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440 NE 92 St (7)Date (d 1 9 tO4 Type Insp'n -- ?(1)-MT Permit No. 9-0Q0 NtLk6 Name RLtit Llt `P S Address 1/4- NiE; Q � Company Phone # Inspection Date Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request -50s - - 7S1 - o/ 6(loLoY Re- Insp'n Fee ?- t cV J Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2002 -1440 Printed: 8/19/2002 Applicant: GLADSTONE PHILLIPS Owner: PHILLIPS GLADSTONE JOB ADDRESS: 440 NE 92 ST Contractor Local Phone: Parcel # 1132060140050 Building Permit Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 W 5 IN OF LOT 6 & ALL LOTS 7 & 8 BLK 49 LOT Fees: Description Amount FEE2002 -4584 CCF $0.60 FEE2002 - 4585 Building Permit Application Fee $60.00 FEE2002 -4586 Notary Fee $5.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 2/12/2003 Construction Value: $1,000.00 Work: EXTERIOR PAINTING AS PER 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 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 �1c2 (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 nlploy s. r (Contractor or Builder) BY: Bank ©f Anret ca Adva rtager ".; GLADSTONE O. PHILLIPS OR KATHLEEN W. PHILLIPS 440 N.E. 92ND STREET MIAMI SHORES, FL 33138 Pay to the order o Bank ofAmel`ica ACH RR 063100277 Memo Date r. 1 : 0 6 3 0 0 0 0 4 7 1: 6 390 2 L9 211' L 3 30 1330 63-4/630 Fl 988 "l_._ ..c Dollars 8 • MIAMI SHORES VILLAGE Paint Color Approval and Agreement VDATE: 1 0), // Li WNER' NA : & f iii 11' f r L-PHONE: �.3 1 7 / - T f 0 / 9 DDRESS: LH/ o N --7 •5: L _- ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** A DDRESS OF SITE: Yej D N E j 2, % CONTRACTOR & LICENSE (if applicable) I COMPANY NAME: PHONE: ************************>.******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be l to and indicate Walls ' ~a (� 4 7 3 --- ` / � n ictiP col� Fascia N J Drip Cap/Drip dge - sLt w . Soffit Roof 1-1 A Flower Bins N ) A Shutters 1 l ' 5 Awnings rem h -frk-e yam& Chimney 1'1(i 35 Doors and door jams '1---1C---5'D Garage Doors , -3 0 -0 v\_c_so Railings r.// ar Fences ' Decorative Metal iv /A All brick (simulated or regular) R Stucco Banding 2 14. Any other stucco features 0%) / A Accessory Buildings i,/i p Other /) Building Of, ial r747/(V- Date i PF43i PH -34 Georgian Brick HC -50 9 L tri cn H z OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all appli,e'able laws regulating construction and zuning. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached s es. ` 1gna ure of Owner to Signature of Contractor Date ********************** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 PROPERTY OWNER New Construction Nam t `4A 95 re iLI F Ni nt ii I Address Alteration Exterior Home Telephone Repair Business Telephone Alteration Interior Fax Demolish 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. Job Address: Complete the attached permit application which must be signed by the proper y 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. APPLICATION 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'/A i yl Gl 1+..t ,v &= y 2_ ` S--ir Address Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. mil . . City Description of Work Zip State ff 1 or 0/./1`1111 PERMIT APPLICATION Linear Feet Zoning Square Feet Units Floors 1ue of Work 1 k/ 0 t U 0 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name ELECTRICAL .t.Yt,t,, Minimum Fee QTY. . I ' YP I: Dryer QTY 'mil,: Outlet, Appliance Q . n . TYPE Service Repair Q . Q . Y . A/C Central 1 -3 Ton Cooling Tower Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Paint Booth Fire Pump Ventilation, Cost Outlet, Switch Air Handler, Tons Signs Ductwork, Cost of A/C Central 8-15 Ton Fixture - Fluorescent Oven Space Heater (kw) Process/Pressure Piping A/C Central 16-20 Ton Fixture Light Bath Fan - Vented, # Parking Lot Lights Fireplaces, Number of 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 TYt,t,. Minimum Fee QTY. TYPE Condensate Drain WY. T} Generator OTT TN PE Refrigeration, Tons ()TN.. A/C Central, Tons Bath Thb Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Filter Replace Ventilation, Cost Pool Piping Air Handler, Tons Sprinkler Repair Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Water Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Pressure Vessel Cap - Sewer PLUMBING TYPE A/C Condensate Q't'ti'. 'f it? Drains, Roof Q'I'V. 'r't'PE Miscellaneous Fixture ()Ty. 'IVPE. Soakage Pit QTY. Bath Thb 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: PERMIT APPLICATION FOR MIAMI SHORR Date t - ICS - -) Job Address -O V C2) k Std' Tax Folio t Legal Description Historically Designated: Yo Owner/Lessee / Tenants e ov LI A-- t t ef■ove_ V\ coo IS Master I " - Owner's Address LI LL Q l_ 42 d St aX 5,4M-1 S W Q S 5 Phone Contracting Co. O 1, !y t R — Address Qualifier -- SS# Phone State # Municipal # Competency # Ins. Co. _ Architect/Engineer Address Bonding Company Address Mortgagor 0-...-i 6 r4- t I - t" — Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Nttary as to Owner and/or Condo President Date My C % Pa d P(1 OFFICIAL NOTARY SEAL e. SANDRA M MONTIEL i wp * COMMISSION NUMBER Q CC401261 F I ca MY COMMISSION , EXP. OF F\ AUG. 17 1696 Po A V " ` o f (.3 ' v 'ow�� o �- I4(iT(E aS Square Ft. Estimated Cost (value) 3 7—c.) 00 ° - r) and/or Condo President Date •t £ Signature of Contractor or Owner - Builder Date Notary as to Contractor or Owner - Builder Date My Commission Expires: 1. Body: 2. Trim: Isl i 3. Accent: Hoatinn Gar 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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. FEES: PERMIT ' RADON C.C.F. 6 v NOTARY LC BOND TOTAL DUE ' 6C7 APPROVED: 1 Zoning Buildin: / ` l i d Electrical Mechanical Plumbing Engineering Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor STATE OF FLORIDA COUNTY OF DADE. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 743_ _ as Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Kcfi_�11. 99- Sr H O° N cL e r 5 ;40 ie 540'44 No. Location and legal description of lot to bee built on: Q „A/11,5116 / r ° f Block �r Subdivision j ig �4L�Q/ 02 ' Street and Number where work is to be done K 72 sr State work to be done and purpose of building (by floors). state exterior colors (submit samples) Remarks (Signed) Date � , /i fro 6 ) 4 o &5 O Street e a i N .� 9 ILe Pu J 'L° mo., a p Le 6 YG . , I 6 6. r ° and for no other purpose. New Building f J Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S 1 4 p Amount of Permit S J 750 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. lot ss . v ALP iii Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared and who being by me first duly sworn. upon oath deposes and says that he is the of the above described construction. that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Permit No. / Date ' // gin Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector Notary Public. State of Florida 19Sf_ to me well known. My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of S25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planring Board. A re- inspection fee of 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and workmanship.