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500 NE 93 St (4)MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: //- vZ OWNER'S NAME: A 1 1 /644 PHONE (305 7..CqZ1( ADDRESS: .5ofl Ai E. q 9r ************************ I********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: ,5:;TD i�lE• 9F ST CONTRACTOR & LICENSE (if a licable) Q 7' $Sva a./ 4 COMPANY NAME: N-r PHONE:. ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * All Elements on the site must be listed and indicate the color to be painted. Walls - 3� Fascia Drip Cap/Drip dge Soffit Roof Flower Bins v,J. M Shutters t4/4 Awnings Chimney / fr Doors and door jams s I,.r14 Garage Doors gikt- Building Official Date . o • o PH -39 Railings Fences Decorative Met 1 All brick (simulated or r Stucco Banding Any other stucco features Accessory'Buildings Other �C �3 /5 ow wa OWNER'S AFFII I certi fy that all the foregoing information is accurate g g 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 • . rs will be as er the . ched sa les. 7` 6702, Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, //// CALL FOR FINAL INSPECTION 4/23/01 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/22/2002 Applicant Owner: '6L-f& - AN13R€aA[� c' JOB ADDRESS: 500 NE 3 ST Contractor VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE Local Phone: 305 - 751 -7164 Parcel # 1132060141110 Fees: Description Amount FEE2002 -6659 Building Permit Application Fee $60.00 FEE2002 -6660 CCF $1.80 FEE2002 -6661 Notary Fee $5.00 Total Fees: $66.80 Total Fees: $66.80 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 5/21/2003 Construction Value: $2,450.00 Work: EXTERIOR PAINTING AS EPR AGREEMENT 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 " —" -" ordinances pertaining thereto and with the understanding that the and approved by the proper municipal authorities. This Permit ma authorization. A further condition upon which this permit is grantec ordinances and regulations pertaining to the work covered hereby by his agents, servants or employees. Signed: Signed: In consideration of the issuance to me of this permit, I agree to F with the plans, drawings, statements or specificati gfis submitted tc myself, my agent or employes. 11 � Building Permit Permit Number: BP2002 -2025 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 9 BLK 57 LOT SIZE 50.000 X 128 ROBERT S. VISCOUNT, JR. 640 GRAND CONCOURSE MIAMI SHORES, FL 33138 Pay to the order of ACM A/T 083100277 Cbttu 171((aco' Ba kof America. ':063 L00 2 ? ?': 0035080 L33 L611' 255? Page 1 of 1 �J 2557 Date / / • (• oz.„. 63-27/631 ` 988 0 ars Ima all i to the ;done ?rmity ;r PROPERTY OWNER Name vi iM J! Z)� , i!::4_ 0. �A/dQdress (c Al` C Q ], 4i 5 ' r _ Home Telephoner30J) 7.�y Z� 3 Business Telephone Qualifier ame Fax Repair CONTRACTOR Name VI �OUJ t 7 I�N 1 i1J.... License No. ,N g5 r� i , � `� Address / , e Telephonn3 ) 7s, _716' Fax / Qualifier ame 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 INS'T'RUCTIONS - 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 submit- ted 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 Job Address: Address Folio Number Lot Subdivision PB Current Use of Property Proposed Use of Property Tenant Information Block PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Address Name License No. Telephone Fax Master Permit No. Subsidiary Permit No. PG Zoning Square Feet Value of Work PERMIT APPLICATION Q3 Ale P51— /L.jtz,ti t' S'4ie e&-3 3? 3 Apt. City / State Zip ?I ' 1 v Description of Work t e5 , c Linear Feet Units Floors Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) ENGINEER Address Name License No. Telephone Fax Page 2 !IMPORTANT NOTICES 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. 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. STATE • F FLORIDA, ,C CO Y P F MIAMI -DADE i gnature of Owner Print Name © o,.gnd subscribed before me this day ril CJ gnature of SEAL: tary Publi State of ' orida An9eka Beck`` • r % My Comrt"ss`o^ 2(0' Expires w Norm tulf Personally known OR, Produced y oducced Identification f. Type of Identification Produced: '02_ - 0 (,-)- 33 _ • del ure of Contractor / Qu 'tier a••i. �al Print Name S om to and subscribed before me this ►► Op 4. s ature o ' otary Pu . is ta e f Flori SGo•^ day of , SEAL: F FL • R A, �EOUNTY MIAMI -DADE -. / PERMIT APPLICATION �asr i Angela M Becker My Commission DD150048 / 40, 0 .0 0 pines November 15, 2006 Personally known OR, Produced Identification pe of Identification Produced: ELECTRICAL "I YI'E Minimum Fee QTY. TYPE Dryer QTY. TYI'1: Outlet, Appliance QTY. "I 1 1'I? Service Repair Q I'1'. 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 TYPE QTY. Minimum Fee TYPE. Condensate Drain QTY. TYPE Generator QTY. TYPE: Q'f 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 PLU1 1BING TYI'F. A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE, Miscellaneous Fixture QTY. TYPF. Soakage Pit Q'fV. 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 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) LI OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ j U Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary LI PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) LI OTHER (Specify & Attach) PERMIT FEES $ �2 $ SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DA ( x .6U x/1000 ) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $C U 7 gb 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