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PAINT PERMITVillage of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 1/15/2002 Page 1 of 1 Applicant: DEAN Owner: Contractor Local Phone: Parcel # 1132050270180 Job Address: 1236 NE 93 ST Address: Cellular: If there is no permit package accessible on the job -site for i fee is $50.00, which must be paid in advance before calling foi This Permit is granted to the contractor or builder named above to construct the ordinances pertaining thereto and with the understanding that the work will be perk and approved by the proper municipal authorities. This Permit may be revoked at authorization. A further condition upon which this permit is granted is the understai ordinances and regulations pertaining to the work covered hereby whether shown c by his agents, servants or employees. Building Permit Permit Number: BP2002 -97 MADIGAN Legal Description: 5 53 42 BAY LURE PB 44 -63 LOT 6 & E25FT OF LOT 5 BLK 2 LOT SIZE Description Amount Building Permit Application F460.00 Fees: FEE2002 -293 FEE2002 -294 CCF $1.20 FEE2002 -295 Notary Fee $5.00 Total Fees: $66.20 Permit Status: Approved Permit Expiration: 7/14/2002 Construction Value: $1,500.00 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) 4 Bank of America Advantage DEAN R. MADIGAN UTILITY ACCOUNT 1201 N.E. 96 STREET MIAMI SHORES, FL 3313 P ay to 1 oli f Signed: (INSPECTOR) Bank of America , ACH 06 00277 In consideration of the issuance to me of this permit, I agree to perform the work with the plans, drawings, statements or specifications submitted to the proper authi Memo t°rM' /2 myself, my agent, servants or employes. Total Fees: $66.20 Total Receipts: $0.00 Dale ///ate $X6.20 0 1:06 300004 71: 00 306 74 - 9 I 099 L Signed: (Contractor or Builder) BY: 991 63 -4/630 FL 1348 hr MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: OWNER'S NAME: PHONE: ADDRESS: ;exxx;exxaeaex APPROVED: ie 2424 )4 x )4 Soffit Roof WGi,r , Flower Bins - ,uu-e , Shutters Building Official ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: >c2424xx)424x Drip Cap/Drip Edge - 7 , e , Date 9cycycxxxxx24xx24 24 )4) All Elements on the site must be listed and indicate the color to be painted. Walls , , C� Fascia ? E 24- 1(WW)* Awnings Chimney Doors and door jams 7-J ,l'7�1.e Garage Doors 7YJu7 Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other p0 .�a.� 0 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 d • e work stated. Furthermore , the paint colors will be as per the attached .•- ature of Owner Date Signature of Contractor Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 xxxxxxx MIAMI SHORES VILLAGE' Paint Color Approval and Agreement DATE: 1/ 1/ /0,), OWNER'S NAME: f,,cA p. MA-D71. PHONE: . 05 - -93 -- /-,2.9.22O ADDRESS: /gI(o ,/(/- 13 5 �� -- - - -_ _ _ xxkxgcxx >cxxxxxxxxxxxx�cicxxxxx xxxxxxxxxxxx ADDRESS OF SITE: 03( // 93 Sci °i7 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: Shutters Awnings All Elements on the site must be listed and indicate the c nlnr Walls Fascia Drip Cap/Drip Edge �‘,; Soffit &t/Gl / Roof &UGC Flower Bins 6(4.4c Chimney \ P "-11i Doors and door jams “,.1- , ,, Garage Doors .,,, i-c, Railings ` Fences 0 Decorative Metal N A 1 All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other rves• ciy Ca'a? s - r OWNER'S AFFIDAVIT: I certify that all the foregoing intormatton 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 les.( • — ''ignature of Owner Date Signature of Contractor Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION APPROVED: Building Official Date cxxxxxxxxxxxxxxxxxx3exxxxx *3‘45cx>. . PO -11 to bet r..+:.. ♦ —J r h 4/23/01 ELECTRICAL TYPE Minimum Fee QTY. TYPE. Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QT1'. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of 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 New MECHANICAL TYI'I QTY. Minimum Fee TypE Condensate Drain QTY. TVPP: Generator QTY. 'i 'i'i; QTY. Refrigeration, Tons 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 Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel 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 fillet 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 + 1 • 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 Zoning ae / / Co Electrical Mechanical Plumbing Fire Public Works Structural / Z Building Official — z :!. /j( L Ir I Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) PERMIT FEES $ (Q D OC Metropolitan Dade County (C.C.F.) $ ' n $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: r • ( sq.ft. = x/1000 x0.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 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 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. (— STA =D COUNT IAMI -DARE lure of Owner Print Name J/ —� to and subscribed before me this / 1 day of SEAL: Personally known OR, Produced Identification Type of Identification Produced: STATE OF FLORIDA, COUNTY OF MIAMI - DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION Personally known OR, Produced Identification Type of Identification Produced: PROPERTY OWNER • Name y �� t � Address 93 £4c-- fir Home Telephone "X57_ 6 Business Telephone 9 _ 2S� Fax 7s -- !d22 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. 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. A PPLICATION $JobAddress: /,tUo /ZG 93 S Address /-� �J� Apt. City Folio Numbed 5 �� 9 V l 5 v k Description of Work A Lot Block Subdivision PB PG Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 1, .6-CO , ad Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. 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 Master Permit No. Subsidiary Permit No. State PERMIT APPLICATION iv Mat= Zip Zoning Linear Feet ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name PERMIT APPLICATION FOR MIAMI SHORES VILLAGE "Date ` 7 / ? Job Address /g14 1 � Tax Folio �l ,J c / /q G� !!! � �� Legal Description � �� 1 .� � Iv) 4fwner / Lessee / Tenant - -= ti j, L(�- 6 Master Permit # 311 /V-0,1 , �J �� Owner's Address C / � G ! � Phone Contracting Co. al,/,(4/ti/si Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle OR one BUIL ELECTRICAL PLUMBING � MECHANICAL ROOFING PAVING FENCE SIGN K DESCRIPTION p �� �"�'e' Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * * FEES: PERMI /'' RADON C.C.F. 4, APPROVED: Fire Zoning uildin Address Square Ft. Estimated Cost(value, ;S -2(; 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 constru'tio an oning. Furthermore, I authorize the above -named contractor to do the work stat Signatur Date:f as to C My Commission * * * ** or Owner- Builder NOTARY ; TOTAL DUE kW Other Electrical Mechanical Plumbing Engineering_ May 25, 2006 TO: The Village of Miami Shores From: Stephen and Elizabeth Mechanic We did not paint our house in the entire time we lived at 1236 NE 93` St. Thank you for closing the permit. 61A NOTARY PUBUC•STATE OF FLORIDA Jeff Do tsw iii Commission 7i.: DD41132 Expires: MAR. 24, 2009 Bonded Then Atlantic Bonding Co., Inc,