Loading...
PAINTPROPERTY. OWNER ` Name izokl rk ( ltJ Address \otib • We. G} • Home Telephone 0 j `a 5 6 Business Telephone 3 0 S pc6 Z — ,c 3 Z tT C Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other Step 1. Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: 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 submitted 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: I © Zl° VJ E V t a 1 \ lL■ State Folio Number Lot Block Subdivision PB Current Use of Property Proposed Use of Property Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Apt. City Description of Work Master Permit No. PERMIT APPLICATION Subsidiary Permit No. by c 000 ' !` 33■3 Zip PG Zoning Linear Feet Square Feet Units Floors keue of Work C::(-F n J • CO . 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 INIPORTANT 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. 1st Street, 1S 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. STAT OF FLORIDA, COUN Owner U) ■S019eAr Atoirt o t ∎A I-DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier PERMIT APPLICATION Print Name Cl a -- QQ�� Print Name J� Sworn to And subscribed before me this 7 day of .4 Sworn to and subscribed before me this day of � , atur o otary Public - State of Florida / Signature of Notary Public - State of Florida SEAL: SEAL: NOTARY PUBLIC • STATE OP PLORIOM LIONEL S. RECKLEY COMMISSION 0 CCfiO3410 EXPIRES 1/20/2003 RONDE ASA 1-888-NOTARY1 Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: SECTION BY DATE d % // Zoning `�' �: Electrical Mechanical Plumbing Fire Public Works Structural ' L Building Official 7 /c Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ 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 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES t D $ (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ‘ / b U ISSUING OFFICIAL DATE: 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 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. 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 1MMMECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. 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 PLUNIBING 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 the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305- 795 -2204 Printed: 3/5/2002 Applicant: DONNA Owner: ABRAMITIS Contractor Local Phone: Parcel # 1132050170220 Job Address: 1026 NE 97 ST Fees: FEE2002 -1314 FEE2002 -1315 Permit Status: Approved Description Amount Building Permit Application Fe$60.00 CCF $0.60 Total Fees: $60.60 Permit Expiration: 9/1/2002 Construction Value: $200.00 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) If there is no permit package accessible on the job -site for ins fee is $50.00, which must be paid in advance before calling for a This Permit is granted to the contractor or builder named above to construct the bL ordinances pertaining thereto and with the understanding that the work will be perforr and approved by the proper municipal authorities. This Permit may be revoked at an authorization. A further condition upon which this permit is granted is the understand ordinances and regulations pertaining to the work covered hereby whether shown on by his agents, servants or employees. Signed: (INSPECTOR) Address: Cellular: In consideration of the issuance to me of this permit, I agree to perform the work c with the plans, drawings, statements or specifications submitted to the proper autho myself, my agent, servants or employes. ABRAMITIS DONNA Legal Description: REV PL MIAMI SHORES SEC 8 PAY TO THE ORDER OF._ FOR 11 Signed: (Contractor or �,....., Building Permit Permit Number: BP2002 -455 DONNA M. ABRAMITIS 1026 N. E. 97th Street Miami Shotes, FL 33138 - Flrst Union National Bank N firstunlon.com Org. 003 R/T 067006432 Page 1 of 1 1:06 700643 21: 168680 1 56 5 78 5 PB 43 -51 LOT 10 Total Fees: $60.60 Total Receipts: $0.00 +■nna_ Re- inspection DATE _3 /�i Qa-- ` $ BLK 181 LOT 3743 63-643/670 BRANCH 00666 DOLLARS Resoun;e Banking® 3743 DATE: l UZ i/OWNER'S NAME: '(�i: 1bsum�� >> PHONE: 0J C at -, Z ADDRESS: Cb zb l;. q .)t- * ******************************** * * * * * * * * * * * * * * * * ** * * * * * * * * * * * ** ADDRESS OF SITE: 01_6 l t C , V CONTRACTOR & LICENSE (if applicable) 1 COMPANY NAME: / PHONE: ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *i ..__..�.�o ..* All Elements on the site must be listed and indicate the color t MIAMI SHORES VILLAGE Paiit Color Approval and Agreement Walls Fascia wk^at -- an L! Drip CapTDrip Edge w■N‘k. - o Soffit Fkogc Roof Flower Bins Shutters Awnings Chimney Doors and door jams ra\i-Att Garage Doors k,,,■rR. Railings -, a" Li Fences Decorative Metal -t ),k -04 " All brick (simulated or regular) 1=1N( Stucco Banding -- Any other stucco features --- Accessory Buildings Other F 1tAx tv-V -- wo APPROVED: iJ 3ssionally matched Pratt & Lambert P ady of your home. Medium chips will . Small chips are bolder colors that-c, Flax 2048FB WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION /tendocino 2308 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 samples. ( Oz- Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 4/23/01 Midnight Black* 2334FB 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ k Type Insp'n Approved Correction Re- Insp'n Fee Date Time 1 Permit No. • S __ Name VJ I J.►i Address U �. Company Phone # 3c5- 1 X -S3 o� For Inspector: h l 13 1 z3 Name & Date Name and address of licensed contactor Location and legal description of lot to be built on: Lot Block Street and Number where. work is to be done State work to be done and purpose of building (by New Building To be constructed of STATE OF FLORIDA, COUNTY OF DADE. ss • Disapproved 1f �,1�. t ti �! Date (Signed) MIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Aiplication is hereby wade for the approval of the detailed statc,,,ene or me 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 nII 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 prpgreu of the work. c--"? )L C 0u-flees Name and Address F No..../ O 6 . street_..N • E c..9 S# Registered Architect and /or Engineer a.••R•CR,f1TTIMT.f• „t ,.,,,< Remodeling Addition Subdivision floors) ....P and for no other purpose. Repairs No. of Stories Kind of foundation Roof Covering Estimated Total cost of improvements $. d am' ` Amount of Permit 3.. ...`. Zone cubage required 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 crrtify that he understands and accepts his obligations as an employer of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Prominent 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 render this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to iM performed under this pennit, as are licensed by Miami Shores Village. �. Remarks (Signed)_.... �._ _..._ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.. �y Permit No...j3.. ..3. 0 Date `.[(� 4 Y Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known. PLANNING BOARD DATE Chairman Member Member 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 r&- inspection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.