325 NE 97 St (2)SECTION
BY
DA 'E
Zoning
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Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
,-e
Building Official
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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
Notary
• • • •• • • • • ••
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❑ PROOI? OF OWNERSHIP
(Attach)
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•
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❑ HR / DE • • • • OV • •
(Static I v r:
❑ IMPACT FEE
(New Construction)
•••
• • •
❑ OTHER
(Specify & Attach)
(sq.ft. = x/1000
x 0.60)
$ (¢.005 /sq.ft.)
(0.01 /sq.ft.)
•
•
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
•• ❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
TOTAL $ _ O
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF4PPRO\AL
Revised July 2001
10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
Q II.
i'Y;'I:
filet, Appliance
QTY.
'mg.:
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan • • • •
•
butlet 1'af'
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
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTI'.
TYI'1?
Generator
Q'I'Y.
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
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...
•
•
•
•••
PERMIT APPLICATION
• • •
INSTRUCTIONS: Please indicate the type of .8 beii and guantity(ies) in the space provided below.
•
RECEIVED AND REVIEWED BY: DATE:
...PROPERTY OWNER
New Construction
e y
Alteration Exterior
Address
Repair
Home Telephone
r `75 - he
-7
70
Business_TelephQ n PP
Relocation of Structure
Fax
Foundation Only
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
Step 1.
Complete the attached permit application which rmtst be signed by Ale property owner and qualifier. Both signatures must he notarized. Please
print or type to allow for a more accurate processing of sous application: df rooting work will be done, a roofing application must be submit-
• • • • • •• • •
ted along with this permit application. •
ob Address: � ,V E 9 7
Address
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
•• • • • • • ••• ••
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
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
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• • • ••• • • • • •
• • • • • • • • • • • • •
•
• • ••••••• • •••
Apt.
Master Permit No.
••• • • • ••
• • • •• Su sjdialy P • Exmit No'
• • • • • • •
• • • • • • • • •
Flood Zone
v‘-k ° eiwr .' ^ 5 VU
City
CONTRACTOR
Name
License No.
Address
Qualifier Name
PERMIT APPLIC 'HON r% �
2 ti
he Miami Shores Village:
Telephone Fax
Zip
Folio Number — Description of Work
Lot Block
Subdivision PB PG Zoning Linear Feet
Current Use of Property Square Feet Units Floors
Proposed Use of Property e of Work (4--C .0 �. Bldg Value
Tenant Information Tax Assessed/Appraised Value
Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
IN'IPORTANT NOTICES
•
DO NOT BEGIN ANY WORK WITHOUT HAVING32EcEIVCD YCCIJItVAI PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limittd 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 Flea F1;6M ANtDEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMRGED'1 ' EQCIPW:srl•.d V I1ICLES, 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
Signature .ff Notary Publ : tate f Florida
4, 00 AnpsI. M ® 8cker
4 MY Commission nr �
SEAL:
Personally known OR, Produced Identification
• • • • • • • • • • • •
• • • • • • • • • •
• • • 0410 • • •
• • • • • • • • • •
000 • • • • 000 • •
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:
MIAMI SHORES 'VILLAGE
Paint Color Approval and Agreement
DATE: 3[
OWNER'S NAME: � � r, C)1 c, !7 %4 S (� c t � PHONE: 6 - - 7CCc 7 7GL
ADDRESS:
***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * **
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls �.
Fascia
Drip Cap/Drip Edge a
Soffit
Roof
Flower Bins
Shutters
Awnings
Chimney 1
Doors and door jams
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regular)
Stucco Banding
Any other stucco features
Accessory'Buildings
Other
APPROVED:
7 //7/o)
Building Of mat Date
/B
0
0
0
En
OWNER'S AFFIDAVIT: I certify that all the foregoing informaticfhw
and that al ork will be done in compliance with all applicable laws regulating
c • t on : nd zoning. I authorize the above -named contractor, if applicable, to
the paint colors will be as per the attached
gnature of Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
J64
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/14/2003
Applicant: - ERNE -S-TO Pa At
Owner: 5 -+rc Vi1ISkc
JOB ADDRESS: 325 NE 97
Contractor
Local Phone:
Parcel # 1132060135740
Signed��
Signed:
(INSPECTOR)
In consideration o orm the w
with the plans, dra ings, fate ��y or cifications submitted to the p a
myself, my agent
Building Permit
Permit Number: BP2003 -418
(Contractor
es�v+ qtr 4 J'. ns kct_s
ERNESZQ p
ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 & W1/2 LOT 17 BLK 42 LOT
Fees: Description Amount
FEE2003 -1558 Building Permit Application Fee $60.00
FEE2003 -1559 CCF $0.60
FEE2003 -1560 Notary Fee $5.00
Total Fees: $65.60
Total Fees: $65.60
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 9/9/2003 Construction Value: $600.00
Work: EXTERIOR PAITING AS PER AGREEMENT
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 devina -- "- -
ordinances pertaining thereto and with the understanding that the work will be ^ ^' -- J •
and approved by the proper municipal authorities. This Permit may be revoke
authorization. A further condition upon which this permit is granted is the undi
ordinances and regulations pertaining to the work covered hereby whether she
by his agents, servants or employees.
PAUL A STRAVINSKAS
325 N E 97 Street
Miami Shores, FL 33138
63-643/6
n cr+
00197
DATE O�
PAYTOTHE
ORDER OF
FOR
t on National Bank
rstunton.com
Org. 003 R/T 067006432
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1 1. An
1130
DOLLARS
nv
P 9) i
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No.
Work to be performed under this Permit r q / „,
PERMIT N2 4786
Contractor
or Builder 4.; -
Legal Lot Bl.
Description
Address of 3 \ � i f ... %' �” ms r""
Building �
This pennit is grar7Te to th contractor or `wider named above to construct the building or to install the equipment or device described in the appli-
cation 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 specif ations 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,tatenn nts or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. f f'
Signed. 4,......, /
.✓ / 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 m strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I ass3ime, responsibility for a work done by,either myself, my agent, servant or employee. "T A 5 , 0
to - \ .ii.� n 11 r
CONTR CTOR 0 B DER 4 BY AUTHORITY
P
Subdi-
vision
Value of
Project
' 0 1 94_
/40-0 1""
Amt. of a.
Permit
P0 /
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
1 /10 1 / /5 I1 s`» ‘
Architect
.Contractor
(1 ` G
Legal Lot El. Subdi-
Description vision
Address of ' l �•
,.0.— t i c I Building . ` > 4 Project
Value of 41, 4t) ,, war. Amt. of
Permit
This permit is grant to the contractor or builder named a ve to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 ;tatem nts or :specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. iet
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT DTI 4786
Contractor's
License No. ' 0
1
Work to be performed under this Permit ' '�'` ' ' .� r
Signed: C,r° ""*"1 1 By
INSPECTOR 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 accepting this permit I ass pass responsibility for all work done by either myself, my agent, servant or employee.
kr ,, Piv if ER
CONTRACT 0
¥ > B 7011.141116. 0 , EA BY AUTHORITY
Date (c I to,g7
Job Address 32.5 1 `11 Sivee
Legal Description
n $
Owner/Lessee / Tenant tat YY111 vin NusLCI remit if
Owner's Address 325 OE' 711` Si- Phone ( ":;)
Contracting Co. 0 \A./ S ;F: (a 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 FENCE SIGN
WORK DESCRIPTION - e )C- -v
Square Ft. 2.4Da
Signature of owner and/o
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT • RADON
PERMIT APPLICATION F 4 S1'
& / ) b /7
o President Date
1/B
C3ua l/WV
304 1417
Estimated Cost (value) .,1!. ? ?
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.
OWNER'S AFFIDAVIT: I certify tha 1 the foregoing information is accurat d`6 at all work will be done •. campliar_ce with all applicable
law ;ating construction and zom ;. Furthermore, I authorize the above arced colitractor':o do the worms s�
Signature of Contractor or 0 A e r Builder
A
otary as to Contractor or Owner - Builder
My Commission Expires:
088
ate
Date
C.C.F. ° 0 NOTARY 3 - BOND
TOTAL DUE
APPROVED: w
Zoning Building Electrical
Mechanical Plumbing Engineering