735 NE 94 St (4)Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 2/5/2003
Applicant: CARIDAD
Owner: PEREZ
JOB ADDRESS: 735
Contractor
Local Phone:
Parcel # 1132060141990
This Permit is granted to the contractor or builder named above to construct the build
ordinances pertaining thereto and with the understanding that the work will be performer
and approved by the proper municipal authorities. This Permit may be revoked at any ti
authorization. A further condition upon which this permit is granted is the understanding
ordinances and regulations pe aining to the work covered hereby whether shown on thi
by his agents, servants oyees.
Signed*
In consideration of the issuance to me of this permit, I agree to perform the work cog
with the plans, drawings, statements or specifications submitted to the proper authoriti
myself, my agent, servants or employes.
Signed ��
NE 94
Building Permit
Permit Number: BP2003 -197
PEREZ
CARIDAD
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 18 & 19
Fees:
FEE2003 -777
FEE2003 -778
FEE2003 -779
FEE2003 -780
Description
Building Permit Application Fee
Code Enforcement Fine
CCF
Notary Fee
Total Fees:
Amount
$60.00
$60.00
$0.60
$5.00
$125.60
Total Fees: $125.60
Total Receipts: $0.00
Construction Value: $400.00
Permit Status: APPROVED Permit Expiration: 8/4/2003
Work: ROOF PAINTING
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 an
NSPECTOR)
(Contractor or Bu
Bank of Advantage For Senior
FELIPE PEREZ OR
CARIDAD PEREZ
735 N.E. 94TH STREET
MIAMI SHORES, FL 33138
a
Pay t ' .a , . hDK.e
to the order of
Bank of America.
ACH R/r 063100277
Memo
I:06 3 0000 1 01: 00
Page 1 of 1
645 2064 211' L66B
BLK 67 LOT SIZE 100.000 X
1668
63 -4/630 FL
Date
$ / .fc 5 ; CD
ollars
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O RIVER
F he Sunshine State
. .
PEREZ tea' y
�--�35 FELIPE N SNBEK 3:1'3080472°k:1995
MIAMI BEK WOW eE1O"B
14 O i BBO
5 - 05
p'� -11-32 N 2001
CLASS: E 00
,m " 251-,Outc\r-1•h
?620- 2 -32-
", `• OG � O � O, j �i 3 O000
GAFF �RI�o �h '� VESOBAE/ FR mo
1 c i ' 5541
RO19`
1.
DATE: ( 0
OWNER'S N"yki :.
ADDRESS: 3 •
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** • ADDRES s:ot.st`pi•. . �. 6 ct J t 33(3Y
CONTRACtb�L1 •(if applicable)
COMPANY NAME:
********************************* * * * * * * * * * * * * * * * *** * * * ** * * * * * * **
All Elements can the site must be listed and indicate the color to be ainted..-
Walls
Fascia
Drip Cap/Drip Edge
Soffit
Roof
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regular)
Stucco Banding
Any other stucco features see uficia
Accessory'Buildings / aleet
Other / Of Co10 �'
sam
o_[i voi C.J V J LLAVrJ.
i1 and Agreement
.:
• • •••
APPROVED:
G (teen
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
)4a103
to
Owner Date Signature of Contractor Date
Signature
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Building Offi al Date
PHONE:
-. r.
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
ELECTRICAL
"1'YPIi
Minimum Fee • . •
(.FV.
• • ..OW::
•
T:'P:;
_ . _ • .
()'1'1'.
'I'YPF.
Outlet, Appliance
QTY.
'INN.:
Service Repair
)Ty.
A/C Central 1 -3 Ton
Dryer Vents, Number of
Fan
Ventilation, Cost
Outlet, Wall
Ductwork, Cost of
Service, Temporary
Periodic Inspections
A/C Central 4 -7 Ton
Fire Sprinkler System
Fire Pump
Outlet, Switch
Fireplaces, Number of
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..oftAmps
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. TYI'E QTY.
Generator
TYPE QTY.
Refrigeration, Tons
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
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE.
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
()Ty.
TYPE
Soakage Pit
()Ty.
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
SEAL:
OF FLORID l UNTY OF MIAMI -DADE
Type of Identification Produced:
lic - S • e otiFlorida
494 .0 Angela M Becker
• My Commission DD150048
9 p f
l „if Expires November 15, 2008
L
•••
• • • • • •
• • • • • • •
• •
... • • • • •'PERMIT APPLICATION •
Signature of Contractor / Qualifier
•
Signature of Notary Public - State of Florida
SEAL:
•
IMPORTANT NOTICES
DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMITANWPERMiTtA34 • Appiy ag for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through ?`riday 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 SANITt1JtY (.QNDITMON five fremtod56}iction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBjt1S. . . • • • • • • • • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICL1S, AND pieta BIE WSW FQR 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 with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Print Name
Sworn to and subscribed before me this day of
Personally known OR, Produced Identification Personally known OR, Produced Identification
—3D\ Type of Identification Produced:
Page 3
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• • • • • • • • •
PERMIT APPLICATION
�
• •••
•• ••
• • •. • • •
INSTRUCTIONS: .rleasehdio ite the:t)te.ot work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
SECTION
BY
DATE
�
//-?//t
Zonin
, ' Z 3
Electrical
.
Business Telephone
Mechanical
Fax
Plumbing
Relocation of Structure
Fire
Shell Only
Public Works
Add'I Attachment
Structural
Other
Building Official
Other
PROPERTY OWNER
New Construction
�y�
Name ' Eel 1 ri `C_. + $ fi
Address _ N
0,1 ti-vr ► 6
q iv 5-r-fixer
f 55( 37
Home Telephone 7
5E1 "7 (G05) /
J
Business Telephone
Fax
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
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
• PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
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
Notary
f -o
$
( s .ftt. = x/1000
$ (4.005 / sq.ft.)
(¢.01 /sq.ft.)
...
•
• •
• •
..• •
•
• • • •
•
• . •PEI4MI'F APPLICATION
• ..• •
• ..
•
..
• • • • •.• .••
• ❑ CONDO ASSOCIATION APPROVAL
(Attach)
•• •.,• •. • • • •••
• • • • • • • •
• (9 BACA (�V (I1es2aurants)
• • • • • • • ••
•• ••• • • •
❑ CONTRACTOR REGISTRATION
(On File)
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
c,ltee. d cv/ it cry' ./J`cI — 4rn t
an 1/3/1.5 7C/e 7C/e is
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 - 2207 • FAX (305) 756 - 8972 • http : / /www.miamishoresvillage.com
Step I.
Job Address:
Subdivision
Current Use of Property
Proposed Use of Property
Tenant Information
• • • •
• • • ••. •
• • • • • .. •
•
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•
•
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•
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
•• • •
Completege afac!ed a ppljc'atior iHich must
print or typ Itosalle w• ova vi a *Lurate 'plocessing
ted along•with Iis,perat$ al)p1ta4n . • •
Step 2. Submit the completed application with all necessary
processing of your application, you may be asked to
APPLICATION
NE, yth 51
Folio Number
p l
Lot V 0
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other ?ot\Vl't i n_
Address Apt.
Block 107
PB PG
) ittVCAT. HOA V,
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
PERMIT APPLICATION
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.
fflikeii - 313e
City State `� Zip
Description of Work --- f a 1 0 1 _}_ (°C�l
Zoning Linear Feet
Square Feet Units Floors
>(Value of Wor �o ' G 0 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
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n
« lam
Name
Correction
Re- Insp'n Fee
Permit No.
Address
Company
Phone #
For Ins .ector:l'
Time
Z c, r;3_S y3