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80 NE 94 St (27)FOR Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /3/2002 Applicant: AUGUST Owner: WOLFE JOB ADDRESS: 80 Parcel # 1132060130300 Permit Status: Approved Work: ,l • • NE 94 H 0 LO2Lo 1:06 7006 3 21: 20000L464 -- - - ---- - -- Permit Expiration: Building Permit Permit Number: BP2002 -1685 WOLFE AUGUST ST Contractor A & W SANDBLASTING CORP Contractor's Address: 501 SW 42 ST Local Phone: 4/1/2003 Construction Value: $2,000.00 RESURFACE SWIMMING POOL INSTALL NEW WATERLINE TILE CUSTOM BUSINESS Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & LOT 2 & E1/2 OF LOT 3 BLK 3 LOT Fees: FEE2002 -5539 FEE2002 -5540 FEE2002 -5541 Description Building Permit Application Fee Buildier's Bond CCF Total Fees: Amount $60.00 $300.00 $1.20 $361.20 Total Fees: $361.20 Total Receipts: $0.00 scroasi mittristt- , PAY TO THE ORDER OF ■►.11 A & W SANDBLASTING & SWIMMING POOL CONSTRUCTION PO Box 145337 Coral Gables, FL 33114 305- 444 -05 64, First Union National Bank ' Ai® ftrstunton.com 'v org. 003 R/T 06700643 4C-t. DATE . 0 - 9 - co-- ._ --SET DOLLARS ANKI G 1021 63. 643/670 BRANCH 00538 L!J [MON on Back. Re- inspection cation herefor in strict compliance with all fications that may have been submitted to c or if the plans are changed without onsibility for a thorough knowledge of the hat he assumes responsibility for work done s pertaining thereto and in strict conformity sponisibility for all work done by either PROPERTY OWNER Name 4,3,4 0 S'j We. I Ff Address 0 W am s 4 4 4"0. .-f nkt .Ckort S Pk 33 Home Telephone 305 77 6UIFD Business Telephone 3 8 bq I2 x 127 Fax 3 OS I t '4/28 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 INSTRUCTIONS - The following steps must be taken to obtain a permit 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 submit- ted 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: Bonk �9 s-t Zip Description of Work la SU I' l: S( .t,l M M ;kJ Pao L TNSlIA /l Neu.) (or*rrII(Are - Eire e Zoning Linear Feet Square Feet Units Floors Proposed Use of Property Value of Work a Bldg Value Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Address Apt. City State Folio Number 1 32 6(3-03 b1) Lot 1 f. 1/2 ) Block 3 Subdivision PB t O PG Current Use of Property PS tcY� �J (l'� PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Flood Zone (\ A-,t " t koris F l- Master Permit No. Subsidiary Permit No. Tax Assessed/Appraised Value Base Floor Elev. PERMIT APPLICATION 33 /36 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 • 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 $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. Signature Print Name ature of / Qualifi Swom to and subscribed before me this Si Signa SEAL: Personally known UNTY OF MIAMI -DADE %f$'+ [FE Print Ntitie Sworn to and subscribed before me this D day of = , y Volta -sob CR Re& IficCortunten Ares Feb 1, 204 Ce rimission # CC904197 ien Type of Identification Produced: -P t. Dt. / kv- to ° ‘31,- ;cop b PERMIT APPLICATION STATE OF FL • I , co ►..►. /Y • F MIAMI -DADE _ rotar Pul :State II 6\?' `� , 2 ''" C� SEAL: Vii. �U >;� „ „. .. • • Personally known ` OR, Produced Identification Type of Identification Produce: ] a 0 . 0 • y 6 ELECTRICAL. Type: Minimum Fee Q'rY. TYPE Dryer QTY. TYPi: Outlet, Appliance QTV. Tl ri: Service Repair QT V. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel 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 Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE. Condensate Drain QTY. TYPE: Generator QTV. 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 Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLU NIB1NG TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. T1 IT Miscellaneous Fixture QTV. 1 YPE Soakage Pit Q'I'V. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinlder 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 CHECKLIST U OWNER - BUILDER FORM (Attach) LI FIRE DEPARTMENT APPROVAL (Commercial / multi - family) Di CONCURRENCY (New Construction) m OTHER (Specify & Attach) Notary LI PROOF OF OWNERSHIP (Attach) ® HRS / DERM APPROVAL (Septic / Sewer) U IMPACT FEE (New Construction) U OTHER (Specify & Attach) $3.00 per page (Scanning Fee) $ / Miami Shores Village $ 0 Bond $3' Metropolitan Dade County (C.C.F.) $ (i 7) ( sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ ((t.005 / sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) Code Enforcement Fine $ Zoning Review REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION U CONDO ASSOCIATION APPROVAL (Attach) ® BPR APPROVAL (Restaurants) LI CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL DATE: CONDITION OF Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL 0 (305) 795 -2207 FAX (305) 756 -8972 0 http:/ /www.miamishoresvillage.com