DS-15-376 Miami Shores Village _
Building Department jRFCETWFr� �
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 FEB ® 2)15
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20_16
BUILDING Master Permit
PERMIT APPLICATION Sub Permit No.T
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
q9CONTRACTOR DRAWINGS
JOB ADDRESS: t 1C 6 �� S1
City: t �Miami Shores ��\ County: Miami Dade Zip: 3112 3k
Folio/Parcel#: 1`� (o-��A` A,�`�' Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: r'" BFE: FFE:
OWNER: Name(Fee Simple Titleholder): Phone#:-700l ' ( a��
Address: 33 i SF
''-
City: State: Zip:
Tenant/Lessee Name: � Phone#:
Email: +�
CONTRACTOR:Company Name: Phone#:
`
Address: -\� CT F
City: —State:�� Zip:
Qualifier Name:-'b aL- k z' /�t/ys Phone#:
State Certification or Registration#: cAzs-1(og-' Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$_1 M.)o t Square/Linear Footage of Work:
Type of Work: ❑ Addition 0 Alteration ❑ New F-1 Repair/Replace ❑ Demolition
��
Description of Work: 1'e2ZOK O,C- (DnNLgkTC j>Cy)L 1
Specify color of color thru tile:
Submittal Fee$ EJ0_ co Permit Fee$ l ' W CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
MORES
5,xc.1931
oil � Miami shores Village
J
Building Department
J�I�RIDA 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT#: I O� DATE: S--
contractor
❑ Owner
❑Architect
Picked up 2 sets of plans and (other)
Address: q� � 1 "�� :M
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL:
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS, HEATERS,TANKS,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 aper ed and a reinspection fee will be charged.
Signature Signature b
fOWNER or AGENT CONTRACTOR
The foregoinnstrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2U
day of +' fua u 20 IS by 1—day of �,tNO&3001y 120 IS by
�aq�relb�ce et��a ,who is personally known to G r Zg\t�4S who ersonally know to
me or who has produced �L— c%✓li�-Q as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
i
Si
Print: Print: �2Cq
Seal "" REBECA A PASTRANA Seal: REBECA A PASTRANA
MY COMMISSION k EE872624A MY COMMISSION k EES72624
EXPIRES:February 07,2017EXPIRES:February 07,2017
J (.3
APPROVED BY Plans Examiner ` Zoning
Structural Review Clerk
(Revised02/24/2014)
f
Page 2of2
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��.13 1Survey Number.8373
Scale: 1".= 20' ! S
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This Survey Map Is not valid without the signature and orlgl{,el raised A R V 4 201 1 V I W REQUIRED
EQU ► RED
awl of s Florida Registered Land Surveyor and Mapper. 1) & 4 Florida Health Miami-Dade County
�BY:__ �__- - __i O,S.T.D.S & Well Program
Application No.: t
Date: _
Si
t? 10.40'ASPHALT
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.`
M \ y i POOL
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13.30'` -
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2t.70' THE WEST 1/2
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b :>75.00 P. 75.09' M.
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N.E. 94th STREET
75'TOTAL R/W _
(21'ASPHALT PAv) tb
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PROFESSIONAL SURVEYOR AND MAPPER
12230 S.W.131st Avenue,Suite 201
�a-r-aWMt.W,aa (•"pN1Yu� f,,"A7 rrf rOA61r°t! ra-MT�Ogf r.w raMtaaw tuts
r,°rs MO,YUOYAaAM'dINOWMfiI ru ro+nosTrrop4T r.aa.wrrtaawnwa.w. ..oAs o°o°oh,ra Miami,Florida 33186
. :::. e'�'waaa�eaa°o 'a��"iac°:.�m.m°ogi�a�'"iw,°r•°•�i. ui<in°r�i�w awarOMfinr«.■
Tip=tlMMr °e•V�T'WCAN WH•WABkEWA-W%M O 9W.4.-Nm.MO RRTn. ,rrroa *.•wcee Tel:(305)251-9606 Far.(305)251-6057
.ONw mQ?1MAl Rel •M.M=IL.MWW"
` ' .
SCOPE OF WORK:
Approx. 300 sq. ft. of new concrete pool deck (in yellow)
Approx. 20 In. ft. of interior wood fence with door (in orange)
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T61L fIVIG.YAC-(jNt) C;
CONCRETE SLAB DETAIL
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GMOES
,5IxC.1R93i Gid Miami Shores Village
logon. iliumBuilding Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
�LORiDp' Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
o Shadow Box
o Vertical Picket
o Board on Board
4x4 Post Spacing
Fences<=5' high posts spaced at 5'on center maximum
Fences<=4' high posts spaced at 6"on center maximum
Fence must not exceed 5'in height
1x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
4x4 pressure treated •. • •
posts embedded 2'into ••••••
concrete footing 10" 06• • Logo:
• .•
diameter x2'deep **go ..
ALL wood must be pressure treated •••�•
All fasteners must be corrosion resistant
No less than two fasteners in any connection ••••••
May 2009 '
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