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1224 NE 96 St (9)
BUILDING ELECTRICAL PLUMBING ROOFING Owner of / Building 4- ' C Contractor or Builder Address of Building /2 3c MIAMI SHORES VILLAGE. FLORIDA ❑ / !/ ❑ DATE ` 3 195 ❑ PERMIT N? 7344 Contractor's License No. ❑ Work to be performed under this Permit CONTRACTCil OR BUILDER C r ij Architect Legal Lot Description Bl. ; , f r' r Subdi- vision n. Value of !� H Amount of Project $ !, Permit $ BY AUTHORITY 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 state ents or specifications and that he assumes responsibility for work done by his agents, servants or employees. \ f Signed 1( , 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• ceplinng this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 6 :A0- ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch 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. 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 TY PE 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 Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet 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, 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 quantily(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST LI OWNER - BUILDER FORM (Attach) LI 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.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review LI PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) LI OTHER (Specify & Attach) (sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) /11.4 1r ISSUING OFFICIAL S -00 TOTAL $ REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official T r 30oL f'rdz PERMIT APPLICATION LI CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) LI CONTRACTOR REGISTRATION (On File) 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 PROPERTY OWNER , Name L. INM Tr M►MEIiR Address 12 2 y Ni 9'6 - ot ee E Mi Mil ShOR t S 'FL 33 138 Home Telephone ©S ---÷ s (.402.1 Business Telephone 3 O 5 .96 ( 6 O. ., Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Demolish Alteration Interior Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Step 1. 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 J ob Address: k2. N E 9 61: ' /t.e e I"l l W 1-L S lI O 62.t S F L 13 ,e State Zip Folio Number Description of Work Pet. 1. IA 0■ � (/1 Cl ( A. Lot Block Address Apt. Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property value of Work ± et 1 t (91Q. -- Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. 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. Subsidiary Permit No City PERMIT APPLICATION ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Qualifier Name 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, 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. ST • E OF I ORIDA, COUNTY OF MIAMI -DADE Signature of L`tK ock N k Print Name S o and subscribed before me this • ,''tu of Nota SEAL: 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: i o , j PERMIT APPLICATION Personally known OR, Produced Identificattivif Personally known OR, Produced Identification Type of Identification Produced — 1 (Type of Identification Produced: Miami Shores Village 10050 NE 2nd Avenue Printed: 9/4/2002 Applicant: LINDA TONDEUR Owner: TONDEUR LINDA JOB ADDRESS: 1224 NE 96 ST Contractor Local Phone: Parcel # 1132060143931 Signed: Building Permit Phone: 305- 795 -2204 Permit Number: BP2002 -1543 Contractor's Address: Legal Description: 5 - 6 53 42 MIAMI SHORES SEC 3 PB 10 - 37 LOT 15 & W3OFT OF LOT 14 BLK 84 Fees: Description Amount FEE2002 -4956 Building Permit Application Fee $6Q.00 FEE2002 -4957 CCF $1.20 FEE2002 -4958 Notary Fee $5.00 Total Fees: $66.20 Total Fees: $66.20 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 3/3/2003 Construction Value: $1,800.00 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) Page 1 of 1 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. 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 , .rk 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, servan g e ' •loyees' ; (INSPECTOR) BY: In consideration of t e 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, - ings, 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 �f myself, my • •ent, s -rvants or employes. (Contractor or Builder) BY: LINDA TONDEUR 1224 NE. 96TH ST. ' MIAMI SHORES, FL 33138-2554 CITIBANK. F.S.B. 41 1790 ISCAYNE BOULEVARD MIA 33132 Memo , t1.1 M;'2,00 -13 '1:266086551,1: 3 L053870? 63;6441 537 3105387078 1, 4 Date efyi • 2- v Po 02_ • Pay to the order of t t j ‘ ta(A . A . i S■km el •\) he Qrt p s' 6 2,0 el • 0 C.. J. u k weAA cs@utpkt) MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: { l 4- ' o&n .2 , OWNER'S NAMrl 1,-) E: UN \A dNAEo PHONE: 3rS3S6 a 1 ADDRESS: 12 2. U N F 6-LA <-(i e e,€ . ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 12. 2- {-f t`il C= 6' :§A of . CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls X PC i F( en 4 ( ... ( 1 2 /&""" Fascia 4 gjij - - 1-c) n 6 uoW Ate- r) Drip Cap/Drip Edge N 4 o Soffit a Roof r I A- Flower Bins 1 N @'� Shutters ( Nt 2/E Awnings , `1 1A Chimney A y.. � Doors and doo jams ( x Garage Doors SW ` 6 w tt; c CU tl Railings N A Fences N j4 Decorative Metal N • All brick (siliulated or regular) N Stucco Banding N Any other stucco features N `1- Accessory'Buildings N f4 Other 1-1 6+ APPROVED: Building Official% Date 7/i/6,z A 171 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 dohe work stated. Furthermore , the paint colors will be as per the attached sa Signat :: i wner Date Signature of Contractor Date * ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 SW 7006 Extra White LINDA TONDEUR 1224 NE. 96TH ST. MIAMI SHORES, FL 33138.2554 Pay t -order of Citibank' Memo CITIBANK F.S.B. MIA ISCAYE OUL 3 3132 • LY 63 -.8655 2660 31 05387078 Date V 537 2o _/i i.^f I It A Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/4/2002 Applicant: LINDA TONDEUR Owner: TONDEUR LINDA JOB ADDRESS: 1224 NE 96 ° ST Contractor Local Phone: Parcel # 1132060143931 Signed: In conside ra t with the plan .myself, my o drawin gent, s: Building Permit Permit Number: BP2002 -1543 1. Cont Address: Permit Status: Approved Permit Expiration: 3/3/203 Construction Value: $1,800.00 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) Page 1 of 1 Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 15 & W3OFT OF LOT 14 BLK 84 Fees: Description Amount FEE2002 -4956 Building Permit Application Fee $60.00 FEE2002 -4957 CCF $1.20 FEE2002 -4958 Notary Fee $5.00 Total Fees: $66.20 Total Fees: $66.20 Total Receipts: $0.00 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: (Contractor or Builder) BY: 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 beeri 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. e 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 s, 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 nts or employes. MIAMI SHORES VILLAGE • Paint Color Approval and Agreement DATE: (,c. u SY ©- 200 2- OWNER'S NAM t: I. i rl IN E U t PHONE: ADDRESS: (Z2,k MC eek. (izC =S r-L33t38 ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 1 221 NE q6 5471 eeE i S (t ors ES FL 313 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** / All Elements on the site must be listed and indicate the color to be painted. Walls )( SW 6 2 - 8 9 Fascia )C 1A) LA k Drip Cap/Drip Edge f°l ii Soffit 1`( . Roof N A- Flower Bins rl / vi- Shutters ij( Awnings N 7/1 Chimney N Pi Doors and door jams N / A Garage Doors )( ()-)(4` . Railings ' -I / / Fences )C L A . , (A i k ( pit P.c u IPA A ce Decorative Metal r/ / i l All brick (simulated or regular) f/ / Stucco Banding I`( Hi Any other stucco features (`1 / )- Accessory Buildings ('I / / Other 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 he work stated. Furthermore , the paint colors will be as per the attached les. Signa o Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: Building Official Date arc l 4 p __ e _ e 0„0 „,, b ,s Not Ne1I � r (PO y 31 -') 6 '` WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION p4 e1 4/23/01 O SW 6889 Stirring Orange ** 1 APPROVED: Square Ft. k/,/do authorize Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 1 '3 Job Address /4,2// Wi- 7 s o ption S S.? Y2 "N1('a •S/ / RS Sec '�� ,/�3 /6 L.,-/- /5 /5 1n/ ?'f/ f2 o Lall /q 3 Owner / Lessee / Tenant r / / / ar / Master Permit 41 -/ Owner's Address ifAril frA" 7 oaf S:' AA/4A., swa z,s Phone 7 Contracting Co. O'aye n-' Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION PA/Air i( tdvtAiV • nta 74/d the above -named WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I 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, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I contractor to do the work stated. Estimated Cost(value) 3°a.00 O 2a r Signature of owner and /or Condo President Signature of Contractor or Owner-Builder Date: 1 Buildin Mechanical Plumbing_ Date: 1a 06 ff r39 Tax Folio a- a.r-y.- ae --to- -Owner and /or Condo President Notary as to Contractor or Owner- Builder Commission Expires: NOTARY PUBLIC crATE OF FLORIM Mr i11it ��P, OCrAJ, j994 * * * * FEES: PERMIT My Commission Expires: # * * * * * * * * * * ** RADON C.C.F. / NOTARY TOTAL DUE P /e2 Fire Other Electrical Engineering