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715 NE 93 St (11)1/A 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. to Owner's Name and Address bam t. • /..../S and Number where work is to be done V: STATE OF FLORIDA COUNTY OF DADE. 1591' } SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT tc..(u$EN .4 ° ?!`a AIr .93 S� Registered Architect andior Engineer dame and address of licensed contractor ��� �'® as b � [/ Location and legal description of lot to b built SkYi Lot / �ij Block /t/ Subdivision �' " 7 &•-6V / /pi 41 as y a5) (State work to be done and purpose of building by floors). state exterior colors (submit samples) A av©fe'�j, 41604r 6C2cea /IA tar (ct.oe /S iazsr ACA �u 4seT PAc-eza � and for no other purpose New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering L.-MI Total cost of improvements s /ems Amount of Permit $ of? Se 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. Remarks (Signed Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared Date / I .0.13 919 Read. Sworn to and Subscribed before me. Date l9 a GA No. M Street to me well known. 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. Disapproved • Date R i>' �f ,. �' Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anchor workmanship. Building Permit Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Permit Number: BP2002 -300 Printed: 2/12/2002 Page 1 of 1 Applicant: ABEL PABON Owner: PABON ABEL \ Contractor Address: Local Phone: Cellular: Parcel # 1132060141810 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 27 & 28 BLK 65 LOT SIZE 100.000 X Job Address: 715 NE 93 ST Fees: Description Amount FEE2002 -867 Building Permit Application Fe*60.00 FEE2002 -868 CCF $3.00 FEE2002 -869 Notary Fee $5.00 Total Fees: $68.00 Permit Status: Approved Permit Expiration: 8/11/2002 Construction Value: $4,500.00 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) Total Fees: $68.00 Total Receipts: $0.00 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: 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. (Contractor or Builder) BY: The Sunshine State LICENSE NUMBER P150- 000 -57 -175 -0 ABEL PABON 715 NE 93 STREET MIAMI SHORES, FL 331352906 BIRTH DATE SEX MGT. REST. ENDORSE. 05.1557 M 506 A ISSUED EXPIRES DUPUCATE 030840 05.1506 0040-00 SAFE DRIVER Operation ot a motor vehicle constitutes consent to arvy sobriety test required by law. MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: [ �0Z OWNER'S NAME: l 4&( &b0i■ PHONE: (305)1. -73 Z. ADDRESS: q'/ S file 9 3 5-t/ ADDRESS OF SITE: 6>9fl — CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. 6 -c ,v) I -ea, 0"\v) Walls Fascia Drip Cap/D Edge 4 Soffit Roof btfit i4 Flower Bins N \ Shutters Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other Awnings Chimney Doors and door jams Garage Doors Mil, n ,Py j.P Railings ^� 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 ed. Furthermore , the paint colors will be as per the attached do tl e wor sa . •. I� u.iosefL r St Tri (7 wner Date Signature of Contractor Date APPROVED: a // ( TIA S4C)0 i NwIrelrr WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION * 2h/ ed. Building Offic(l ate 4/23/01 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton - Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs e A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Cap - Sewer Parking Lot Lights Gas - Natural Spas/Hot Tubs Pump, Fire Stand A/C Central 20+ Ton Temporary Toilet Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Certral 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 Septic Connection Demolition Low -volt, Intercam/Teleph. Repair Circuits Septic Tank Dishwasher Low -volt, Television Service, Number of Amps Sewer Connection MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Dra`_n QTY. TYPE Generator QTY. TYI'E 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 Bidet Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Fountain Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Cap - Water PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE: QTY. Soakage Pit 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 IIce Maker Pump, Sump Utility - Water Dishwasher 'Indirect Wastes Relay epair Vacuaann Pump • Disposal IInterceptcr Roof IInn➢et Water C °oset. Domestic Wen Laundry 'Tray Septic Connection Water Heater I °ain ietd:, 4," 'Ti^_eIll es. Lavatcry Septic Tank Water heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re-pip? Drains, LF'.cnr Minim= Fee Shower Water Service Drains, I" re crn Mnsce__anec, s Hain ipnnent Sink We.., Sup r ,y 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 DATE Zonin 1�// /a Electrical Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $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 O PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) .❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (4.01 /sq.ft.) REVIEWED AND PREPARED BY: • P APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) ISSUING OFFICIAL 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 (FIRS) 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. Print Name 0 O per be. Pa. beiA d subscribed before me this U day o e j r Public - tate o F on STATE Signature �wo ignature of No SEAL: , COUNTY OF MIAMI -DADE 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 PERMIT APPLICATION r �y Y P U orFICIAL {NOTARY S ' i SEAL: O 1P 9 ANGELA M BECKER Z n i'i o core sc:oa uuu ER ,1 ; _s Q CC7866 M� :9Y CO . l0t7 Elt02RES Personally known lF nF� )) Prodtt� )) zn 1 � 0 =� Personally known OR, Produced Identification Type of Identification Produced: I-, P /S() °Q0U°E7,a'o Type of Identification Produced: PROPERTY OWNER Name A h z l e0„60;1\ Address x NE 3 > 1- ' A4 ic..- 5 . 3/ 1 rL Home Telephone � , 5) •� 31 2 3 Z T Business Telepho .>` C1. (3 799 -9033 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'I Detachment Other Job Address: 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. APPLICATION Address kJE . ; 5�. Apt. Folio Number Lot Block Subdivision PB PG Current Use of Property Description of Work T Proposed Use of Property X Value of Work 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 Master Permit No. Subsidiary Permit No. 12f ' ca-0O02 • 3 MI'441 re City L Ft State PERMIT APPLICATION Zoning Linear Feet Square Feet Units Floors 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