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PL-03-112CONTRACTOR N ame b d 6lt, ld"; C?'4 Kb5 , e it'Z Address 702, An of 4 /4 71 1 $• / -,3 /3 Name - �-N efeclex.,400€ age* License No. 94 _ 6 - 00® � 7 Alteration Exterior Business Telephone 3 05 --„,.. 25 -i ,, 7 9 1 , Address "a- ®355 S / "ow' flit,-'I c Alteration Interior / Telephone 34 _Ix °esz35 Fax :75 ae , ( � Qualifier Name 7 f Shell Only PROPERTY OWNER N ame b d 6lt, ld"; C?'4 Kb5 , e it'Z Address 702, An of 4 /4 71 1 $• / -,3 /3 " Home Telephone o ,._1: -- 6 ,, /8 ©() Alteration Exterior Business Telephone 3 05 --„,.. 25 -i ,, 7 9 1 , Repair Pax Alteration Interior 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 RECEOVED APR 1 8 2003 INSTRUCTIONS - The following steps must be aken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property o wner 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 °M11WIZLIMINIA Job Address: N•• Address Apt. Folio Number ii S � O Cvol q/ 936 Lot /-2 Block ("7'7 Subdivision PB / PG 7 Current Use of Property / pc Ai 17,9 b 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 ARCHI TECT Address Name License No. Telephone Fax Master Permit No. City PERMIT APPLICATION Subsidiary Permit No. State' Zip 7 Description of Work 6,+')• y'ej / P✓I I ?' P� �,0 c F / - , ad Zoning Linear Feet Square Feet Units Floors Value of Work .7,c ©� Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Address ENGINEER Name License No. Telephone Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/2/2003 Applicant: Owner: JOB ADDRESS: 702 NE 95 Contractor ARFA PLUMBING CORP Local Phone: 305 - 552 - 8410 Parcel # 1132060141930 Permit Status: APPROVED Permit Expiration: 10/29/2003 Construction Value: Work: fire repair see scope of work Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2003 -118 ST Contractor's Address: 11325 SW 46 ST $450.00 Page 1 of 1 (Contractor or Builder) BY: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 12 & 13 BLK 67 LOT SIZE 123.230 X Fees: Description Amount FEE2003 - 2620 Building Fee $90.00 Total Fees: $90.00 Total Fees: $90.00 Total Receipts: $0.00 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 employes. Page 2 IMPORTANT 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 fmancing, 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, 1a 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. ST OF FLO I A, COUNTY OF MIAMI-DADE Si eofQwner afnecit/ Sioke Je Print Name Sworn to and subscribed before me this ZS day of 0200 3 . °.o P s,. Yantis S Borroto l` 1 *MY Concession CC835722 Expires May 11, 2003 rsonally known)____ OR, Produced Identification Type of Identification Produced: SEAL: PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI-DADE Signature of Contractor / Qualifier c7 16r, -�-? r Print Name worn to and subscribed before me this / ` 7 day of , , OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPI Outlet, Appliance QTY. FS PI' Service Repair QTY. A/C Central 1 -3 Ton - Heating Strips, each Fan ° Outlet, Wall 0 Service, Temporary - Paint Booth A/C Central 4-7 Ton Fire Pump Outlet, Switch a1. 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 !o r. Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Sere, 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. TYPI Generator Q Y. TYPI? Refrigeration, Tons Q'I'Y. A/C Central, Tons QTY. Cooling Tower - Heating Strips, each Vent Hood, Cost A/C Wall/WM. 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 QT Y. TY PE, 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 Tap 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) Notary LI PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (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 $ SECTION Zoning - Electrica Mechanical Plumbing 11.717111=11111 Fire "V r Public Works Structural Building Official BY DATE J s ¢.60) x/1000 (¢.005 /sq.f .) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ n , 0 ISSUING OFFICIAL 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 - EM • kTH 118 - 4 E A - C G UNIT :l FEE ITEM SWITCH OUTLETS UNIT a FEE ITEM SPACE HEATERS - UNIT FEE OET LIGHT OUTLETS CENTRAL HEATING :SZfiYASHER RECEPTACLES (WIND) S?OSAL SERVICE TEMORARY (CENTRAL) UINKING FOUNTAIN SERVICE SIZE IN AbPS ' WORK .00R GRAIN SERVICE REPAIR/6ETER CHANT R1'IGERATION ;EASE TRAP APPLIANCE OURETS ••.. SS AND PRESS PIPI (TERCEPTOR RANGE TOP 1.11. e•111 TANKS 4VATORY9 11,7 / Ft tl4 OVEN •: GROUND TANKS :UtDRY TRAY WATER HEATER U.F. PRESSURE VESSELS .0THES WASHER MOTORS 0- 1 HP STEAM BOILERS -0WER ,. GEA 0 , -.1 u c STS / f MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 FP HOT WA 3 ' BOILERS MECHANIC VENTILATIIN INK, POT/3 CORP. INK, RESIDENCE MOTORS OVER 5- S FP TRANSPOR ING ASSEMB IES INK, SLOP MOTCRS OVER 8- 10 FP ELEVATr• SCALAT' :6PORARY WATER CLOSET MOTCRS OVER 10- 25 PP FIRE SPR I 14 ER SY ,' EMS ;INAL MOTORS OVER 25-100 FP COOLING T-4 4 T ER 0LOSET 12e E 64 / ;uw u j • MOTORS OVER 100 PP VIOLATION 'DIRECT WASTES A/C WINDOW REINSPECTI ATER SLPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRAISFO €RS HEATER- REPLACE GENERATORS TRAMMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIGIHING POOL • OUTLETS ccMERCIAL WATER SERVICE SIGN TUBES nER CONNECTIONS SIGN TRANSFOA1kRS "ILITY- SEWER SIGN TIME ClCa "ILITY -WATER FIXTURES :PTIC TANK ANTENNA :LAY TELEVISION OUTLETS AINFIELD. 4' TILE/RES. VIOLATION W & ABANDON SEPTIC TANK REINSPECTION AXAGE PIT CU. FT. .TCH BASIN SCHARGE WELL GESTIC WELL EA CRAIN CF INLET LAR WATER HEATER RE STANDPIPE CL PIPING KM SPRINKLER SYSTEM S RANGE TER SET (GAS) - S PIPING AN APPLICATION FOR BUILDING PERMIT MUST ACCOtiANT THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NM) NOT BE PRESENT ON SUBSEQUENT , "PLICATIONS.) 762- Ai; 9 6- ELECTRICAL MEC ANICAL PLUMBING