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1065 NE 97 St (4)BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ❑ DATE 195 PERMIT N? 6 410 Contractor's License No. ❑ Work to be performed under this Permit Owner of Building Architect : ontractor or Builder Legal Lot Description Bl Address of Building CONTRACTOR OR BUILDER Subdi- vision Value of Project $ Amount of Permit $ 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 ff 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, sarvants or employees. Signed- BY. INSPECTOR 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 ac- zepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 8 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. 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. SEAL: a t PERMIT APPLICATION ST OF FLORIDA, COUNTY OF MIAMI -DAD STA F FLORIDA, COUNTY OF MIAMI -DADS � fgnature f Owner Signature of Contractor / Qualifier fit lc /+E e-cE R . s'c HAM, Print Name Print Name Sworn ,; nd subscribed before me this day o, y!1 �' , Sworn to and subscribed before me this day of Ignature of otary Publi' - 'tai . ' orida o Signature of Notary Public - State of Florida SEAL: Wit::• Personally known OR, Produced Identification O Personally known OR, Produced Identification Type of Identification Produced: LS Ck sii_t tj- ` t7P19of Identification Produced: PROPERTY OW�1ER a c) 65 - e..9 ? s7' Address /n / �/,n I s /i 6 g �.s / 1 = '3/3 Home Telephone J 2 6 s 7 , /73) 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'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. PERMIT APPLICATION Master Permit No. Subsidiary Permit No. 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. A Job Address: 1 0 b S / `) , e - ? 7 ST (11/ ,4i(/ S /1C4 33✓' 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 Address Apt. City State Zip PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Description of Work t ,# /R�� E - re RI o< Zoning Linear Feet Square Feet Units Floors Value of Work 600 . ®b 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 SECTION BY DATE ) /6 2,. Zoning O , 4% (, Electrical `- Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ O 6 0 Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine $ Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: ( x .60 x/1000 ) (¢.005 / sq.ft.) (0.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) O BPR APPROVAL (Restaurants) O CONTRACTOR REGISTRATION (On File) TOTAL $ S, 6 0 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 '11 Minimum Fee Q"I'1' TYPE Dryer QTY TYPE Outlet, Appliance Q' I'1' TN pE 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 MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QT1'. TYPE Refrigeration, Tons Q'1'1'. 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 PLUMBING 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, Sprinlder 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: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/4/2002 Applicant: DONALD Owner: SCHRAM JOB ADDRESS: 1065 Contractor Local Phone: Parcel # 1132050170090 Signed: NE 97 Building Permit Permit Number: BP2002 -1544 $CHRAM '.DONALD . ST Contractor's Address: Legal Description: REV PL MIAMI SHORES SEC 8 Permit Status: APPROVED Permit Expiration: 3/3/003 Construction Value: $600.00 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) Page 1 of 1 PB 43 -51 LOT 9 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection 'At is $50.00, which must be paid in advance before calling for another inspection. (INSPECTOR) BY: 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 with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work myself, my agent, servants or employes. REG C01 090502 1052 MC #01 000846 Fees: FEE2002 -4959 FEE2002 -4960 FEE2002 -4961 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $0.60 $5.00 $65.60 Total Fees: $65.60 Total Receipts: . $0.00 •(Contractor or Builder) BY: BLK 180 LOT 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, servant or employees. in strict conformity done by either CASH $65.60 All Elements on the site must be listed and indicate �l f' Walls Fascia � — MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: q " 3 - 0 2 OWNER'S NAME:M l C HE Pprlj, u3 Sbohi PHONE: 3 cs S 7 S9 / -7 ADDRESS: to 4 S , U„ t_= , 9 7 S 7 ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: / 0 6 j i,C-'. 9 ? S CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * i,2 :_2 :•S 1:1•2i :1 S•_S S: Iv 12 .•, J, : , r. • Drip Cap/Drip Edge Z Soffit Roof j/ 7 Flower Bins Shutters .L. Awnings n► Chimney / Doors and door jams z-- G arage Doors (4 Z. Railings Fences \ �T Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features / Accessory Other APPROVED: 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 amples. --- Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2002 -1544 Printed: 9/4/2002 Applicant: DONALD SCHRAM Owner: SCHRAM DONALD JOB ADDRESS: 1065 NE 97 ST Contractor Local Phone: Parcel # 1132050170090 Signed: Signed: Building Permit Contractor's Address: Legal Description: REV PL MIAMI SHORES SEC 8 Permit Status: APPROVED Permit Expiration: 3/3/2003 Construction Value: $600.00 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) Page 1 of 1 PB 43 -51 LOT 9 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 another inspection. INSPECTOR) BY: BY: Fees: Description Amount i FEE2002 -4959 Building Permit Application Fee $60.00 FEE2002 -4960 CCF $0.60 FEE2002 -4961 Notary Fee $5.00 Total Fees: . $65.60 Total Fees: $65.60 Total Receipts: $0.00 BLK 180 LOT 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. 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 responisibility for all work done by either myself, my agent, serva or employes. /tractor or Builder) REG C01 090502 1052 MC #01 000846 CASH $65.60 w N w w ce ce 0 itt Itt rr ; � r ' 3 The Sunshine State ( l UCHISE NUMBER / S650- 188 -34 -167-0 / DONALD H SCHRAM ,/ 1066 NE 97 ST ~, MIAMI, FL 98138 -2666 / • 0R11.1 DATE SF7t NOT. REST: ENDORSE 05 -07.34 M 5-05 . ISSUED EXPIRES DUPICATE 02 -27-05 060744 1142.99 • _I SAFE ORNER R029911120117 Operation Of a motor vehicle constitutes Consent to arty sobriety testrequtr;d by laMr. Type Insp'n Name Address Approved Correction Re- Insp'n Fee � s ® MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dated / ZS 3 Time 11 Permit No. fD6s (y .001-k Company Phone # For Inspector /Z 4 /3 Name & Date Company , L: -J For Inspector" Approved Correction Re- Insp'n Fee l � r��'. ; ' r N ° .1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ; _ = ' Time r�r Type Insp'n �'% �1� �.,2,- •,��•� Permit Nor> () '� 1 " Name Address C) b. ? r1 (_' f Phone # i / j Name •& 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 the work. Owner's Name and Address Registered Architect and/or Engineer Name and address of licensed contractor Location and legal description of lot to be bui oat. EJ pn: � � J -11� /� � f� /2 � ®5 f Lot 9 Block ® Subdivision P/l (J�� � 7 7 , �l`✓/ State work to be done and purpose of building (by floors). state exterior colors (submit samples) PA -1 ( ' ` - te ( I 0 Q Street and Number where work is to be done APPLICATION FOR BUILDING PERMIT and for no other purpose. New Building Remodeling Addition Repairs To be constructed of Kind of foundation Estimated Total cost of improvements S v �� 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 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 permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent 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 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 agr employ only su,:..ubcogtrecto j.n w. k to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. ss. 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. 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. f S 7 Date / / / /41 try Read, Sworn to and Subscribed before me. Permit No. Disapproved Date (Signed) Building Inspector My Commission Expires Chairman Member Member Member Member Member Council Approved 1 ate Disapproved Date NOTE: A charge of S25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Amount of Permit $ PLANNING BOARD DATE Date I d ` ° ' 19 V No./e st reet - No. of Stories of Covering Notary Public, State of Florida