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5 NE 102 St (7)Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 2 305- 795 -2204 Bu II Request Date 4 4 -7/ / za.,mh.. Permit No. C. L 0 — c:9 Name �vT Address AJ 7O 61 Company / - 4 Phone # (5 /U' 9 33 Inspection Date q //v Approved 7J .Correction Re- Insp'n Fee ❑ g.57 c /c2097-- ,rnvi2 W.2 (1/-(7'— Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n V 1 pooirpipinc Permit No. p) - al s . Name 0s Address F . 4. - Y L ( 1 0- 5 Company' [ 1 Phone # Inspection Date C A 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil ing Inspection Request F Date Type Insp'n POO finci Permit No. PC, 04 - 153 Name 5 NF, Ia s4 Company p Phone # Address Inspection Date Approved Correction Re-Insp'n Fee )3) 3 6 S G CJ (-L- Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE 13UILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. N Address S . . i 0 k_ Company P o- Or). Phone #3 vS . a _l ' ° 0 (*) (ty MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 o2 Building Inspection Request Date 6 g ^ Type Insp'n T L "v1 Permit No. 7 0 �— q“' Name / Address G /0 Company 0-16 Phone # 3D S� (e ` ( t L Inspection Date g /c Approved. Correction Re- Insp'n Fee •. a BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): Building Electrical ( Plumbing ) Mechanical q f, Roofing Owner's Name (Fee Simple Titleholder) i20 J"1" SO. Y-S ` I 0 Phone # l30 — "l0 g Owner's Address 5 DUE 10Z., S4 • City "( \f\1 Avvnt State Zip 3 V3 Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip - J 1 Is Building Historically Designated YES NO P £ 1-1 A .-v1 O v\s , 1J( Phone # Contractor's Company Name Contractor's Address 3 ( 00 /V LU 2rs € - 2� City VV v' °N. 1 `I ( State �� Zip 33 I 42:2_ Qualifier GeOV) -e 1. - VA (`0_Ac ,reJ State Certificate or Registration No.G 1 C 0\ 0 Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Code Enforcement $ Total Fee Now Due $ J 0 t S� (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 -s 0'4 0 ) 756.8972 IVt, 102e S e- Type of Work: ❑Addition ❑Alteration Describe Work: .0 0) ❑New Structural Plan Review. $ `p Permit No. PI O `7 a 1S II Master Permit No. 13P6q - qq � Certificate of Competency No. Phone # Square Footage Of Work: t Z Tyr 03ALII3RH (3o LI 01 9sk-1 'kg ( ❑ Repair/Replace ❑ Demolition B Orv - A0 - wO.( . ? - ) / ( c c Sri Submittal Fee $ [b . (X) Permit Fee $ ' t � CCF $ ^ V 0 Notary 5 Training/Education Fee 5 L o 0 Technology Fee $ 3 i Scanning $ Radon $ Zoning Bond $ CO/CC 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 absence of such posted notice, the for the first inspection which occurs seven (7) days after the building permit is issued. 1 inspection will not be approved a reinspection fee will be charged. Signature ner or The foregoing instrum day of NOT Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 Signature Contractor nt was acknowledged before me this 1 The foregoing instrument was acknowledged before me this ( day of 3U , 20 D by who is personally known to me . r who has produced as iden ion and who did take an oath. ,201 -J,by ent who is personally known to e or who has produced . n and e an oath. BRENDA DUBON COMMISSION #DD256846 NOTARY PU i n fl,rs �.�W Wr Girr_�i Sign Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** ;g ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a �L .. � ,..l ■tL U11111• ' "v Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/17/2004 Applicant: ROBERT Owner: SAKZ JOB ADDRESS: 5 Contractor P & H ADDITIONS Local Phone: 305 - 264 -8092 Parcel # 1132060131640 NE 102 Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2004 -215 SAKZ ROBERT ST Permit Status: APPROVED Permit Expiration: 1/17/2005 Construction Value: $800.00 Work: PLIMBING WORK FOR POOL & SPA Page 1 of 1 Contractor's Address: 3100 N. W. 72 AVE. UNIT 129 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 13 & 14 LOT SIZE IRREGULAR OR Fees: FEE2004 -8306 FEE2004 -8307 FEE2004 -8308 FEE2004 -8309 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $150.00 $0.60 $0.20 $3.75 $154.55 Total Fees: $154.55 so. o Total Receipts: $0.00 1. 5a (2S os MO In consideration of the issuance to me of this permit, 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 specifications 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 or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Contractor's Company Name \''1, -A.R. (c . vCk e A G v C Miami Shores Village Building Department RECEVED 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 .1; wo 2 1 ?P Tel: (305) 795.2204 Fax: (305) 756.8972 ��' m —m� o0 Permit No. dpi - a,C0 Master Permit No. 6 1 - q q 10 Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) , Phone # 3o5 7 d0 IC zP8 • Owner's Address ' E-' V7 S "�– City State Zip 3 t3? Tenant/Lessee Name Phone # Job Address (where the work is being done) 5 N' 'C ' 1 0 2 061 S 4-, • City M'C ' %Miami Shores Village Y 1- County Miami -Dade Zip 33 1 3 3 Is Building Historically Designated YES NO Phone # Contractor's Address 7 3) 3 N' ►AJ • Si Y C e fi City M 61 14'N - C ' f State F 10 Y r al c, Zip 33 � - (o Qualifier Ft ; 500 — CX State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit X - too .00 Square Footage Of Work: Type of Work: ❑Additioon ❑ Alteration ?c1 ❑New ^ ^A ❑ Repair/Replace ❑ Demolition Describe Work: EleWICC� ' fD( / "1' >' �` 4 v2 1 It 5 -24> rr * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ SV .l__rr,, Permit Fee $ /.-0 • " O CCF $ . G 0 CO /CC Notary $ Training/Education Fee $ r b Technology Fee $ 3 - Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _ , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** YJTL'GY o17 Plans Examiner Engineer Zoning CONTRACTOR New Construction tt N h1ne, 14i1 t . Ec.Ace C0. C. a o9s,ei "` License No. E too O t 614 Address 1. k ?Vw Address % 7323 Nth 8 c eK 1ato zri‘ \ "ter(. 3s \2G • Telephon 0 44. 1\5‘ F ad Off 2 . 1 �' Qualifier Name ` C , _ nn _ PROPERTY OWNER New Construction Name [ I7Q,`� 1 t _ c Ij p `J� {� Address 1. k ?Vw 9rNar es, 1 1 I % Home Telephone (3 ,p t — ( , oy %p 1 ) l 0 'l 0 Business Telephone Relocation of Structure Fax Shell 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'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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: 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. 6 J. E. 102 " Vtiu.n \ S L City � State o Folio Number Description of Work 1 OO' ; t / -ee'1k- -S pe . Lot 1 b 4 2 n � 14 Block 1. Subdivisiot�VWAti pH. 0! m PB ID PG 1 O Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property 5 Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Address Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Value of Work 740' Tax Assessed/Appraised Value PERMIT APPLICATION Master Permit No. Subsidiary Permit No. 3313$ Zip Bldg 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 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. 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 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 OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner ICRMTT APPLICATION STATE 0 ���: iP A, • UNTY OF MIAMI -DADE Print Name Print Name Sworn to and subscribed before me this day of Swo_ m to and subscribed before me this t q day of TI..) I , Signature of l�Iy Public to Fl Signature of Notary Public - State of Florida Y P� ��, -d1 s ley of Junco m ":Commission # DD332081 • ^� ;7; Expires; JUNE 24, 2008: AARONNOTARY.co Personally known OR, Produced Identification Personally known V OR, Produced Identification Type of Identification Produced: Type of Identification Produced: EXISTING METER 0 EXIST . INSIDE PANEL WIRING LEGEND FALL WIRING TO BE THHIPTHWH CU) A- (1) - #8 SOLID BONDING. B -(2) -# 6 (P),(1) - #10 (N), &(1) - #10 (G),IN 3/4 "C. C- (2) - #12 (P),CONNECT TO TIMER R(1) #12(G),IN1 t2 "C. D- (2) - #8 (P) &(1) - #10 (G),IN 3/4"C. F- (2)- #12(P)&(1) - #12 (0),IN1 #2 "C H- (2)- #12(P &N)(1) -# 12 (0),IN1 /2 "C. I -1NET NICHE APPROVED FLEXIBLE CORD &(1) #8 (G),IN1 "C SAKS ROBERT 5 N.E. 102 nd STREET MIAMI SHORES. FL. 33138 EM 004-208 SVVMMING POOL PANEL f OUIPMEIIT LEGEIID 1- 125AMP.UL.APPROVED OIfTIEERMATOC PANEL 4' TOGEER 1TP .SPINNER W.18RGi 2- CHLORINATOR W 3- FILTER PUMP MOTOR ('0 )2. OAP 4- TRANSFORMER 120- 12V.300WATTS W 5- SWIMMING POOL JUNCTION BOX Q 2 D 8- SWIMMING POOL LIGHT FIXTURE 4'1 )SARI] LOGOOV 9 -SPA LIGHT (II )SAL LOONIT 10 -HEAT PUMP 1 11- BREAKER(1)20A- 2P(FILTER PUMP) VERIFY VMITH NAMEPLATE. 12 - BREAKER(1)40A- 2P(HEAT PUMP) VERIFY WITH NAMEPLATE, 14-BREAKER(1)15A- 1 PLIGHTS) SHINE MAINTENANCE ELECTRICAL CONTRA CTORS CARP, EC #0001514 7323 NW SST M1AMr FL 33926 ('3052691151) USING OPTIONAL CALCULATIONS POOL INTERMATIC T3004RT3 FOR ADDITIONAL LOADS 1 HEATPUMP T135 1 8976 W IN AN EXISTING DWELLING (NEC 220.31) CHLORINAT. AAUARJTE 0 0 W ADDRESS : ULTRAFLEX 0 0 W SAKS,ROBERT EP#2004 -208 SAM POOL LT(S1 1 160 W 5 NE 102 ST. MIAMI SHORES,FL SAL SPA LT(S) 1 75 W CALCULATING (EXISTING LOADS FILTERPUMP 2.5 HP 1 3600 W PLUS ADDITIONAL LOADS 1 CHLORINAT. 1 384 W COLUMN 1 FIBER OPTIC 0 0 W GENERAL LOADS ( TOTAL ADDITIONAL LOADS: 13195 W / 240V = 54.979167 AMPS. Step 1 General Lighting Load EC Table 220 (A) 1 1950 Sq.Ft.x 3 WISq.Ft. 1 1 Total Step 1: 5850 W Step 2: Small Appliance and Laund Load.NEC 220.16 (A).; SB) S.A.Ckts. 2 X1500W. 3000 W Laundry Ckt 1 X1500W. 1500 W Total Step 2 : 4500 W Step 3: Appliance Load NEC 220.30 'B) (3);(4) Range 1 12000 W Refrigerator 1 1200 W Dishwasher 1 1200 W Disposal 0 0 W Compactor 0 0 W Microwave 1 1600 W Washer 1 1200 W Dreyer 1 . 5000 W Water Heater 1 4500 W Sprinkler Pump 1 1800 W OVEN 0 0 W Cook top 0 0 W New Chlorinator 0 384 0 W New Pool Lt (s). 1 160 960 W New Spa Lt (s). 1 75 75 W New Fitter Pump 1 3600 3600 W New Pool Pump(s) 1 384 384 W New Fiber Optics 0 0 0 W UltrafIex 0 0 0 Total Appliance Load Step 3: 32719 W Subtotal (Step 1 +Step 2+ Step 3 ): 43069 W Step 4: Applying Demand Load NEC 220.31 First 8000 WATTS 100% 8000 W REMAINDER 35069 W. © 40% 14027.6 W Column 1 Total Load: 22027.6 W COLUMN 2 I LARGEST LOAD BETWEEN HEATING AND NC LOAD. Step 5:Selecting Largest Load NEC Table 220.30 (C) (1);(2);(3);(4). NC01 HeatLoadt 00% 1 10000 10000 W A/C#2,3&4HeatLoad100% 0 7500 0 W New Rat Pump100% 1 8976 8976 W Column 2 Total Load: 18976 W TOTALING LOADS ( COLUMN 1+ COLUMN 2 ): 41003.6 W FINDING AMPS FOR PHASES WJ V.: 170.84833 AMPS. EXISTING ELECTRICAL SERVICE 200 IS ADEQUATE FOR NEW LOAD. I 1 1 SHINE MAINTENANCE ELECTRICAL CONTRACTORS CORP. EC 0001514 7323 NW 8 ST. TEL: 305.269.1151 MIAMI,FL 33126 ZONING 'STRUCTURAL ELECTRIC PLUMBING MECHAN;CA! BLDG. o rp, i • DATE _ SUB1F' TO CLMI'TIruVLE v ItH ,.LL rE. ER ,.L. STA;c. R,;.EJ "11D Ri•G ' 'TI7;r Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/17/2004 Applicant: ROBERT Owner: SAKZ JOB ADDRESS: 5 Parcel # 1132060131640 Signed: NE 102 (INSPECTOR) Electrical Permit Permit Number: EL2004 -208 SAKZ ROBERT ST Contractor SHINE MAINTENANCE ELECTRICAL Contractor's Address: 7323 NW 8 ST Local Phone: Permit Status: APPROVED Permit Expiration: 1/17/2005 Construction Value: $700.00 Work: ELECTRICAL FOR POOL Page 1 of 1 J618 PAID Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 13 & 14 LOT SIZE IRREGULAR OR Fees: FEE2004 -8302 FEE2004 -8303 FEE2004 -8304 FEE2004 -8305 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $150.00 $0.60 $0.20 $3.75 $154.55 Total Fees: $154.5 Total Receipts: 10.00 4 In consideration of the issuance to me of this permit, 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 specifications 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 or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circl Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Name (Fee Simple Titleholder) G 1o_ Y'i S Phone # j • ^ ]�� - 4 O y Owner's Address NR lb 2 S+ - City 't.-411 m i State F1 Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 5 OE 1 C" 2_ s City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name 1 1 Or'1 S Contractor's Address 3) DO O UJ r - 12 q Code Enforcement $ Total Fee Now Due $ L 6 V I (Continued on opposite side) City ln/1 b9 ✓YlI State Fl Zip `3'31 212 $ Value of Work For this Permit 25 !7 A0 Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Structural Plan Review. $ 3().CO +°L 2 1 24C4 ----- - Permit No. 64 OLI -Qqo. Master Permit No. Electrical Plumbing Mechanical Roofing Phone # y 1 • Qualifier C-, eot Vet 1 1 a 6o Y' C 09-61 LJ-1 ' jq ' 1 5 SLp , Architect/Engineer's Name (if applicable) v hdai &o re , / %i T Phone # (a S) S Z- 8(7 7 a co 656 Type of Work: ❑Addition ❑Alteration New ❑ Repair/Replace ❑ Demolition Describe Work: pnc:)■ I c eC k , G Ina f Submittal Fee $ 200 - Oh Permit Fee $ . - / CCF $ IP CO /CC 5 Notary $ Training/Education.Fee $ Technology Fee $ Scanning $ "� Radon $ ! Zoning �--r Bond $ 360 a5e.o0 4 522.4( Bonding Company's Name applicable) Bonding Company's Address a 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. Signature /C Signature O r or Agent Contractor The foregoing instrument was acknowledged before me this K The foregoing instrument was acknowledged before me this l 0 day of 3u , 2004 , by , day of JU , 20 04 by who personal to me or who has produced who is personally to m . who o is p y p p y ho has produced identification and who did take an oath. as iden on and who did take an oath. My Commission Expires: APPLICATION APPROVED BY: Chc 12/15/03 ate r//1 NOTARY P Sign: Print: BRENDA DUBON MY COMMISSION #D0256846 My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** or / A f f YYtCG k Plans Examiner A m Z10 6 Engineer ►{ Zoning BRENDA DUBON MY COMMISSION #D0256846 OCT 08, 2007 CONTRACT CO - ,40te4T,ilia r BUILDING OEPARTMENT 10050 N.E. SECONO AVENUE MIAMI SHORES. FLORIDA 33138.2382 TELEPHONE (305) 795-2204 FAX (305) 756 -8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at �" (■fE /0 2 Sf. Miami Shores, Fl., and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statutes. (please 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; The pool will be equipped with an approved salty 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; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up `rs 0 and /or up to 60 days in jail as establis • - : Chapter 775, F.S. 'S SIGNA & DATE BRENDA DUBON MY COMMISSION #00256846 • (8, 2007 is -CI I 11 U PRINT) 1p s J w 1 p No ARY P : LIC r I LE No .X905 09/18 '02 09;02 1 D :1`l 1 ia111 SHLf E _b' I LLHuh_ - -- RESTRICTIVE COVENANT DECLARATION OF USE PREPARED BY: DECLARATION OF USE WHEREAS, the KNOW ALL MEN BY THESE PRESENTS: y situated undersigned S �-_ _____ -i�are the fee simple owner(s) of the following R described prope and being in Miami Shores Village, Florida: ' 1 ► I Shoyr c . (Subdivision), A.K.A. Lot addr ess) . 3 '4 Block of ding to the plat thereof, as recorded in the Plat Book 1 �� --Page — 1 0 (addr •�-- •-- - - --'– of the Pu blic Records of Miami -Dade County, , Florida, and ed owner(s) O1" t`f desire to utilize said Whereas, the undersign ..�- -- � -- Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: 1. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. ' 2. That the property will be used for a single family residence only. 3. That the use of the property or building will be as follows: NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the tide to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive with the an s the use all be binding or u on the undersigned, above is/her successors and assigns u and may only be released with he d ad sh by Miami Shores Village, or its successors, In accordance of said Village then in effect. . IN WITNESS WHEREOF, the undersigned hes/have caused hand(s) and seal(s) to be affixed hereto on this � day of __._ju ` 2021. WITNESS(ES) Signature and Print Signature and Print STATE OF FLORIDA): COUNTY OF MIAMI- DADE): ed before mw0.5t/A- ^-S w o is ersonally 1 HEREBY CERTIFY that on this day personally appeared me ► (� of identification) as inert' cati •� and known to me or has produced he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there ' expr sed. SWORN TO AND SUBSCRIBED before me on this t ee _ \ day of _ cJ 0 My commission expires BRENDA DUBON MY COMMISSION #DD256846 EXPIRES: OCT 08, 2007 NOTAR\ Signature and Print F FLORIDA J Date Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as (..o 3 e 1 vm .re +. 1 Pee) PhD 7O " IVA 17. SuJ " Avev J 91,4 o). 111- ll ocated at 5 A -E (0 2 5 P-24-- 33 M. In accordance with Section 33 -12(0, 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 appli ation in duplicate. BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL JOB ADDRESS Cv C ,2-3 APPLICANT PHONE APPUCATION POD L SHEET OF MISCELLANEOUS DATE 404. /$ L o cif- -7 JJ /^/ Scie(ley /S T-a ©c..D - Qo A/dY ' tifrre # 5(, Adit/ /q)2 / ZUNING CRITIQUE SHEE 04 -q C (o 6 (Ai/4C( -f- 6 ` 1eJc E - /va7 19(c,ouiW POOL UIR W ENTS: SELF- CLOSING/ SELF- LOCKING GATES REQUIRED FENCE: 4' HIGH (MIN.) AND NON - CLIMBABLE Nt:TG FfUUKb REMOVE FENCE/ WALL, OWNER MUST REPLACE .....�... w .. rv�w•i.r net OWNER'S PROPERTY COMMENTS INITIALS Ale 7We 6 rT L- et) ,z/9711 D/ sc ,e'Jii1/ c /mss' t 5 Col( AO L28 A MIAMI SHORES VILLAGE 1. Subject to compliance with ell Federal, State, County, Wive rules and regulations. Village essucnes no responsibility for accuracy of /or resutts frog these plans. 2. This copy of plans mutt be available at building slte or no Inspection will be conducted ._ Shores Village Building Department Job Name Date BUILDING CRITIQUE SHEET eAbol\698 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. / V 041 ' performed on 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, T R,, _ SckS , does hereby attest that the (property owner) attached survey, performed by R-� /ov ( to of survey) , 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 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 to this or other permits.. Further, Affiant sayeth naught. /1(0' vet (name o f s4rveyor"s company) A�ant /Pro ' owne p r Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this LI day of a-2t- 4 Affiant is personally known to me, produced P-01 k S . as identification. abel V. gas Com • • • 1 0231984 . = Expires: Jul 13;2007 • . * Q; �� �OF FI.O Bonded Thru ", ���' Atlantic Bonding Co.. Inc WITNESS my hand and 0 HARVEY RUVIN, C Jctt By NOTICE OF COMMENCEMENT A RECORDED // COOPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTIO PERMIT NOMA G? - TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: - . l C5 5+. Lai 13 '3 ) 'alp Of 1.-i t G m i n o vc PI . 1 0 9 to --j© • 2. Description of improvement: PP 1 Cc K , G K-0 jam` 3. Owner(s) name and address: CD Y.2 Y' + K;S y NT= 1(>2 54 N' ry r F \ 3313 Interest in property: 9 • Name and address of fee simple titleholder: 4. Contractor's name and address: 2 H 1--1- 3 ► c ) 0 t & L - 12 1 . e )29 ki v y \\ 1 3 122.- 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within'the state of Florida designated by Owrier upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration different date is spec ?ed) X. Signature of wner ` -^ Print Own is Name 0. A Sc-Y- Sworn to and subscribed before a his day of J vA STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY :t thla Is e rr copy of the original filed in this • ion day :• ea of C , 200H. Notary Public �� �� $�, Print Notary's Name le ►..x.,, ,�,.^rrb., :Alt .56846 My commission expires: EXPIRES: OCT 08, 2007 123.01-52 PAGE 4 B/02 111111111111111111111111111111111 111111111111 CF IN 2' 11 94-Fi1O4s2 OR Bk 22512 Pe 1808► (fps) RECORDED 07/26/2004 09:08:18 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY► FLORIDA LAST PAGE urts D.C. date is 1 year from the date of recording unless a Prepared byRG•) SG NI C; C Vl CAC I C 24 Address: ' N 12. 1gu-r INt 1tA wv. I ► • 33 2 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/17/2004 Applicant: ROBERT Owner: SAKZ JOB ADDRESS: 5 Contractor P & H ADDITIONS Local Phone: 305 - 264 -8092 Parcel # 1132060131640 Signed: NE 102 (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -996 SAKZ ROBERT ST Page 1 of 1 Contractor's Address: 3100 N. W. 72 AVE. UNIT 129 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 13 & 14 LOT SIZE IRREGULAR OR Fees: FEE2004 -8310 FEE2004 -8311 FEE2004 -8312 FEE2004 -8313 FEE2004 -8314 FEE2004 -8315 FEE2004 -8316 FEE2004 -8317 Description Building Fee CCF co /cc Training and Education Fee Technology Fee Scanning Fee Radon Builders Bond Total Fees: Amount $750.00 $15.00 $50.00 $5.00 $18.75 $15.00 $6.64 $300.00 $1,160.39 Total Feeda1 160.39 00.O Total Receip 00 9bo, Permit Status: APPROVED Permit Expiration: 1/17/2005 Construction Value: $25,000.00 Work: POOL, SPA AND DECK AUG 18 PAID In consideration of the issuance to me of this permit, 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 specifications 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 or employes. BY: