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9600 NE 2 Ave (13)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date oVe/f f Job Address / 7 / A/,,L - 72 ` f/ Tax Folio Legal Description ,, JJ Owner/Lessee / Tenant u �ifti t/u /kA./ Owner's Address g Qr,! (` [ or Ca usf C Phone )S 9 - 3 Contracting Co. �4m /e�<PiA/ w y C ('"r �0 ��l�c. Address Qualifier ,4 t;e/ C Phone 0'4 S j.T•C'/ Competency # Ins. Co. Address Address Address ,&- flf�,- Gar //j �i e / C Estimated Cost (value) #'OD 1 Signature of Contractor or Owner- Builder Date Notary as to Contractor or Owner - Builder Date My Commission Expires: - /g -9_4" O Electrical o�... w b�'Z0 _• TOTAL DUE Plumbing Engineering ■ j 4v" 4 • 6 X 1 A Existing -- New C New D — Existing E — Existing F Existing G — Existing H New DOOR SCHEDULE 3'07 X 6'8" Solid Cor 13' X 6'8" Solid Coy 10X 6'8" Solid Con 3'0" X 6'8" Solid Con 2'0" X 6'8" Hollow 0 3'0" X 6'8" Bi-Fold 2'0" X 6'8" liollcnv 3'0" X6'8" B,-Fold .?•0 6 "9 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Lauraine Dunn x Associates, P.A. Date 4/23/93 Job Address 179 N.E.�th St. ' Tax Folio #11 -3206- 013 -2510 Z Legal Description "Property Management c—* Parry Real Estate (for Mr. Henry Everett) Weer / Lessee / enan * Lauraine Dunn 'c Associates, P.A. Master Permit #`q Property ManagemeC Owner's Address 4.8101 Biscayne Blvd., Miami, FL 33138 Phone 758 -9691 Contracting Co. The Van Dyke Sign Co. Qualifier John H. Frazier Square Ft. 17.2 sq.ft. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: APPROVED: Zoning Building Address 1115 N.E. 2nd Ave., Mi ami , Fr. SS4t Phone 373 -21)a7 State # Municipal # Competency # 3341 Ins.Co. see attached Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE WORK DESCRIPTION Project consists of (9) p rts2 Letters above entrance - Non- Illuminated Sign panel at street entrance (plastic) Estimated Cost(value) $ 300.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stat Si; ture of Contractor Owner- Builder Da : NOTARY MP c PUBLIC STAIR or 80NDF 'USSION EXP. SEPT. t THRU 6EntK Notary as to C ontr t W .Own_er- Builder My Commission Expires: ** * * * * * * * * * * * * * * * ** FEES: PERMIT '37 (16 RADON C.C.F. 454 NOTARY TOTAL DUE g -161 Fire Other ) ( 9 1,5 Electrical Mechanical Plumbing Engineering No. 2018 Owner, Agent or Tenant of Building Lot BUILDING AND ZONING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SNORES. FLORIDA 33138 TE .-EPHONE (305) 795 -220A FAx (305) 756 -8972 CERTIFICATE OF OCCUPANCY Boyle Block Subdivision Street Address 179 N.E. 96 Street Remarks: Permit #39301 II /LC:. c C Approved use by occupancy Professional office Date April 2, 1996 This Certificate of Occupancy is issued to the above named owner for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. FRANK LUBIEN, DIRECTOR, BUILDING DIVISION February 22, 1993 Lauraine Dunn (3c Associates, P.A. 179 NE 96th Street Miami Shores FL 33138 -2725 EXTERIOR SIGNS APPROVAL - 179 NE 96 Street a) If you accept the foregoing please sign and return this letter and you may proceed with the work. r Il<< 171"icle t"`G!':'J ;(V !‘ - 7 L Lauraine Dunn Dear Ms Dunn, Your request for two exterior signs has been referred to me by Henry Everett. We have no objection t the installation of the signs subject to your acceptance of the following condition: A city permit is obtained and the signs comply with city ordinances. b) The signs are professionally prepared and installed in accordance with good workmanship. c) Any damage caused to the fabric of the building is made good at your expense and to the landlords satisfaction. d) At the termination of the lease the signs will be removed and all damages made good to the landlords satisfaction. Your 4 sincerely, W.E. " euben Senior Property Manager We Lauraine Dunn & Associates, P.A. accept the above conditions for the Installation of signs. L ATE INVESTMENT PROPERTIES • COMMERCIAL • INDUSTRIAL • LAND • PROPERTY MANAGEMENT Miami National Bank Executive Offices - 8101 Biscayne Boulevard, Miami, FL 33138 - (305) 758 -9691 1 It 1 l I I 1 1(1 1 11/ 1 1 I I 1 1 1 I k II \ I '-'- L \ ( 1 1 l I 1 1 1 1 1 ( I I I \, 11 1 I I 1 l 1 II/ I III II rill 11 11 1 / 1 1 1 1 1 1/ 11 1 / 1 11 1 1 11 11 1 1 1 1 1 1 I 11 1 1 1 1 1 1 1 1 I t 1 (1( 1 ( 1 1 ‘ I 111(1%11, * 1 , ► I ( 1 , 1 1 1 1 1 1 1 1 1 1 1 1, 1 1 1 1 1 1 1 , l `l l f I I II I 1 ■ 1 1 1 1 1 1 I 1' I 1111 1 1 1 1 1 1 I 1 , 1 ' rT 1 I 1 1 1 1 1 ► i 1 ( i l l l 1 1 ( 1 l 1 i 1 1 1 1 1 1 I ► � 1 1 1 1 1 ' 1� 1 1 1 �� 1 1 ( 1 1 1 1 1 I 1 1 1 CONTRACTOR Name O n O N ` 1 / T A (1 1 +1. License No. eel; eel; ^ `\s ri Address tsiu co t% t 1-1l .0 1 1 "h t F ( 3T lD Telephone 2 r ) ) _Q,s_c4) Fax 6 8 e _ s Qualifier Name akcid gob, SECTION BY D • TE Zonin_ �7k IW L Electrical / Mechanical Demolish Plumbing Relocation of Structure Fire Foundation Only Public Works Add'l Attachment Structural Add'I Detachment Building Official . —/3 –t) TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $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 Notary O PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ (� 0 (s .6p) x/1000 x $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft) $ 5 �W PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ (C! Co ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INS'FR UCH ONS - The following steps must he taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be s'gned by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application 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. A PPLICATION Job Address: 1 1 1 c l NE. q ( 5k Address PERMIT TYPE ( ✓) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. Folio Number Description of Work pa 1'1Ci 1 -1 le U XD( arvCA fermi VGI Lot Block 0t (.2) in /Cor non- hic irti WC11�5. Subdivision PB PG Zoning Linear Feet Current Use of Property Proposed Use of Property Tenant Information \IPrrE 14 t'1u i la 1 k PERMIT CHANGE ( ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. NS Address Telephone Fax PROPERTY OWNER Name. Address az; c 62- Home Telephnn • r Business Telephone Fax Square Feet Value of Work Master Permit No. Subsidiary Permit Noe) ? € 2 f7 Q / 0 F 31norP3 F I City State Bldg Value PERMIT APPLICATION Zip Units Floors 12,400.60 Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. NIA Address Telephone Fax ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTV TYPE Service Repair Q•1'V•. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch 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 Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE: Generator QTY. TYPE Refrigeration, Tons QTV'. 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 Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TV'I'P. A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTV'. TV " 1'E Soakage Pit QT1. 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 2 STATE f F FLOR Signal of Owner Print N. me Sworn to and subscribed before me this / Z. of �/ ^•r e_ . gee Si tune of No IAMI - DADE blic - State of Florida ,•�ap`r'a��, Nancy Iglesias ? Commission # DD117024 2 �, � Q, Expires May 13, 2006 e• • Bonded Thru % � %%%% %% Atlantic Bonding Co. Inc. Personally known /� OR, Produced Identification SEAL: Type of Identification Produced: r 2�• Print Name tG Sworn to and subscribed before me this Signat SEAL: of Notary :-yJ ifj'' . to of Mori.. Type of Identification Produced: PERMIT APPLICATION IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING 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 on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the 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 work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. 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 Choosine. -r. Contractor. STATE OF FIDA, COU Y F MIAMI -DADS Signature of ctor / Qu li r gli day of S p gr Pe & te, Nancy Iglesias ° •' '* , Cotnmisslon # DD117024 ' "'� : y Expires May 13 2006 9%' � •••• a`. Bonded Thru O � �` *1h* %%% Atlantc BOndingg Co., Inc Personally known OR, Produced Identification Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/13/2002 Applicant: IERCE Owner: JOB ADDRESS: 9636 NE Permit Status: Approved Permit Expiration: 12/9/2002 Signed: Signed: 2 Building Permit Permit Number: BP2002 -1082 MULLALLY AVE Contractor ORONI INC Contractor's Address: 14040 NW 6 CT Local Phone: (305)685 -0412 Parcel # 1132060132500 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 1 - 2 & 6 - 7 BLK 19 Fees: Description Amount FEE2002 -3340 Building Permit Application Fee $60.00 FEE2002 -3341 CCF $1.80 FEE2002 -3342 Notary Fee $5.00 Total Fees: $66.80 Construction Value: $2,400.00 Work: INTERIOR PAINTING, TILE WORK AND REMOVAL OF 2 INTERIOR NON - BEARING WALLS Page 1 of 1 Total Fees: $66.80 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. (INSPECTOR) BY: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 assume responisibility for all work done by either myself, my agent, servants .eazp!oyes. (Contractor or Builder) BY: REPAIR LIST Property located at: 179 NE 96 Street Miami Shores, Florida ••• Remove old carpet ❖ Remove (2) non - bearing partition walls (Note: Walls do not contain any electrical outlets, plumbing lines, mechanical lines, etc.) + Remove (1) interior door + Replace (2) interior doors + Tile interior of property ••• Paint interior of property ❖ Haul away construction debris from property • r' • 4 MVP • • .c.voset) V t c,s 'R ►,1 u • ►► owic$ #2�� "OFFICE #1 CI Reo.ovF AAA. Ex►s-rn44 CARPET. -� L7 REMOVE CL) Zetrimoie. rtowl WRVS) u.A"cED tsy berr7Vb UNIES• t] Re,s b JE z.rcve+oiz ao ors r LbtcrrrEo +ay b -r - Eb u' eS • tZ REpLACE (2] Tr- +regwQ voo* u n C2) 34" FRE1JG* 1:4:045. (IiJDK*TED Bj ®n Q 1t EN'C%R.E PRbPCR'"j Q ?Awl's' Erarrt& ?Rope/act (%.0-tE2co2 0181.+{ .