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1238 NE 96 St (9)Address Company Phone # Date Time Type Insp'n q f /U-'i Permit No. i /( -/ a 7, --° Name For Inspector: Approved i Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Re- Insp'n Fee ❑ 6 Y\1+ - -17 --S' a . e), g1 J9' O 1 m Name & Date 3 ' /s7 i2�8 ►.9. �. �l� � ���T. .iL`D Ho f --.cg- DATE PROCESS NUMBER Legal description: Lot Block Subdivision P.B. Pg. Address: I hereby attest to the fact that the attached repairs /reconstruction due to hurricane damage are being done to existing structures that were legally permitted prior to incurrence of damage, and that there are no illegal additions, fences, sheds or non - conforming uses or structures on the subject property. I also understand that I am subject to enforcement action and /or fines if inspection of property reveals that I have made repairs to any non - conforming or illegal structures /additions, or that I included new additions to the existing structure without having presented plans for such additions. I understand that any permits issued by the Building and Zoning Department pursuant to this affidavit does not authorize the reconstruction, repair or maintenance of any illegal additions, fences, sheds or non- conforming ueee or structures on the subject property. Owner /Agent Signature Date a ( ° J� q Job Address / Z 3 9 N` S. Qualifier 44;" v'" State # Municipal # laws regulating construction 0. Notary as to Owner d/or Condo President My Commission Expires: MARILYN MARTINEZ MY COMMISSION CC 558176 d D(PIRES: Much 15,1898 Bonded Rau Notary MSc Ikbetwdters FEES: PERMIT RADON APPROVED: Zoning Building Mechanical 'LI 4.2.3 /9 g- Signature of owner and/or Condo President Date Oi SHORES VILLAGE Tax Folio Legal Description Historically Designated: Yes No X Owner/Lessee / Tenanto?A d r a L i' d/K / Z a Master Permit # Li ( ()cry Owner's Address / Z 3 8 /1/; ? 6 3 `f: ) .A4T )07,` 3 )7629S Phone 4 -S ( " 3 S 5 3 Contracting Co. G �'5 4 " �ca r'w '�. p �� Add 79// L.71;‘,/ ". /5 .40 ' 4' e 4 SS# S87 - /) - J6diphone X67 - #?6 3 Competency # Co. 9 / is. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one • B .� UILDIN a ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ': yAO.v a✓4 � y� -9 Square Ft. Estimated Cost (value)/ $'8d 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 (1F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable d zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Contractor or Owner - Builder C.C.F. '3 416 NOTARY ✓ BOND Electrical 13or/;. 59 5f 2 Date i Notary as to Contractor or Owne r -: der __Date My Commission Expires: S' Pi ;. vc i. 7l , � i SARDARA ° COIM7MI: aioi: Q C�36L 1 V '` c� & Y cc IVI:Vi!s ' ._.:�. Or 4•'�: - — Plumbing Engineering Page 2 IMPORTANT NOTICES 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 f 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 st be POST! II AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Villa 11 on Con.truction Lien Law and Choosing a Contractor. STATE OF FLQRIDA, COUNTY OF MIAMI -DADE )(gnat �tR a-4- Print Name Swom to and subscribed be ignature of SEAL: OR, Produced Identification Type of Identification Produced: Personally known State of Florid( - Angola M EiMiker • My Comn*sslon 00150048 qp of Expires November 15, 2006 PERMIT APPLICATION 'I o go • ' Signature of C Print Name m to and subscribed before hi 1.I 0 .� • r Tuah�,.V STATE OF IAMI -D ature uj Notary Pubttc - Stjlte Florida Angela M Becker My Commission DD150046 1 4 a0 0 6 Expires November 15, 2006 Personally known OR, Produced Identification E y of Identification Produced: f 22. Ro ? OO .c- f u0 ^ SEAL: CONTRACTOR i AI , I/ lb 11 Name 1 Gil• , u/ License No. 3 Address 3 ) 2 1 ( i 0 C" (6) :CT% c 1 ' Tele n 19 Fax Old+ pp Fax rs - c J - /5 i — G 7 V Qualifier NaMe VV PROPERTY OWNER New Construction Name ) ,c) c k ry) _ I ,..F Enclosure Address , ,„_ 11 1. e=�,tA : �5) Ci ' -'v I 3 ,, t Home Telephone _ l , , b. f. Repair Business Telephone .3 �--- ,, ¶ t o ci 9 li a Alteration Interior pp Fax rs - c J - /5 i — G 7 V Demolish 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 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step I. 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: 3 Address Apt. City State Zip ! y� Description of Work 60/0ll' i 0/4 Or POO ifT t .`t 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 - n (W, -AA S _ER PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Zoning Square Feet Units Floors alue of Work ax Assessed/Appraised Value Flood Zone Base Floor Elev. Master Permit No. Subsidiary Permit No. Bldg Value PERMIT APPLICATION Linear Feet ENGINEER Name License No. Address Telephone Fax Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/13/2002 Applicant: ALBERTO Owner: MARTINEZ - ARIZALA JOB ADDRESS: 1238 NE 96 Contractor BRIGHT & CLEAN CORP Local Phone: 786 - 290 - 0507 Parcel # 1132060143920 Signed: Building Permit Permit Number: BP2002 -1937 MARTINEZ - ARIZALA ALBERTO ST Contractor's Address: 3741 NE 163 ST #284 Page 1 of 1 Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 9 TO 11 INC BLK 84 LOT SIZE Fees: Description Amount FEE2002 -6384 Buildier's Bond $300.00 FEE2002 -6385 CCF $2.40 FEE2002 -6386 Building Fee $70.00 Total Fees: $372.40 Total Fees: $372.40 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 5/7/2003 Construction Value: $4,000.00 Work: DEMOLITION OF POOL DECK & REPLACEMENT OF MARBLE STONE DECK 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 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. Signed: / \ (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 in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 assume responisibility for all work done by either myself, my agent, servants or employes. REC I�0 11252 1640 MC #Ol 1703D1 CWARGE $372,40 ntractor or Builder) BY: • f i// Laini 2OPG o L STATE OF FLORIDA) CO[NTY OF DADE) /eC � + hereby attest that the The undersigned Affiant, operty owner) attached survey, performed by performed on ci,@ 1 �_, , is an accurate representation of. the 'existing conditions and (date o survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the • property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) e •or's company) Witness(sign and print) SWORN TO AND SUBSCRIBED before ate this 4 da of A . AD . Affiant is persoaally lanowa to me roduced F-2.1) L / ` I h °t )J�a i� fica hon. -��" �..-« ..� 0 5 1:11. IJ� • U • . • IN .• • W .• • • • V • • k' AL 0 .El.ic.48 ? d \. • 28.0 A.5PHA1_T PA.Y ING P c.o r:3c2ETE : 1s0. ©o' 53 � / E 2 L, 1. j 40\ if w x 4 0) 0 6. t s mRN C.0 .S. 2'•,?a oQ S' cHI:.IN L.1 1J1- FEPICE 4 Y K m .41 • • • • • ..• , i • •• . . • • • • •:,;•• : • . • • g: •"" •- ••• "74-. • • • • '• • . • ' 7 ."•• • • • ' 67/4"Avy mAirs - • . - . . . .„:•• .c ' , *. • . 1°7 • 7. 7 7 — 4` . ; •7* •• • • „ ' • " t * - - - -- , ititS .. ; s. ..i: "1- , ; i :,...`.... Ig - t -- - - . .., 1...., ' e414,4*.. ' ..,- .:44 $ k - k- -. t . '- -tF,; .:':- 4> 41. • , -...`''' ,...-. '-t , ,s- \ ' #* _&_ 0 ti t ...,./ ...,..... , - ._. c . -,...- 42 :- t' • -.‘ - .1., - • -...r- .... Ah .,& 46 ‘ - - . - : . . - ;'. e - . , '0 • - , t i 4 ■■•■; •—• i 74 r• - . -. . - , - - r . : v. . i - , • ..: • m' • I •- • • 7' . • :•• . ; . 1.1 4 r, - -: • . • \ - - -; :; 1 .101 • - s. kr? • • • •„, :7' „„.■ ••••• * ••••-• • • ;;- 2 7 " ex-nti. mot. vecx... - , - JNVEP.T OF NI.7! C , - ......5,-NO11.,,LESS ' T-1 .:. !. 57---.1 Q: '.22114 •. - r •-.-*,-- ..L.1,47.4 - - . • % ,. i.) riii; 1_,i i.);r:.1-2J :: . :1 - ••••• ••-* - " - • - • -,..■ • - • •••••• .. 1 0 ; . . : ., • \ MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: r 5 of 305 -5Sa - 0 . 7,33 (Cet) OWNER'S NAME: 10.6 «1a i nezPHONE: 305- 751 -3 553 (46.0 ADDRESS:y �. g33" N 1 ' 3+ree ffl � � S ltio a-es 3313g * * * * * * * * *'4 * * * * * * * * ** * * * * * * * * * * * * * * * * * ** * * * * * * * * * * *** * * * * * * ** * ** ADDRESS OF SITE:) ‘ 2 N. Z' , 4 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * All Elements on the site mus be listed and ir the color to be painted. / Walls (( 4' Fascia \ Drip Cap/Drip dge Soffit Roof /19 )9, Flower Bins Shutters Awnings •/Chimney f 4r a Doors and door jams Garage Doors Railings Fences / Decorative Metal All brick (simulated or regular) \ Stucco Banding 3 J Any other stucco features / Accessory Buildings /109.. Other APPROVED: Building Official Date 44- WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 0 r 0 cn ro En ExS+1 n COkf5 . H O C cxs rIl En 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 es per the attached sam es. Adair ignature o •caner : e Si' nature of Contractor bate *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 4/23/01 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. 'I'YI'F. Outlet, Appliance QTY. TYPE Service Repair QT). A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary - Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch - Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton - Pressure Vessel 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 QTY. 'Cll'I?. Refrigeration, Tons Q TY. A/C Central, Tons QTY. 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 Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Gas - Appliance 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 1 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: SECTION BY DATE f/� Zoning Y�� Electrical Mechanical Plumbing Fire Public Works Structural ale; 24 Building Official / Page 4 OFFICE USE ONLY C11ECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (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 Notary g (sq.ft. = x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 73 "nn, D ISSUING OFFICIAL REVIEWED AND PREPARED BY: 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 a PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 0 ' •) Job Address N k /6 34-. Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant V 11 1 a 4 — 1 —' 1 V1 Q Z Master Permit # 7' g// 3 7 q c` 30s 5 - gds (�e( Owner's Address 1 r� 3 8 (' G ` Phone - 3 0 5 — 25 / - 3 36 C Contracting Co. �L^9 Address ( Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION kcuS.e, Square Ft. Estimated Cost (value) 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 obtain 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. OWNERS 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 authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT 60 RADON APPROVED: Zoning Mechanical Address S ontracto My Commission Expires "e.)C4 tf t O c tO4 1/14 l iN Owner- uilder D p � P � v PA R -, AFIi>aE:.;3 i!h 3ECKER 2 -1 ‘...'-','/' C '. OL ;5.'3OM 4UUEER 024 4 • `�.- Q CC7436e97 9 /' r.3Y CO :.i :^.iSS!ON EXPIRES OrFLO NOV. 'i'z.2_002 .. C.C.F. .- 60 NOTARY 5, Z) 0 BOND TOTAL DUE S , 6 O Building Electrical Plumbing Structural Engineer to, o3