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585 NE 102 St (6)Date Type Insp Permit No. Address Compan Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 1 Name & Date Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305 - 795 -2204 Permit Number: BP2003 -385 Printed: 3/10/2003 Applicant: JOHN Owner: TAGGART JOB ADDRESS: 585 NE 102 TAGGART JOHN ST Contractor AWNNGS BY VALROSE Contractor's Address: Local Phone: Parcel # 1132060171010 Signed Legal Description: MIAMI SHORES SEC 4 AMD PLAT PB 15 -14 E1/2 LOT 23 & LOT 24 BLK Fees: Description Amount FEE2003 -1402 Builder's Bond $300.00 FEE2003 -1404 Building Permit Application Fee $60.00 FEE2003 -1405 CCF $0.60 FEE2003 -1431 Structural Fee $25.00 Total Fees: $385.60 Permit Status: Signed: Approved Permit Expiration: 9/3/2003 1-aditt4014 Construction Value: Work: 1 AWINING If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulation ertaining to the w� covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants •loyees. (INSPECTOR) BY: 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. (Contractor or Builder) BY: $750.00 Page 1 of 1 Total Fees: $385.60 Total Receipts: $0.00 VALROSE ENTERPRISES, INC. DBA AWNINGS BY VALROSE OPERATING ACCOUNT 15627 NW 15TH AVE. MIAMI, FL 33169 TO THE a ORDER OF wee Mder-60.1 6t2 - . _ ANTIC 1325 W. 49th Street Imo - �{ ATL Hialeah, FL 33012 FOR Mahn T a 1 fI II' 02022rho 4:0670L/8251: 305LL5280 60 DATE � 1 r I a-3 20227 63- 1182/670 1 $ °AA( DOLLARS Socwily en MC SW .rr ........:. 12192121. .mom TO THE ORDER OF VALROSE ENTERPRISES, INC. DBA AWNINGS BY VALROSE OPERATING ACCOUNT 15627 NW 15TH AVE. MIAMI, FL 33169 CA p.F N. iarn't *rn &'eie )C(-, 1325 W. 49th Street Hialeah, Fl 33012 TRANSATLANTIC FOR 1 4-1 Bonn g goo- -e 100 202281I' 1:0670LL8251: 305LLs28060 DATE * [! 1 13 DOLLARS 20228 63- 1182/670 OZ74 , O.1N1. an PERMIT DEPOT, INC. (305) 828-8196 6964 W. 17TH CT. HIALEAH, FL 33014 Washington Mutual Washington Mutual Bank, FA Miamt/Miami Lakes Financial Center 1755 14045 NW. 67th Avenue 1-800-788 Miami Lakes. EL 33014 24 hour Customer Senn. 11•000 L139470 1:267084 L3 LI: /792767/8 1 1 A ! k moqvia tri I 1 ) / c .! 4 ) ',• i' hj h--- - . IN30.0:10A0 n -4--- ---4—/ - 8030 1 ... ;•_._ 1 ...,,,, _., ,1 tari 1 1 _, 1 133A:3:3: 7111 • 1.7:17770- ) 63-8413-2670 Cilttg $ 50 5. / / e ;gaff , 10947 Secuft locitx.1 Oman en Back. OW 1)21,e, • See_ CzyteA4- 1;d�R r led - .Sf s' it1C /e Z f (A v! dyiD" 2 T - OF R. _ w : SI d ": "yiZ CODE „s"iON IC Dn ho of vrl ern her ih Oft /2 a Of MIS sear ii P"-OE _OC&IIC: 4 44 14) / 512 ri"A 144. nl ny GULL' e2i-e duih, by are, ew re sis> peal- ? sh,w- W your Czlcu./ CiErt.1 . - .S ! e dT eet-G' 4it . 1' 1 0 �. fl•uch - s t3e tip .4 c4Vlce.i 1-tat- a �Y1E' h© ih ewn<dt 7 Is o ne hold' su>' out 4e Shear altte 1v ere Me. va /ues -- f/Yf • i ,o_ l ° lS (T (!� ((7ac1 Nfaff lariM MINI Il J1m1lA sc CtIgn ktM REGISTERED APPLICATIOLI COMM Cio. FA -36801 336- 227 -621 This is to certify that the materials d escribed on the reverse side hereof have been flame - retardant treated (or are inherently nonflamable). Foo Q ASTRUP COMPANY 2937 WEST 25th STREET cps CLEVELAND STATE OHIO Certification is hereby made that: (Check "a" or "b ") (a) The articles described an the reverse side © this Certincate have been treated 1R3i: PC taPdaPilt Q he micd approved and registered by the State Dire Marsha and that the a said cho mica was done in cowkrrnman¢e with the laws a the State of Caii §ornia a� and QegIdations a the State five Mlarshd. MEMO a Crho mica used Chem. neg. fro. (b) The articles described on the reverse side (raePea are remade from a §iartme-resistant 1FC POcdi( materiel registered and approved by the State Dire Mlarslhai §or such use. 'Trade name off §k me- resistant iTabric or rmaterid used FR SUNBRELLA neg. kfl FA - 36801 Method apOi¢ation @]G CS RetrC]rd n .Process Used WILL NOT [Be Removed By Wash Ong (will or will not) GLEN RAVEN CUSTOM FABRICS Name of Production Superintendent ISSUED BY GLEN RAVEN CUSTOM FABRICS, LLC 1831 N PARK AVE GLEN RAVEN NC 27217 WdOktm Date Work Performed 12/16/02 44113 By STEVEN L. ELLINGTON, GEN. MGR. Title 2205341 AWNINGS BY VALROSE 15627 NW 15 AVE. MIAMI PTCWAT FL 33169 Q By UTPAU .M • : Pt-'1t .ACWW '��.��G `. W0(? WQ GacrQby corN tGIiS 0.© ho a MP l®¢opy ofd tG original "CERVOFfiCiAVE OF FRAME RESOSTAMCC" issued to us, "origiroa0 copy" a which has been fii0ed with the CCan:Donia State fire Marsha. T ®ASTQMP COMPANY contro0 /6t Quantity 12.000 YD FABIANA SUNBRELLA FIRESIST 8601/60 BLUE CMStoMeP ©P&P Description et w dnboko Product c© 898601 ° MILTON CUBAS, P.E., INC. 1302 NE 125 ST. NORTH MIAMI, FL 33161 (305)891 -4174 FAX 891 -4175 Copyright 2000 by Tondelli Engineering, P.A. Tampa, Florida CUSTOMER : AWNINGS BY VALROSE JOB NUMBER : MIAMI SHORES DESCRIPTION : 585 NE 102 STREET WIND VELOCITY = 90 MPH EXPOSURE CATEGORY = C BUILDING CATEGORY = 2 IMPORTANCE FACTOR = 1.00 Kzt = 1.00 GUST FACTOR = 0.85 MEAN ROOF HEIGHT = 8.5 FT DISTANCE, Z = 9.5 FT MONOSLOPE ROOF WIND LOADS L/B = .33 Cf = .93 F = 398 LB P = 14.0 PSF * ** DESIGN WIND LOADS - ASCE 7 -98 * ** * ** OTHER STRUCTURES * ** * ** MONOSLOPE ROOF OVER UNENCLOSED BUILDING * ** Kh = 0.849 Kz = 0.849 ROOF SLOPE = 4.00 : 12 (18.43 DEG) BUILDING DIMENSION NORMAL TO WIND DIRECTION = 9.0 FT BUILDING DIMENSION PARALLEL TO WIND DIRECTION = 3.0 FT DATE : 1/23/03 = 17.6 PSF qz = 17.6 PSF NOTE: The load, P, is the force, F, uniformly distributed over the surface area of the structure. The exact distribution of the force through the center of pressure should be checked. Refer to ASCE 7 -98 Table 6 -6. -1 -Thu Jan 23 11:16:36 2003 585 NE 102 STREET Milton Cubas, P.E., Inc. Milton Cubas, PE PHONE(305)891 -4174 FAX(305)891 -4175 585 NE 102 STREET VisualAnalysis 4.00 Report Company: Milton Cubas, P.E., Inc. Engineer: Milton Cubas, PE Billing: PHONE(305)891 - 4174 FAX(305)891 - 4175 File: E: \585 NE 102 STREET.vap Design Groups Name Elements LL Factor Parameters Unity Final Shape PIPES 3/ 30 1.0000 Yes Design Member Results Design Load Cases Strength Service Load Case ID Number ID Number Name 1 1 LL + DL = 14 PSF 2 2 UPLIFT = 14 PSF AISC -ASD Steel 0.4035 PIPE.75Std Design Group: PIPES 3/4 ", Group Report, Designed As: PIPE.75Std SIZE CONSTRAINTS: Depth is unconstrained. Width is unconstrained. BRACING INFORMATION: Lateral bracing at top flange ( +y): Lateral bracing at bottom flange ( -y): Strong axis bracing (parallel to y): Inflection points are not used as brace points. DEFLECTION LIMITS: No absolute deflection limit. No span ratio deflection limit. Weak deflections not checked. STEEL PARAMETERS: Fy = 50.00Ksi Using 1/3 stress increase per A5.2. FRAME INFORMATION: Sidesway frame for strong axis bending. Sidesway frame for weak axis bending. Effective length factors: Kz = 1.00, Ky = 1.00 PIPE.75Std INFORMATION: A = 0.33 in ^2; O.D. = 0.09, t = 0.01 ft I = 0.04, J = 0.07 in ^4 Pattern = Unbraced Pattern = Unbraced Pattern = Unbraced -2 -Thu Jan 23 11:16:36 585 NE 102 STREET Milton Cubas, P.E., Inc. Milton Cubas, PE PHONE(305)891 -4174 FAX(305)891 -4175 rz = 0.03, ry = 0.03 ft Sz = 0.07, Sy = 0.07 in ^3 Extreme Checks Only Axial Check: Member Load Offset P fa KL /r Cc Q Fa Code Unity Name Case # ft lb Ksi Ksi Ref. Check M9 1 3.16 -15.81 -0.05 113.84 107.00 1.00 11.52 E2 -2 0.00 M9 2 0.00 -25.69 -0.08 113.84 107.00 1.00 15.36* E2 -2 0.01 Flexure Check (Strong Bending): Member Load Offset Mz fbz Lu Cb Fbz Code Unity Name Case # ft lb -ft Ksi ft Ksi Ref. Check M9 1 1.71 45.94 7.76 3.16 1.00 33.00 F3 -1 0.24 M9 2 1.71 -43.89 7.42 3.16 1.00 44.00* F3 -1 0.17 Shear Check (Strong Axis): Member Load Offset Vy fvy h /tw Fvy Code Unity Name Case # ft lb Ksi Ksi . Ref. Check M9 1 0.00 69.54 0.28 3.46 20.00 F4 -1 0.01 M9 2 0.00 -66.88 -0.27 3.46 26.67* F4 -1 0.01 Flexure Check (Weak Bending): Member Load Offset My fby Lu Fby Code Unity Name Case # ft lb -ft Ksi ft Ksi Ref. Check M9 1 3.16 1.62 0.27 3.16 33.00 F3 -1 0.01 M9 2 3.16 -1.33 0.22 3.16 44.00* F3 -1 0.01 Combined Stresses Check: Member Load Offset fa Fa fbz Fbz fby Fby Code Unity Name Case # ft Ksi Ksi Ksi Ksi Ksi Ksi Ref. Check M9 1 1.71 0.01 30.00 7.76 33.00 0.11 33.00 H2 -1 0.24 M9 2 1.64 -0.01 15.36* 7.42 44.00* 0.08 44.00* H1 -3 0.17 ( *)Stress increased by 1/3 according to AISC -ASD A5.2. Torsion checks are NOT performed! Maximum torsional moment was 1.05 lb -ft -1 -Thu Jan 23 11:16:48 2003 585 NE 102 STREET Milton Cubas, P.E., Inc. Milton Cubas, PE PHONE(305)891 -4174 FAX(305)891 -4175 585 NE 102 STREET VisualAnalysis 4.00 Report Company: Milton Cubas, P.E., Inc. Engineer: Milton Cubas, PE Billing: PHONE(305)891 - 4174 FAX(305)891 - 4175 File: E: \585 NE 102 STREET.vap Design Groups Name Elements LL Factor Parameters Unity Final Shape PIPES 3/ 30 1.0000 Yes Design Member Results Design Load Cases Strength Service Load Case ID Number ID Number Name 1 1 LL + DL = 14 PSF 2 2 UPLIFT = 14 PSF AISC -ASD Steel Design Group: PIPES 3/4 ", Group Report, Designed As: PIPE.75Std SIZE CONSTRAINTS: Depth is unconstrained. Width is unconstrained. BRACING INFORMATION: Lateral bracing at top flange ( +y): Lateral bracing at bottom flange ( -y): Strong axis bracing (parallel to y): 0.4035 PIPE.75Std Inflection points are not used as brace points. DEFLECTION LIMITS: No absolute deflection limit. No span ratio deflection limit. Weak deflections not checked. STEEL PARAMETERS: Fy = 50.00Ksi Using 1/3 stress increase per A5.2. FRAME INFORMATION: Sidesway frame for strong axis bending. Sidesway frame for weak axis bending. Effective length factors: Kz = 1.00, Ky = 1.00 PIPE.75Std INFORMATION: A = 0.33 in ^2; O.D. = 0.09, t = 0.01 ft I = 0.04, J = 0.07 in ^4 Pattern = Unbraced Pattern = Unbraced Pattern = Unbraced -2 -Thu Jan 23 11:16:48'2003 585 NE 102 STREET Milton Cubas, P.E., Inc. Milton Cubas, PE PHONE(305)891 -4174 FAX(305)891 -4175 rz = 0.03, ry = 0.03 ft Sz = 0.07, Sy = 0.07 in ^3 Extreme Checks Only Axial Check: Member Load Offset P Name Case # ft lb M6 -7 1 0.00 - 406.22 M6 -7 2 0.00 353.53 Flexure Check (Strong Bending): Member Load Offset Mz Name Case # ft lb -ft M6 -7 1 1.50 3.22 M6 -7 2 1.50 -2.35 Flexure Check Member Name M6 -7 M6 -7 (Weak Bending): Load Offset Case # ft 1 1.50 2 1.50 Combined Stresses Check: Member Load Offset Name Case # ft M6 -7 1 1.50 M6 -7 2 1.50 My lb -ft - 2.22 1.76 fbz Ksi 0.54 0.40 fby Ksi 0.37 0.30 fa Fa Ksi Ksi - 1.22 23.72 1.06 40.00* Lu ft 1.50 1.50 ( *)Stress increased by 1/3 according to AISC -ASD A5.2. Torsion checks are NOT performed! Maximum torsional moment was 0.03 lb - ft fa KL /r Cc Q Fa Ksi Ksi -1.22 54.00 107.00 1.00 23.72 1.06 54.00 0.00 0.00 40.00* Lu Fby ft Ksi 1.50 33.00 1.50 44.00* fbz Fbz Ksi Ksi 0.54 33.00 0.40 44.00* Cb Fbz Ksi 1.29 33.00 1.01 44.00* fby Fby Ksi Ksi 0.37 33.00 0.30 44.00* Code Ref. F3 -1 F3 -1 Code Ref. F3 -1 F3 -1 Unity Check 0.01 0.01 Code Ref. E2 -1 D1, 81 Unity Check 0.02 0.01 Unity Check 0.05 0.03 Code Unity Ref. Check H1 -3 0.08 H2 -1 0.04 VisualAnalysis (version 4.00) - • 585 NE 102 STREET, Thu Jan 23 10:49:46 2003 Milton Cubas, P.E., Inc., Milton Cubas, P.E., PHONE(305)891 -4174 FAX(305)891 -4175 LL + DL = 14 PSF VisualAnalysis (version 4.00) - • 585 NE 102 STREET, Thu Jan 23 10:49:46 2003 Milton Cubas, P.E., Inc., Milton Cubas, P.E., PHONE(305)891 -4174 FAX(305)891 -4175 UPLIFT = 14 PSF • VisualAnalysis (version 4.00) - • . 585 NE 102 STREET, Thu Jan 23 10:49:46 2003 Milton Cubas, P.E., Inc., Milton Cubas, P.E., PHONE(305)891 -4174 FAX(305)891 -4175 • f r , LI Li kii0 I L.d (1 \ I MY. 31P3 - 4 - 9 5 V 1 q 1 1 —1. — 1— -- SUTECI TO C?!j.r.:::''.`i H.OER14., STATE AND COMP REGUOIONS. SY,IITES ESP0 iTiES FOP, ACC IIRACY a7 CO■.■?ilfiC TKF. SOOT,: ri.ORIDA 0 :10E Ar.).0',)TL;G B\' MAE', SKORES S U E AP.C-1 OiLDER CONTRACTORS ki nEGULATiC3 *..,.DICA. • ELECTRICAL TYPE; Minimum Fee QTY. TYPE Dryer QTV. TYPE Outlet, Appliance Q i Y. • 4 '1'YP! Service Rl pdir QTV. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights 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 TYPE QTY. Minimum Fee TYPE QTY. Condensate Drain TYPE Generator QTY. TYPE QTY. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY TYPE Drains, Roof QTY TYPE Miscellaneous Fixture QTY 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 P • • • • • • • • • � • ••• • • • • • • • INSTRUCTIONS: Please indicate the type of work being performed and quantiWies) ii;thel.pacelAyidid below. • RECEIVED AND REVIEWED BY: DATE: SECTION BY fl DATE PP ) / Zoning e4 d �' /? /r Electrical r 9) Mechanical Plumbing Fire Public Works 311/0 01 Structural / 0L. Building Official Page 4 (Attach) ❑ CONCURRENCY (New Construction) Notary • 1 1 • • •. • • • •. • • • • • • • • ••• • • ••. • OFFICE USE ONLY • • • • • LI FIRE DEPARTIVIENI; APPROVAL feottthiercial multi- family) ❑ OTHER (Specify & Attach) • • •• • • • • • CIIECKLIS i U OWNER - BUILDER FORM ❑ PROOF OF OWNERSHIP • • • ..• (Attach) • • ••• • ' . 'Q. HRS / DERM APPROVAL / (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT 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 c) ( = [Q $ ( x . 60 x/1000 ) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ _5'- 63 REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Page 2 STATE • • • • • • ••. • ... • • • • • _ • • • • • • • • • • • ••• • • • • • •• IMPORTANT NO flr12: 1. DO NOT B1 IN W0I4I4 WNffiOU•I'IlAVING 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 %%weekends or holidays. 2. All constructioy of den itiQrftreaGUUSI CBE M INTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS ANDOEIGHBOR '4G pRC/14 •PIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUsf BE PROTECTEIS 02031 itEINCP DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for worldiii o} near le 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 jurisdiction. I understand that separate permits NICAL, WINDOW, FENCE, DRIVEWAY, work will be performed to meet the standards of all laws regulating construction in are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, ROOFING and SIGNS and there may be additional permits required from of 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. ORI A, COUNTY 0 I -DADE STAT FLORI A COUNTY OF MIAMI-DADE Signature of Contractor / Qualifier ea 10 S fitial Signatur 6f Owner �� 0 ���4�1 Print Name Sworn to and subscribed before me this (9 - day of 4j2/ 4ll Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Type of Identification Produced: Si SEAL: governmental agencies. PERMIT APPLICATION Print Name Sworn t. and subscribed before me this day of Q {I • • FABIANA NUDELMAN �-` MY COMMISSION # DD 016761 EXPIRES: April 9, 2005 1 600. 3 ?ARV FL Notary Service & Bonding, Inc. Personally known OR, Produced Identification Type of Identification Produced: PROPERTY OWNER Name 1 140/ ( t Name .% t , i ! 1 in 7i °t r Address /0 Z A /v , 5 c af , , 4rl fUoI" lia 1) m' rL 336/ Address ‘' A7/ `c i 51 ; , oA s3 l.3 v Fax , J.�' A9/' Home Telephone .S `)s' n s ' / /( L/ r / 1 ;75 9 Business Telephone . y e 7 l 9 s !, Fax .3 e - Ts q ('' g ( CONTRACTOR Name 1 140/ ( t �j Names ni� ,� �� VOJr� Address /0 Z A /v , 5 c af , , 4rl fUoI" lia 1) m' rL 336/ License No. 93 /1P� I Fax , J.�' A9/' Address 1'a AA A) i tivern,a. Miami, T -,11,q Repair Telephone,3 g(13.dFax 0q /, D t„3// ���`l Qualifier Name rat A / �p n 1 Demolish ENGINEER Mi / r) ( el k as c Name 1 140/ ( t License No. *519 © e� Address /0 Z A /v , 5 c af , , 4rl fUoI" lia 1) m' rL 336/ Telephone %5 - 619 � () 4 Fax , J.�' A9/' TYPE OF MANAGEMENT (✓ ) New Construction ✓ Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other Step 1. Job Address: 5 ,7 v 2 ? Al 7 Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • . • • • • : • • • • • 4 APPLICATION ••• • • Master Permit No.'. 0 • ' )W . 3F5 •• • . ••• ••. •... • • INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: • . • • Complete the attached permit application which must be signed by the property owner a rotti s �gnaturet%Li 'be notarized. Please • print or type to allow for a more accurate processing of your application. If roofing wor k will bP. dcZne:a •oofin :5pplication 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 r:q7,7,` 4ore5 r .331 City State Zip Folio Number Description of Work t t v • li Lot _f� Block Subdivision PB • PG Zoning /& Linear Feet Current Use of Property . IX _t ; vi S Feet D� Units Floors Proposed Use of Property Value of Work ' L. bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. 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. Owner's Name and Address Zone cubage required STATE OF FLORIDA, COUNTY OF DADE. ss Permit No.. Disapproved L �� (Signed) But Chair;nan Member Member ...... _ - •- - -_ Council Approved Date MIAMI SHORES VILLAGE ;; �� Date . Q 1973 ski ST Registered Architect and /or Engineer :,.... .,:. •,,,., ,,, :, :_< :,,....,.,,,.,- :,.._... Name and address of licensed contractor d Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done.., C I\( • N ° work to be done and purpose of building (by floors) 14 e a r' C' ° r 1 „ - _ _ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation...... Estimated Total cost of improvements $ ! O'Z ) /1"- Amount of Permit 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 building. All notices with reference to the building and its construction may be sent to... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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 with the rovisions 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 posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) 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 regoing application, and that he did sign the same, and that all facts therein by him stated are trop: Date Date Inspector Roof Cov Read, Sworn to and Subscribed before me. PLA ' INC BOARD DATE NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has the Planning hoard. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for materials and /or workmanship. to me well known, Notary Public, State of Florida Commission Expires Member Member Member Disapproved Date been obtained from inspection or faulty ALUMINUM STYLE MAINLINER IMPERIAL PRESIDENT I IMETROWING 1METROLINE 'PATIO STORM PANELS 4 _24 GA. STEEL TYPE UNITS WIDTH SLIT PROJ. X BEAM Y BEIM P.RMST li PIPEIPILAS, LI :5 7 (--- — 6 4 .------ rlf 12 D „6 3-174 I 1 Cott rt A.. AA:/-y I / 4- 6 ..,..- 7 sm./ . L_ _ NAME /4 4 PLOT PLAN EXECUTIVE OFFICES AND FACTORY 435 EAST 10th COURT HIALEAH, FLORIDA n m TELEPHONE (305) 8854672 zea NI, 515 p 1P2A;ye.577 STREET ADDRESS REPLY TO: /1/ P.O. Box 945 Northwest Branch Miami, Florida 33147 ADDRESS 5-85— 1 /1E , LEGAL Dory or 2-3 : BLOCK 13 suBuivIsial AWAxli ,S=WW cw 0 D AWNING SHUTTERS 14 ALUMINUM 1. Draw outline of house in block and indicate distance to each lot line 2. Indicate electric service from pole to house. 3. On Patio Installations show location of septic tank and . distance from house.