295 NE 95 St (7)0
c6 0€,
PROPERTY OWNER
Name NARY S.Nt-}c.FF'E72 / MARK 5
Address
29,5 N E 95Th St. NtaMt Shores, F1.
Home Tele hone
C e6' — 751 -3571
Business Tele hone
t - S41 -' ThCo
F (3b5 -- 325 - 051g
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I 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 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
) 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
295 NE 95 St.
Address A
t.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
Subsidiary Permit N
nil ►gym i 51-FOR-E5
City
PERMIT APPLICATION
State
33133
Zip
description of W o r k F.XTEPtOR 14cOSF PAl l l'flt G /
Cover Corx.) NT A5 C (TED ZA I c J ?
Zoning Linear Feet
^ '' Square Feet Units
f'Value of Work E # 1'o Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
Floors
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone Fax
Qualifier Name
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 (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, In 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 MI
....-A l Signature of
x Print Name
Sworn to and subscribed before me this
Signa
SEAL:
otary Public - State of Florida
day o
L Delvalle
*My Commission CC791082
4. Ex. ires November 15, 2002
Personally known OR, Produced Identification
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
er
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
Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/25/2002
Applicant: MARK/MARY
Owner: INHOFFER
JOB ADDRESS: 295
Contractor
Local Phone:
Parcel # 1132060133970
Signed:
Signed
t
NE 95
Building Permit
Permit Number: BP2002 -1637
INHOFFER
MARK/MARY
ST
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 3/24/2003 Construction Value: $100.00
Work: EXTERIOR PAINTINGA PER AGREEMENT (OWNER BUILDER PERMIT)
Page 1 of 1
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 23 & 24
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.
Fees:
FEE2002 -5325
FEE2002 -5326
Description
Building Permit Application Fee
CCF
Total Fees:
Amount
$60.00
$0.60
$60.60
Total Fees: $60.60
Total Receipts: $0.00
BLK 29 LOT
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
l "/
(INSPECTOR) BY:
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity
with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either
myself, my agent, servants or oy s.
REG iC01 111502 1637 MCfl01 002791 CASH 360.60
(Contractor or Builder) BY:
1'V11.E -� l'V�I Y OJCPU1tI %' iLL /A( L
Paint Color Approval and Agreement
DATE: tt /i316
OWNER'S NAME: rv' e Iry /64F11e.1c,5i PHONE: - -s -3677
ADDRESS: a'"t5 Nx 9S A 5� PL 3313$'
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: Saime 0-0 c-&u
CONTRACTOR & LICENSE (if applicable) N Pr
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * ** * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted..
Walls 5a,: QcQoI -l _
Fascia a,..orl m .. • .
Drip Cap/Drip E • g Via.
Soffit wfr..%;te
Roof
Flower Bins w.-t 0 '
Shutters to A
Awnings NJ h
Chimney W- Inge, Sad oo th
Doors and door jams F ,,T aco - c - M i RAC.
Garage Doors i.,o4. ite
Railings N
Fences NP
Decorative Metal q {t -u. iyo vt.e -i&e
All brick (simulated or regular) NJA
Stucco Banding NA
Any other stucco features OA-
Accessory N Ik
Other
APPROVED:
Building Offi ' :1 Date
a,
-- 4,1A-d Alb
v
s<
up
0
OWNER'S AFFIDAVIT: I certify that all the tore
and that all work will be done in compliance with al. w ws 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.
11 /13102.
Sigr of Or`+si r ' L) Date Signature of Contractor Date
*******************:*************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
DATE: x118102.
OWNER'S NAME: MJ4tz.? 21.3110F /aoti+cKSib5EPHONE:
ADDRESS: , 5 NE 95 sr mum Sif0WAS lit. 3313?
************************4:************************
ADDRESS OF SITE: -is Atot •
CONTRACTOR &'LICENSE (if applicable) NA . .
COMPANY NAME: PHONE
******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color
ogt fAt
Walls a�
Fascia Wi, 1
Drip Cap/Drip Edge
Soffit
Roof Raercw (4d
lower Bins w 14 - 4 t 4 1" ettqfi r ?
hutters
Awnings
1vilAM1 SHORES VILLAGE
Paint Color Approval and Agreement
Chimney
Doors and door jams
arage Doors
ailings
Fences
Decorative Metal
All brick (simulated or regular)
Stucco Banding
Any other stucco features
Accessory'Buildings
ther
* * * * * * **
A PROVED:
- 0. -
Building Offici
co le r7
)elk)Q
c ., ® . o r , , 4
Date
Ae-eektrtA tack
- cAei cote
v
OWNER'S AFFIDAVIT: I certify that all the foregoing inform
and that all work will be done in compliance with all applicable 1
construction and zoning. I authorize the above -named contractor
do the work stated. Furthermore , the paint colors will be as per t
samples.
02.
Date Signature of Contractor
*., ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS
CALL FOR FINAL INSPECTION
•b
0
Ln
m
Wisp of Smoke
a )Iows dsiM
Platinum
wnulleld
a Winter Storm
�' ulia1S J3 UlM
4/23/01
SECTION
BY
D TE
Zoning
�£ e- ,2___
s �
7� 37tia
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
1�
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$3.00 per page (Scanning Fee) $
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.) $ ' C a
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
$ (¢.005 /sq.fc)
ISSUING OFFICIAL
REVIEWED AND PREPARED BY:
( .ft.. 0.60) x/1000
(Q.01 /sq.ft.)
013/ /0
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
A e ' J
5 1 DATE:
c.- 61/Ain �c ,,r L ( 0
PERMIT APPLICATION
TOTAL $ Q _ 6 I)
CONDITION OF A PPROVAL
N o P rct nceJe a {swa ,
Ccivex S
Pa + MU.s4 k all e'�t 5 wa u
or m ouse vA.u.sk be re t r`
3(
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
ELECTRICAL
TYI'E
Minimum Fee
()"I'1'.
TYPE.
Dryer
QTV'.
i'YI'I:;
Outlet, Appliance
QTY.
TYI'I:
Service Repair
Q)'I'V'.
A/C Central 1 -3 Ton
Heating Strips, each
Fan
Outlet, Wall
Service, Temporary
Paint Booth
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Piping, Flammable Liquid
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Process/Pressure Piping
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Pressure Vessel
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
MECHANICAL
TYPE
Minimum Fee
QTY
TYPE
Condensate Drain
QTY TYPE
Generator
QTY. TYPE
Refrigeration, Tons
QTY.
A/C Central, Tons
QTY
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
Pump and Abandon
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Gas - Appliance
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY
'I'YPG
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 6e.(//
TE t
Zoning
Y o
Electrical
.9
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
'/
I
`—
Page 4
OFFICE USE ONLY
CIIECKLIST
❑ 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
Notary
REVIEWED AND PREPARED BY:
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
® OTHER
(Specify & Attach)
$
$ 0 C d ( sq.ft. = x/1000
x ¢.60)
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
5 eCe>
'DAT
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
' PERMIT FEES
TOTAL $ g ®_ 6
ISSUING OFFICIAL
•
CONDITION OF APP
A� t d
C
P
11
C4 t0w
WWI. [ dha.
Or 111 CU tA•
VA L
o 3( n.
6e re
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 0 FAX (305) 756 -8972 0 http:/ /www.miamishoresvillage.com
Earl Trey TWT SW2113
v
4ress ; 9s iu 9 S s . / Tax Foo 1/ JAN /3 .J LI
/ nnrr Cmr9tid
p li
<4,1 Legal Description /�k ster Permit
Lessee / Tenant
ICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Owner's Address a- 5 5 ,U °) 5 S i Phone (' c/ F":5()/
Contracting Co. 640) Address
Qualifier SS# - - Phone 4 P g-/- c 5 D
State# Competency# Ins.Co.
Architect /Engineer Address
Bonding Company A•• ,
Mortgagor
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated Cost j DDS
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.
Signatu of Owner and /or Condo President
Date:
Signature of Contractor or Owner - Builder
Date:
Not - t and /o C9ndo President Notary as to Contractor or Owner - Builder
My othmission Expires: of /*/4 My Commission Expires:
* . * . * * * * * * * * *
PERMIT FEE: APPROVED: Fire Other V t
Zoning Building Electrical
Mechanical Plumbing Engineering
*