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485 NE 94 St (10)Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date J /L.5 Time For Inspector: 5 - / 4-pa- Name &-llate Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI,i!SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ime Type Insp'n/ 7 Permit No. 6/2 7& Name /J�' ' • I' v Address ` 9 54671— Company Phone # Approved Correction Re- Insp'n Fee g JL Miami Shores Village 10050 NE 2nd Avenue Printed: 5/12/2003 Applicant: DIEGO Owner: MANTILLA JOB ADDRESS: 30 Contractor Local Phone: Parcel # 1121360130900 Signed: NE 104 (INSPECTOR) Building Permit Phone: 305 -795 -2204 Permit Number: BP2003 -767 MANTILLA DIEGO ST Contractor's Address: Legal Description: MIAMI SHORES SEC 5 PB 10 W1/2 OF LOT 7 & LOTS 8 & 9 BLK Fees: Description Amount FEE2003 -2840 Building Permit Application Fee $60.00 FEE2003 -2841 Notary Fee $5.00 FEE2003 -2842 CCF $1.20 Total Fees: $66.20 Total Fees: $66.20 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/8/2003 Construction Value: $2,000.00 Work: REPLACE EXISITNG KITCHEN CABINETS Page 1 of 1 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. (Contractor or Builder) BY: FILE No .909 05/09 '03 16:38 ID:NIANI_SHORES_VILLAGE____ FAX :3057568972 wnerA . *c.,51 ...cpritpictOrtcy • r . • ype ehmt PES • W YOTJR A111\10::T.WWr • ..p KW* )i ' • • --i• " .::-NC■cary to Oviitevandkii 0.ottdo, ?reit 44tvg 13, ORW4APPARINPP° PAGE / c 14040kik N PLoAcial '70 r" . f-i2PL Sm*- - ku Q€ c 0,) Q-oso -7/ • I 267 . • trr ;\D ssti oe • .. . _ Th _ . . . g<is 1\3 -CL- CJp NS k comeTs. ,‘, 1 R_,oviA„G A - X ---7s.e\A CcE -t ....041LC: i . . ;;' , 42 `" , • • '. t • • . :I. : it" le- l :-,. - • , • - :2--.:.) - d.„. ____ 1 _2_°. jL ,,,...' L. ._,. Mits-"KI 43) 1: 1/•1"...7-V..) . VA-MO C._-----' 2 \cg V-ANA - A a-Asc-s Negu Qe t 0 s f\-dt t St Low cez cPeii\trs — 00,3 1.-StD PROPERTY fOW/)NER Name /� �j {� fl r/( "�L/e li!G`'' 1 6�E�F�� /A�it Address /1 c p y P6 / Home Telephone 30 J l .4a5 q3 Business Telephone 3n 377 , `� / oe) ( LO Fax 3 ,- 75 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 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 Metropolitan Dade County (C.C.F.) $ 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) (sq.ft. = x/1000 x0.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL DATE: SECTION Zonin • Electrical Mechanical Plumbin: Public Works Structural Building Official CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"D AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com 0 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. /Job Address: 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 1p N'_ 9 /.5: /. S')Oftos Address Ap // Folio Number / / i' -06- oi v -or/6 Lot t a , `Ir 1 rn /( Block Subdivision/II: - O/4 f Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PG PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone ' Fax t. City Master Permit No. Subsidiary Permit No. PERMIT APPLICATION State 23 / .3e Zip Description of Work "4M fr /)0(.f t Ccir it 4.67 Zoning Linear Feet Square Feet Units Floors Value of Work J 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 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TV'PE Outlet, Appliance QTY. TYPE. Service Repair QTY. A/C Central 1 -3 Ton Cooling Tower Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Paint Booth Fire Pump Ventilation, Cost Outlet, Switch Air Handler, Tons Signs Ductwork, Cost of A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) Process/Pressure Piping A/C Central 16-20 Ton Fixture Light Bath Fan - Vented, # Parking Lot Lights Fireplaces, Number of 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 1NIECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYI'I: Generator QTY. TI Refrigeration, Tons Q A/C Central, Tons Bath Tub Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Filter Replace Ventilation, Cost Pool Piping Air Handler, Tons Sprinkler Repair Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Water Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Pressure Vessel Cap - Sewer PLUMBING Ty PE A/C Condensate ()Ty. TYPE Drains, Roof QT1'. TYI'E Miscellaneous Fixture QTY. TYPE Soakage Pit QT1'. 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 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. 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 .ith Section 713 -35 f Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing I'ontractor. STA , fi • I a � •caner Sign and subscribed before me this day o v Print Name / \ - 1 Print Name wIcsto I r o No SEAL: orida ADE I ° \- c . P c SEAL: � \il �� AI's P . iR L - t.. . l . o e^,C; 33� . ' p QQe r.:n c9.s._ i.s »a ;:r..."- Personally known ° 61E;'Produceerldentification ' ` Personally known OR, Produced Identification Type of Identification Produced: 1h)) (' AS ) ` 17 ) ^ 7- STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida PERMIT APPLICATION Type of Identification Produced: 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: — The Sunshine State — LICENSE NUMBER G651- 171 -55 -743 -0 GESORAH K GREEINBERG 486 HE 84 ST MIAMI SHORES, FL 33138-0000 maw DATE SEX HET. REST. ENDORSE 07 -0345 F 5-04 ISSUED EXPIRES 04 -2501 074347 DUPLICATE 00-0000 SAFE DRIVER 04250335 Operation of • motor vehicle constitutes tes consent to any sobriety test required by taw Miami Shores Village 10050. NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/15/2002 Applicant: MARK & DEBORAH Owner: JOB ADDRESS: 485 NE 94 Contractor Local Phone: Parcel # 1132060140540 This Permit is granted to the contractor or builder named above to construct the buildin pertaining thereto and with the understanding that the work will be performed in complianc proper municipal authorities. This Permit may be revoked at any time if the work is not do which this permit is granted is the understanding that the contractor or builder named abo covered hereby whether shown on the plans or d • • 'n the statements or specifical Signed: SPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covere plans, drawings, statements or specifications submitted to the proper authorities of Miami servants or employes. Signed: (Contractor or Build Building Permit Permit Number: BP2002 -767 GREENBERG ST Contractor's Address: Legal Description: ; MIAMI SHORES SEC 2 PB 10 -37 LOTS 22 TO 24 INC BLK 52 LOT SIZE Fees: FEE2002 -2206 FEE2002 -2207 FEE2002 -2208 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $2.40 $5.00 $67.40 Total Fees: $67.40 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 10/12/2002 Construction Value: $3,500.00 Work: 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. Re- inspection fee is $50.00, which must be paid in advance before calling for p^A *hor inenor_tinn MARK D. GREENBERG DEBORAH K. GREENBERG 485 NE 94 ST. MIAMI SHORES, FL 33138 A PAY TO THE ORDE MEMO Northern Trust Bank of Florida N.A. Miami, Florida (3 v )1 Page 1 of 1 d2a t:066009650t: 10 L60 2 4 30 611' 2970 DAT 63 -9651 0 660 1016024 2970 $ 2 " DOLLARS L' o'°".a MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: / (� 0 OWNER'S NAME: / 0 9/ / a/if- 3 0,,,3 ADDRESS: tfS/ ( l f ' (S ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: /e 9 ( 2/ CONTRACTOR & LICENSE (if applicable) A/14 b Cd /" COMPANY NAME: PHONE: *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls to .S4/t0( 8, Dote. lW Fascia 7 /3(/r/j C/41( 7Ves' (-)•' . o Drip Cap/Drip Edge /il- / Soffit ,�,/�- / �N� Roof AV/7 Flower Bins A1/4/ Shutters ////69' Awnings -eK/W")%4 heif e (. 4a/T4 Chimney /4/7/ . S4'/ d B, /IWO -#1' 6 $‘ - ' Doors and door jams N/ Garage Doors O4 ira'S - &adore -td3.2.. Railings Fences /&. ri a' /t �.L!% 1 Decorative Metal All brick (simulated or regular Stucco Banding Any other stucco features al/(SW/e' 4 1'/Zodie -` ?4 fL Accessory Buildings N/i9 Other Ue 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 a • zoning. I authorize the above -named contractor, if applicable, to d • th; wo k . t N -, d. Furthermore , the paint colors will be as per the attached APPROVED: Y/�% Building Official Date 2/C z Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 • 964 1032 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date J� /3 Time Type Insp'n L ;Lei Permit No. V 2 Q2 767 Name 6 f z.e. Address gS Ai 9 Si Company (4/514013 Phone # 1 7_ 5 2 1- J 3 For Inspector: ....3 / , Name ate Approved A— f Correction ❑ Re- Insp'n Fee ❑