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705 NE 95 St (2)PROPERTY OWNER New Construction Name Ill a21 0 g–l ki fr Lc. /2S Alteration Exterior - 33 )3 Home Telatonn S _ i,5 / — o ( _ Business Telephone Crn l n_ Demolish Fax ,Y `-e./ Shell 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 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. APPLICATION ?JobAddress: O �l. / $ ilk l 4 - / S ) Apt. City State Zip ' Folio Number Description of Work / x-117 ! } r�- `--max / " `, Lot Block Subdivision PB PG Zoning Current Use of Property Square Feet Units Floors Proposed Use of Propert V a l ue of Work J� On Bldg Value Tenant Information x Assessed/Appraised Value Flood Zone Base Floor Elev. Address PERMIT TYPE (✓ ) Building Electrical Mechanical P1 umbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. PERMIT APPLICATION Linear Feet 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 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 permrtto 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 Sim in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. X Signature v 1 wner Print Name (:)S PUB(/ ANGELA M BcG,..At )::-=.(,[1. n cOMCS ION f.JL',J- t c g., .. Q CC', (fG697 r".,-,'" c P mr c t.;`s S . x:it :s Personally known 9F F'O - Olt Proauced Identification SEAL: Type of Identification Produced: v / Tt 45 ' — ( -7 be- ()Type of Identification Produced: PERMIT APPLICATION 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 Vjii27)C3- f �6 Page 4 OFFICE USE ONLY CHECKLIST ❑ 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 Code Enforcement Fine Zoning Review £ A ISSUING OFFICIAL ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ PROOF OF OWNERSHIP (Attach) ❑ IMPACT FEE (New Construction) O OTHER (Specify & Attach) PERMIT FEES Metropolitan Dade County (C.C.F.) $ / 0 (sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) oo REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ Zc- I DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE Minimum Fee QTY. TYPE I 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 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 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 S;a -e 718 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: LJ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/14/2002 Pay , he Ord of Applicant: BURT Owner: ARKIN JOB ADDRESS: 705 Contractor Local Phone: Parcel # 1132060142120 Permit Status: Approved Permit Expiration: 10/28/2002 Construction Value: Work: Fees: FEE2002 -2457 FEE2002 -2458 FEE2002 -2459 MARILYN L. ARKIN 7-77 BURT ARKIN 705 N.E 95 ST. 305- 757 -8826 MIAMI SHORES FL 33138 4 0 op alMWA _.t Bankof ARKIN BURT NE 95 ST Building Permit Permit Number: BP2002 -846 Contractor's Address: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 10 & LOT 11 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $0.60 $5.00 $65.60 EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. ___ ;_,- ,,,�,� ha n2 id in advance before calling for another inspection. ank of A erica aQ Dat For I: 06 3 100 2 7 71: 00 40 1 308 3 2 4811' OC'W 4egnnitun 4505 63- 27/631 FL // 988 Dollars 8 NP $300.00 Page 1 of 1 Total Fees: $65.60 Total Receipts: $0.00 Re- inspection BLK 68 LOT SIZE SITE :quipment or device described in the application herefor in strict compliance with all any plans, drawings, statements or specifications that may have been submitted to t done in compliance with such ordinances or if the plans are changed without or builder named above assumes the responsibility for a thorough knowledge of the or in the statements or specifications and that he assumes responsibility for work done 3mpliance 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: MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: Y/- OWNER' AME: ADDRESS :7b S `_ • J *********** * * * * * * * * * * * * * * * * * * * * ** * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE:'7OS -- )'I ' - g.5 S CONTRACTOR & LICENSE i applicable) /0 COMPANY NAME: IU PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be list d a indicate the color to be painted. Walls iu ` �2 2 -/AN -3 Fascia /I 7 � 6 k ;-/- o 0 0 Drip Cap/Drip Edge Soffit Roof r 1 Flower Bins '' /v e fq Shutters 0' /0 Awnings ov A Chimney AJM /2 Doors and door , �m1s Garage Doors file, Railings ,0 /I Fences /J if Decorative Metal l,()� r / e All brick (simulated or regular) �� ,¢ Cut Squash Accessory Buildings Stucco Banding Any other stucco feature s �� 5 �v� - 0/ / c 1/ 34 , 1 4v . yo (( ,1 y4W Sf}vy CoLo1 ? 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 the wo k stated. Furthe ore , t ' e pint colors will be as per the attached Other sampl - :/7 Signature of • . - -r D . to / Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: Building Official )1 dA, -/•€ PHONE: '305 75 `7 ?--b 1M4 -3 WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 MARILYN SENA ARKIN • 705 NE 95 ST MIAMI SHORES, FL 33138-2514 07-28-46 F 5-07 A 07 -31 -92 A625- 557 -96 -768 -0 07 -28 -96 CLASS: E .i 00- 00'-00 L S0293006320 FLORIDA U E The Sunshine State