453 NE 102 St (12)Dat
Type Insp'n
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
-02 • lainalrJ Alrir
For Inspector3,) 2 0/
Approved
Correction ❑
Re- Insp'n Fee ❑
Time
Permit N
Name
Address
Company p
Phone # ? '� rte. 7-S S S/
ame & Date
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Dat- 1 Time
Type Insp'n
Permit ► o.
Name
Address
Company
Phone # / /
For InspectoW ` 10 ` 23
Correction
Re- Insp'n Fee ❑
ol�
Name
�a�
0
Cn1
'0
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
c fee is $50.00, which must be paid in advance before calling for another incnr4# -rion
JEFFREY CHARLES KELLUM
OR ROBERTA B. KELLUM
453 N.E. 102 ST.
MIAMI SHORES, FL 33138 -2452
Pay to the
Order o /OIL
� -1
BankofAmerica -94 .
ACH F67 063100277
JEFFREY CHARLES
Owner: KELLUM
JOB ADDRESS: 453 NE 102
Contractor
Local Phone:
Parcel # 1132060170810
Fees:
FEE2003 -1137
FEE2003 -1138
FEE2003 -1139
Description
Building Permit Application Fee
Notary Fee
CCF
Total Fees:
Amount
$60.00
$5.00
$0.60
$65.60
Total Fees: $65.60
Total Receipts: $0.00
Permit Status:
APPROVED Permit Expiration: 8/23/2003 Construction Value:
Work: REPLACING FENCE FROM CHAIN LINK TO WOOD 5'
Date
�.1. $ AS. e rx)
For
1:063000047 00 L L9654305Su
Building Permit
Permit Number: BP2003 -296
KELLUM
JEFFREY CHARLES
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 4 AMD PLAT
6.°40
Dollars
3939
63 -4/630 FL
134E
39 39
BY:
BY:
$600.00
3
PB 15 -14 LOT 19
BLK 92
equipment or device described in the application herefor in strict compliance with all
ith any plans, drawings, statements or specifications that may have been submitted to
lot done in compliance with such ordinances or if the plans are changed without
)r or builder named above assumes the responsibility for a thorough knowledge of the
s or in the statements or specifications and that he assumes responsibility for work done
ompliance with all ordinances and regulations pertaining thereto and in strict conformity
Village. In accepting this permit I assume responisibility for all work done by either
PAGE 1 OF 1
Zonin
Annroved
6
z
6 AL o OcJ C e
•••
• •
o e
0
F-t.to y2"
(ant PIPE
()oo to.)
li2As' letB°
1 o V<S•
4 I
s'•• • •
4 , •
•• ••
4 , • • •
, • •
• • •
••• • •
• ° •
• •
• •
o
••e ••e • •• e e •••
•^' e • e • • • •• e • 11
• • N • • • • • e • • ' • o w • o • • , • • 0 00
t•3o '1,D, o '
./
2.0
�>►v
'17,"
1204 PIPE-
( V4 t 0,)
p O O V
CCc)univw
SURVEYORS
PR(-S810
URVEYORS At H A RS
Licens 67 11
(9 4) 777 Axl (954) 777 -2707
AKLAN PK. BLVD. • SUITE 108 • LAUDERHILL, FL 33313
• •:' •• ••
• • , • • •
•
••• • • •
• • • • •"
, •• ••• •
•
I.I 4'61 - 10.
• , I
LEGEND:
1•
11
•
1 I
• 1`1
A, Pow tin,.( of Tiit~ bo�ue QA1 I:u4Bc744.4.►
1,o %4 61 - u1 1.;••77 PfLop '{
7 ►4vrRRn.t Ep •
0
IS 0 I ?/) 5 CM )
kit
./ .. 4.
9F.LO26�W• -
i CAV E.P.eo 4 O
,1.4000 D i✓!.0
. 00
-coo Tot{ 0,{
/0" 4_
119,9( dc-) Cam)
ti o° po
- --- -x- -x— DENOTES FENCE LINE
ABBREVIATIONS:
AL - ARC LENGTH
CL - CENTER LINE
CF - CALC FROM FIELD MEASURE
CR - CALC FROM RECORD INFO
DB - DEED BOOK
DE - DRAINAGE EASEMENT
DME - DRAINAGE MAINTENANCE EASEMENT
A - CENTRAL ANGLE
EASE - EASEMENT
F.F. - FINISHED FLOOR
FND - FOUND
FPL - FLORIDA POWER & LIGHT
L - LEGAL
DENOTES WOOD FENCE LINE
DENOTES ELEVATION SITE
M
OHC
ORB
P
PC
PCC
PCP
PK
R
POB
POC
PRC
PT
FVW
RP
SBR
UE
W/C
W/M
6.10 1 y
(.b 1 N
v.u•••
Gout , ur 44,/
�71RGd1
CO Q..14 cR
4 2 t'
teo PIPE
(1Jo to.)
- MEASURED
- OVERHEAD POWER CABLE
- OFFICIAL RECORDS BOOK
- PLAT
- POINT OF CURVATURE
- POINT OF COMPOUND CURVATURE
- PERMANENT CONTROL POINT
- PARKER KALON NAIL
- PROPERTY LINE
- POINT OF BEGINNING
- POINT OF COMMENCEMENT
- POINT OF REVERSE CURVATURE
- POINT OF TANGENCY
- RIGHT OF WAY
- RADIUS POINT
- SOUTHERN BELL RISER
- UTILITY EASEMENT
- WITNESS CORNER
- WATER METER
4
• Q •
0
z •
0
Z
D
t
■ �
NOTES:
1. THIS SURVEY IS BASED UPON RECORDED INFORMATION AS PROVIDED BY
CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY
THIS OFFICE.
2. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS
SPECIFICALLY SHOWN.
3. ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM 1929
(N.G.V.D. 1929).
4. FENCE TIES ARE NOT CENTERLINE OF FENCE.
5. IN SOME CASES, GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED
TO MORE CLEARLY ILLUSTRATE MEASURED RELATIONSHIPS- DIMENSIONS
SHALL HAVE PRECEDENCE OVER SCALED POSITIONS.
6. ALL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO
RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE.
7. DATE OF ORIGINAL FIELD WORK ' 2 - - - o 3
F ••• • • • •• •• •
• •
• • • • • • • • • • •
• • • ••• •
eINVDIC.,6140 1V392: • e,
PROPERTY ADDRESS:
413 Ng 1 N D' 'PRp}31 :Mi slJ SHORES, FL. 33138
• • • • • • •
• Lr AL bL'SCI?IPTION. • ® °
LOT 19, BLOCK 92 OF "AMENDED PLAT OF MIAMI
• S1-IQ4ES S,EITIOV NO,4" ACCORDING TO THE
1' .LA'T:T 11r,RPF,AS RECORDED IN PLAT BOOK
• 4t, PAGE.14 DC TA PJBLIC RECORDS OF DADE
COUNTY, FLORIDA.
CERTIFICATIONS:
JEFFREY & ROBERTA KELLUM
FLOOD ZONE INFO:
COMMUNITY # 120652 LOWEST FINISH FLOOR: N/A
PANEL & SUFFIX 0090 J GARAGE: N/A
FLOOD ZONE X N/A
DATE OF FIRM 3/2/94
REVISION SCHEDULE:
SIGNED:
SURVEYOR'S CERTIFICATION:
1 HEREBY CERTIFY THAT THIS
SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS, AS
SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN
• CHAPTER 61G17 -6 OF THE FLORIDA ADMINISTRATIVE CODE, PURSUANT TO
SECTION 472.027, FLORIDA STATUTES.
BOUNDARY
Richard H. Bickham, Professional Surveyor & Mapper
Florida Registration No. 6066
(not valid without the signature and original raised seal of
the Florida Licensed Surveyor and Mapper shown above)
5'-O MAX
2' -O
Owner's Side
1
°
i
III — III —I I — III —I
1" X6" or l" X8"
Wood Pickets
Concrete
• • . ..
•••• • • •
• ••'•
•
• • • ••• • •
•
•
•
• •. • • •
WOOD FENC
• •
• • •• • • • • • ...
• • • • • . • • • • •
• • • • •
... •.• •• • • . . •
•
• • • ;•
4 "X4 " ' '' • •
2915 Fences
Wood Posts
2" X 4" Wood Pall 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 foot -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.
•• ••\
•o•••o
• : • .•\
.
• •
•••• \ :
•
•
•••• \•.1: •
• :•$■•••:•
•o
o o o o
• 0000000
•
0 00000
• • 00000
•. ••••• •
.• • ••••• \
• •
•o••••
•
•
•
•••••o
••••o
• •
00000
o
•o•••o •••oo
• • • •
• • • •
• • ••
•o••oo
•
•■■•■•••
REAR .YARD
••
•
• ••
•
T.
s'
•
000000 ■
• •
• • • •
• •
TRIANGLE OF 'VISIBILITY:
All driveway/roadway entrances and exits shall. '.
be constructed so that vehicles may enter and
exit without posing danger to occupants, pedeOtAn-s,
or other vehicles. Structures and landscaping Alan;
not obscure vision above 2.5' within the triangle I'
commencing at the point of intersection.of the driveway
and sidewalk/right-of-way for a distance of 10' along
the driveway and 10' along the right-of way..
May 2000
RESIDENTIAL FENCE/ WALL.
TANDARDS-INTERIOR LOT
\ • REAR AND SIDE YARD :
5' HEIGHT LIMIT
FRONT AND SIDE YARD :
3.5' HEIGHT LIMIT
All walls and fences
in the front yard require
approval by the Planning
and Zoning Board.
Sidewall(
Sirool
PROPERTY LINES
ELECTRICAL
TVI'I:
Minimum Fee
()Ty.
TYPE
Dryer
Q'.'1'.
•
'i VrI.
Outlet; Ap i
QTY.
TYPE
Service Repair
Q'IV.
A/C Central 1 -3 Ton
Cooling Tower
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Paint Booth
Fire Pump
Ventilation, Cost
Outlet, Switch
Air Handler, Tons
Signs
Ductwork, Cost of
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
Process/Pressure Piping
A/C Central 16 -20 Ton
Fixture Light
Bath Fan - Vented, #
Parking Lot Lights
Fireplaces, Number of
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
MECHANICAL
TYPI?
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY. TYPE
Generator
()Ty.
I'1'I'E
Refrigeration, Tons
Q'I'1'.
A/C Central, Tons
Bath Tub
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Filter Replace
Ventilation, Cost
Pool Piping
Air Handler, Tons
Sprinkler Repair
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Cap - Water
Gas - Appliance
Bath Fan - Vented, #
Pump, Domestic
Fireplaces, Number of
Pressure Vessel
Cap - Sewer
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
Q'I'1'.
TYPE
Soakage Pit
QTY.
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 Wig pertoi nrad and .qtiarrttty(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
SECTION
BY
D TE
Zoning
/7j'_z�
�j /�'�
Electrical
L
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
o;�
‘ r9 l''
zg
Page 4
OFFICE USE ONLY
••• • • •
• • •
• • • • • • •
• • •
PERMIT APPLICATION
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
• ❑ PROOF OF OWNERSHIP
(Attack), • • • • • •
•
•• ••• • • • • •
•
• • • ••• •
D HR D E R 111 • ,4P i \'
• • (Septic / • Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERNIIT FEES
$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
$ 0
$ t 0 (sq.ft. = x/1000
x 0.60)
(¢.005 / sq.ft.)
(¢.01 /sq.ft.)
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
ISSUING OFFICIAL
WED AND PRFPARE,D BY: DATE:
Ala Ccegeak
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
• • ••• • •
• •• .•
• • •
•.• •
Page 2
,<Z,„
ignature of Owner
Ignature of
SEAL:
State of Fiori
Angela M Bedter
My Con mission 00150048
0 Expires November 15, 2006
• •
•.• •
•.• •
• • •
otary Public
Print Name
Sworn to and subscribed before me this day of .— ,
• • • • •
. • • ••• •
• •
• • ••
•
• •
PERMIT APPLICATION
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 weekenar ho{Wys. • • • • •
2. All construction of demolition areas MUST BE MAINTAIN) 11V }L Ct.E4N ;N6A TAND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SMALL BE• K Fr" . ...12:04F142114 DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEINCIDAM3EIY BT EQUIPICIEIVT 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.
STATE O ORIDA, COUNTY OF MIAMI -DADE 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 Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
PROPERTY OWNER
New Construction
Name %/ A . ,/ /
..�f I M
Address
•/ pia& .• /Oa
' 0 ~ 5
•
Po-1 ea 3iger
: Telphone.�
Repair
Business Telephone
Alteration Interior
Fax Dr?e AR /4
1'4
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'I Detachment
Other
Step I.
Folio Number
Lot Block
Subdivision PB PG
Current Use of Property
Proposed Use of Property
Tenant Information
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
• ••. • •
• •
• • • • •
• ••• O . .
Zoning
Square Feet
• .•
• •
• •
• •••
1 (9 . a%
.S lit No.
• • •
• • . •
• •:Vlser Parrnit
•
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
.
• • . .
Complete the attached permit application which must be•signea by tit tarty ewn qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processingoof your 3ppTi��tior. :f �f � np 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.
/D, ./e �4,00/5ir .15 / X3/.3
Apt. �� Ci ty State Zip
1�'�cription of Work __ __ 0�v • n/ ) )_
/A, , I e,ezlod. 6 J� /t/ ,4,
PERMIT APPLICATION
Linear Feet
Units Floors
of Work CO. ®U
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
Bldg Value
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone
Fax
Qualifier Name