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,