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PAINT PERMIT' D a t e / - 2 — 4 7 C . , Job Address 2NORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: A/ TaxFolio Legal Description Historically Designated: Yes No �Owner/Lessee / Tenant / C., 'Ca :Alp./ Master Permit # 3 9 7 /6wner's Address a A/c c t rit- e e', Phone - 7 / - 6 6. 0 7 Contracting Co. O\-( /t-( F Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN O®, To \ , TG i' e'- ( Square Ft. Estimated Cost (value t 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 stated. Si ure of Contractor pr O er Builder ) N otary as to Contractor or Owner- Builder My Commssion Expires. C 4 , Date Date FEES: PERMIT ¥ RADON C.C.F. - Sr-3 NOTARY — 5- TOTAL DUE Cir J APPROVED: Zonin g Buildin / 9 Electrical g A7A Mechanical Plumbing Engineering PERMIT APPLICATION FOR MUNICIPALYTIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 7-7- Job Address C.'7 9/ Legal Description El_ t' Owner / Lessee / Tenant Owner's Address Contracting Co. Qualifier / �f7 State # --- Architect /Engineer Bonding Company Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOF) NG PAVING FENCE SIGN (ci C WOR DESCRIPTION A ; E L vidif 1 . / � Phone L g a d P /,� (4, /€ Address t� / In /14i i c - t e we e IX,e4oee Municipal #0x31/23 Competency # // 3S')s Ins.Co. Address Address 1 ee 'c{ ? e c Letl r/ Square Estimated Cost(value) (Jam° WARNX,NG 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 authgriabove -named contractor to do the work stated. N_ Signture of owner an /or .Condo President Date: ler Notary as to Owner and /or Condo Presid My Commission ExpiresPo ARY PurtiC s ri CF FLOi2IDA NY CT•■;;ISSIOP,! EX? SEPT.20,1994 BONDED - iHRU GENERAL IN`, UidD. ** * * * * • * * : * - - 9497/Phone 9y7 % 7 C( * * Tax Folio 11 2401 0 -0 OCn) 0 Master Permit # - 1 / 5 " 5 - 2 cL Signature of Contractor or Owner -Bder Date: otary as to Contractor or Owneruilder My Commission EPpi.Fe �lf'i. "% S5 �' ": C'' ' . 0 ;IDS, )ni•i.S$d� EYP SEPT ) 1& n• PO UED THRU GEP'r_';:N INS. ED. * * # * * * ** FEES: PERMIT S RADON' C.C.F. d NOTARY TOTAL DUE ) APPROVED: Fire Zoning Buildin Electrical' Mechanical Plumbing Engineering Other PROPERTY YOW E New Construction Enclosure Name Repair Alteration Interior Address c,2 kr 1 t Demolish Relocation of Structure v 0 s 1 Home Telephone (v) 5' , / _ C � 1 l ` n 0 /i 0 T Business Telephone // Other Add'I Detachment Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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. 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 submitted along with this permit application. Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax Master Permit No. _ Subsidiary Permit No. Da ' c:0 PERMIT APPLICATION / (Description of Word Zoning Linear Feet Square Feet y� Units Floors value of Work t 3e)C7 Bldg Value lC Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 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 Choosing a Contractor. STATE OF,FLORIDA, COUN ignatur f Owner Print Name w• to . Id subscribed before me eke gr 1..d i ature of N Public Y OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier PERMIT APPLICATION Print Name Sworn to and subscribed before me this day of State o Flonda Signature of Notary Public - State of Florida RY P O -�C,Al . G O\P U B 'ei AP!CFLA A4 F3 ,:,, ` .: SEAL: 2 y tl r. r 'i 4 coMM tom ,:_. it I 4; ' . CC jr.:)( �+ • i � t. O � $Y CU?. IL` J. .., • . ,-.,N._, , I O F F C. i, Personally known Identification Produced: SEAL: ELECTRICAL TYPE Minimum Fee QTY. TYPE, Dryer QTY. TYPI', Outlet, Appliance QTY. TY Service Repair QTY. A/C Central 1 -3 Ton Heating Strips, each Fan Miscellaneous Repairs Outlet, Wall Solar Water Heater Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs Fountain A/C Central 8 -15 Ton Pump and Abandon Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16 -20 Ton - Pressure Vessel Fixture Light Cap - Sewer Parking Lot Lights Gas - Natural Spas/Hot Tubs Pump, Fire Stand A/C Central 20+ Ton Temporary Toilet Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window Clothes Washer FPL - Load Central Gas Piping Posts Pump, Replace - Pool Swim Pool, Commercial Urinal Air Conditioners Dental Chair Garbage Disposal Grease Trap Range/Range Top Pump, Sprinkler Swim Pool, Residential Utility - Sewer Chiller Discharge Well Generators, etc. !ce Maker Receptacles Pump, Sump Switchboards Utility - Water Clear Violations Dishwasher Heat Recovery Indirect Wastes Refrigerator, Comm. (p/PH) Relay Repair Temp Serv., Construction Vacuum Pump Compactor Disposal Low -volt, Burglar Enteacepter Refrigerator, Domestic Roof Inlet Temp for Test - 30 days Water Closet Deep Freezer Domestic Well Low -volt, Fire La undry 'flay Renew - Temp Service Septic Connection Water Heater Demolition Drain ie1a1, 4" Tille/J es. Low -volt, Intercom/Teleph. Lavatory Repair Circuits Septic Tank Water Heater New Dishwasher ?:Drains, Area Low -volt, Television Meter Set (Gas) Service, Number of Amps Sewer Connection Water Re -pipe Water Service MECHANICAL TYPE Minimum Fee QTY. TYPE. Condensate Drain QTY. TYPE. Generator QTY. TYPI Refrigeration, Tons QTY. A/C Central, Tons Bath Tub Cooling Tower Heating Strips, each Vent Hood, Cost Miscellaneous Repairs A/C Wall/Win. Tons Solar Water Heater Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Fountain Barbecue Pump and Abandon Fire Sprinkler System Process/Pressure Piping Cap - Water Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Supply, AC Well Cap - Sewer PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE QTY. Soakage Pit 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 !ce Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Enteacepter Roof Inlet Water Closet Domestic Well La undry 'flay Septic Connection Water Heater Drain ie1a1, 4" Tille/J es. Lavatory Septic Tank Water Heater New ?:Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Water Service Drains, Roo:- r Mi i ura I'ee Shower Drains, Lwre ch Miscellaneous Equipment Sink We?l, Supply 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 D:,TE Zonin: (E" `'/ 7/D 02 Electrical Mechanical Plumbing Fire Public Works Structural Building Official _ /,, ff Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $ ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $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 a < n 0 0 (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ _c D ISSUING OFFICIAL 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 DATE: I ~ Z OWNER'S NAME: :,/ s_s, PHONE: = 3a.:5"'' ADDRESS: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * MIAMI SHORES VILLAGE Paint Color Approval and Agreement ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Drip Cap/Drip Edge .4J% /k_. Soffit Cu 5i/ /6 5 Roof Flower Bins Shutters Awnings Utf , &- / S ss Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached samales. Signature of wner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: Building Official N CQ't5 'V% Date E.AoTect, WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 • Printed: 4/11/2002 Applicant: JESSIE Owner: QUINN JOB ADDRESS: 2 Contractor Local Phone: Parcel # 1131010200080 Fees: FEE2002 -2112 FEE2002 -2113 FEE2002 -2114 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $0.60 $5.00 $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Permit Expiration: 10/8/2002 Construction Value: $300.00 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) 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 buildir pertaining thereto and with the understanding that the work will be performed in compliant proper municipal authorities. This Permit may be revoked at any time if the work is not dc which this permit is granted is the understanding that the contractor or builder named abc covered hereby whether shown on the . - or • :wings or in the statements or specifica Signed: NE 91 (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covere plans, drawings, statements or specifications submitted to the proper authorities of Miami servants or employes. Signed: (Contractor or Build' Building Permit Permit Number: BP2002 -736 QUINN JESSIE ST Contractor's Address: Legal Description: 1 53 41 EL PORTAL SEC 3 nor Hv8'GIalp SLAV vain '3OWW M sYNOHuoWao savaef GI s.Inll0a V . n � 0.9 T 6 0 T OL9Z /e10e -C9 alma PB 9 -143 LOTS 11 -12 & 13 BLK 9 LOT SIZE 601 .n 1112 ElhOE 0"! f :I't E LZLI 11 V3 `)INVB 9£L££ li 'IWVIW '1S 1SL6 '3N Z NNlflb 31SS3( r rii" 301M 13S .3 4100 4H bZ 000 T L•009 mice 1A 'IWVIW 133111S ONZ 3S 001 0 1V1ONVNt4 NMOINMOO/IWVIW Vil f IN NO.L NIHSVM o .raplo attl 07 i(v i E :Gt snpox3 •Buos �(tu puel ybiivalbs #ttu I sl pun att MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: ^ 62_ OWNER'S NAME: c--7? s l e 40 S' PHONE: 3 li ) ( /2 c ADDRESS: 2- - D - 2_ �� ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: y )/ 2 / S./ CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Cam Pa vt," z� Fascia C 0 / ( 1 0t,0 Drip Cap/Drip Edge Soffit r n F/6 ky Roof \A1 -�=- Flower Bins Shutters Awnings Chimney Garage Doors Railings Fences Decorative Metal -4- Al A— Doors and door jams A- 4779 All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings ther Building Official Date Coral Flower 21YR 57/250 Antique Gold 90YR 16/406 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached sar5les. S(gnature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 47\'' 4/23/01