Loading...
930 NE 92 St (11)MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: % )6 0 OWNER'S NAME: eq/4/264 , 125 2 i;7 PHONE: gq -- 7S 67 3 ADDRESS: Al E q,2 ¢ ayi4evti Sim �o ? ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 93'0 >7c= 94‘,..C:7 /%AM: 5 10 ?i, 3 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: — PHONE: • ********************************* * * * * * * * * * * * * * * * * * * * * * *4 * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls 61 4-' a s 4p f2 5) ,gt1 Fascia N„ ! ) . Q --t Drip Cap/Drip Edge W / ). . H. . , ' if Soffit \N 1,\ qfi / Roof 1, l PS Flower Bins 1 Shutters Awnings / P Chimney /3ridse , tc rn a k Doors and door ja s °xc ,s,04 g Garage Doors Railings Fences Ni1heq Decorative Metal All brick (simulated or regula P PI Stucco Banding Any other stucco features tukLci"t - 51 /11N5 ! _ r 0 ) p,/ (Owe o)t n aor0's --vii 7', Accessory Ft )r Other --1 >7) 20o d'" t+ /4r ( d (1 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 do the work stated. Furthermore , the paint colors will be as per the attached samples_ Zdd X . 7 I 1 7 P li c7/4( fi''''' Signature of Contractor Date ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, 7/ 2 CALL FOR FINAL INSPECTION 1/ Building Of icial Date 4/23/01 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/26/2002 Contractor Local Phone: Signed: Applicant" Owner: c#-11&L JOB ADDRESS: 930 NE 92 Parcel # 1132060060090 Building Permit Permit Number: BP2002 -1662 - 14tEt i �i ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 3/25/2003 Construction Value: $200.00 Work: EXTERIOR PAINTING AS PER AGREEMENT Page 1 of 1 (INSPECTOR) BY: Legal Description: AMD PL GOLDEN GATE PK PB 7 -54 LOT 11 LOT SIZE 50.000 X 140 OR Fees: FEE2002 -5408 FEE2002 -5409 FEE2002 -5410 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $0.60 $5.00 $65.60 Total Fees: $65.60 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 $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Wush 1e°nma o tM O 190 0. SUeet tAtan,1,p.. 9199 • e: 26 • vat . l��� 1 6 _ • a 2 12$ PROPERTY OWNER New Construction Name A/� /kn/,4 b. We9 r7 " Alteration Exterior Address W e e ril I — CAA ✓�_. i) 3/' P Home Telephone 3 0 g , 7. { ct i Demolish Business Telephone Relocation of Structure Fax Foundation Only 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 trust be taken to obtain a permit from the Miami Shores Vijlage: Step 1. 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 Job Address: 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! Address Apt. City State Zip Folio Number escription of Work 6i l' 6 A i .. Vi I Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work O O. 00 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other ' o AJ. '-/ i 1 / ; cf Fe: PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Qualifier Name PERMIT APPLICATION Fax Page 2 )ignatur 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. STATE OF FLORIDA, COUNTY OF MIAMI -DADE r f t - "-' ? Print Name r Sworn to and subscribed before me this° ( O day of f No O Signature SEAL: weer OR, Produced Identification / Personally known OR, Produced Identification Type of Identification Produced: F &D1� of Identification Produced: Personally known . e LH M 6 ^G • •.r K,tMEL.1 UI' -•. � i CC786697 v. NC' 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 ELECTRICAL T1TE QTY. TYPI? QTY. TYPE QTY. 'I'vPI: Q'I' Minimum Fee Generator Dryer Refrigeration, Tons Outlet, Appliance A/C Central, Tons Service Repair Cooling Tower A/C Central 1 -3 Ton Heating Strips, each Fan Vent Hood, Cost Outlet, Wall A/C Wa1WVin. Tons Service, Temporary Dryer Vents, Number of 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 Piping, Flammable Liquid Fixture - Fluorescent Periodic Inspections Oven Barbecue Space Heater (kw) Fire Sprinkler System A/C Central 16-20 Ton Process/Pressure Piping Fixture Light Parking Lot Lights Bath Fan - Vented, # Spas/Hot Tubs Fireplaces, Number of A/C Central 20+ Ton Pressure Vessel 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 Laundry Tray Demolition Low -volt, Intercom/Teleph. Repair Circuits Lavatory Dishwasher Low -volt, Television Service, Number of Amps Meter Set (Gas) NIECHANICAL TvPI: QTY. TYPE QTY. TYPE Q'I'1'. 'rviI: QYI'Y. Minimum Fee TVPE Drains, Roof Condensate Drain T vII.: Miscellaneous Fixture Generator 'I'1'PI': Soakage Pit Refrigeration, Tons Bath Tub A/C Central, Tons Drinking Fountain Cooling Tower Miscellaneous Repairs Heating Strips, each Solar Water Heater Vent Hood, Cost Bidet A/C Wa1WVin. Tons Filter Replace Dryer Vents, Number of Pool Piping Paint Booth Sprinkler Repair Ventilation, Cost Cap - Fixture Air Handler, Tons Fountain Ductwork, Cost of Pump and Abandon Piping, Flammable Liquid Sprinkler System Periodic Inspections Cap - Water Barbecue Gas - Appliance Fire Sprinkler System Pump, Domestic Process/Pressure Piping Supply, AC Well Cap - Sewer Bath Fan - Vented, # Gas - Natural Fireplaces, Number of Pump, Fire Stand Pressure Vessel Temporary Toilet Catch Basin PLUMBING TYPE A/C Condensate Q'I'1'. TVPE Drains, Roof QTY. T vII.: Miscellaneous Fixture Q'I'1'. 'I'1'PI': Soakage Pit )T1'. 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: SECTION r Y D • TE Zonin: - V,X� ®j Electrical Mechanical Plumbing Fire Public Works Structural Building Official L 7 Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) Cl CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Notary O PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ 6 (s ¢ . x/1000 x Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ Code Enforcement Fine $ Zoning Review Z (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING, OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2N AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com 1049-60 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date II � > ob Address ? 3O NE q2 d v - �D Tax Folio (( -32OL -° 0O(p °° 009 Legal Description Ot M Dp1 &M (f Pk Pe) - 1- s 4 Historicall y Designated: Yes No X Owner/Lessee / Tenant -Debra_ A . k Owner's Address 930 i\; .4 S-r Contractin Co. OU)1 L J . `rc 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 or WORK DESCRIPTION EX+Q rl 0C ( %Y +1P) ' l a & C est ctipprcA..3611 4br c a f O ccer -1- Col or OP of Loctli on kous -t° , (7372a) u) Coral 1402 - Flex p+"> Square Ft. 1(c6 -P4- Estimated Cost (value) 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 vv construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date gnature ontractor or • er- Builder Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT ,V RADON C.C.F. o (/ NOTARY doo APPR9VED: \ i (, d. r �e at f z o . K- ��� ti }r �" zoning Qe C t P ) $ Burldmg Address as to Contractor or My Commission Expires: Electrical Mechanical Plumbing Structural Engineer Master Permit # BOND 79 Phone 3 - KS-- 1 -1 q54 - "13 3 - (57(o I)) o¢. ",own Bui)3btkI l % IA,. r ■ F.Z.T�ir, rt Iri BL 5i i-a n ? : Of. Fi.. ∎ In D to COMMISSION N6• cc /viol . 9 TOTAL DUE • MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: I D J 3 - 00 OWNER'S NAME: Debra. H-i 1 1 PHONE: c, - 9 S4- -1 33 - (o7(0 ADDRESS: 930 NE. ciana sr pt Sf-togzeS 3313 8 *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 930 Me cl' r •4 Sr CONTRACTOR & LICENSE (if applicable) J/A COMPANY NAME: J O /A PHONE: ,3 /fl ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls i Ski 82101 W Tr-caliiapas0 Tc Fascia Soffit Roof Flower Bins Shutters Awnings Chimney t Doors and door jams v Garage Doors T 826/vv Railings aCihonat Tan Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings 7372W Other �1 S► cie / ccerot -- u U 73720 ( a--uze Cord is 0.e.„144 sb eft 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 the work stated. Furthermore , the paint colors will be as per the attached alis ►/� x 00,4 ' // ,ate 4 r. . / nature of Owner Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: Building Official Date V ad Signature of Contractor Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Date Type Insp'n Permit No. Address MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Name - Company (,1 ° Phone .3 0 & .ector: Na & Date Approver I/ u ' orrection ❑ Re- Insp'n Fee ❑ 00852 Sheriff's Star 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. Owner's Name and Address . j S fl? t / d, in a r Registered Architect and:or Engineer Name and address of licensed contractor STATE OF FLORIDA COUNTY OF DADE. Permit No. Disapproved (Signed( } SS. Nti‘ IRES VILLAGE CTION DEPARTMENT wa4M� r BUILDING PERMIT Date I5 1 Date qd Read. Sworn to and Subscribed before me. Date � f IJC.r 19 q / �Y f J No. 9 ✓,/v Street ?a_,At. /'• _ Location and legal description of lot to be built on: Lot / / Block Subdivision Y7 /�� Z 1� � //U��7/ � oy/ Street and Number where work is to be done _! q 3 q a S' State work to be done and purpose of building (by floors), state exterior colors (submit samples(i /rE ` ` / �" YZ.ct-e_ and for no other purpose New Building Remodeling Addition Repairs Y No of Stories____ —_ To be constructed of Kind of foundation !�j Roof Covering Estimated Total cost of improvements 5 _ l P QC) , d 0 Amount of Permit $ V 1 i 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 Nbrkmen'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) / AA/ I 0 Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared 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. Notary Public, State of Florida 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship.