FW-06-1545Miami Shores Village IJUN MOM97m Building Department 0 7 2006
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 By - __._ - �4.
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building
Owner's Name (Fee Simple
Owner's Address%
City d_A �, J% Mate _
Tenant/Lessee Name
Electrical
Job Address (where the work is being done) [ r S
City Miami Shores Villaee County
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address 1
City C
Qualifier Name
State Certificate or Registration No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
State
NO
- --
Permit No. n'Ai Ut0 ri S
Master Permit No.
Plumbing Mechanical Roofing
V� CI` ? —Phone # fc721 I C.
Zip �,! :� E V
Phone #
OS S�
Zip '3
3
Phone #— ro6
Zip
Phone #
Certificate of Competency
Phone #
,t
Square / Linear Footage Of Work: 2 0 J --, G'
Type of Work: ❑Addition FlAltera *,ew Repair/Re lace
p El Demolition
Describe Work: v _ ,,�, �, a q , s✓
�:L C PvcQ
'fie y�e�o
Submittal Fee $ Permit Pee $ 6i" � CCF $_ CO /CC
Notary $ Training/Education Fee $ Technology Fee $ % [C. C_ 3
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side —�
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
M—,
11
Zip
Zip
,- f I
Application Aereby 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 t be a roy�d and aeinspeetion fee be charged.
Signature
Owner or
Signature
Contractor
The foregongNnstrument was ac ow dged before me this The foregoing instrument was acknowledged before me this
day of 2001, by day of , 20 _, by
who is persona known to me or who has produced_ ho is personally known to me or who has produced
As identification and,who Uh as identification and who did take an oath.
P BIC: NOTARY PUBLIC:
NOTARY
E � [ Ices: u,
Sign:
Print:
My Co mission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
Sign:
Print:
My Commission Expires:
Z
Plans Examiner
Engineer
Zoning
13,20'
--� 0 >
nF GlOaa'
ended rhru
V lantic kondine
Sign:
Print:
My Co mission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
Sign:
Print:
My Commission Expires:
Z
Plans Examiner
Engineer
Zoning
. ., .
5.
7.
I understand that as an owner - builder, that any contractor disputes with sub -
contractors. and myself must be handled in a civil court with the ad /�an
attorney. The department will not mitigate'any contract disputes..
Initial
I understand that if L compensate any person or company for
they are required to- have a business license in the county. If for any Beason they
do not .posses a business license I will be responsible and liable for ong
doing from this unlicensed company-or person. /i%
Initial
I understand that if any person_gets injured on my construction proj
entitled to workmen's compensation. And if they do not posses a
policy I could be held liable for all doctor and related cost which c(
loss of wages during recovery from injury.
Initial
I. understand that under state and local laws I can not do anVElectrical,
Plumbing, Heating, Air & Roof work on my-property with out first obtaining
the proper permits by licensed contractors.
Initial
Was acknowledged before me this Y� day of 4a , 20 In)&
By 1 MYL—ib 6_C_,fl70)5Whp was personally known to me or who has
Produced there License or
as identification.
Ofifflffl&
ssion40D23 S
Expires: Jul 13, 20c'
FF;,o ®ondoci'i'nru
+ +``' U!li�tieFl6rdineCo Inr
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STA.TEIMIENT
NAME: 411(-4ftl)o IT DATE: 5
ADDRESS: % ��, f .57
�-)'e3 3
Do hereby petitions the Village of Miami. Shores to act. as my own contractor pursuant to the laws
of the State pf Florida, FS 4$9.103(7). And I have read and understood the following disclosure
statement, which entitles me to work as my own contractor; I further understand that I as the
owner must appear in person to complete: all applications.
State Law requires construction to be done by a licensed contractor. You have applied for a
permit under an exception to the law. The exemption allows you, as the owner of your property,
to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one - family or two- family residence. You may
also build or improve a commercial building at a cost of $25,000.00 or less. The building must be
for .yotir own. use and. occupancy. It may not be built for sale or lease: If you sell or lease a
building you have built yourself within one year after the construction is complete, the law will
presume that you built for sale or lease, 'which is a violation of this exemption. You may not hire
an unlicensed person as a contractor. It is your responsibility to make sure the people employed
by you have licenses required by state law and by county or municipal licensing ordinances. Any
.person working on your building who is not licensed must work under your supervision and must
be employed by you, which means. thatyou must deduct F.I.C.A and with - holdings tax and
provide workers' compensation for that employee,_ all,as prescribed by law. Your construction
must comply with all applicable laws, ordinances, buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I hold title to the above property and I am planning on doing this construction
Initial —kf
2. I understand that as an owner- builder I must abide by all zoning ordinances and
building regulations in effect at the time of permit application
Initial
3: .I have an understanding of the 2004 FBC & FRC and understand that this
department and its inspectors are there to help enforce and interpret the code.
There is a copy of the code in this office for review.
Initial
4. 1, understand that the building official and inspectors are not there to design,
alter or give advice on how to meet code –. only if the structure meets the
minimum code.
Initial
0
p !
•
AU6 212006
BY L�r\ °�
t6'
v `®,Cc .
'F*` fiq A5
a3 S--
ti Y4
,
2915 Fences 0.0000
'GGGGG
,
:0000:-,
f
Owner's Side
5'-O! MAX
WOOD FENCES
�!' 1AI I -Woad
2" X 4" Wood P.aji
I" X6" or III X8"
Woad PICL -t5
• d % ° • _
III a d II-
• -II
21 -O"
1- -III • ° III -
111 =1 11=1 I
III- II
d • _III_
II I M II
III��� • • 111111111
Wood Posts
4' -0" High or Less = 6' -0' O.C.
5' -0' High or Less = 5' -0" O.C.
- • •
Goof..
2915 Fences 0.0000
'GGGGG
,
:0000:-,
f
2915.1 Wood fences, so loc�ted,on a �topurty
that by zoning regulations th%y Cannot Tie uted
00;,,•
as a wall of a building, shfflf:. tonstrkkidlo
meet the following minirnumMc'ifications.
,•
0
• o f ..
ng 51, ,tn
(a) Fences not Aceedi .
6699..
height shall b4consbwcted tq.4vet
o 000
following a n1ipyflu0ri
requirements: frorrt 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 bending, 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
provisiogs of. this Chapter and
.
Chapter 23.
'5
(b) Fences not exceeding 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:
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ABBREVIATIONS: °
SWK= SIDEWALK, CBS-CONCRETE BLOCK STRUCTURE, CLF=CHAIN LINK FENCE, PL--PROPERTY LINE, DUE = DRAINAGE UTILITY EASEMENT, IP=IRON
PIPE, F= FOUND, WC --AIR CONDITIONER PAD, P /C=PROPERTY CORNER, D/H =DRILLED HOLE, W/F= WOODEN FENCE, RES=RESIDENCE, CL -CLEAR,
RB- REBAR, UE=UTILI Y EASEMENT, CONC=CONCRETE SLAB, RO RP" OC W*4Y, D� =DFVJNAAGE "SEMENT, CIL= CENTER LINE, O=DIAMETEK
TYP=TYPICAL, M= MEASURED, R= RECORDED, ENCR= ENCROACjMENT, COMA . /BPR�PHALT, WD =NAIL & DISC, S-SET, F.F.E =FINISH
FLOOR ELEVATION, O/S=OFFSET, P/P =POWER POLE, OHP= OVERHM POVMERLIRE, WMOWATERM IXER •
MASONRY E= •ELEih ION BASEDONeCOC. # 3250 S
CONCRETE= • DRAINAGE •: S EN •:• &D.E.•� •• ••� •• )CBM# B-62 ELV. 8.70' TYPE OF SURVEY: BOUNDARY SURVEY
MAINTENANCE & DRAINAGE EASEMENT= M 8 D.E.
SURVEYOR'S NOTES: 1) OWNERSHIP SUBJEV%TCLOeINION6,0F TITHE. 2jRj)T^ ID WITHOUT THE SIGNATURE
AND RAISED SEAL OF A FLORIDA LICENSED SIS Oft AND M 6
MAPPER. 3)*TWEURVEY DEPICTED HERE IS NOT
COVERED BY PROFESSIONAL LIABILITY INS 1: 04) :6E4A6 &-$j,%P=ICN PROVIDED BY CLIENT. 5)
UNDERGROUND ENCROACHMENTS NOT LOCATED' 6) EL'EVATTONS ARE BASED ON NATIONAL GEODETIC
VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL
RESTRICTIONS NOT SHOWN ON THIS SURVEYTHAT MAYBE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9)
CONTACT THE APPROPRIATE AUTHORITY PIRIQR jO AVr. 091¢14 YVOR j FOR BUILDING AND ZONING
INFORMATION. 10) EXAMINATION OF THE ABSTRAST OF TITLE WILT Hpp��//EE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IFANY, AFFECTING THIS PROPERA :. *.: : : : %*.:
BEARINGS WHEN SHOWN ARE REFERRED TO M MSUM&VALUE MAID PB* PAGE
LOCATION SKETCH
SCALE: NTS
CERTIFIED TO: RICARDO BLANCO— GONZALEZ, 1173 N.E. 103RD ST.-, MIAMI SHORES, FL.
33138. - --
LEGAL DESCRIPTION: LOT 3 BLOCK 2
OF BISCAYNE RIVER HEIGHTS SUBDIVISION
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 43 AT PAGE 73
OF THE PUBLIC RECORDS MIAMI —DADE COUNTY, FLORIDA
I HEREBY CERTIFY That the survey represented
thereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant to Section 472.027 Florida
Statutes.
There are no encroachments, overlaps, easements
appearing on the plat or visible easements other than
as shown hereon.
ADIS N. NUNEZ
REGISTERED LAND SURVEYOR
STATE OF FLORIDA #5924
SINCE 1987
BL.ANGO SURVEYORS ING.
Engineers • Land Surveyors • Planners • LB # 0007059
555 NORTH SHORE DRIVE
MIAMI BEACH, FL 33141
(305) 865 -1200 Email: blancosurveyorsinc@yahoo.com Fax: (305) 865 -7810
FLOOD ZONE: g SUFFIX: J DATE: 7/17/95 BASE: N/A
PANEL: 0093 COMMUNITY# 120652
DATE: SCALE: DWN. BY: JOB No.
5/28/06 1 ° =20' IF. 61anco 06 -1024