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PAINTMiami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2002 -2084 Printed: 12 /4/2002 Applicant: BRUCE BROWN Owner: BROWN BRUCE JOB ADDRESS: 402 NE 95 ST Contractor Local Phone: Parcel # 1132060140470 Fees: Description Amount FEE2002 -6894 Building Permit Application Fee $60.00 FEE2002 -6895 CCF $0.60 FEE2002 -6896. Notary Fee $5.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: Work: EXTERIOR PAINTING AS PER AGREEMENT If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection r�f� fee is $50.00, which must be paid in advance before calling for another I.,�.,o...r,... N 1 ` 1 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 ( >Q and approved by the proper municipal authorities. This Permit may be revoked at ar authorization. A further condition upon which this permit is granted is the understanc rdinances and regulations pertaining to the work covered hereby whether shown on by his agents, servar}i or employees. Signed: .2 (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work co with the plans, drawings, statements or specifications submitted to the proper authoril myself, my agent, servants or employes. Signed' Building Permit Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 11 & 12 BLK 52 LOT SIZE 100.000 X 5/25/2003 Construction Value: $1,000.00 (Contractor or Bu Contractor's Address: BRUCE L. BROWN 402 NE 95TH ST. 305 - 758 -130 MIAMI SHORES, FL 33138 -2730 PAY TO THE ORDER OF W Was sngton Mutual NOTE Washington Mutual Bank, FA Miami Snores Einanciai center 1.722 9640 NE. 2nd Avenue 1-800-760.7000 8h -s FL33138 2a I: 26 7084 L 3 LI:B 3 Liv46 24? Page 1 of 1 63- 8413/2670 8314624706 DATE 2183 $ , 5 7 GO ARS 8 ypny a � DATE: iclov •Uo� OWNER'S NAME: ,Q�cP. ;P ';�,� • : �'t bNE:��,5 5a5 ADDRESS: YOB .JAS �It5;: 614 /•iPl/ • • r ~s �. 9 ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: WA Aix... CONTRACTOR & LICENSE (if ap 1iEabk.; • :__ • .: COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Drip Cap/Drip Edge Soffit Roof Flower B ns Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal natur * * * ** MIAMI SHORES VILLAGE Paint Color Ai3pOd�aa�aindAigreement • • • * APPROVED: All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Other Building Offic i Da e • • • -- 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 r , P ate Signature of Contractor Date ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION o- 0 4/23/01 • • ... • • • ... .. . • • • • • • • • . . • • • .. .. • • • • • • • • • • • • ... • • • • ... • • • ... • • .. • • • . • • • • • • • • • . . • • • • • • • • • • • • • • • • • • • ... ... • • • ..• .. • • • .. ... .. • • • • • • • • • .. • • • • • ... • • The Sunshine State — UCEME NUABER B650 -072- 54 -041 -0 BRUCE LEO BROWN 402 NE 96 STREET MIAMI SHORES, FL 33138 -2730 BIRTH DATE SEX Nr3T. REST. ENDORSE. 02 -01-64 M 602 ISSUED EXPIRES DUPLICATE 11 -12-08 0241-06 000000 SAFE DRIVER ORGAN DONOR MOTORCYCLE ALSO 11120227 Operation of a motor vehicle constitutes consent to any sobriety test required by law. ELECTRICAL TYI'E Minimum Fee QTY. TYPE Dryer ; (n,. • ; ri PE p4 4,'4p4liance ; QTY. Tvi Service Repair QT v. A/C Central 1 -3 Ton Fan •• • • dutlet, Waft' •• Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch 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 MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYI'E Generator QTY. TYPE, Refrigeration, Tons QTV'. 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 Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet 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 w be p a n d g u�x t ity( i es) in the space provided below. ••• ••• VI WW1/ RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) • •• •• • • • •• •• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • ••• • • •••••• • • • ••• • • 9 PROOF OF OWNERSHIP• • • (Attach) •• ••• •• • • • •• ❑ •1'IRsiDtRM:AAP124VAI✓• •. • (Vail leNtSr : • • • • ❑ 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.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary $ 6O $ 1< C' (sq.ft. = x/1000 x t.60) $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) g BY /9 P .G, SECTION Zonin Electrical Mechanical Plumbing Fire Public Works Structural Building Official DATE / 7 , • PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 1jS� ISSUING OFFICIAL REVIEWED AND PREPARED BY: 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 PROPERTY OWNER New Construction Name /f / , , L�� AddresoL. e. /i 473i°' i � " Rq d 44 4 / ' Home Telephone G ✓ �� 2 — F '.� � lit'' • . ,�,': $f d/'//' F • 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 must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must lio•signed by the prapertyownernand qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing yob Zf Qapfing 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 Job Address: 9,5 5 Address A 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 • • • • • • PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Master Permit No. • • 1 : �;tbs; t�iary lr4rltit No. • • • • • • • • • • • • • • • • • • PERMIT APPLICATION /,c/e t - 0/5? City State Zip Description of Work �/�'`Z (745 3 � �i�- Zoning Li ear Feet Square Feet Units Floors )aIue of Work /GaG; ' 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 Page 2 IMPORTANT NOTICES • • • • • • • DO NOT BEGIN ANY WORK WITHOUT HAVING 1tECEIVEp /Op : ALIDAT,ED CERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Meedtty tlteugh 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 g1~:(0,R4E.FIi24 Dilt%AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING.DAMA E?ur EDLCIPI2IE:1TOR 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. STAT . • IDA, C ► Y OF IAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Print ame // `' /r Print Name to a d subscribed before me this 4f4 day of N4 1 / , Sworn to and subscribed before me this day of ''e of Notary SEAL: Type of Identification Produced: onda Angela M Berkey • • •• .. • • • .. •. • • • • • • • • • • • • • .•. • • • • • • • • • • • • • .... • ...•.. • Signature of Contractor / Qualifier ignature of Notary Public - State of Florida SEAL: PERMIT APPLICATION 1+� MMyCariftrtM 001/0049 Personally Imown °°F". ' p OR, ProdaceAcin ication Personally known OR, Produced Identification pe of Identification Produced: PERMIT APPLICATION FOR MIAMI SHORES V Date X'' Job Address , -1(' .c1 9 —' Tax Folio / / — ,3 2.0 6. •- Legal Description Le %//‘/# c2(( Owner/I.essee / Tenant Owner's Address 1��� .. ,(J/ �� . Contracting Co. 0 W L( iG/Ci Qualifier SS# Competency # Address State # Architect/Engineer Bonding Company Address Municipal # Address T Historically Designated: Yes No Master Permit # ;t /0 Phone Phone Ins. Co. v t / Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA : PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /9 //u �< <� �� t�o �J „ ,� Vd 4��Fri Square Ft. Estimated Cost (value) DSO a 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 zonir�gl Furthermore, I authorize the above -named contractor to do the work stated. Notary as to Owner and/or Condo President My Commission Expires: }'(, OFFICIAL NOTARY SEAL 0 e �- SCOTT W DAVIS `' 1)` :i �* COMMISSION NUMBER � " (. CC255237 7 ! 45$ Q MY COMMISSION EXP. F C F C JAN. 26 1997 resident Date Signature of Contractor or Owner- Builder Date Date Notary as to Contractor or Owner- Builder Date My Commission Expires: FEES: PE RMIT RADON C.C.F. . SO NOTARY �O C TOTAL DUE A,lf..",r® APPROVED: Zoning Building 1CIP Electrical Mechanical Plumbing Engineering MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time / , , Type Insp'n - ' _ ?;Ai / "' y, Permit No. ' fI Name /tom, l ' /-fc- '��.* , Address (2 `� f L 1 � �_j � Company . ( *6 :. t _ rl Phone # 7 o ' G I G. For Inspector:, Approved Correction Re- Insp'n Fee Nam Date