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550 NE 94 St (11)APPROVED: Zonin PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ate Job Address J 4\f E qy 1 � 3 / Description GD �6 Owner / Lessee / Tenant 1_\/(1(A Owner's Address SS3 NJE 9 1 -1 444 1 -- Contracting Co. 4/`I/ Qualifier SS# - - State 1i Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Rti;,/,/ Mechanical Plumbing Address dcir Square Ft. Estimated Cost(value) 4 a Fire Tax Folio /2 /0J fee Master Permit lA t Y" Phone 75 - /a7 - 7 Phone 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 (IF 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. 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. Furthermore, I authorize the above -named contractor to do the work stated. /(\ - Signatu of owner and /or Condo President Date: --5. Signature of Contractor or Owner- Builder Date: Notary as to Owner and /or Condo President Notary as to Contractor or Owner- Builder My Commission Expires: ,._.. P4 .. F. My Commission Expires: ar �d f Or NOTARY SEAL * O �, r. r S/i * SCOTT W DAVIS DAV COMMISSION NUMBER o ** * * * a �, is . . (j * CC 237 * � * * * * * * * ** ��yy F \MY COMMISSION EXP. .I7 , �-- / T / FEES: PERMIT , /�� -© o F�o " ��'N. 2626 1Z /lop NOTARY 9/0 TOTAL DUE 9 Other Electrical Engineerinp sam les. MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 5-lAl0 OWNER'S NAME: Dee 5INA �leN T 1Z PHONE: 3®S -• 955 - 12 ADDRESS: SSo t OI '1'. *********************************** * * * * * * * * * *. * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 3� CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls - 4 CAST612. L'3+kT'S Fascia L` i4 ,IA,i'r Drip Cap/Drip Edge Soffit CIA N1A 1\1 1 � N n 2.11Uo1iJ U.)ffkTO Roof Flower Bins Shutters Awnings Chimney Doors and door jams AYA Garage Doors t3le16toti. r of t Railings I'I /A Fences AVA Decorative Metal /3 11411.1gh- -- U->bt-r6 All brick (simulated or regular) kVA Stucco Banding Any other stucco features Accessory Buildings Other -3 7 1 /d•= 2 Building icial Date 11 0 0 r 0 - a m m m z D z 0 0 A D S ancaster white /fr. brilliant white 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 con ruction and zoning. I authorize the above -named contractor, if applicable, to do t work stated. - - rmore , the paint colors will be as per the attached Signature of Owner Date Signature of Contractor Date ****.****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** AP' ' OVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 ,r t f • ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TVPE. 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'Iuubs 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 '1'Y1'E A/C Condensate QTY. TYPE Drains, Roof Q'I'Y. 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 EC KL I'ST LI OWNER - BUILDER FORM (Attach) Li FIRE DEPARTMENT APPROVAL (Commercial / multi- family) • CONCURRENCY (New Construction) ® OTHER (Specify & Attach) ® PROOF OF OWNERSHIP (Attach) m HRS / DERM APPROVAL (Septic / Sewer) ® IMPACT FEE (New Construction) 01 OTHER (Specify & Attach) PERMIT APPLICATION CONDO ASSOCIATION APPROVAL (Attach) BPR APPROVAL (Restaurants) CI CONTRACTOR REGISTRATION (On File) PERMIT FEES $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 $ ( sq.ft. = x/1000 l x ¢.60) $ (¢.005 / sq.ft.) $ (0.01 /sq.ft.) / of [ISSUING OFFICIAL O d REVIEWED AND PREPARED BY: g BY DATE SECTION Zonin Electrical Fire Mechanical Plumbing Public Works Structural Building Official z �-- TSTAL $ DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 a http : / /www.miamishoresvillage.com PAY TO THE ORDER OF Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/16/2002 Applicant: DEANNA SINGER Owner: SINGER DEANNA JOB ADDRESS: 550 NE 94 ST Contractor Local Phone: Permit Status: Total Fees: 1 : nion Nati= al Bank tunion.com Org. 020 R/T 021 101 108 DEANNA SINGER 550.NE 94th St Miami Shores, Fl 33138 1:0 2 L LO L L08i: L000098 3 5 X46811' 0 4 Building Permit Permit Number: BP2002 -930 Contractor's Address: Parcel # 1132060140940 Legal Description: MIAMI SHORES SEC 2 PB 10 - 37 LOTS 6 & E1/2 LOT 7 BLK 56 LOT SIZE 75.000 Fees: Description Amount FEE2002 -2778 Building Permit Application Fee $60.00 FEE2002 -2779 CCF $1.20 FEE2002 -2780 Notary Fee $5.00 $66.20 Approved Permit Expiration: 11/11/2002 Construction Value: 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 another inspection. DATE 0112 51- 110/211 BRANCH 95143 r..m... Sacuntv DOLLARS t o...u. u BY: BY: $1,800.00 Page 1 of 1 Total Fees: $66.20 Total Receipts: $0.00 e equipment or device described in the application herefor in strict compliance with all iith any plans, drawings, statements or specifications that may have been submitted to not done in compliance with such ordinances or if the plans are changed without tor or builder named above assumes the responsibility for a thorough knowledge of the 3s or in the statements or specifications and that he assumes responsibility for work done compliance with all ordinances and regulations pertaining thereto and in strict conformity :s Village. In accepting this permit I assume responisibility for all work done by either 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 PROTEC I'ED 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 W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in ace' dance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Ch • I sing a C r. ST O' ' lb , COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE tate o on Signat of Owner Print Nam t /'\ Print Name Sworn to a u subscribed before me this '1 0 ignature of .tary Public - 4 it O4j P0,9 AP!CGLA M B .t.' r kG v co I a .) Personally known n OI , Ilro Identification Personally Personally known OR, Produced Identification G "r'.. • .r Type of Identification Produced PHIL I•l.! . ._...i�_ At Type of Identification Produced: 09 b 3 L SEAL: Signature of Contractor / Qualifier SEAL: Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida PERMIT APPLICATION TYPE OF MANAGEMENT (✓ ) \Name g't? ®4-f- T. �! ,93z• Address Home Telephone /bZ Business Telephone m a Fax — TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'] Attachment Other Add'I Detachment Other ' g obtain permit ' INSTRUCTIONS - The follo�rtn _ steps must he taken to ohtam a �ermrt 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 Job Address: 5So Abe cidrik 5r Address Apt. Folio Number > Description of Work -4i-reel Dt . fi - 0 9 -tMTIN A Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPG% 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. ' 0-00A" City PERMIT APPLICATION State Linear Feet Zip Zoning Square Feet Units Floors ,Value of Work l • 0e> 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