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80 NE 94 St (30)X Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/19/2003 Applicant: AUGUST Owner: WOLFE JOB ADDRESS: 80 Contractor Local Phone: Parcel # 1132060130300 Fees: Description Amount FEE2003 -1622 Building Permit Application Fee $60.00 FEE2003 -1623 CCF $0.60 FEE2003 -1624 Notary Fee $5.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/15/2003 Construction Value: $580.00 Work: REPLACE EXISITNG WODEN FENCE ON FRONT AND EAST PROPERTY WITH WOODEN FENCE If there is no permit package accessible on the job -site for fee is $50.00, which must be paid in advance before calling fi This Permit is granted to the contractor or builder named above to construct th ordinances pertaining thereto and with the understanding that the work will be pe and approved by the proper municipal authorities. This Permit may be revoked a authorization. A further condition upon which this permit is granted is the unders' ordinances and regulations pertaining to the work covered hereby whether showr by his agents, servants or employees. Signed: NE 94 In consideration of the issuance to of this permit, I agree to perform the woi with the plans, drawings, statements or specifications submitted to the proper au myself, my agent, servants or employes. Signed: (INSPECTOR) Building Permit Permit Number: BP2003 -443 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & LOT 2 & E1/2 OF LOT 3 BLK 3 LOT `- (Contractor WOLFE AUGUST ST Contractor's Address: 63- 8413/2670 4 9 6 4884837506 DATE 0 3 / n! tAA . .A 4I kwj $ 65. 60 ORDER OF PAY TO THE AUGUST T. WOLFE 350 NE 90TH ST. MIAMI, FL 33138 -3126 0.! MEMO Washington Mu ua P L A T I N U M C U S T O M E R Washington Mutual Bank, FA Miami Springs Financial Center 1756 4451 NW. 36th Street 1- eoo- 78a -i000 Miami Springs, FL 33166 Frv4�'C`� pc,-/u 20 hour Customer 1:26 7084 /13 LI: 48848 3 7 50611' 0496 DOLLARS r•••- Daft -e.n. ACCOUNT Lob i, goc PAYMENT 6 i BAL. DUE "" 0 "---- 0. W FOR ENT s O CAS FROM CHECK MONEY (� B ORDER dJ $ t.rd(;1 DOLLARS 8.* 1182 PROPERTY OWNER New Construction \Name UG A T l A. Wa t4 ``'' ,, Address 99 is 54 5 ►Ak r l-- Apt c 5 ( 401? 5. Home Telephone Alteration Exterior Business Telephone Repair Fax Alteration Interior 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 INSTRUCTIONS - The following steps must he taken to obtain a permit from the Miami Shores Village: Step 1. 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 Complete the attached permit applicatioA vinoi must ba'signed o the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a mori3 accWae froQes§ipl ot)our apaication. If roofing work will be done, a roofing application must be submit- ted along with this permit appjjc,atioQ ' • • • • • • • • • • ••• • • c) yJ( Address • . • • • • • ••. • • • • • • • • .1•S••• Folio Number 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 PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • • • • •. • ... • . .. Master Permit No. • .• • • • • . • • • • • • • • 'ubsidiary Permit No. •. • • • • ... • •.. • . • N( ifv4 ; 5((d✓I s - F k- Apt. City State escription of Work 2 � Pl y I )c t5 C. 4 ■vc€ oiv Frci4 PERMIT APPLICATION Zip Oic JdiN r �- � f S, P %-ry III Lad dai 6d-C, Linear Feet Zoning Square Feet Units Floors a1 e of Work CE)0, t» 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 Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOU Y gEQMItAND *WIT 4IT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited'to: Mbnday thrSughTiiBay fron?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 AtOMI 1 T AN) BRIg. : • • e 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPKIENT Q/ indLes, I,?4 NARY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. ' 00000 0 00 0 0 0 o o • ea 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. it L/ gnature 1 Print Name US om to ) an subscribed before me y STA ! i. I ■ I �1 m a t ure ipf Notary Pub SEAL: -Stateo Flori IAMI -DADE Personally known OR, Produced Identification O 0 0 0 0 0 0 0 e e O 0 0 000 0 o e O 0 0 0 0 0 0 0 000 0 0 0 0 000 0 0 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: PERMIT APPLICATION Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL TYPF. Minimum Fee QTY. • T\ Dryer • • • • (!Ty. 'TYPE, Outlet, Appliance QTY. T1 1 Service Repair Q'I V. A/C Central 1 -3 Ton Bath Tub Fan o' Heating Strips, each Outlet, Wall Vent Hood, Cost Service, Temporary A/C Wall/Win. Tons A/C Central 4 -7 Ton Dryer Vents, Number of Fire Pump Filter Replace Outlet, Switch Pool Piping Signs Sprinkler Repair A/C Central 8 -15 Ton Piping, Flammable Liquid Fixture - Fluorescent Periodic Inspections Oven Barbecue Space Heater (kw) Fire Sprinkler System A/C Central 16-20 Ton Cap - Water Fixture Light Gas - Appliance Parking Lot Lights Pump, Domestic Spas/Hot Tubs Pressure Vessel A/C Central 20+ Ton Cap - Sewer Flood Lights Gas - Natural Plugmold/Strip Pump, Fire Stand Subfeeds, No. of Amps Temporary Toilet A/C Window Catch Basin FPL - Load Central Gas - Propane Posts Pump, Re- circulate Swim Pool, Commercial Temporary Water Closet Air Conditioners Clothes Washer Garbage Disposal Gas Piping Range/Range Top Pump, Replace - Pool Swim Pool, Residential Urinal Chiller Dental Chair Generators, etc. Grease Trap Receptacles Pump, Sprinkler Switchboards Utility - Sewer Clear Violations Discharge Well Heat Recovery Ice Maker Refrigerator, Comm. (p/PH) Pump, Sump Temp Serv., Construction Utility - Water Compactor Dishwasher Low -volt, Burglar Indirect Wastes Refrigerator, Domestic Relay Repair Temp for Test - 30 days Vacuum Pump Deep Freezer Disposal Low -volt, Fire Interceptor Renew - Temp Service Roof Inlet Water Closet Demolition Domestic Well Low -volt, Intercom/Teleph. Laundry Tray Repair Circuits Septic Connection Water Heater Dishwasher Drainfield, 4" Tile/Res. Low -volt, Television Lavatory Service, Number of Amps Septic Tank Water Heater New MECHANICAL TYPh Minimum Fee QTY TYPE: Condensate Drain QTY. TYPE Generator QTV TYPi. Refrigeration, Tons Q.Q.V. A/C Central, Tons Bath Tub Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Filter Replace Ventilation, Cost Pool Piping Air Handler, Tons Sprinkler Repair Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Water Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Pressure Vessel Cap - Sewer PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit Q'I'1'. 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 t�ie� type of wprt beipgre and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY D . TE Zonin _ J _ /" g '/ 3 Electrical Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY L:11 OWNER - BUILDER FORM (Attach) 1D FIRE DEPARTMENT APPROVAL (Commercial / multi - family) CONCURRENCY (New Construction) 1D 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 ID PROOF OF OWNERSHIP (Attach) 00 000 00 . 0 0 0 HRS / DERM AFPROIL 0 0 0 0 0 (Septic / Sewer) 00 000 0 0 ID IMPACT FEE (New Construction) L OTHER (Specify & Attach) $ $ J 0° o 0 0 0 0 ,.0 • �o o • o 0 0 060 0 0 0 0 0 0 0 0 0 0 0 000 0 0 0 0 000 0 0 ( x .6. x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) • 0 •. • • ••• • PERMIT APPLICATION CHECKLIST O 000 0 DI CONDO ASSOCIATION APPROVAL (Attach) O - 0 00 O 0 0 0 0 ° o g d el:PR APPROVAL (Restaurants) O 0 0 0 0 O 0 0 00 CI CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL 0 (305) 795 -2207 0 FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com