Loading...
735 NE 94 St (2)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date i S Time Type Insp'n Fr (o 1 i Approved Correction Re- Insp'n Fee Permit No.. El ac03- 4 � Name eYe2. Address 3s Kit 9 4 s )- 380 Company Phone # For Inspector: I I( Name & Date ELECTRICAL •1'11'E Minimum Fee QTY. TYPE Dryer Q"1'1. TYPE Outlet, Appliance QTY. TYPE Service Repair Q•I'V. 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 AmpjSQ Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. T1'1'1•: Generator QTY. TYPE Refrigeration, Tons Q•1'1•. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C WaH/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 PLU 'IBING TYPE A/C Condensate QTY TY'I'F. Drains, Roof QTY. TYPE PE Miscellaneous Fixture QTY•. TYPE Soakage Pit Q'r Y. 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. lst 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 Choosing a Contractor. S A ignature of Owner, Print Name om • and subscribed before me thi Signature o otary Public -_Sak , ; ,r da '"::e.:14"1. REBE't�: SEAL: MY COMMISSION * DD 104633 EXPIRES: M 31,2006 Bonded MN Bud9el WOO servxes 'Or Personally known a-00' e re2_ Type of Identification Produced: OF MIAMI -DADE PERMIT APPLICATION Print Name �y om to nd subscribed before me this 7� day of 5;(7,0) f Notary Public - State of Florida REBECCA GARCIA MY COMMISSION II DD 104633 WIRES: Mari 31,2006 o5' PN< Bonded rnru el Notary Se rio07 Signatur SEAL: 4.1'11:14. OR, Produced Identification Personally known V OR, Produced Identification pe 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: SECTION BY DATE Zoning Tele b _.�yt` t - , 't _ 1 1 Fax ?;06-769-35-63 .I Qualifier NNam 1 F to n ei e r Home Teiepk�pe r te, ...._75 c3 ` j _ p {(� � Electrical Business Telephone ,7 — ea.t,/©.i Mechanical Demolish Plumbing Shell Only Fire Foundation Only Public Works Other Structural Add'I Detachment Building Official CONTRACTOR Name4a e�r►�c c/' License 11pl 11p Q9 � ! 1 Address pp �C c .{ I MO ' ./� �9..J ` Ooe G 1 Q. if - 1 �� 3° t 6 J Tele b _.�yt` t - , 't _ 1 1 Fax ?;06-769-35-63 .I Qualifier NNam 1 F to n ei e r PROPERTY OWNER New Construction j �p Name c &x:::\ ' e, Enclosure Address 3 555 qN 1� MY\ 1 5V C 5 \ X13'6 Home Teiepk�pe r te, ...._75 c3 ` j _ p {(� � Repair Business Telephone Alteration Interior Fax r Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair x Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other Page 4 OFFICE USE ONLY PERMIT APPLICATION CHECKLIST ❑ OWNER - BUILDER FORM (Attach) O 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 Notary O PROOF OF OWNERSHIP (Attach) O HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ y 7 D $ (¢.005 /sq.ft.) (X .. . x/1000 (¢.01 /sq.ft.) ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING 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 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Step 2. Su th e complete app lication with all necessary processing of your application, you may be asked to APPLICATION Job Address: 135 q 1 Address r� Apt. Folio Number i BC — Ut pry 4 ` `q c 10 Lot Block Subdivision �� PB PG Current Use of Property 4 e G 1 Proposed Use of Property Value of Work 8120.00 Bldg Value Tenant Information Complete the attached permit application which must print or type to allow for a more accurate processing ted along with this permit application. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT 44 `/ 9 � #� Name License No. Address Telephone Fax PERMIT APPLICATIOI . Master Permit No Subsidiary Permit No. be signed by the property owner and qualifier. Both signatures must be notarized. Please of your application. If roofing work will be done, a roofing application must be submit- documents to the Building, Planning and Zoning Department for processing. During the submit additional information. Shores I ?73/33 City / t , State Zip Description of Work Qe.Q IC1 C. t 2 awl? r Zoning Linear Feet Square Feet Units Floors PatO Fu ( � Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER ,� j/ Name d � / License No. Address Telephone Fax BUILDING (l ELECTRICAL PLUMBING ❑ ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot . 1. ''PERMIT N? 13539 fl Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision DATF Contractor's License No Value of Amt. of Project $ Permit $ •rte • This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- y A _ BY � ` ..J S. ,.% INSIECTOR 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 responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT j �a p Date Application is hereby made for the approval of the detailed statement of the plans and specifications•herewith submitted for the building 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 work. r _ Owner's Name and Address No — Street Registered Architect and /or Engineer > Employing Electrician's Name — a ' F' ' C '`° No Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) r r' Street - Street New Building t- Remodeling Addition Repairs No. of Stories Service Overhead = Size Feeders...,:. Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OP DADE. I SS. �Conduit Main Sw OJ Amps Main Fuses (Signed) Amps lectrical Inspector. The undersigned applicant for this uilding permit does hereby certify that he unders ds and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen ral Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all con Stors or subcontractors 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 by Miami Shores Village. (Signed) Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty dterials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL r - d CHECK 17/ 1 f .., V ' e 1 l C 7 4313 ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / ' ( •�_• CHECK i t _,_ 1 / t ' - I .10, , , 'c' h1 Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT j �a p Date Application is hereby made for the approval of the detailed statement of the plans and specifications•herewith submitted for the building 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 work. r _ Owner's Name and Address No — Street Registered Architect and /or Engineer > Employing Electrician's Name — a ' F' ' C '`° No Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) r r' Street - Street New Building t- Remodeling Addition Repairs No. of Stories Service Overhead = Size Feeders...,:. Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OP DADE. I SS. �Conduit Main Sw OJ Amps Main Fuses (Signed) Amps lectrical Inspector. The undersigned applicant for this uilding permit does hereby certify that he unders ds and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen ral Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all con Stors or subcontractors 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 by Miami Shores Village. (Signed) Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty dterials and /or workmanship.