The URL can be used to link to this page

340 NE 94 St (4)APPLICATION FOR BUILDING PERMIT is `4 i nLL / L54( m� Application is hereby made for tlrc approval of the detailed statement or ine plans and specifications herewith submitted fort build • ins 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 iuilding 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 jf." .7e t--13 Registered Architect and /or Engineer Name and address of licensed contractor. Location and legal description of lot to be lbGilt on: Lot Block Subdivision .._..__�.._ Street and Number where work is to be done 3 .j,G.:O T _g State work to begone and purpose of building (by floors).. 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 $ ../P 7 Amount of Permit $. ,.' .._ 0 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 the 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 obligations 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 to of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra •rs, o. *�•rk formed under pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, 1 . COUNTY OF DADE. ss. 1/ 3)-06 Cad/ MIAMI SHORES VILLAGE m S 7/5 BUILDING INSPECTION DEPARTMENT Building Inspector 2 -56e ) 4 44 eevair-e-f ... No.. ....Ll.. eet_ 7 c . e me, the undersigned authority, a notary public, duly authorizcd to administer oaths and take acknowledgments, personally ap- peared 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 car fully read the foregoing application, and that he did sign the same, and that all facts therein by him / / stated are true / ` p Permit No C9- ( ` Date ,I .C ,l. .Q. Read, Sworn to and Subscribed before me. Disapproved 1 f Date Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD DATE . Chairman Member \fcrr,ber Member :stcmber .. .. __....._..._.,...._.._.... Member _.._._...._.... Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for staking corrections or changes to this application after approval has been obtained from the Plannir.;t Board. - A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby sonde for the approval of the detailed statt;.,,rnt ut the plans and specifications herewith submitted for the build ing 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 the wg_gIc.. Owner's Name and Address . Registered Architect and /or bngincer vi,/ Name and address of licensed contractor ,1 Location and legal descrip ion of lot to be built on: / / Lot . k115 f 6..AII ? `d' . Block '?W Subdivision. .�.. / A _ 0 7 6/6 ° ._ Street and Number where work is to be done 3 ....�.. State work to be done and purposc of building (by floors) and for no other purpose. Ncw Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of ffoundati n . z) Roof Covering Estimated Total cost of improvements $ 4' 3..(/ Amount of Permit S. 3 ' . �O 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 the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The umlersicncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Sup lenient, anti has complied .pith 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 o rk such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, r js , rformed u,..er this pcnnit, as are licensed by Miami Shores Village. Rern.uks..._ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared 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 fads therein by him stated are true. 4-,5 ruue. No...44.3..1.Q Date / 1 Read, Sworn to and Subscribed before me. Disapproved ......._...._.. Date (Signed) 4 Building Inspector Street_ e 74ff7 My Commission Expires 9// Notary Public, State of Florida to me well known, PLANNING BOARD DATE Chair :r.an Mcmbcr _ Member Member — Member.. .. _.....__....._..._._ ...._....... Member ...._ Council Approved Date Disapproved Date NUTS: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the PI.innir.:4 Board. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anu /or workmanship. PROPERTY OWNVR New Construction Name (13 ' ,� I LL %,.. Address wi i - k Li_o Home Telephone 3 0 S— ') S76 — ( 7 1 3 Business Telephone /....._ c60.— S —v7 0 .- o (1 Fax -.2 7bS - '1 (o' 02 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 Step 1. A PPLICATION Jo b Address: Address ,1E. Apt. City Folio Number escription of Work Lot 131ock PERMIT APPLICATION Master Permit No. Subsidiary Permit No. Bp • a a • 9- fi' INSTRUCTIONS - 7ihe ollowing 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 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. State Zip 1 4t ..rr v r Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet '\ Units Floors Proposed Use of Property alue of Work e6 6 Tenant Information /\ x Assessed/Appraised Value Flood Zone Base Floor Elev. 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 Bldg Value 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. '1A FFIDAVIT - 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, P' 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. i ' ORID .. Signature of Owner t_VtAt„ Print Name Sw : ` o d subscribed before me this , fJ i dayo STAT SEAL: COUNTY OF MIAMI -DADE re of No : Public - to of Florida r. . -� T c 7' .. }ER Identi Type of Identification Iar Personally known cation- 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: Personally known OR, Produced Identification 1 -5 1 - 17 pOof Identification Produced: PERMIT APPLICATION ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE. Outlet, Appliance QTY. 'TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall 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 Disposal Refrigerator, Domestic Interceptor Temp for Test - 30 days Roof Inlet Deep Freezer Water Closet Low -volt, Fire Domestic Well Renew - Temp Service Laundry Tray Septic Connection Demolition Water Heater Low -volt, Intercom/Teleph. Drainfield, 4" Tile/Res. Repair Circuits Lavatory Septic Tank Dishwasher Water Heater New Low -volt, Television Drains, Area Service, Number of Amps Meter Set (Gas) Sewer Connection MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. 'TYPE Refrigeration, Tons QTY. 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 Relay Repair Utility - Water Vacuum Pump Dishwasher Indirect Wastes 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 REVEEWED BY: DATE: SECTION BY D TE Zoning & zf 77/o Electrical Mechanical Plumbing Fire Public Works Structural / , 791 Q Z Building Official Page 4 OFFICE USE ONLY 1, .:Js ❑ 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.) $ t 6 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) $ o ( sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ f ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: Y CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2" AVE., MIAMI SHORES, FL • (305) 795 -2207 c FAX (305) 756 -8972 http : / /www.miamishoresvillage.com - The Sunshine State LK�1SE WARIER P600- 936 -59 -1 79-0 WILLUM R PERRY ID 340 NE 94 ST MIAMI SHORES, FL 33138-0000 BIRTM DATE SEX MGT. REST. ENDORSE. 06 -19.69 M 6-00 A ISSUED EXPIRES 06-0618 06 -19-04 DUPLICATE 00.44-00 SAFE DRIVER 1190160110214 Operation at a motor vehicle constitutes consent to any sobriety test requited by law " Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/18/2002 Applicant: DYNISE PERRY Owner: PERRY DYNISE JOB ADDRESS: 340 NE 94 ST Contractor Local Phone: Parcel # 1132060136160 Fees: Description Amount FEE2002 - 2260 Building Permit Application Fee $60.00 FEE2002 -2261 CCF $0.60 FEE2002 -2262 Notary Fee $5.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Approved WILLIAM R PERRY DYNISE W. PERRY 340 NE. 94TH ST. Permit Expiration: Building Permit Permit Number: BP2002 -788 Contractor's Address: Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10-70 W15FT OF LOT 6 & ALL 10/15/2002 Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) 6 660 21 2272 0106416552 DATE 2-Z41. MIAMI, FL 33138 � PAY TO THE l .. ORDER OF \ \ -k W^.' 1 t s ( L- I �• A G L'- ( $ ^ '1 s { X ��J �y.1 @ Sac* w.` ESPIRfTO SANTO BANK 7DOLLARS °� of Florida 999 BRICKELL AVENUE ... MIAMI, FLORIDA 33131 MEMO �C Y-'Cl V�1`� ?C...... 1 �p 11T A:0660090 29t: 00 L064 1 5 5 2u. 2 2 7 3Y: BY: $800.00 Page 1 of 1 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection • • -_ .s ,..e ..�a;..� fnr ano ther inspection. uipment or device described in the application herefor in strict compliance with all ordinances awings, statements or specifications that may have been submitted to and approved by the th such ordinances or if the plans are changed without authorization. A further condition upon ponsibility for a thorough knowledge of the ordinances and regulations pertaining to the work sues responsibility for work done by his agents, servants or employees. ipliance with all ordinances and regulations pertaining thereto and in strict conformity with the accepting this permit I assume responisibility for all work done by either myself, my agent, DATE: OWNER'S NAME: 4 (ils 9 t PHONE: 3 S- �� 13 ADDRESS: � f ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 3-A---C CONTRACTOR & LICENSE (if applicable) (s 1) J COMPANY NAME: ^k mil. PHONE: 4 e - *********** All Elements on the site must be listed and indicate the color to be painted. Walls ,� \ Fascia Drip Cap/Drip Edge Soffit Roof Flower Bins y� � Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other 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 sac�ipl . , (LloL Signatures Own-r Date Signature of Contractor Date * * * * * * * ** * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: Building Offi MIAMI SHORES VILLAGE Paint Color AISPruval and Agreement Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01