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436 NE 94 St (7)BUILDING ELECTRICA PLUMBI(4,G Owner of Building Architect Contractor or Builder Legal Description Address of J, Building Lot CONTRACT OR OR BUILDER,. MIAMI SHORES VILLAGE, FLORIDA ` E;R , IT N° 3478 Work to be performed under this Permit Bl. Subdi- vision Value of Project DATE Contractor's License No. 4. d ' W'ff tiiHNG1 'This A ns eti ®d..rrl2ys n Aar !: od,uction board General Lirnaat ', c art >cautionalito causit your War' eoi,rd office before starting the'work authorize& this permit, Amt. of Permit 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 he�iefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, statements �r 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. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions 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 pertnit I assume tesponsibility for all work done by either myself, my agent, servant or employee. PrPC BY AUTHORITY 194 ) 1:O O ;is 'PROPERTYY OWNER New Construction e Cr'70 L, "/'r, Enclosure Address 43 L ,/1 tr 9 4-51 )22. 54.-e 1 Alteration Exterior Home Telephone / 31% 1 5 ( ) 770- lb/0 Repair Business Telephone 3 a J/ "74. p 73 6 1.-- ,) Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: 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 proper y 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. 4`3- i✓ Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other sr A PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. / %,,,4/.1/ S //oi2e5 PL City PERMIT APPLICATION State Zip c g cto Folio Number j/btescription of Work '7< erzt o Lot o Block 51 Subdivision AO. 7ec- v PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property alue of Work 71 -2 7 °41) Bldg Value Tenant Information T 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 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 (FIRS) 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 STATE OF FLORIDA, COUNTY OF MIAMI -DADE c4 J gnature of Owner . 1 I Signature of Contractor / Qualifier NI ( Dr - ) <. U, 1—ci 0 'tit Name Print Name o and subscribed before me thi day of Sworn to and subscribed before me this day of • Public = L �-o. ' ` • J Signature of Notary Public - State of Florida 1P P d i AG ELA BcG O 1- (T '(1 Fcs;M OF7 yUMU . ° N CC7a6697 ° ;.�v coca _ ,te r ,� rMn C, r r �- P _. ... - 1 Personally known OR, Produced Identification Personally known OR, Produced Identification ,LAP of Identification Produced�� � �c� �J V d` 6 - 1/ 1/4- 7/ Type of Identification Produced: SEAL: SEAL: PERMIT APPLICATION httryJlwww.unionplanters: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2002 -2016 Printed: 12 /6/2002 Applicant: GLORIA LUCIO Owner: LUCIO GLORIA JOB ADDRESS: 436 NE 94 ST Contractor Local Phone: Parcel # 1132060140340 Building Permit Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 8 BLK 51 LOT SIZE 50.000 X 128 Fees: Description Amount FEE2002 -6996 Building Permit Application Fee $60.00 FEE2002 -6997 CCF $1.20 FEE2002 -6998 Notary Fee $5.00 Total Fees: $66.20 Total Fees: $66.20 Total Receipts: $0.00 Permit Status: Approved 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 fee is $50.00, which must be paid in advance before calling for another inspection. GLORIA VIVIANA LUCIO 436 NE 94 St Miami Shores, FL 33138 Pay To the P \ Q , ml SLt-t7 \I( Order of • ` -3 ' X 0,4 2 )( K AUNION PLANTERS BANK For rt. rev! Sc n t` 1:0670084 L4I:0336 0'960098066911' Permit Expiration: 5/19/2003 Construction Value: $2,000.00 [2— /0 -02 Date 336 63-841/670 BRANCH 6221F Dollars a equipment or device described in the application herefor in strict compliance with all ith any plans, drawings, statements or specifications that may have been submitted to lot done in compliance with such ordinances or if the plans are changed without )r or builder named above assumes the responsibility for a thorough knowledge of the s or in the statements or specifications and that he assumes responsibility for work done ; ompliance with all ordinances and regulations pertaining thereto and in strict conformity Village. In accepting this permit I assume responisibility for all work done by either BY: BY: Yellow Ware Main body of house Work Boot Chimney and front porch Twine Exterior stucco bands M iami Siore3 V, /lave DEVELOPMENT ORDER CASE # PZ02- 1121 -06 APPLICANT: Gloria Lucio SITE ADDRESS: 436 N.E. . 94 Street Whereas, the applicant has filed an application for paint color approval before the Planning and Zoning Board on the above described property. . The applicant sought relief as follows: appealing the decision of the Administrative Official for paint color approval. Whereas, a public hearing was held on November 20, 2002, and the Board, after having considered the relief sought and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The applicant has established substantial competent evidence as a basis for the relief sought. Therefore, the appeal for consideration is granted. Passed and adopted this 20`'' of November, 2002 upon a Motion to Reverse the decision of the Building Official by the Planning and Zoning Board with the vote as follows: Member Crutchfield Yes Vice Chairman Fernandez Yes Member Abramitis Yes Member Shockey Yes Member Sastre Yes Chairman, Planni 'g and Zoning Bd. ELECTRICAL TY PE: Minimum Fee (2'I'Y. TYPE: Dryer QTY. TY PE Outlet, Appliance Q'I'Y. '11 1 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 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 'I QTY. Minimum Fee TYPE Condensate Drain Q.1.1' T1,1,1,: QTY. Generator . QTY Refrigeration, Tons 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 Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING T1'PP: A/C Condensate Q'I'Y. 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: 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) LI IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) $ Miami Shores Village $ Bond $ Metropolitan Dade County (C.C.F.) $ 1 • ( sq.ft. = x/1000 x0.60) Inspector State Educational Fund $ (¢.005 / sq.ft.) State DCA (Radon) $ (4.01 /sq.ft.) Code Enforcement Fine $ Zoning Review Notary s .o0 BY SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ (r), ISSUING OFFICIAL LO (o2— IEWED 1 PREPARED BY: DATE: CONDITION OF Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 0 FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com Date / / Job Address I/340 /v .. Legal Description Lot ? Rk. '! S Owner/Lessee / Tenant (`FLU -I f9- V Luc ) C7 Owner's Address 13 Gj A) V £ q 3 Contracting C o. 1 <AN ? Qualifier 6 ,e r7-10 m 0 i V e r State # Municipal # Competency # Architect/Engineer N ►� a [ ;CSC (� e c) Coma_ Address 1 7 7 0 Bonding Company — Address Mortgagor Address Square Ft. Estimated Cost (value) construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE RADON Building Tax Folio /1 — 320 6 .-0/ Q3 �` 0 Historically Designated: Yes (35) 770- 4o/ � ,) 19 Z? (i) Address S I �� `b F)YE `) 9. ss# - . (QPhon Qg)2/0 `- Phone Permit Type (circle one BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING I PAVING FENCE SIGN WORK DESCRIPTION b1 �l�SrN e de r1`� (� c 1 LS d I 7t; co dw). 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 OF 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. No .' My Commi r Owner- Builder GLADYS J VILLAR NOTARY PUBLIC STATE OF FLORMA. COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1,2002 OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in com j�T �j with all applicable laws regulating Signature of owner and/or Condo President Date Signatur• • ►rontrac 7, r rider to Contracto C.C.F. "" V NOTARY 5 Master Permit # 1.7s WO 1 9 ?S � Electrical Ins. Co. NO- gi?yS10 r Oir /6 BOND TOTAL DUE No ..0o7033baq°51 .2-o/ Date Plumbing Structural Engineer PERMIT NO. ADDRESS: • MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE ' PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to corn ptancs with aft Fedora, State. County.Wtage rules sM1d regcrtaborts. Wage assures no responsibility for accortcy odor results tract these pans. 2. This copy of plans must bs tvd(tbts on building site or no Inspection Wtil be condccied. CRITIQUE SHEET JOB ADDRESS 1 /3 e fi/s APPLICANT PHONE # APPLICATION SHEET OF /1/414/0-#20 MISCELLANEOUS G " GI/ ��!'n DATE COMMENTS INITIALS MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bujlding Inspection Request Date Type Insp'n t ^� //— Permit No. a G OV�p Phone # Inspection Date Correction Name C5 Address 4.YeD Company Re- Insp'n Fee ❑ ACCOUNT 3 S D O PAYMENT 3s b 0 BAL. DUE -' O , F DATE RECEIVED FROM K Q FOR RENT U EOR INU P 0 "),, • CHECK MONEY ORDER G No. 61'9940 CASH R6 C:01 120302 1342 001 003131 CASH TO $ 3.S f © DOLLARS a arkons 1182