PW-15-289 Miami Shores Village FES 1 2015
' 0
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 -
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC 20
BUILDING Master Permit N > „�
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL (PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑SHOP
? ,� J CONTRACTOR DRAWINGS
JOB ADDRESS: e/ a� /l/
City Miami Shores County Miami Dade ZiD•
FoUo/Parcel#: //-a -QZy 7?1!9 js the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
4.c - z
OWNER:Na®me(Fee Simple Titleholder):Q�"��.Q.' /Ji4 �r/o Phone#:
Address: z®.3 .6-
City:&.4yaji.S.1*4 State:y Zip: 2�:?Z s
Tenant/Lessee Name: Phone#:
Email: �, _(� /Sa
CONTRACTOR:Company Namei/A;ftL Lt� -� /+'�� Sf VC-16honeM ��6 (O
Address: 3 4 7 S
City:. /4 442 a / State:�� Zip:
Qualifier Name: 'S/$ �� O / l /( L Z Phone#: y;?�"�►��50��
State Certification or Registration#: ��,(( � Certificate of Competency#:
DESIGNER:.-ArcrcJhiittecctt/Engineer: (U O `- � ��� 1010100.4 _Phone#:
Address• r V "` C,%i d 0 o (2AR7-A 6 011411 Or yi%t►: State: Zip:
Value of Work for this Permit:$ 17 1g:2;?zz-W Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: / /V/' 41&; '.t 5 C.44 t J G c AA.-S �G�"-C
�°
Specify color of color thru We:
Submittal Fee S Permit Fee$ /OCA J CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(RevbeW2/24/2014)
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 goad 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 Ignatur
OWNER or AGENT CONTRACTOR
The foregoing instr e t was acknowledged before me this Thekregolng Instr A Iwas acknowledged before me this
day 20 �by day of ' 20 ,by
�
o wn to /��t
o is personal) kno to
me or who has produced as me or who has produced as
Identification an who did take an oath. identification and who did take an oath.
NOTARY PUB C: NOTARY P U
Sign: Sign: NURAILCARA
a " o Public•State of Florida
Print: Pic Print:
• Nyt Comm.Expires Feb 2 ;�,,*--1 .-a
A Commission#�FF 95324
Seal: Commission N FF 953241 Seal: 'y:.g;;: :`` 80 1Mauph National Natary Assn
ft&*National Nat
APPROVED BY '�y�rs Plans Examiner Zoning
Structural Review Clerk
(Revisedo2/24/2014)
F
LAGE OF MIAMI SHORES
MI-DADE COUNTY
C. 5-53-42 AFA-146 ER-18843
AFA-111 ER-16853
_ j NEW 1"SINGLE SERVICE RE71RE EXISTING
SET BOX AND SPACER SERVICE LOCATED
3Ca4LE N.T.S.
FEB 10 2015 LOCATE AS MARKED OR AT EAST
PROPERTY LINE
STAKED AT EAST
PROPERTY LINE
15' ALLEY •------------------- .... ..................
EXISTING 4"WATER MAIN
LU 82 MATERIAL AND LOCATION
ZCFI.N..
w 17 18 18
¢ I
130'
1035
I
Z
NE APONVED INWE' t DATE
ZONING DEPT
NO MIAMI-DADE CO. PT. ,
ROAD RIGHT-OF-WAY
CONSTRUCTION stJECTTOCOM"NCEwM ALLF£EDERAL
STATE AND COUNTY RULES AND REGULATIONS
GENERAL NOTES NEW WATER SERVICE AND
1.LANE CLOSURES PER F.D.O.T.DESIGN STD.INDEX 4 NOT AP. EXISTING SERVICE
2.PAVEMENT RESTORATION PER M.D.C.P.W.M.R-21 A. RET�RE�i[R1Y�'•A,;T; •••
3.SIDEWALK RESTORATION PER M.D.C.P.W.M.R-13.1.
4.MAINTAIN MIN.30°COVER ON ALL SERVICE LINES. ••• �: :•; • 0.0 •.
5.DO NOT SET METER(S)AT THIS TIME. 1035 NE• 96 btfkl;5'•••
6.48 HOURS BEFORE DIGGING CALL SUNSHINE STATE ONE
CALL AT 1.600.432.4770TICKET#. 036504471 • 000 00 0:0 000 0
❑ FL.CITY OAS Q M.D.PUBLIC WORKS W COMCAST A Pk146• FFI W• i i
B PEOPLES GAS B A.T.T. ❑ ATLANTIC COMA Arg-1 11 ER-1683• 04,0
I3 F.P.L. ❑ M.D.ENT.COMM. ❑ CLEAR
DRAWN: H.B. DATE: 2/5/2015 CKD, ,.R 1 0!0 • . . . ••
MIAMI-DADE UTER AND SEWER DEPA*MgN?' : -•;
b
I
tlrWhh��Applioation�� ' • •• ' •. ••, ••
Type 00. : M„IWY Ni.i17MOYY1 ' ORV OBOth
Method Of lrtskmdbn: 1000/fit" (I(ftevation6m
uxleffandbufamsm
owmn Rw of Way a Prd7lio tidy ftwo t O Bah
Val wmk Oyes WND
•within 1S' of
ttt :
30 DAYS
Cr�byfl�NOods ttdtlragrdrat7tJ�Jld� �
t wornwwkWiwwN mqu*a pwWfrarfi Sx&RWHO WsWM rmWeftrerrf asida
�naknowtedgea
Pad"Wan lntwrawm
lacesamemembowimtheswelewdw Oyes G(No
skietrre k area?
2,61vedIrmermlom komedgeof pWWOMto ®FT
UM work dermage oxMV Wak Aare�stva�area.
'vift OYes C(No
4.Wdl work obWmat pedeshim access to 0 yes Ah
ddwmW
i3: ,�/
N vmk obs aowmdk or O Yss C1vNo ,
few
UO work obsbuat bdrepett? Oyes Q/No .
ps&mff&n kWuft pmm wjO dWW9&wffl be pwkbd
mtN o f aocaalble t
ftMa
AdiowtedW
f admw Inca nstlon We rmrtaft esphalt on a paved roadway) r
?Does the emwdon fill an the alpha tof a 0 Yes @(No
SMass movadai fall win a SIgnelb d 0 Yes @(No
iron?
9 Does a mvdm fad wMM a Mid-IlloCk OYoe Q, ko
9 araevadon dahre arty treflic kropg? 0 Yes LJ No
99.Have the roads,which are impacted by the Oyes eNo
r reposed work
mw*been t or
md
Traffic Control Pkat
.12.Wd1 vrak ngft a law(s)closure for OYw (VNo
Vishici erTratto?
13.GWD dintenslorre from edge of Pverne d for ®FT
twwh or pole:
ber of larres and dlreodat that North:= Souft= fit:= We*=
will be alboID&
1S.Please provWe can estimate of constru ion Id/ADap
as forwt t trefflo flow will be affected 000
••• • .
ILFundonal n of Railway [IAt bt! ❑Collector R(Lotat - ' • • ••
• .: .': : :.: •.
alfe�ed by work . . . . . . .
iYaoss wodaons tel%Nhlrt Sedan Lkw or Dyes t�Ato •• ••• •• ••'
Hag Seton dna roadarey?
1t4.Postad Speed Limit wNtbt work zone. �__MPH fee
At grads AppurtenwWON you are placing a ,or some other type of ulpMent oMhe grolttt , nnt use,
.
hUp:/t rvgv miaYpida&.gov/PubHoWorksBPe WtdAttwWileLmpx � T4/ 014:
i
1Vliaaai Dade Could' ApNoat6n Title Page l tsf 1'
'' braids Udorrratton, ''' s �
23.Do the proposed tonstnidlotrp1mis alter or moM'the WtApPable
e1r��sf+dem? P1ot Applicable Nr
'
24.Does the proposed�Irrtedrtere with eo g ftMP
tl wO Dade County Mar and Sourer Demos now austsmer*vMon poposes to perfon
worts wwo your OOM-cf-wfk
Tout length of undsrWound Inabltation or
wmw aerobe a mneopon: ®L
SmAw wrvtas cornu : LF
Consruotion or Itapla mwA Of Resurfacng
lnr
Skkmalk LF In PdbloRightOf Way
SQF
Curb&Gutter 1p on Pfhmw $OF
Vaby Gutter LF Lr.J
I •
haps✓/wwwmismidadegov/PablieWorksBPermitwNewDivision.aspx : :.. •314/2014:
. . . . . . : . . .
• Water and Sewer
PO Box 330316.3575 S.Le Jeune Road
M I A M I•DA Miami,Florida 33233-0316
T 305-665-7471
miamidade.gov s
February 6,2015
Miami Shores Village
Building Department
C/o Mr. Ismael Naranjo
Building Official Director
10050 NE 2 Ave
Miami Shores,F133138
Re: Water Service Installation and Retirement for:
1035 NE 96 ST
AFA-146 ER-16843
AFA-111 ER-16853
Dear Mr.Naranjo:
Transmitted herewith for your approval and permit are one(1)copies of the water service
installation and retirement for the above referenced project. Upon approval and issuance of
the permit,it is requested that you return to us one copy of the approved sketch and the
original permit.
If your approval and issuance of the permit has special restoration requirements,we will need
to notify the customer of the additional charges involved with the installation.Please inform
us if there will be special restoration requirements for this permit request.
Should you have any questions regarding this matter,please advice.
Sincerely,
Isabel Rodriguez
New Business Representative • ' ' ' '•• •
.. ... .. . . . ..
New Customer Division.
(786)268-5134
AYYA@ idade.gov . .'•
... . . . . ... .