Loading...
PAINT PERMIT,_41111.- a - MIAMI SHORES VILLAGE �-7 BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Val rI Permit No. P b3 — )16 Name (l._ 0( Address ICJ 1, 2 JY-- Compan J P Phone # Inspection Date 5/ Approved ) Correction ❑ Re- Insp'n Fee ❑ fad 65 BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department Permit Type (circle): Building Electrical Plumbing Mechanical Roofing e lC2'01 — 5 7 Owner's Name (Fee' Simple Titleholder), t , \ (,w ; ed.. : = �� / ki r: Phone # C `l 6.) 4 544 2 ) -- � L-C Owner's Address>' f t `!.. h., l c.%. 6'i r- S I Cityl;V'„ �i� 1C S State `-� . Zip -�� �� y' Tenant/Lessee Name Phone # Job Address (where the work is being done) ) (`i ' k1'. (1 6 2 S 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 # Architect/Engineer's Address City State Zip $ Value of Work For this Permit Number of: Bays Stories Families Bedrooms Baths Type of Work: ['Addition ❑Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: •exl - ev -o ✓ / ° C-•••• 1 - tel ** *** * ** *` *� * * * * * * * * * * * * * * * * * ** Fees**** * * * * * * * * ** * *� * *' * * * * *;. * * * * * * ** r, County Escrow Fee $ a • ` 2 v Permit Fee $ (C) �. X J Notary $ . 0 Education/Training Fee $ Tech $ Scanning $ Code Enforcement $ Bond $ Struct. $ ?a0 OA, 'Vo Minus Plans Check Fee $ Total Fee Now Due $ Master Permit No. i i + + N.E.2nd Avenue Mi ores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. BQZCT ^ Square Footage Of Work: Radon $ (Continued on opposite side) 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 b roved and a reinspection fee will be charged. ignature Owner or Agent Contractor The foregoing instrument was acknowledged before me this (' The foregoing instrument was acknowledged before me this day of , 20 03, by �tbo o \ e > . , day of - , 20 _, by who is p sona ly known to me or who has producedT(t \)-t 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: .' ON OTARY PUBLIC: Sign: Qc)OY ign: Ci0 My Commission Expires: chc7/7 /03 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: JUL 17 2003 Plans Examiner Engineer Zoning Signature Print: My Commission Expires: MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE- — f I OWNER'S N ADDRESS: * * * * * * * ** NAME �. PHONE g *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 03 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 tAe (1 o Fascia Drip Cap/Drip Edge - (� Soffit f1C� Roof JI/ Flower Bins I\16 Shutters (O Awnings l,V) Chimney N 0' Doors and door jams gib Garage Doors Railings J o Decorative Metal LLO All brick (simulated or regular) Stucco Banding b Any other stucco features Accessory Buildings Other 0,0(11\ c . Fences 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 const ion and zoning. I authorize the above -named contractor, if applicable, to do t rk slated. Furthermore , the paint colors will be as per the attached sa 3 Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Building Offici 7,074' 3 Date to' � 1 B Applesauce 350C -3" 2 Trim'. Popped Corn W -B -200° 3 Accent. Book Binder 140F -6" 4/23/01 PROPERTY OWNER New Construction - Name V:04/04 � Alteration Exterior Address (00 A/7i p Repair ..... Home Telephone , a . 91 / f. , I J Business Telephone ' P Relocation of Structure Fax Foundation Only 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 itiliami 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 ›K Job Address: Address Apt. 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 PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Description Work Subsidiary Permit No. PERMIT APPLICATION Master Permit No. City . State Linear Feet Units Floors Zip Zoning Square Feet X Value of Work Tax Assesses Appraised Value Flood Zone Base Floor Elev. Bldg Value 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 andiSewer 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 amifully 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 floorelevation. 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. Ch ontractor. ORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE gnature of ry Pub is - fate of orida i Signature of Notary Public - State of Florida r . r —��`" o f ;ICtAL t:o :,: J,L SEAL: `P RY F'0 APlGi LQ h1 Bct.,:'It SEAL: z -v, ) z' i * Cop.l�7°,eioi{ i:UILEa.a N -•. Q r;, c 7 86 6 97 rte'„ O -M MYI Q0�rS1 Personally kn ,. f�_ _ • - OR, Produced Identification 1--°........' Personally known OR, Produced Identification Type of Identification ProducedF of Identification Produced: Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of PERMIT APPLICATION Review the brochure at Village Hall on Construction Lien Law and MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: OWNER'S ADDRESS: /e; /L0� * * * * * * * * * * * * * * * * * * * * * * * ** * ******.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ADDRESS OF SITE: CONTRACTOR & LICENSE (if app icable) COMPANY NAME: /VAC PHONE: 3& WJ 2,2 ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. 11 Walls �.. �' �- < bS �- �/��� 2 0'1 - ) �yl oSs Fascia V �.., .. oy y Drip Cap/Drip Edge 1 �— Soffit ✓ O Roof / Flower Bins Shutters Awnings Chimney Doors and door jams ✓( �,� r - ; , �- 50 a Garage Doors Railings Fences t/ ,5" �' 011/ Decorative Metal All brick (simulated or regular Stucco Banding Any other stucco features Accessory Buildings Other APPROVED: 4&!q 110;" Building Official/- Date OI3 CD N 70 - CD CC a OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in complia . 6Wi 11 applicable laws regulating co tion and zoning. I authorize e above -nam- d contractor, if applicable, to rk stated. Furt e ore , th= paint c.lors w' 1 be as per the attached ature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 O o ' o CO CC CO 0 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE. Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary AJC 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 Nev; 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 AJC 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 er Indirect Wastes ',elay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well (Laundry Tray Septic Connection Water Heater Draigeld, 4" Tile/Res. (Lavatory Septic Tank Water Heater Nev; IDraiMS, 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 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 T Zoning ait ' Electrical K Mechanical Plumbing Fire Public Works Structural /� — Building Official /..% - r 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) ❑ FIRS / DERM APPROVAL 1, (Septic / Sewer) ❑ IMPACT FEE !(New Construction) ❑ OTHER (Specify & Attach) $ PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) O CONTRACTOR REGISTRATION (On File) 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 (sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) ∎� ~ � ISSUING OFFICIAL 0 0 REVIEWED AND PREPARED BY: Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Z TOTAL $ y- t b DATE: CONDITION OF' APPROVAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/10/2002 Building Permit Permit Number: BP2002 -721 Applicant: VERONA AUDREY HAUGHTON Owner: HAUGHTON VERONA AUDREY JOB ADDRESS: 100 NE 92 ST Contractor Local Phone: Parcel # 1132060133290 Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 13 & 14 BLK 24 LOT SIZE Page 1 of 1 Fees: Description Amount FEE2002 -2068 Building Permit Application Fee $60.00 FEE2002 -2069 CCF $0.60 FEE2002 -2070 Notary Fee $5.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 10/7/2002 Construction Value: $500.00 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 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: