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867 NE 91 Terr (6)
Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/13/2004 Applicant: CAROLEE Owner: MCINTIRE JOB ADDRESS: 867 NE Contractor PROFASA CORP Local Phone: 305 - 220 - 4221 Parcel # 1132060050280 Fees: FEE2004 -359 FEE2004 -360 FEE2004 -361 FEE2004 -362 FEE2004 -363 FEE2004 -364 FEE2004 -365 91 Description Building Fee CCF CO /CC Training and Education Fee Technology Fee Scanning Fee Builders Bond Total Fees: Permit Status: APPROVED Permit Expiration: 3/24/2004 Construction Value: $8,000.00 Work: INTERIOR RENOVATION FROM A LAUDRY ROOM TO BATHROOM Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2003 -1558 MCINTIRE CAROLEE TERR Contractor's Address: 8518 SW 8 ST Legal Description: GOLDEN GATE PARK ADDN PB 6 -130 LOT 23 & E10FT OF LOT 22 BLK 2 Amount $240.00 $4.80 $150.00 $1.60 $6.00 $9.00 $300.00 $711.40 JAN 15 PAID Page 1 of 1 Total Fees: o Pd Ly Total Receipts: 0.00 O,sl— y61, y 0 /-4e, £t J . 3O 74 /37, 6 Ao,c 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 I assume responisibility for all work done by either myself, my agent, servants or employes. BY: • • PAY TO THE ORDER OF CAROLEE MC INTIRE 887 N.E. 91 TE. MIAMI SHORES, FL 33138 WACHOVIA 63-643/670 P 2oo3 .321 Mc�a x3-3 :u c.p e# $pa0o3.. is t II'OOi20511' i:0670064321:L0 /00/763142211' 1205 $ 3 726) DOLLARS e BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City_ Tenant/Lessee Name Phone # State Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ❑Addition Describe Work: 11 it * /11.00 Ave-9 A-Co.A.riv a.A Zoo ' 5-0 err Y`' Submittal Fee $ , oO . Permit Fee $ Notary $ Training/Education Fee $ Scanning $ ' "` Radon $ Total Fee Now Due $ vJ b (. (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing Mechanical Roofing Zip (9©O teration ❑New ,YA -i "-) Code Enforcement $ - Structural Plan Review. $ Permit No. ep o3 - AC ' Master Permit No. Square Footage Of Work: ❑ Repair/Replace ❑ Demolition **Ct * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ 7 90 CO /CC j 5V — /, t O Technology Fee $ fj • `� Zoning Bond $ 360 �' 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 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 not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: JAN 1 3 200k Plans Examiner Engineer Zoning chc 12/15/03 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NOT3 l a003 -s TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1,4-c,-144 h - 3. Owner name and address: 0,4/20 -6 f 1 S "4-3/e Pie ? )1 _ f/ 77 - {ii / / 5 1111111111111111111111111111111111111111111 CFH 200480034234 OR Bk 21973 Ps 4413; (1139) RECORDED 01/15/2004 12:55:39 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE 1. Legal description of property and street/address: S 7 P1 `2 - 9/ 7 7/4/ S ' ''3 /Z' / T 23 d' f/o ,( Galt 2 2- / Loch 2 )4Dg. i f /2C 40PAY 2. Description of improvement: j Tft goDM =PR- 1 Interest in property: / OD 70 Name and address of fee simple titleholder: 4. Contractor's name and address: P go / i /i ( 0 0 S 41/ Irv► t FL 3.3/.A 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: C ' 9 ' . 4 c !� 1/ 1'N7 ,, Amount of bond $ 3q v 6. Lender's name and address: / f /ov - e /. 144 a ( c , X 313 5 44)ft-LG/ 6 o - 3 /37 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: AJ 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. C ,ego M1 Y67 17 £'7 / //-(/iii 54- 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a Name and address: diffe Signature of Owner /1 �1 Print Owner's Name (.- 7 LL , G 1 /Y% /lee Prepared by Sworn to and cribed before me this f \ 'l day of q fti<GgY` 1 , 20 �y Notary Pub �/ ' � • Print Notary's Name ( y , (H. An5:11-; e trf My commission expires: '` �� � :::- :;:_;� °�. r fr 1 ; 123.01 -52 PAGE 4 8/02 t date is specified) Address: . • ' A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO ?aoo ISSgrAx FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. S26,7 S 1. Legal description of property and street/address: 0 7 n ` 9 / 7 £ // /7 L 0 1 23 d- /O /1 4 I.dt 2. Z f3Lock 2 - 4 -Diu 'A-rt la-r 40DAY 2. Description of improvement: ? T/t goo ►vt -PP-0 1 ' 1- t L c/ 2 ?-060-1. 3. Ownerj4 name and address: C t412-0 L 6t /key.0 "T//2 -C s "c 067.7 //f, / -33a7 Interest in property: / OP "7o Name and address of fee simple titleholder: P (,o s l Sc( A, 41 /r9-7vl( FL 3_3/As" 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: C / `L 7/e* Amount of bond $ 3-e d 6. Lender's name and address: iIS C1` /147 - e) ,.j �l t % G�-� Gt x 3 /3 / /Lwft-ic//66 t ,j / ..113.2_e/ - 3 / 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as 4. Contractor's name and address: provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: M 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: C M 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a diffe ent date is specified) Signature of Owner Print Owner's Name /14 4- 1 /V % f/ee Prepared by Sworn to and cribed before me this l \'1 day of J C� MAY' . , 20 (Zy .).\(\ Notary Pub Print Notary s Name ' r Angela m Rpckpr My commission expires: l My Commission 00150048 H cP' E'er November 15, 2008 123.01 -52 PAGE 4 8/02 NOTICE OF COMMENCEMENT STATE OF I HER 2rrgln Y CE I fd3d in flc,a) S TNESS ;'iARVEY Address: LORIDA, COUNTY OF DADE TIFY that this is a Pn/a. apy of the h/ ,ff a on l CFN 2004R0034234 OR Bk 21973 Ps 4413; (199) RECORDED 01/15/2004 12:55:39 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE ,AC20 al. County Courts D.C. 111111111111111111011111111111111111 ELECTRICA L 1YPE Minimum Fee Q7 'FYI'1. Dryer QTY. TYI'P. Outlet, Appliance ()Ty. TVI'I{ Service Repair Q"1' 1'. 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 i / 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 QTY. 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 TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. i'VPL Soakage Pit QTY. 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 .l 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 IMPORTANT NOTICES 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 Constr tion Lien Law and Choosing a Contractor. ATE O - ORID • . COU . TY OF MI • -DADE AL of Si ur • P rint Name orn to and subscribed before me this S 4.5 day of " ° " A-4' 11 Io Q.e OCCY . Signature of Notary Pub1i- - State of Florida =a4;Y C Vargas MY COMMISSION # DD200463 EXPIRES ,re • f May 18, 2007 fi ,Sy • BONDED THRU TROY FAIN INSURANCE, INC SEAL: Personally known OR, Produced Identification Type of Identification Produced: STATE , F �_: Pd l • A •Ala ►i: • r IAMI -DADE Si Print Name Sworn to and subscribed before me this day of L¢ O00. C . s 1 Signature of Notary Pu lic - State of Florida ,, V. organ SEAL: DD200463 EXPIRES e' . Q v 18, 2007 1 pr , $•' _ .. :.. (ROY FAIN INSURANCE, INC Personally known Xi OR, Produced Identification Type of Identification Produced: G Vargas MYCOMMISSION# DD200463 EXPIRES IT May 18, 2007 't 8tnt BONDED THRU TROY FAIN INSURANCE, INC PERMIT APPLICATION 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: SECTION BY DATE Zoning License No. ; c Q j I g Li V Address Electrical / �..,/ S 'S'J°�e Mechanical Qualifier Name • % . Q ,4(0 ' S Business Telephone Plumbing / 07** Fire J Public Works Add't Attachment Structural /, I I Building Official —/ /;fri Other CONTRACTOR New Construction Name Name Ckleeee , /�j ��77�v' ' License No. ; c Q j I g Li V Address Address Repair Telephone 72e _3 / ' 5 - 9 7 ax 3 2 (o / • Q xS Qualifier Name • % . Q ,4(0 ' S Business Telephone PROPERTY OWNER New Construction Name Ckleeee , /�j ��77�v' ' Address 45._ 9 / 7 Repair Home Telephone ?Sy „ (17(t (( 'V Business Telephone 31 3 7 2 — / 6 Fax 3�� 372 0907 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior 'V Demolish Relocation of Structure Shell Only Foundation Only Add't Attachment Other Add'l Detachment Other Page 4 OFFICE USE ONLY ❑ 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 CHECKLIST ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) (Xq..ftt. = x/1000 TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The followint s :eps must be taken to obtain a permit from the Miami Shores Village: Step 1. tx 1 Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other RIEEM-11VElci 2 <, Complete the attached permit application which must be signed 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. APPLICATION Address Apt. -'olio Number //— 52- - 0(9 -00_5 02-30 / of Work Lot 2.3 Block �- ../f Subdivision 1: PB Lt" PG /3-e) Zoning Current Use of Property quare Feet Proposed Use of Property alue of Wvi" 0 Tenant Information iti ft Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection AlleraA on ARCHITECT Name License No. Address Telephone Fax /)La /01ILLA Artk, EC PERMIT APPLICATION �J Master Permit No. IJt'L l ss75 / Subsidiary Permit No. h/I 444 City - /11215 1 4_ State igf rhi,e-g)o.1 -, Linear Feet 33 /.3 Zip Units / Floors 1 C0 Bldg Value ENGINEER Name License No. Address Telephone Fax ex. t3