REV-16-1447 y
t�\ Miami Shores Village -s _
Building Department Y 25 2016
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
BY:
Tel:(305)795-2204 Fax:(305)756-8972 11`
INSPECTION LINE PHONE NUMBER:(305)762-4949 r7
FBC 20 k��'.—.� _
BUILDING Master Permit No. ��
PERMIT APPLICATION Sub Permit No w(:,— 1 �
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
p �y `�• CONTRACTOR DRAWINGS
JOB ADDRESS: 0
City: Miami Shores ��yy County: Miami Dade Zip: 331 1
Folio/Parcel#: � )ZZ Z 0 Z "10 1 LA 0 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
/
OWNER:Name(Fee Simple Titleholder): 1'� LC-'/-ftfJ D RE Phone#: 3' � �-7
Address: 'Z,3-2-!; P-14q b-NOti )J4 iv-•
City: 01ftj'4! �g00pe� State: ft— Zip: 3 Si SA
Tenant/Lessee Name: Phone#:
Email: ArZOPII✓P— 5� gMAI L- - f01"A
CONTRACTOR:Company Name: N �1® - ����' ��S Phone#: 3- 5 Sci—l6 zo
Address: �"-1 Z 3 1 LA-2 N
City: j State: Zip: 3 3 1 G S—
Qualifier Name: A"Z-r-Q-eou ado_%5'VcZ Phone#: 3- 559 /CJ --O
State Certification or Registration#: C?C- I LI 'S 4 5' Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: a City: State: Zip:
Value of Work for this Permit:$ Q i 2-06 Square/Linear Footage of Work:
Type of Work: ❑ Addition [T Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
00 D l - CIEiiu 115�-'T -VO PC)0 L _TZ
u , ¢ei--, tr-�
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ •(3Z CCF$ CO/CC$
Scanning Fee$ CX) Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ la® •d0 Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
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 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 ap ved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT C NTRACTOR
The foregoing instrument was`acknowledged before me this The foregoing instrument wasp acknowledged before me this
T2 � day of �I 20 by day of `°I 20 16 by
Ei A-rJo a6 P-c)DiC-2 who is personally known to —O O a,1%,rZ who is pers ally k own to
me or who has preed "D• 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:
Sign: Sign:
i
Print: Print:
4.7".
MARIA THERESA PINO ,���"°�s,;, MARIA 4x7
Seal: a� = Notary Public-State of Florida Seal: °a Notary PubridaCommission#F FF 15368 Commis8•, � ;.``'r My Comm.Expires May 7,2017 '%,� �Yd;••` My Comm. 2017APPROVED BY t\O Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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A i UULPERIMETER 93 FT. =2= o
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\ GULPU PSIZE 1.5 HP(1111 9 �b�
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\ � I OULTUROVER 1.85 '� :••�O R••'�����
I ECKSURFACE 450 .`.SSION P\',--%%
I NLETS 4 UNITS
1 UNITS
i CU 1 UNITS
I r DERWATERLIGH 1 UNITS '+
POOL EQUIPMENT \ E HLURINATUR
PAD Uj NA UNITS Z
1 UNITS
No
� PASURFACE 48
SPA I PAPERIMETER 28 FT. �c
G PCP CITY 7 9
` w PAPU PSIZE .5 HP Q ••
MESH CHILD SAFETY FENCE TO I c ARTRIDGEF L
BE INSTALLED MINIMUM 22' ` PATUR UVEB TER 200
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FROM WATER EDGE o �
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HERAPYJETS 8 z o
sr-11 LETS 2 UNITS o 3
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POOL EtISTING KI ER NA UNITS m Oz 9
• i ELECTRICAL METER ACU NA UNITS � 3 0
\ ° �•� NDERWATERLIGH 1 UNITS Q I. a
126
MSTING'C'200 AMP THEWATERVELGCITYWILLNGTEXCEEDIOFTS. . g H c •••;•
LGGRELEVATI❑ 7.5 FT. • *see 6669:
PERMANENT ANCHORED POST AS PER SECTION \° GPOFPUGLWALL 12.03 FT. • 0000 � a•, ado ....;
R4101.17.12 FBC.ONE END OF A REMOVABLE \ ' 6.23 FT. ••• 00 00 °
CHILD BARRIER SHALL NOT BE REMOVABLE I UTTEI OFSLAB 5.80 FT. GOO
WITHOUT THE AID OF TOOLS.THE OPENINGS OF • U axe*
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ANY BARRIER SHALL NOT ALLOW PASSAGE OF A 4' \ LUUDCRITERIA .� 6 *goo*
.C.DEPTHLEVEL 1.20 FT.
DIAMETER SPHERE. � Q � `p •
\ EXIST.CONCRETE ESSITYDRUVERTICAL —2.0 FT. ; � N
DRIVEWAY ' FJP3/4• YDRUSTATICUPLIFT —0.8 FT. UK. ' a` .� •�
LEGEND �\ I
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lORESIDENTIALSWIMMINGPGGL w a I �' "LEGAL DFSCRII'1'ION" V) L s
CHILDFENCE cF.B.c.R41oi.17.i.9). ��� Lot 15 in Block 1 of EVENINGSIDE , according to the 3 o 0
plat thereof, as recorded in Plat Book 44 Page 53 of y LU Q w
the Public Records of Miami-Dade County, Florida. z Ix w W z
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