is Responsible for Maintenance of
All Village Sidewalks as per Village of Miami
Contractor's Address: 528 NW 1ST AVE_ s Code of Ordinances, Including Driveways,
l sp Caused By Current Construction Activities.
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 11 & 12 BLK 38 LOT SIZE
Description
Building Permit Application Fee
CCF
(INSPECTOR)
Pay to
`c the order of
For
Amount
$60.00
$0.60
$60.60
': ?
•
Construction Value: $1,000.00
ELIZABETH T. TREACY 8-88
MICHAEL J. TREACY
306 N.E. 102 ST., (305) 757 -9486
MIAMI SHORES, FL 33138
SOUTH FLORIDA EDUCATIONAL FCU
7800 S.W. 117TH AVENUE
MIAMI, FLORIDA 33183
Page 1 of 1
MIAMI SHORES VILLAGE
NOTICE
Total Fees: iteem
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
tee is $50.00, which must be paid in advance before calling fo " �- --- -- - - -- __�____ _
Date
$
C9 —
Dollars
•
4470
6 3 - 7782/2670
•
J
0
tc)
,:7.35'
ONE- STORY
v
cv
•
26.23
/4•,9/'
9
EN
G.2 c..T$,
FOUND
DPILL,
Ni
z
3
..S
9
etI PiA:.xC
N.E. /O2^'D STREET
20' P'AV ��.n._"
No e: Lands shown hereon were not abstracted
for ePsements and /or right -of -ways of record.
••
Elevations based on
pC8M: N p
Elev.: — - ,NGV Datum.
FOUND 44"
IRnw
P, :°E
w
-7
1-)
0)
co
6\
•
Beamngs if shown are based
on assumed meridian and
Plot of Record.
gummy pm TREACY, Michael 3. and Elizabeth T., 306 NE 102 Street, Miami Shores, FL 33133
REVISED
Lots 11 and 12, Block 38, AP'EN E'.' PLl4" ( : %; / I 1, `.
SECTION N. 1, according to thl•Y�pt :t r:: :: •�• r4cc,rded
in Plat I ;.00k 10,
Page 70, of L . -:.s: 0; :lade
County, Florida. • • ••• • • • • •••
(Legal description provided 5v
Certi Certified to: Ronald
• • • • • • • • • • •
Fu nd, rti G. Klein :: •• :ftta.'hij Ti11 :e l.Asurance
Inc, and Glendale Federal •,'nn••Loan•.A
,POW� fM
zikea.4. *mot
Ir
•p•..• D
PIOT S eo M1M
SE
J
-- •• • • • •• • ••
•
1-
0.5
T
0t in
App
n
.4011A`e
•
• • •
DOUNDARY SURVEY
, 4(KS1' CtRrrn few goo •r••• tro.•••• •••1 owes.
••••', q• iNOt•••■ /•tl,lotol •e•oj••$ o1•p60 y b•
State of Florida Nerd of Lew• •••,,i••
p40 real 1• M / 011 Pion*. •111,1••
411 FM OW Co 1,01611 thi • tits
GARY 8. CASTEL
Repstered Lard Surveyor P40 4129
Stote of F1arrao
•
of 1 8.0
FL000 ZONE :
DATE:
/G. Z -87
C
SCALE
/
OWN. NY
N.M.
• •
LOCI.'. !Ci ,
UGC
•
r 1 . ,
GARY B. CASTEL SURVEYING, INC.
LAND SURVEYORS
12016 S.W. 132nd COURT
MIAMI, FLORIDA 33186 (305) 253 -6767
JOO No.
187 -1581
STATE OF FLORIDA)
COUNTY OF DADE)
attached survey, performed by
(name of surveyor's com ° ny)
performed on UJ ,�`.vZ
urvey)
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 Affiartt further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
Witness(sign and print)
Affiant is
Vittage
The undersisned Affian
•
. AFFIDAVIT
d oes hereby attest that the
is an accurate representation of the existing conditions and
2/ e iz
Affiant/Property
SWORN TO AND SUBSCRIBED before me this 2 day o
ttness(sign and print)
< /c �
lo b
personally known to me, r uced � s i e ti
P Y 1� � �� b --� . 31' as identification.
CONTRACTOR
New Construction
l am P
w �/(� .
Lice No.
No.
Address
3 Le "E-
Address
6 a
"I to l
S--
Telephong3
. 7 _ )JI Q g
i
Qualifier Name
PROPERTY OWNER
New Construction
Name
Alteration Exterior
Address
3 Le "E-
Repair
Home Telephone 3o •
1 /
::::JJJ
- q Z
Business Telephone
Relocation of Structure
Fax
Foundation Only
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add't Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Nliami 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: U (0 It U
Address Apt. City
Folio Number description of Work
Lot
Subdivision PB PG
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
•
Block
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
State
Zoning Linear Feet
PERMIT APPLICATION
Master Permit No.
Subsidiary Permit No.
Units Floors
Zip
Square Feet
alue of Work Bldg Value
T Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
IMPORTANT NOTICES
DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grat\t
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 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.
1.
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 fitlly 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.
STATE OF FL RIDA, COUNTY OF MI I -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE
�
atur e o
Owner
Print Name i rl Print Name
to and subscribed before me this
.. �. .
ture of *wry Public -
SEAL:
of di
Personally known OR, Produced Identification
Signature of Contractor / Qualifier
Sworn to and subscribed before me this day of
• PERMIT APPLICATION
Signature of Notary Public - State of Florida
SEAL:
Personally known OR, Produced Identification
Type of Identification Produced t O� �— Ca7 e of Identification Produced:
SECTION
BY
D TE
Zoning
7 d4 04 4
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
q ?/
Building Official
Page 4
OFFICE USE ONLY
cliEcmisT
❑ 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
$ o,
$ (sq.ft. = x/1000
x ¢.60)
$
ISSUING OFFICIAL
(¢.005 /sq.ft.)
(2.01 /sq.ft.)
REVIEWED AND PREPARED BY:
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
DATE:
ONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
I hereby sub
be sent to..
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Permit No
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of we plans and specifications herewith submitted for the build
ing or other structure herein described. This application is made in compliance and conformity with the Buildingg Ordinance of Miarni
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami S res Villagc and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein ied or not. A copy of approved
�7
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address ..... ✓.. 6 01 ..Y eL Aiit'le ;-
Registered Architect and /or Engineer ..........�
Date ,
— No 3' j.. Street 4t ../.40.62A`
./..QsaA 5
Name and address of licensed contactor a ige
Location and legal description of lot to be built on:
Lot Block Subdivision
Stzeet and Number where work is to be done ...{3 . _ 4 �O� ��'7"
State work to be done and purpose of building (by floors) . &.Y.dR lLiJ!fr.!9 ' F ...-- . - _.._.._ _
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of ..C®41CK.e41. Kind of foundation Roof Covering
Estimated Total cost of improvements $.r7/747
Zone cubage required
Distance to next nearest building
rjt all the plans and specifications for said building.
�jp AA/ Ai T, 7o as Nf 2,
Disapproved Date
(Signed)
Building Inspector
Amount of Permit S..
.Plan Cubage
Size of Building Lot
Maximum live load to be borne by each floor
All notices with reference to the building and its construction may
a
The undcrigncd applicant for this building permit does hereby certify that he understands and accepts his obligation% as an employer
of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied «ith 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 poste • o ' spection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only suc su • •ntracto • • work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)...._ _.. _.. t _ _l .
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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
Date 41g4/1
thcrcin by him stated are true.
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 hero obtained fmtn
the l'l Board.
A re tnspr•ttion fee of $1.00 will be charged when such re inspection is made necessary by improper notice for insprvtitm of faulty
materials and /or workmanship.