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PAINTINGMiami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/20/2002 Applicant: ROSALIE Owner: SHEA JOB ADDRESS: 1053 Contractor Local Phone: 305 - 895 -1368 Parcel # 1132060143600 Fees: FEE2002 -2839 FEE2002 -2840 FEE2002 -2841 Permit Status: NE 95 COMPLETE HOME PAINTING Description Building Permit Application Fee CCF • Notary Fee Total Fees: Approved Permit Expiration: 11/13/2002 Work: EXTERIOR PAINTING AS PER AGREEMENT If there is no permit package accessible on the job -site for in fee is $50.00, which must be paid in advance before calling for This Permit is granted to the contractor or builder named above to construct the b ordinances pertaining thereto and with the understanding that the work will be perfor and approved by the proper municipal authorities. This Permit may be revoked at a authorization. A further condition upon which this permit is granted is the understan ordinances and regulations pertaining to the work covered hereby whether shown 0: by his agents, servants or employees. Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work with the plans, drawings, statements or specifications submitted to the proper auth myself, my agent, servants or employes. Signed: (Contractor o. Building Permit Permit Number: BP2002 -949 SHEA ROSALIE ST Contractor's Address: 1476 NE 130 STREET Legal Description: 5 - 6 53 42 MIAMI SHORES SEC 3 Amount $60.00 $1.80 $5.00 $66.80 Construction Value: $2,375.00 Page 1 of 1 PB 10 -37 E1/2 LOT 22 & LOTS 23 & 24 & W1/2 Total Fees: $66.80 Total Receipts: $0.00 - • -• :sI 1.. nn inenpctions. Re- inspection 3 2 PAY TO THE ORDER OF MEMO l!ill Washin : on Mutual Washington Mutual Bank, FA North Miami/125th Street Financial Center 1728 900 NE. 125th Street 1 rth Miami, FL 33 ' 1 _ . 24 ho Customer Sernce / 1 jl{ COMPLETE HOME PAINTING BY MICHAEL 1476 NE 130TH ST. PH. 305 - 895 -1368 NORTH MIAMI, FL 33161 Iawtf ` ��/�l•J l/ r A 1: 267084L3 3428 63-8413/2670 3 4 2 8 Zv OZ DATE J DOLLARS lJ Maly 0•110 el MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 1 /?Q,eC Z// Zoe' 2 OWNER'S NAME: = . PHONE ..)-7T7 -21"44 ADDRESS: /D /U, 9f S 0/cc/ NAME: vt /7'" "6,--- PHONI ,3oL f -& 6I - ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls 33% Fascia — Zg Drip Cap/Drip Edge /'c- - 2 Soffit - 2 c / Roof Flower Bins n./ 21 Shutters Awnings g Chimney w / �— Doors and door jams kJ 1 /Bo Garage Doors w 14- Railings N! Fences w l Decorative Metal !ti ************************************* * * * * * * * * * * * * * ** * * *** * * * * * * ** ADDRESS OF SITE /013 : N CONTRACTOR & LICENSE (if applicable) All brick (simulated or regular) Stucco Banding Cite Any other stucco features Accessory Buildings Other 5 Building Official Date 1 1 /A 337 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. Signature of Owner Date Signature • f Contract •,' Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 Page 2 1 r 1PORTANT 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 OF FLORIDA COUNTY OF MIAMI -DADE Signature of Owner STATE OF FLOR A. COUbfl Y OF MIAMI -DADE Co ctor / Qu Signature of alifler C. PERMIT APPLICATION Print Name Print Name S t subscribed before me this day of Signature of glary Public -'t . ds:5 pro t0, 2002 � ,F „c, cz , .P�:. Sonde . ,�� kewy , 'p�:G �.,. J, DD096211 SEAL: SEAL: Expires April 10, 2006 •- - °� Bonded tbru -#04,1,11:0% ,, Atlantic Bonding0o4mG Personally known V✓ OR, Produced Identification Personally known OR, Produced Identification Sworn to and subscribed before me this Signature of Notary Public - State of Florida day of Type of Identification Produced: Type of Identification Produced: PROPERTY OWNER Name c / / - A �y� �� A ` " - `l� Name /df/92,/e 5,7 Address /0 J ,,,, 9S SP Home Telephone 601'J 1 f? , 24 - ( Business Telephone Alteration Interior Fax Demolish CONTRACTOR Name c / / - A �y� �� A ` " - `l� License No. 7 Address /4,76 1 love 1av //�% / e " / 1 `� Telephone s 1 o9 /3 6e Fax Qualifier ame c Q, ij 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 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. A PPLICATION Job Address: 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 /PIO NO" 9r- Address Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. Gtf/ City Description of Work e• e 2/ `tri -C Zoning Stat e PERMIT APPLICATION 33 /' 3 Zip Linear Feet Square Feet Units Floors Value of Work 137S Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. 'TYPE; Outlet, Appliance QTY. 'rm.: Service Repair QTY. 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 AJC Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps AJC 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 QTY. Refrigeration, Tons A/C Central, Tons Cooling Tower - Heating Strips, each Vent Hood, Cost A/C WaWWin. 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 TYPE A/C Condensate QTY. 'TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. 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 BY DATE 57 Zoning Q(/ /s Electrical Mechanical Plumbing Fire Public Works Structural ' O Z Building Official �j`� 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.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ 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.) (¢.01 /sq.ft.) • t. REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 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 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date e 2. —// Job Address /MS 3 " 4- 7 .- 6- 7r — S7 Tax Folio Legal Description Owner/Lessee / Ten d 5e 47?/ 5 h e Master Permit # Owner's Address /0.5 3 '77 I✓ 9 5 7' Contracting Co. (#L' # 7' Address /6 /‘, Qualifier / "l / * // / a eR *et 9 SS# 7i - 41 - 0 � e?44? ?.----- State # Municipal # 3 C ^ 'Z 3 /, V )3 Competency # f / 3 S .- Ins. Co. It S �' &- Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENC SIGN WORK DESCRIPTION j , J4' ii"f� Square Ft. Estimated Cost (value) ©ai 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 Contractor or Owner -Bun v N._ 7 - 11 - ignature of owner and/or Condo President Date Notary as to Owner and/or Cond My Commission Expires: O ��RY 13 11 4 9 � OFFICIAL NOTARY .STEAL 1 ARLENE WEAVERUNG 2 j� * COMMISSION NUMBE:' c CC 99042 9 •~, fp NY COMMISSION IJ P. OF F ,, -0 SEP_ T 2 PC FEES: PERMIT 0, 7— — RADON APPROVED: Zoning Mechanical sident Building //-9C Date Historically Designated: Yes No Notary as to Contractor or Owner - Builder Date My Commission Expires: C.C.F. 'S NOTARY Phone 7 5 f — Electrical f f . .. MY COMMISSION it Cc 698660 a ��� a= EXPIRES: March 10, 2000 4,) # Banded Thu Wiry Pubic Undnw!i s 1 --/00 (7/ Date TOTAL DUE do Plumbing Engineering MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT •ET - , made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein BROWN on is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the .ATnances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether 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 C SSA(. i E S k E 4 Registered Architect and /or Engineer Name and address of licensed contractor eta NE" ' Locat n and legal description of lot to be built on: Lot 1< MI 1 Block d Subdivision //j J • S .e(J ✓ 1/ .../0104 �i J6d0 Street and Number where work is to be done ' 0 5 3 14 cl 6 S T �/ �y State work to be done and purpose of building (by floors), state exterior colors (submit samples) X Te Rid /; j�ee, / N T/ /� � to IT YC 'R L S - 7/m S & mrol e /��?4 cue 2 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of / Kind of foundation Roof Covering Estimated Total cost of improvements S j[? b GO Amount of Permit S 11f Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live Toad 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) 11915 Date Date 2- 19 ' 7 No. /05 N •e• Street 9 5 d'1 . STATE OF FLORIDA COUNTY OF DADE. ss. 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. Read, Sworn to and Subscribed before me. Permit No. Disapproved A` ! Date �tl 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 andior workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address /0 /( gs ST Legal Description Fp - 43 - sW ¥19 Owner / Lessee / Tenant 5e4-v 5h ew Owner's Address /0 i3 � / /= 7r 57 Contracting Co.(.4 /COu/ Ci f- Qualifier e-i9ve 2 - 6 / - GG - S/3 7/ Phone 96/ 7 - re 0 Z- State # Municipal # 07- / V_) Competency # //3S z Ins .Co . Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Cvid p Z ( W% ) 1G Square Ft. Estimated Cost(value) co . 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 MECHANI AL - WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate an 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. i ( RFY>C4-;-1,)44fA- - Signature of owner and /or Condo President Date: .y,,Pr. S) /9E3 Notary as to Owner and / Condo President My Commission Expires NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP SEPT.20,1994 BONDED THRU GENERAL L INS. MO. ** * * * * * * * * FEES: PERMIT /73 a '- " RADON C.C.F. Fire APPROVED: Mechanical Plumbing Tax Folio /J / fhV ' Master Permit # 3 ✓ /02 Phone Address g/6 4 -/C - - - _ /7 Signature Contractor or Owner -der Date: S er •e W 4tJ- Notary as to Contractor old Owner- Builder My Commission Expi' PUBLIC STATE OF FLORIDA MY COMMISSION EXP SEPT.20,1994 BONDED THRU GENERAL INS. UND. * * * * * * * G ** NOTARY TOTAL DUEJ // B Other Electrical Engineering BUILDING ELECTRICAL PLUMBING RO QpNG PERMIT N? 6190 D Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA 1 Bl. 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 draw igs or in th statements or specifications and thcit he assumes responsibility for work done by his agents, servants or employees. Signed. <� CONTRACTOR OR BUILDER Work to be performed under this Permit • Subdi- vision Value of Project $ l • INSPECTOR i DATE ' 195 Contractors . � ( d License No. h7 �y. Amount of Permit $ In consideration of the issuance to me of this permit I agree to perform the work covered pertaining thereto and in strict conformity with the plans, drawings, statements or specifications su) fitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, sseervett or employee. \ y reunder in compliance with all ordinances and regulations AUTHORITY