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BP03-268Date 0 i Type Insp' n t9_ , - 0 ti d Permit No. LV # • N • e eL;. J Addres�,C n 1_,ft Company Z nACl•4 Phone # 3 VD C " 31 For Inspector: 1 G J /3 Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B ildin_ Inspection Req PROPERTY OWNER New Construction pp9 I�'�ea/�tt ?j,/,c cJ� � 430 Home Telephone .....,73 1-7/ Business Telephone 3f3 a / ` Fax 36.c-3%2-- 6 / O / 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 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. APPLICATION Job Address: Complete the attached permit applicatioq diIlicQ nlist,t1b.sigtEcjbltht p&dikrty owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurategjoc3 !AtgbfyoOr. /pppeation• Lf roofing work will be done, a roofing application must be submit- ted along with this permit application. • • • • • • • • • • • • • •• • ••• •• Address Folio Number Lot Block Subdivision PB Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • ••• • • • • •• PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • • • • •Stitb'sidiary Permit No. • • • • • • • • • • • • • • • • ••• ••• S� S-1-red am, S J) e 33/3 Apt. A scription of Work PG Zoning Linear Feet Square Feet Units Floors Value of Work It 7ST0 , 00 Bldg Value ax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT APPLICATION Masta,Permit No. / '5 ' K City State Zip ' ' � uT Poof /4ur ��( ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name Q License No. Address Telephone Fax Qualifier Name Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEITE9 nxtR VAC1E TED PERMItAND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION%re linsted to: Monds}*t rougW rtday 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 KEPI' FRET' rKQUDIer.4 ' D 6EfIk1S. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED$N EQtarv T bR;VI ICLe, 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. 1. 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. F FLOR ! OUNT OF 1 ,e,, d 7 illem,Wd tur 0 I -DADE Print Name Print Name S • to d subscribed before me this day of � � A• .., 4......, ture of Nu.,ry Ptbhc .tare o orida , „ �^ ngela Becker My Commission D0150048 1 1 , 01 Expires November 15, 2006 SEAL: • ...•.. • .•. • • • • • • • • • • • • • ..• • • • • • • • • • • • ... • • • • ..... • STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION Personally known OR, Produced Identification V Personally known OR, Produced Identification Type of Identification Produced: of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPI? Dryer • . . • QTY. . TYPE gutlet, Appliance QTY. "I'YPE Service Repair QI'N. A/C Central 1 -3 Ton Heating Strips, each Fan •• • • • • ' OAAet! Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8-15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel 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 1 \1ECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTV. TYPE Generator QTY. 'I'YPI? Refrigeration, Tons QTY. A/C Central, Tons QTY. 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 Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUIIBING TYPE A/C Condensate QTV. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. 'HYPE': 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 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 3 • •• • • • •• • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • ••• • • • • • • •• • • • • ••• INSTRUCTIONS: Please indicate the type of workbeiagrerf&rmed'and quantity(ies) in the space provided below. ••• ••• • • • PERMIT APPLICATION RECEIVED AND REVIEWED BY: DATE: SECTION BY DA c2lpS Zoning r-6" Electrical Mechanical Plumbing Fire Public Works Structural _ Building Official /��� _/ Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) LI FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) State DCA (Radon) Code Enforcement Fine Zoning Review Notary $ 6 b .•• • • . •• • • • •• •• • • • • • • • • • • • • • •• • • • • • • • . . . • • • • •••• • .••••••• • • • • CHECKLIST • • • • • • • ❑ PROOI' OF OWNE12SH1r (Attach) •• ••• • • • • • • • • • • • ❑ HRS / DWM A;PRijV4L. (Septic' /.Sevaj . . '.' ❑ 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 $ (¢.005 /sq.ft.) ( x .60 1000 ) $ (¢.01 /sq.ft.) $ . PERMIT APPLICATION • "' ❑ CONDO ASSOCIATION APPROVAL (Attach) • U BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ - 4 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 MIAMI VILLAGE Paint Coldr•kppfroiral•and Agreement DATE: • oN •,:. •: • • • • •: • OWNER'S NAME: 1.� ' '! ..4.1.../. /> PHONE:3QS-'2�. V2'2 L&)4 ADDRESS: • * * * * * * * * * * * * * * * * * * **t *V and*;*+ r *0 * * * * * * * * * * * * * * * * * * * * * * * * * * ** ' 1 ,; ADD RESS OF SITE: 3 dab : RI :II CONTRACTOR & LICENSE if applicable) (� PP ) I�l ��SI,R� I? avt COMPANY NAME: SA- PHONE: — 9 --'3T 7 ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the ) 7 to must be listed and indicate the color to be painted. Walls. Ifr Fascia Drip Cap/Drip Ed e Soffit G ?.� Roof Flower Bins Shutters Awnings 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 work stated. Furthermore , the paint colors will be as per the attached APPROVED: wig Official (WI OM Signature ol%bwner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION ate 4/23/01 OC) J ivy IN OOJ O C) y , i„ i,a r■ li i10 �i /IL LO 01/00 /00 z,1,0A 3 ct-a 1 °L e 71)4Q)\6( AA4311/- ao0 q S Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/19/2003 Applicant: RONA Owner: cFREDERISK JOB ADDRESS: 360 NE 91 Contractor Local Phone: Parcel # 1132060190210 This Permit is granted to the contractor or builder named ordinances pertaining thereto and with the understanding thi and approved by the proper municipal authorities. This Perr authorization. A further condition upon which this permit is ordinances and regul. '.ns pertaining ty,ri. &work covered h by his agents, sery or employe Signed* In consideration of the issuance to me of this permit, I ac with the plans, drawings, statements or specifications subr myself, my agent, servants or employes. PAY TO THE ORDER OF FOR F Building Permit Permit Number: BP2003 -268 RICHARD J. MEINHOLD Ph 305- 538 -6783 1775 Washington Ave, Apt 4g Miami Beach, Fl 33139 FREDERICK onninl n �'y/ „q ST Contractor's Address: Legal Description: 6 53 42 EL PORTAL Fees: FEE2003 -1042 FEE2003 -1043 FEE2003 -1044 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 ! /Q_A-L/ .��_O�1Se Ni o First Un/on National Bank firstunion.com Org. 003 R/T 067006432 $750.00 Permit Status: APPROVED Permit Expiration: 8/18/2003 Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT If there is no permit package accessibln the job -site for inspectors to verify, there will be no inspections. fee is $50.00, which must be paid in advance before calling for another inspection. 1:06 70064 3 21: Loc nn c o, PB 9 -101 LOT 4 & E1/2 LOT 5 BLK 2 LOT SIZE 75.000 Page 1 of 1 Re- inspection ,frit4 compliance with all bmitted to iout dge of the or work done 1 254 2 '/ l 63- 643/670 DATE eA!i¢t,�.� 2 7 r)'O 03BRANCH 00901 $ 6 QA RS f gig:.. Express Checking i tee017/9 ict conformity by either • • • • • •• • • •••• • • • 0 • 0 • • •• • • • • • • • •• • • • • • • • O • • • • O • • •• • • • • • • • • •••• • •• • • • • • • • • • • • • •••• • • • • • • •• • • • • • • • • •. • • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Q ? Date V,8 Job Address -j (U N • I g1- , Tax Folio Legal Description 5) r-1 � 2 p , , u h � _ Historically Designated: Yes No / Tenant 1�LV N A 1_ Z CC Master Permit # Owner's Address 3 69 G . c" Phone Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Address Architect/Engineer Bonding Company Mortgagor Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Cam `71 C t – t E- �Z x/1/1&, C4 I W 11 2- or / Square Ft Estimated Cost (value) 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. Signa an, l/or Condo President D ( ' Signature of Contractor or Owner- Builder Date otary as to Oder fd/or Condo President Date Notary as to Contractor or Owner - Builder Date My Commission Expires: My Commission Expires: FEES: PERMIT L RADON C.C.F. r l 0 NOTARY 5 0 0 BOND TOTAL DUE APPROVED: f Zoning Building I Z9 ' Electrical Mechanical Plumbing Engineering