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PAINT PERMITDate Type Insp'n Permit No. N Phone # Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildi : Inspection Request AddresO� Company 5�( C)s S P-3977 For Inspector: l l l "f / lame & Date Date / / Time Type Insp'n Permit No. Name Address Company MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin: Inspection Request Phone # 3o' • '7S 2. 3(-1 For Inspect?) )N' ) �j Name & Date Approved Correction Re- Insp'n Fee j . :: : : .1•1,1•■•••■■■ MIAMI SHORES VILL. • 1 • ' Paint Color Approval and Agreen DATE: 51110 Y OWNER'S NAME: ii"r M. WOlSTQn hOI PHONE:_ ADDRESS: 3R0 ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *: 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 120 bv2.y Oa 9- -661/1 j C BQMs in w1— He -4 Z ) Fascia W 1-, Drip Cap/Drip Edge lJ 1 )9, Soffit X44, Roof Flower Bins Shutters wl A Awnings & Chimney NA Ik Doors and door jams v3 I -JXL Garage Doors \ ,A A Railings QI Fences N) A 51/ /6 3 Building OfficYal Date o�rwne�(,�IC -�4a n'1 iu S ot iu z w tzi re Cvtili- , Decorative Metal N� All brick (simulated or regular) Stucco Banding A Any other stucco features i\ A Accessory Buildings 0\ a �aL ��? Other D � J e Wei Cw ,c r ,� �/� -nt UAtk 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. Fu . ermore , the paint colors will be as per the attached sampl - 5 1 0� Si • ature of Owner Date Signature of Contractor Date ** *************************************************************** APP OVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 HC -42 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -723 Printed: 5/5/2003 C ` \ Applicant: BRIAN WOLSTENHOLME Owner: WOLSTENHOLME BRIAN t l 1 JOB ADDRESS: 380 NE 91 ST _ Contractor Local Phone: Parcel # 1132060190200 Fees: Description Amount FEE2003 -2698 Building Permit Application Fee $60.00 FEE2003 -2699 CCF $1.20 FEE2003 -2700 Notary Fee $5.00 Total Fees: $66.20 Total Fees: $66.20 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/1/2003 Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT Signed: Signed: Legal Description: EL PORTAL PB 9 -101 LOT 3 & W1/2 LOT 2 BLK 2 LOT SIZE IRREGULAR (INSPECTOR) In consideration of the issuance to me of this permit, 1 agree to perform the work conformity with the plans, drawings, statements or specifications submitted to the p; done by either myself, my agent, servants or employes. Building Permit (Contractor o Contractor's Address: BRIAN D. WOLSTENHOLME x-04 s3 - 8z3in of ANA MARIA WOLSTENHOLME 380 NE 91ST ST. MIAMI SHORES, FL 33138• Pay to the Order of PIS' . LAS COUNTY TEACHERS . CREDIT UNION. P.O. Ho, 2650 • Largo, Florida 35779.2650 24 ItomAcmo (22715 w 6Oglaw Fors l i'r''I Page 1 of 1 Date • I: 26 18 23 L 21:00000 L4 506? 2910 L374 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE . 1 i003a N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305 756 - 8972 Date � I ` Job Ael'd - So ILA E "I ( 'S l ' 0 Tax Folio Legal Description Historically Designated: Yes No ✓ Owner /Lessee/Tenet 1.1 t1 ' WO I5Tt ■ lilOL W4 • aster Permit # 1 690 . i owner's Address 8c ti re, A 1 St' P e T e- 3 (r ontracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING ` )XWORK DESCRIPTION: PG1 1 N t ' 500 ° gOeD Squa-e Ft. Estirrd Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Appl cation is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signature of owner and/or Condo Preside • Date Signature of Contractor or Owner Builder Date No as to S er and/or on'o President y Commission Expikqeia M Becker f My Commission D0150048 / ? / Exppiirres November 15, 2008 FEES: PERMIT / v RADON APPROVED: Zoning �' 4-2, ,3 Building Mechanical Plumbing Notary as to Contractor or Owner Builder Date My Commission Expires C.C.F Z NOTARY ^— • oe BOND TOTAL DUE -, 2 0 Electrical Structural Engineer CONTRACTOR BY Name Zoning License No. 0 - - ✓$ Address Home Telephone j i g /„ J 0 . 5 - V f7 Telephone Fax Qualifier Name Demolish SECTION BY DATE Zoning . 0 - - ✓$ Electrical Home Telephone j i g /„ J 0 . 5 - V f7 Business Telephone Mechanical Fax , D �/ J /'DJ )!l C) (- --/ f// Y Demolish Plumbing Relocation of Structure Fire Foundation Only Public Works Add'l Attachment Structural Add'l Detachment Building Official Other K6PW PROPERTY OWNER New Construction Name 7/ ' Y „4, 1 0 C Address 3T0 N 23(.. / 5 ' 6 - Home Telephone j i g /„ J 0 . 5 - V f7 Business Telephone Alteration Interior Fax , D �/ J /'DJ )!l C) (- --/ f// Y Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other 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 REVIEWED AND PREPARED BY: (sq.ft. = x/1000 x 0.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ � (^ - 0 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 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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. 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 Folio Number / / 3 0 (a (.7 /q OD Description of Work Lot Block Subdivision PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. City PB PG Zoning PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. t , Subsidiary Permit No. j P D 0)-- • 2 53 State Zip r - ,/ Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property p< Value of Work 4 2 occ> .' Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYPI. Minimum Fee QTY. TYPE Dryer QTY. TYl'1: Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs - A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel 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/1'eleph. 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 Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE 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 2 INIPORTANT 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 $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signat . e ova er Signature of Contractor / Qualifier Print Name Sworn to and su ore me this / / day of Z G o 41 ,00 Carla Daiorre #9 6xplres April 14, 2002 SEAL: SEAL: Signature of 29 Type of Identification Produced: A --.5 0 I2Q /vee$- PERMIT APPLICATION Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida Personally known t/ OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: 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: 3/18/2002 Applicant: MICHAEL Owner: FRAZIER Contractor Local Phone: Address: Cellular: Fees: FEE2002 -1577 FEE2002 -1578 FRAZIER MICHAEL Parcel # 1132060190230 Legal Description: EL PORTAL PB 9 -101 LOT 7 & E1/2 OF LOT 8 BLK 2 LOT SIZE 75.000 X Job Address: 348 NE 91 ST Description Amount Building Permit Application Fe$60.00 CCF $1.20 Total Fees: $61.20 Building Permit Permit Number: BP2002 -559 Permit Status: Approved Permit Expiration: 9/14/2002 Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) $2,000.00 Page 1 of 1 Total Fees: $61.20 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. Signed: (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 I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: • (Contractor or Builder) BY: MIAMI SHORES VILLAGE' Paint Color Approval and Agreement DATE: /////&2 OWNER'S NAM /mil /e ,ggei /), PHONE: 7 - 07/ -2 z i 2_ ADDRESS: 3 rv.• 9/" - 7:2, 4 ) 8 xxxxxxxxx.cxxxxxxx ;cx xxxxxx X xxxxxxxxxxxxx ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: e listed and indicate the color to be painted. All Elements on the site Walls Fascia c o i^- Drip Cap/Drip Edge c,J Soffit w ■•••:A. {-e Roof w Flower Bins Shutters Awnings Chimney Doors and door jams w i Garage Doors 1.0h, fie. Ax-. s Railings C - 1 Fences — 6 Decorative Metal All brick (simulated or regular) 12- 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 samples. Sig ature of Owne r� ate Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 3 / d12. Building Officia Date x> XX** C*xxxxxxxx xxx 4 >(>C 4/23/01 BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N° 5679 Owner of Building Architect Contractor or Builder Legal Lot Descripticn � Bl. Address of Building CONTRACTOR OR BUILD46 f DATE 195 Contractor's License No. Work to be performed under this Permit Subdi- vision Value of Project $ Amount of Permit $ 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 furthar 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 cr in the statemAts or specifications and that he assumes responsibility for work done by his agents, servants or employees. ,, Signed. r -BY• INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation:: pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• ceptinng this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY