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557 NE 92 St (7)MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: e0/9/0,=) OWNER'S NAME: / �� <54' (5.e, PHONE(3 )754' - 3 // ADDRESS: ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 5.5 CONTRACTOR & LICENSE (if applicable , (l- 5 0 , COMPANY NAME: //9 �� 7577 PHO < 9 - 33/6 ****************************** * * * * * * * * * * * * * * * * * * ** * * ** * * * * * ** All Elements o the site must be listed and indicate the color to be painted. Walls �7 A,V/4 Fascia Drip Cap/Drip Edge 6) Soffit Off, .r ' Roof ,v/4- Flower Bins A /A Shutters ,VM Awnings N/A Chimney Doors and door jams ,J),q Garage Doors N/A Railings AUX Fences 4//4 Decorative Metal /WA All brick (simulated or regular) A✓bv. Stucco Banding «/4 Any other stucco features / /�a- Accessory'Buildings /v/A, Other Building Official Date 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 construct -ion and zoning. I authorize the above -named contrac . , if ap. . e, to 1 d die work stated. Furthermore , the paint c. Fors 1 be ./ . e the at s� es .l /� ,� AP nature. of Owner Date / gna re o 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: 6 /17/2002 Applicant: DAISY Owner: SOTO JOB ADDRESS: 557 Contractor Local Phone: Parcel # 1132060141160 Signed: Fees: FEE2002 -3399 FEE2002 -3400 Permit Status: Signed: Approved • • } NE 92 Description Building Permit Application Fee CCF Total Fees: Building Permit Permit Number: BP2002 -1106 SOTO DAISY ST Contractor's Address: Legal Description: MIAMI SHORES SEC 2 PB 10 - 37 LOT 16 & 17 Amount $60.00 $0.60 $60.60 Permit Expiration: 12/14/2002 Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) $950.00 Page 1 of 1 Total Fees: $60.60 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 wok 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 employees. (INSPECTOR) BY: BLK 57 LOT SIZE 148.720 X In consideration of th - 'ssuance 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 wit a plans, d . ngs, 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 se f, my a • t, servants or employes. 4' (Contractor or Builder) BY: 1 o UBpg7PEN RP4i8#9 W #wi ELECTRICAL TYPE Minimum Fee QTY. TYPE. Dryer QTV'. TYI'Ii Outlet, Appliance QTY. TYpi? Service Repair (fry. 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 IIECHANICAL TYI'P: Minimum Fee QTY. TYPE QTY. Condensate Drain TVPI : QTY. Generator 'I'YI'E 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 TVPIi: A/C Condensate QTY. TYPE. Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE. Soakage Pit QTV'. 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 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. 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. ATE OF FL • ' e A, COUNTY OF MIAMI -DADE int Name Sworn to and subscribed before me this ! j!f day of iJ 00 ( 7 7 , 2©? 7 • gnature of Notary Public - Std et"of Florida u S eet kL- / (P'Gf C S 27, aeo3 SEAL: Personally known V OR, Produced Identification Type of Identification Produced: PERMIT APPLICATION gnature . Contractor / Qualifier P A AFL :F. re4) /6C.L.A Print Name Sworn to and subscribed before me this day of JZ A) 6 , 2002 Signature of Notary Public - State of Florida �l c tnig- Se F4 J- VcP►fi SEAL: Pa 0,2e Personally known f OR, Produced Identification Type of Identification Produced: 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 Zoning f'�-6 V/3/47.- Electrical Home Telephone( Mechanical -j1 ,3 / Ahasincos Telephone / Plumbing 7i / s _ 7 , �p t �� 7 7 Fax Fire Shell Only Public Works Add'l Attachment Structural / , , Building Official K� ��_!aff /PROPERTY OWNER New Construction ■ Nam � 58 z Address Alteration Exterior Home Telephone( -D -j1 ,3 / Ahasincos Telephone / ,--.. 7 D 7i / s _ 7 , �p t �� 7 7 Fax Shell Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other 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 Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ FIRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) PERMIT FEES Metropolitan Dade County (C.C.F.) $ a C7 ❑ OTHER (Specify & Attach) $ (¢.005 / sq.ft.) ( z g . x/1000 (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) Li CONTRACTOR REGISTRATION (On File) TOTAL $ 6 e 6 ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 - 2207 • FAX (305) 756 - 8972 • http : / /www.miamishoresvillage.com Step 1. PERMIT APPLICATION Master Permit No. Subsidiary Permit No. - rQ • I' / b co INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: 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. APPLICATION N ob Address: Address Folio Number Lot Block Subdivision PB Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 5 .0C c5-fiee i Apt. City PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax A-4,4m /' .970 s 3:3/-<s" State Zip Description of Work 6.-%X % � ��i0� -- s�'J ;Ai -74 Cr' PG Zoning Linear Feet Square Feet q�, Units Floors Value of Worlc'"�J 95O. 6a 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 Date /0f /77Job Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 5 -, 92 - x Folio Legal Description / 4 �j Historically Designated: Yes No Owner/Lessee / Tenant f5�/ % — 719 e- "/ 0 " / Master Permit # / 3 & 3 Owner's Address 5 7 'V - 2. , Z 5 %7.�££ 9- Phone 7 5V - 3 5/ ( /fq3 - U 8M Contracting Co. 1/3- 5,1d-- ft /e✓ � /s,/ G Address l 3‘ ‘ iv • (41. 5 V5 7g 7 Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /'"7 /moo 'e 5 /,CAL Square Ft. Estimated Cost (value) i 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. Notary as to Owner and/or Condo President Date Signature of owner and/or Condo President Date Signature of Contractor or Owner- Builder ate FEES: PERMIT C RADON My Commission Expires: My Commission Expires: TOTAL DUE otary as to Contractor or Owner - Builder Date C.C.F. a NOTARY j BOND APPROVED: a ,(�1 y� C�' Zoning Building�\`�/ f Electrical Mechanical Plumbing Engineering Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE S NE go- >x / L; Job Address Tax Folio Legal Desejiption Historically Designated: Yes Owner/Lessee / Tenant f. � 5'76,4 i — r' GrA/ Master Permit # N o L- Owner's Address .s-7 s./ L 72 Phone 7 -- 3,57/ Contracting Co. 0 Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 4 - -r / /��K / l �.SL 4/9// 7 - Square Ft. Estimated Cost (value) * ge70 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. Signature of owner and/or Condo President Date ignature of Contractor or Owner - Milder FEES: PERMIT C e RADON APPROVED: Zoning Mechanical Building Plumbing Date Notary as to Owner and/or Condo President Date Notary as to Contractor-or- Owner - Builder „ Date My Commission Expires: My Cgrru {s$ib$Jx es: ' C.C.F. -` NOTARY j TOTAL DUE e / • Electrical Engineering Date Job Address_ 7 /4 & 2 Tax Folio j/ ✓ 2 1 2 //'' /i/ 6e' ,i 4 Legal Description fi:/6, 7 d e a e Ny ( 720ty Y1 • - C. ,s a..,,,.k,,, ,,,,, Qacd,. 4 c , , .) Owner / Lessee / Tenant (/ 0^4( PN% Master Permit �� � �/ Owner's Address ' .063 , . f2, 2 ��1 04/r, Phone Address 5:5 / d=r 9. L Contracting Co. OVI/Y1i1S- � Qualifier SS# _ - Phone 73 02.4 State # Municipal # Competency # /i Ins.Cc Architect /Engineer / /' Address Bonding Company / / Address , Mortgagor /� ✓ Address Permit Type(circle one): BUILDING ELECTRICAJJPLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION Square Ft. 2 3( 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 compli - wit a : pplicable laws regulating cons tion d •ping. Furthermore, I authorize the :.o e- a'ed cont• :ctor to do the work stated. er and /or Co -, • r JOSEP -'vE CHURCH C VM �j�m�iF's��t ', 91%30,1 „ce No. CC197545 Signature o Date: do President ** * APPROVED: y as to Owner My Commission Expi PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Mechanical FEES: PERMIT, !/' t RADON C.C.F. I (' )0 NOTARY .5 TOTAL DUE , .� Estimated Cost(value)4 4 7 Signature of C'- 'tractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: ** Other Electrical Plumbing Engineering