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711 NE 94 St (7)DATE: a OWNER' S ADDRESS: MIAMI SHORES VILLAGE Paint Color Approval and Agreement JosP O - /,i) 4 /1%92r/ PHONE Z7�e..■V6 -s.e.-d ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * *. * * ** ADDRESS OF SITE: P./ CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE. ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls ,O/13 Fascia Drip Cap/Drip Edge (.:/ / _1,0 Soffit Roof 4./atel 76 o.` /—v�� o Flower Bins (owe zo/ Shutters 0�� • Awnings Chimney Doors and door jams°° y-y Garage Doors • LiC/�i J - Railings Offioo.)44Fences j. Decorative Metal 1 aja•t1 l G • All brick (simulated or regular Stucco Banding Any other stucco features Accessory Buildings Other SANTA FE C70 -28 ..; //AV Cy r/ & 75- 7//. •1 DP -352 Ca c 42. /e /dam 6(.4) cA 2aedi 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 do the work stated. Furthermore , the paint colors will be as per the attached sam •. es. APPROVED: Building Offici Date Signature of Owner ate Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 • C ::,.i:LrCL) C:;EEN Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/26/2003 Applicant: ELIDA TRIAY VALDES Owner: VALDES ELIDA TRIAY JOB ADDRESS: 711 NE 94 ST Contractor Local Phone: Parcel # 1132060141980 Fees: Description Amount FEE2003 -1208 Building Permit Application Fee $60.00 FEE2003 -1209 Notary Fee $5.00 FEE2003 -1211 CCF $0.60 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/25/2003 Construction Value: $1,000.00 Work: EXTERIOR PAINTING AS PER AGREEMENT If there is no permit package accessible off-the job -site for ins fee is $50.00, which must be paid in advance before calling for at This Permit is granted to the contractor or builder named above to construct the bui. ordinances pertaining thereto and with the understanding that the work will be perform. and approved by the proper municipal authorities. This Permit may be revoked at any authorization. A further condition upon which this permit is granted is the understandir ordinances and regulations pertaining to the work covered hereby whether shown on tl by his agents, servants or employees. Signed: In consideration of the issuance to me of this permit, I agree to perform the work co with the plans, drawings, statements or specifications submitted to the proper authorit myself, my agent, servants or employes. Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 17 & E1/2 OF LOT 16 (INSPECTOR) Building Permit Permit Number: BP2003 -323 (Contractor or Bi Contractor's Address: '03AH3S31,1 SJH'JIU T1V' IO MOM %O sa amleal M + ^�.S 09 Ti A`: OL9Z/£t4'8yE9 L£SZ Page 1 of 1 E52 019019 toRiV BLK 67 5MMHO 133M5 - SNO33HH3 InNOIS30 0 urt`E 8:11-E t'i E1OZ 9 2 d01 ee lsWAm?vovs , wig imel prt - tia,MPPOI Of95 1wv1N1 , 7 N ' rt� N[' •Y aso f nYV .L VP'l3 MIAMI SHORES VILLAGE se ,„ Paint 0 N 1 and Agreement 7 # DATE: 2 -03 . °.. °. .•. • ••: OWNER'S NAME: .Jbs e-• • ! :.t 4fl PHONE: Sod" 757 ADDRESS: 77/ 4 9 * * * * * * * * * * * * * * * * ** :* . * * :* :'.m *1`: * * * * * * * * * *** * * * * * * * * * * * * * * * * ** ADDRESS OF CONTRACTOR & LICENSE•(if a�131'i�at3le) COMPANY NAME: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elemen s on thr site must be listed and indicate the color to be painted. Walls R. D A vAie , 4c� //o 1C-730 Fascia f -=Drip Cap/Drip Edge (/) // -ems Soffit 72)A212, 2 Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Building Official Date c- go"? / fe , G so -( bey Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other ( °I" Clan- 7 PHONE: C .o.r - 7715 7/43 0 r z Le � ' cam- ti cil • 0 " elke,) w'k OWNER'S AFFIDAVIT: I certify that all the foregoing info ation is accurate and that all work will be done in compliance with all applicable laws regulating c struction and zoning. I authorize the above -named contractor, if applicable, to d • the rk . tated. urthermore , the paint colors will be as per the attached sa ,�j o es. - at re of Owner D. to Signature of Contractor Date ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** A ' ROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 dee • • • • • • . • • • • • • • •• • • • • • • • •••• • • • • •••• • • • • • • ••• • • •••• • • • • • • • • • •• • • • • • •• • •• • • • •• • • • •••• • • ••• • •• • • • • • U5E �� p Sunshine State ELIDA T nARTI g 291 711 NE 94.SI •_. r .. . X HIAMI, ✓p . x ` f" c0 A 20 - 8 8 1 VI 12 pirveP 218E -94 p D0-OD OPERATOR o� ojo. •wE n . DRIVER i\ �, ,. SAFE a ,..„ n i so.a�oe u�+� ., PROPERTY OWNER New Construction Name r / �//,�AtL_ t `w i �J�� • Address l/Al / g1 Alteration Exterior Home Telephone ` — Repair Business Telephone , n . •� / / 3 , Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other •. •• • • • •• •. • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • Master Permit No. • ••; • ••; . ;•• gAsidiary Permit No. • • • • • • • • • •• .••. PERMIT APPLICATION (9\ ,gc)? INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application whicbmuatbe siepgd b3atile property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more e accur :ta prgtes your ap$Ijcation. If roofing work will be done, a roofing application must be submit- ted along with this permit applicati4 ' ' ' ' " ' • • •• • • • • • ••• •• 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: Address Apt. City Folio Number ✓/description of Work Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Zoning Square Feet alue of Work �ccc Zip Linear Feet Units Floors Bldg Value x Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Qualifier Name I Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YQUI; 4L1:DATE:I) gER1111,' AND TTRMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limi?ed to: °Monday ffiroutfl Triday 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 FREV112014 bIB,' lNIiitEB7t14. • • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQOPMEItifi AtalICLEVANDIvIAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 0 o 0 0• • • • • 0 0 • o o 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 with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosin a Contractor. 11 'll FLO ignature o i'wner DA! COU lic Y OF S. ATE Print Name ♦. to and subscribed before me this day o (Ihi� W ILLA • # Ari Signature of Nrrary Puy SEAL: State of Florida I I -DADE Angela M BRCS' My Commission DD960048 o p" Expires November 15, 29131 Personally known OR, Produced Identification . r Type of Identification Produced: ) A& ' I ' �' 9.y'I e of Identification Produced: • •• •• 0 • 0 0 • 0 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 0 0 0 0 000 0 0 0 0 000 0 0 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: 4 sonally known P OR, Produced Identification ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer • ; oTY. 'TYI'i; Qutlet, Appliance QTY. TYI'1: 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 tight 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. TYI 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 Page 3 • •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • ••• • • • • ••• • • • • ••• PERMIT APPLICATION -- .••• •. • INSTRUCTIONS: Please indicate tl)e type or werlk beingpertormed and quantity(ies) in the space provided below. ••• ••• • RECEIVED AND REVIEWED BY: DATE: SECTION BY D E Zoning 0 e Electrical Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST 0 OWNER - BUILDER FORM (Attach) Ll FIRE DEPARTMENT APPROVAL (Commercial / multi - family) CONCURRENCY (New Construction) LI OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ (Attach) ••• • LI PROOF OF OWNESHIP ° • ° ° ° C' R NDO ASSOCIATION APPROVAL (Attach) 00 0•0 •• 0 • 0 00 HRS / DERM APPIZOVVL; : ° ° LI•BP12•APPROVAL (Restaurants) 0 0 • 0 0 • • (Septic / Sewel') ° 0 e 0 0 0 0 0 00 000 0 0 0 0 0 00 ZI IMPACT FEE (New Construction) • LI OTHER (Specify & Attach) PERMIT FEES Inspector State Educational Fund $ (0.005 / sq.ft.) State DCA (Radon) $ (Q.01 /sq.ft.) Code Enforcement Fine $ Zoning Review Notary $ 5 O � ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: O e• •• • • • •e e• O 0 0 0 0 0 0 • 0 0 O 0 0 000 0 • 0 O 0 0 0 0 0 0 0 000 0 0 0 0 000 0 0 (X .ft. = x/1000 • • PERMIT APPLICATION ® CONTRACTOR REGISTRATION (On File) TOTAL $ 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 APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address �dl. Registered Architect and /or Engineer Name and address of licensed contractor... Location and legal description of lot to be built on: Lo1.12 a.. ... Block 170- Subdivision. --- -r, i d - State work pbe done a d purpose of building ( rs f,! Street and Number where work is to be done and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Ki / of foundation /oof Covering , Estimated Total cost of improvements $ 1 j v O0 Z. Zone cubage required Amount of Permit $ _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed y Miami Sho Village. Remarks.ef (Signed) and who, being by me of the above described therein by him stated 1 Permit No Disapproved ) (Signed) ' "- Chairman Member • Member STATE OF FLORIDA, COUNTY OF DADE. j ss • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared first duly sworn, upon oath deposes and says that he is the. construction, that he has carefully read the fo -_oing application, and that he did sign the same, and that all facts e true. Date Read, Sworn to and Subscribed before me. PLA INC BOARD DATE Date - Building Inspector _ _ 2, - 3 2 '7 to me well known, Notary Public, State of Florida My Commiss on Expires Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.