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370 NE 97 St (2)Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 1/30/2002 Applicant: KENNETH Owner: CLAUSSEN Contractor Local Phone: Parcel # 1132060135820 Job Address: 370 NE 97 Fees: FEE2002 -429 FEE2002 -430 Permit Status: Approved If there is no permit pas fee is $50.00, which must This Permit is granted to the cot ordinances pertaining thereto and and approved by the proper munic authorization. A further condition i ordinances and regulations pertain by his agents, servants or employs Signed: In consideration of the issuance with the plans, drawings, statemer myself, my agent, servants or emp Signed: ST Pay to the order of For Description Building Fee CCF Total Fees: Building Permit Permit Number: BP2002 -145 Address: Cellular: CLAUSSEN KENNETH Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 3 & 4 BLK 43 LOT SIZE 100.000 X 115 Amount $212.80 $7.80 $220.60 Permit Expiration: 7/23/2002 Construction Value: Work: CHANGING KITCHEN CABINETS (OWNER BUILDER PERMIT) KENNETH CLAUSSEN VIRGINIA LOVEJOY CLAUSSEN 370 N. E. 97 ST. MIAMI SHORES, FL 33138 y17 (a-6u ( sr�c $450.00 Bank of America. ° � 00089 7611° 8:06 3 100 2 7 78: Page 1 of 1 azi 5 Total Fees: $220.60 Total Receipts: $0.00 L C) Date aR v(r 0035 13 & 2 15 98" e ollars 8976 63- 27/631 FL 988 NOTE Counter at 38p C hall room cab. 6 upper Ades r i i i / / i 12' 7" ' j . 5'.05 ° :' j 2'o MlOro /oven 42 ref. • drwr Pte+` Jews • 1 1 Mit r a 0 eh filer 4,1 fin • KITCHEN RENOVATION DJ6CLAIMER: Des1 n le to O,s :ised for concept only, nod is not drawing. Held va8rlPy *l;dtrronslons. ,1r2 ' , o�ookto . do a&' beer p oab 8' 0 '. kayo 2 Date: 10/2E401 Rev, - Date: 10/25/01 •• to gi p " 4up . 4 t char block caunbarrbar 01 x . • • • • • •• • ...... • ..•..• .... • • ••• ...... • • .• • • •••••• • . • • • • • • • • •• • VERIFY DIMENSlb Nei Client: Joy & Kencerth Ciau66en Mien( &hWree, FL Dabs: 10/6/01 Scale: 1/4 1 4-0" nterlor Deatoner: Lf ndia Carden s....y. 1 .. .. .. .. v.r... __ e..• -" __ •••• • •• • • .1111. • • . . . •• • •. •1• • •. • .• • • •••• • • • •• • • • • • • O ELEVATION - SINK WALL D15CLAtIviEltt Dbsten is toia used for concept only. And to not *Working ilrowing, Field verify AI :dimensions, yr C _: utt a[filc 514 e107O i S'O• t� 4a21 Q. Raw 2 Date: 10/28/01 Raw. 1 Date: 10/25/01 If corner cabinet to used„ make width 24' +1- . so that dietaries brawn the window to the left of the whitlow. NOTE: 11 tarry Susan In blind corner cabinet • • • • • • • .• ...••. • •.•... ••.. • • .••• •.••.. •• •• ..••.• • •• • • • • • • • Client: Joy & Konnoth Claw/eon Miami Shores% FL Date: 10/e/01 Ocalo: /4" =1'-O" Ihtorlor _aat8her: Lthda Cadoh C •••• • iu .n cro oven 4•04 • 2'0' ELEVATION - REF. WALL DISCLAIMER: Pastan to to be used for concept onty. and is not worldna drawing'. Reid verify lit drrnensfono. O p _ I . o . oyyr .. 2' 6 1 " N�a • • • • • •• • ••.••• • •.•••• • • • • • • •••• • • •..••• • • •••• •• • • • • • • • • • 00000 • • • • •• •• •.•.•• • • • • • • • •••• • • • • • • • • • ■• • • • • • • • • • • • • •• 3 Client: Joy & Kenneth Clauoeon Miami Sh orae. FL Kay.1 Date: 10/6/01 Scala:1 /4 "st' -0" Deft= 1O /23/01 inteorlor Da5tgner: Linda Callen 00000 • • • 0000 • •••.•• ..••• I •••••• 000000 • • •0.000 X t �RB!'EGTIVE - MOM DINING t sfivi 5 • • • • • • • • • •• •• • • • • •• •• ••• • • • •••• • • • • • • •••••• • • • • • • • • • • • • • 3 tats of csbfnet Armors, pooh 2 " .+I Open shelving) on loft, l2" wfae� and 2 overhang on r34hV. Support as reatulr d. 1 Rev. 2 Data: 10/'28/01 Rev. Data: 10/23/01 Client: Joy & Kenneth Ctsiussen Miami Shores, FL Dante: 10 /0/01 Scat a: 1/4" =t'-0" lnterfor Designer: Linde Carden Ammer 24P 3el laq drovers sown ELEVATTON - ISLAND 6IDE DISCLAIMER: Desfgh Ii to Its used for concept ohdy. and Is ++ot a working dry iJN.. �tetd verify ell diniefoHa 63/4* b3/4" Kew. 2 Data: 10/28/01 Rev. t Dues 10/23/41 36" Iar sutra cooktepr base drove epics owb ...... • • .• .• ...... • • v • 11 -0' 2'-O"' 0 s+ 5'0' z O " �' { •. ELEVATION - ISLAND - COOKTOP tol;-• Cllerrt: Joy & Kenneth Clausen Miami Shores, FL Date: 10/6/01 scale: t/2 " =1' -0 interior Designer: Linda Caden .••• • ...• • •.... • • • • • •• •• • • •• • • •••• • • • • • • • • • • • •.•••• •• • ...••. • •••.•• • • ..••• • • •..... . • • •••••• • • ••.••• • • Ali, ., . • • • •• ••• � _ . •• Ammer 24P 3el laq drovers sown ELEVATTON - ISLAND 6IDE DISCLAIMER: Desfgh Ii to Its used for concept ohdy. and Is ++ot a working dry iJN.. �tetd verify ell diniefoHa 63/4* b3/4" Kew. 2 Data: 10/28/01 Rev. t Dues 10/23/41 36" Iar sutra cooktepr base drove epics owb ...... • • .• .• ...... • • v • 11 -0' 2'-O"' 0 s+ 5'0' z O " �' { •. ELEVATION - ISLAND - COOKTOP tol;-• Cllerrt: Joy & Kenneth Clausen Miami Shores, FL Date: 10/6/01 scale: t/2 " =1' -0 interior Designer: Linda Caden .••• • ...• • •.... • • • • • •• •• • • •• • • •••• • • • • • • • • • • • •.•••• •• • ...••. • •••.•• • • ..••• • • •..... . • • •••••• • • ••.••• • • • Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 1/28/2002 Applicant: KENNETH Owner: CLAUSSEN .. • . • :• . Vitractbr ...Local Phone: • • •. • • •• • • • • • • • • •: Parcel #. 32O601,358M •..fop Address ;370 .t'tP • • • •. •.•. • • Fees: FE429 •• • FEE2002 30 • • •••• • •.. • Permit Status: Appro ed Work: CHANGING KITC If there is no permit pa - fee is $50.00, which mus This Permit is granted to the c4 ' ordinances pertaining thereto an and approved by the proper muni ' 3 authorization. A further condition ordinances and regulations perta by his agents, servants or emplo: Signed: In consideration of the issuanc with the plans, dra , tatem myself, my a sere s or en ST Pay to the order of Descr ption uildin CC Total Fe Permit Expiration: N CABIN KENNETH CLA VIRGINIA LOVEJ 370 N. E. 97 ST. MIAMI SHORES, FL 33138 al Descrip i Building Permit Permit Number: BP2002 -145 Addres = : CeIIuI . r: CLAUSSEN KENNETH MIAMI SHORES Amou 375.00 .00 nkofAmeric ��� For 10�%��!'��"� v f1'008970'12 1:063L002774 00 II■ 35 L3 L ivL598 Page 1 of 1 D PB 10 -70 LOTS 3 & 4 BLK 43 LOT SIZE 100.000 X 115 Total Fees: $390.00 Total Receipts: $0.00 8970 63- 27/631 FL 988 Dollars 8 (Moog loam ,0 PROPERTY OWNER Name f�j1 yt � j� - v `tea Clausen IG/ t/c Address •E.. 7S ;(,1 'e.s FL 33138 Home Telephone ' 7 79 - 7 _ 0 g 9 Business Telephone ,c05 4 7(e / .__ Fax (30.5) 757-678Q TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be steed 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 X , Job Address: 370 A16.97 54. Address Apt. Folio Number_) ]3 (;b 60 ' 0l3 • 55")&K Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property ill of Wor Tenant Information Tax Assesse Flood Zone Base Floor Elev. 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 X11ialn 5 Description of Work n City FL- State PERMIT APPLICATION Master Permit No. Subsidiary Permit No. 61 • a D20� 33/38 Zip 1,/11. • /� ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 PERMIT APPLICATION 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. STATE OF FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE s , , Signature A Owner / X Signature of Contractor / Qualifier r fir 9 ; 7 ;41 jaz Ciatif/7 Print Name Print Name So t n subscribed before me thi n n day of Signature of Notary Public - State of Florida Signature of Notary Public - State of Florida SEAL: SEAL: Sworn to and subscribed before me this day of Personally known OR, Produced Identification Personally known OR, Produced Identification ' Type of Identification Produced: Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer ()Ty. TYPE. Outlet, Appliance QTY. TYPF. Service Repair TY. 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 DLscharge Well] Clear Violations ice Maker Heat Recovery Pump, Sump Refrigerator, Comm. (p/PH) Utility JJtility - Water Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Dlspcsall Temp for Test - 30 days IInterceptcr Deep Freezer Roof' :nlet Low -volt, Fire Water Closet Renew - Temp Service Dares ^_se. Well L a...0 Clry 'Tray Demolition Sept c Connect on Low -volt, Intercom/Teleph. Water Heater Repair Circuits 11,ava1ory Dishwasher Low -volt, Television Dm:D'.s, Area Service, Number of Amps Meer Set (Gas) Sewer Connestlon MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain Q'I'Y. TY Generator QTY. TYPE. Refrigeration, Tons Q'I'Y. 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. T1'PE 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 a asiut Gas - Propane Pump, Re- circulate Temporary Water Closet Cllothes Washer Gas '' "' ping Pump, Replace - Pool Urinal Dental C Malr Grease Trait Pump, Sprinkler - Sewer DLscharge Well] ice Maker Pump, Sump Utility JJtility - Water Dls;Te✓as'_er ilnelrece Wastes Relay L'8epahr Vamp .:t ?R t Dlspcsall IInterceptcr Roof' :nlet Water Closet Dares ^_se. Well L a...0 Clry 'Tray Sept c Connect on Water Heater D~alrf.e =T, 4 "7:e/LRes. 11,ava1ory Se Wtic 'ar"i Water Heater New Water Re-7. 7e L Dm:D'.s, Area Meer Set (Gas) Sewer Connestlon ..Yra,,, 7-..., i r,:ln_. .. __ r Fee s_:Wwer Water Sery re Dra..ns, i rer:c__ iv _s e_:an.eozs 7,c, - , L r t T.:_: WeY_, S T.y L 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: AT.: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official / 4.$ °'' 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 $ 37s V $ o � $ (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 $ 3 D . D ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2' AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Application is hereby made for the approval of the detailed statement u► ►ne 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 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 n►ust be kept at building during progress of the work. 18 55...- Owner's Name and Address .....M R ..+ ...VIRE .. eaw k% ... Airfek.t..2 No.. Q.... Street -L - _ . .. I.: ,_. Registered Architect and /or Engineer ......... -N. .J. Fame and address of licensed contractor ?(! Location aq lc al cscription of lot to be built on: C Lot Block (3 Subdivision S e C P 0 j 1� / Street and Number where work is to be done 3 .2 o Af.F 0 . State work to be done and purpose of building (by floors) _OD 1.Do a. _To E )(S ASfies,c-C Tl. Q_..._... T Q CTV. Disapproved (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT „TS ,,....,,. .,,,,n,,.,..,.,• Lii-uS5e4) kr 3 . �. :_.......��.: ...... C3.C. ...1_ and for no other purpose. Ncw Building Remodeling.... Addition To be constructed of ...W.00.4 Kind of foundation A4P Repairs No. of Stsones Roof Covering Estimated Total cost of improvements $ .5 Amount of Permit 5... 56 Zone cubage required plan Cubage Distance .to next ne. rest building / Size of Building Lot . '+ L .L,1 Maxiznunt live load to be borne by each floor..../ r9 I hereby subm all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. .. af `: V .. (- 1se r 4/04 SAIeReS The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5e066, Compiled General Laws of Florida, Permanent Sup clement, and has complied with the provisions thereof, and will require similar compliance from contractors or sub-co actors employed by him in the work to be performed under this permit; and will post or cause to be posted for spection • e e o ' e work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such sy >ntract• s, r be performed under this pennit, 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 ap•' peared __._.._. 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 tru . . Permit No.._.- Date "7 - Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairnan Mcmbcr 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 kern obtained from the Planning Board. A re- inspection fee of SI.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials and/or workmanship. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 18,R5 Miami Shores Village, Florida,___ Owner, Agent or Tenant of Building y;,'1If Kl q ttaitil Lo Block— Subdivision__ *i Shores , Street Address 370 ,= 1 4i. Approved use by occupancy 3 rl a L 3mtLl� Remarks This Certificate of Occupancy is issued to the above named_ for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pE to the erection, construction, alteration or remodeling of buildings or structures. (' Plan :rube 23,536.t8 ISION APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed state iincm ur the 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, hlorid.r. 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 contactor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Location and legal description of lot to be built on: Lot Block Subdivision Date.. ._...._... -- No.. Street.a..L State work to be done and purpose of budding (by floors) . ........;..�:�.� , .� Street and Number where work is to be done New Building To be constructed of and for no other purpose. Repairs ° - No. of Stories Remodeling Addition Estimates Total cost of improvements Lind of foundation � ... �'� ; � � � Roo Covering. � .... �`� r a� ills $ Amount of Permit S. i Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Building Inspector Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be the I'Lmnirc;; Board. A re- inspection fee of $1.00 materials and /or workmanship. PLANNING BOARD DATE . 7 \faxirnum 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 permit does hereby certify 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, Permanent Supplement, and has complied sith the provisions thereof, and will require similar compliance From all contractors or sub - contractors 'tployed by him in the work to be performed under this permit; and will post or cause to be posted for inspection n t site of the cis public notice or notices as arc required by the Act. The undersigned agrees to employ only such � bcontr ;'ctorf, o. ork to rmed 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 tae ac`tnowledgments, personally ap- pealed 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. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date made for making corrections or changes to this application after approval has been obtained f^nnn will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty Application is hereby umde for the appro\'al of the detailed statement of the plans and specif cations 'leyewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Kam! Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and el! rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein cg t;c`iied or not. A copy of apprc+'e.i plans and specifications must be kept at building during prggress of the work. 19 -5 - Owner's Name and Address ....1l.E1M/lI..C:t _,. lYr ®.... 70 _. Stme._./Ul= _ ci 7 S7 Re Architect and /or Engineer 7, RR kFL— Name and address of licensed conerlctor•... /✓�81._.r!t1SEN Location and legal description of lot to be built on: 3 °- Block 1 3 Subdivision ifi.Pi / S ..&L. ... SeGT1 D Gv IVO 0 Street and Number where work is to be done 3 70 it/E 9.. 2.. 1.1 . .._....__.._ State work to be done and purpose of building (by floors )......_ 5 /.‘ L Fes) 1: Y STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved (Signed) MIAMI SHORES V LLA . E BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PEI `` 9 s Permit No.. . ...12r Date 1 Date.. NOTE: A charge of $1.00 will be made for the Planning Board. A re-inspection fee of $1.00 will be charged materials and/or workmanship. Bui . g Inspector PLA INC BOARD Chairman Member Member ...... _....... Council Approved Date SL/ O I1718)0 co "Li -O ULQ S end for no ot':tsr puz Way. New Building t R Addition Repairs No. ®f Stories To be constructed of C-6 Kind of foundation GC>a:�2PTF 5 �� _ a: ;ng...T/L . . /�yt.Ic. � G �iui4C Estimated Total cost of improvements $ ....._94 00 Amount of �aaxani2 °w. Zone cubage required $ c i „ .P lan Cubage 2 3, S �O 3 ' 1 8 Distance to next nearest building Z Size of Building Lot 1 47c) 1 1 j 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 ouilc:ing and its construction ;nay be sent to The undersigned applicant for this building permit does hereby certify that he understancs a'ice accep'.s his obligations as an employe:: of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General ?.axis cf Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors cY snb- contractors employed by Lim in the work to be performed under this permit; and will post or cause to be posted for inspection on the the of the work such puhlic notice to ct or notices as are required by the Act. The undersigned agrees to employ only such subs - ers, 6A rse7 7 r t be perfurrned ender thin permit, as are licensed by Miami Shores Village. Remarks (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths ae :d taste: 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 fforgoing application, and that ;a e dlii; sip the same, end that all facts therein by him stated are true Read, Sworn to and Sub Notary 'o.blic, State; of l lurada My Commission Eapirea.. .DA`ii°Iz efore ere. c=. - 3te- r Member Member Member lei pps y�l 'create ...to me well known, making criraQCeisrs az^ changes tv !Ins be' ^ nbizined from when earth ro`impectio.s fn rtas.3 e>�e—e 7y ",, :.? ; :_`.' zztt¢ fee :nspeetina or faulty I • • ' 4 4 .1 ■ • J. B 13RD CO. 1774 iiif.;rlagler Street MIAMI 35, FLORIDA Phones: FR 6 FR 1-0027 e • I (V) , /,-. 4_ _ d . ' .f?... e .?,5 • ' • AiVr' 1 c ,..-. , g.20 1 , 0 05 %A t.! _.• 2:C 3 and .14. I3LOCK 43 Amended Plat NO . 1 According to the Plat thereof as recorded in Plat Book Public Records of Dade Courtty, Florida. For a a, us iE ORDE? NO, 2799 F. B. 380-5,6 & 7 I HERESY CERTIFY that the attached sketch represents a survey made under my direction and is true and correct There are no encroachments except as shown. , 2 REGISTERED LAND SURVEYOR 427 STATE OF FLORIDA 255 44.44.441.44.4....,4.c,ozeu=s 9. 8. - / t Date AT:II-IT'S T 1962 , at Page 70 :LT 3 LE 1" 20' A pplication 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 Peru) S / Tl? 1 J e .y - Nam�and add9ess o ycen � .1 d contractor ® DftL/) er 4f /- elaJ 3 .-f A.4E 9 f . p"v / s7,0i2e, 3 Location and lege description of lot to be built on: Lot S "4 Block -f 3 Street and Number where work is to be done APPLICATION FOR BUILDING PERMIT s • Kew' CC-40 SSero Subdivision �7 ,r S7 State work to be done and purpose of building (by floors), state exterior colors (submit samples) AP-77-1 /4- Of)►?7O'J P1--y10 ?'TAG / 7oN and for no other purpose. New Building Remodeling L.-- Addition r-------- Repairs Lam. No. .0 0 j f Stories To be constructed of G d S ' Kind of foundation (O/ ?f it gee( ! 7r cf e( Roof Covering ' L e /' c Au_< Estimated Total cost of improvements S c � 0 0 0 ,� 0 0 Amount of Permit $ , t 6 Zone cubage required Plan Cubage yO1 ' Distance to next nearest building Size of Building Lot / O 0 )( / 1 r l IS9 Maximum live load to be borne by each floor 1 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 ob,'gatons as an employer of Labor under the Florida Workmen', Compensation Act, eing Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has omplied th he pro son ereof, and will require similar compliance from : i ,ntractors or sub - contractors employed by him in the work to be performed under is permi lan. will os o - ause to be posted for inspection on the site of the .rk such public notice or notices as are required by the Act. The undersigned agre j' . emplo ntractors, on work to be performed under this per 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 foregoin application, and that he did sign the same, and that all facts therein by him stated are true. LA- MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Permit No. Disapproved (Signed) j WV V WW V v Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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. Date Aem0 ee. /alj �cv /zio✓C 9e)s1;� 1o1 v # 1 MP / /tJ 4 V CS G %l1oJ— Read. Sworn to and Subscribed before me. Date 19 No. 3 70 Street / 9 7 -( Notary Public, State of Florida CLAUSSEN RESIDENCE FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 Compliance Program--Residential Point System Method 0 Version 1.05 I March, 1987 Department of Community Affairs PROJECT NAME: CLAUSSEN RESIDENCE / . AND ADDRESS: ' | CLIMATE ZONE: 1370 N.E. 97th Street Miami Fl BUILDER: DANNY rLa/nSSEm PERMIT NO.: L � / � OWNER: � MR. C��D88�0 ^ Printout Submit in lieu of Form 900A r PERMITTING OFFICE: ' JURISDICTION NO.: BUILDING OFFICIAL COMPONENT 'VALUE CHECKLIST WINDOWS SingleTint total Area 834.0 WALLS 1. Ext NormWtBlock int. Arqa: 2548.0 R-Value: 3~0 CEILINGS 1. Single Assembly Ar'a: 36000 R-Value: 19.0 . FLOORS 1. Slab-on-Grade . Perim: 335.0 R-Value: 0.0 DUCTS . | / ' In Cond..Space Length: ALL COOLING ' 1. Central A.C. SEER: 10.50 Cross Vent or Whble House Fan: Credit HEATING 1. Strip Heat COP: 1.00 HOT WATER Bedrooms: 3 1. Electric EF: 0.88 INFILTRATION Practice: 2 Conditioned Floor Area: 3810.0 ' MIAMI SHORES 7 (8) 9 232600 ' AS BUILT POINTS / BASE POINTS * 100 = EPI 66983.3 67600.4 99.1 GLASS TO FLOOR AREA RATIO = 0.2189 ** PRESCRIPTIVE MEASURES (Must be met or exceeded by all residences) ** COMPONENTS WINDOWS EXTERIOR & ADJACENT DOORS EXT.. JOINTS�& � CRACKS � WATER HEATE�S SWIMMING POOLS 904.3 . & SPAS ` HOT WATER ' PIPES SHOWER HEADS SECTION 904.1 904.1 904.1 90 ( 904.4 _ �------------------- HVAC DUCT . 903.2 CONSTRUCTION 904.6 904.5 � | ' ,'ust bear label indicating compliance w/ASHRAE standard 90 or comply With efficiency and standby loss requirements. Switch or clearly marked circuit breaker (electric), or cut-off (gas) must be provided. An external or built in heat trap must be provided CEILING INSUL. 904.9 Minimum R-19. REQUIREMENTS Maximum of 0.5 CFM per foot of operable sash crack. ( ^ Maximum of 0.5 CFM per sq. ft. of door area. Includes sliiding glass doors, solid core, Wood panel, insulated, or glass doors only. . . . 7 To be caulked, gasketed, vveatherstr'ipped or otherwise sealed. ,. ° G and td pools �'h (except pas an ea e poo s �us ave'covers excep solar heated). Non-commercial pools must have a pump timer. Gas spa & pool heaters'must have minimum thermal efficiency of 75% Insulation is required only for reci1rculating systems. In such cases, piping heat loss shall be limited to 17.5 BTU/H/Linear:Ft. of pipe Water flow must be restricted to no more than 3 'gallons per minute.at 20 to 80 PSIG.; -L r ' Constructed in accordance with industry standards & local mechahical codes. Ductssin Unconditioned space must be insulated to minimum R-4.2 & joints must be seale HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. ** INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** COMPONENTS REQUIREMENTS ... ���������������������������������������������������������������������������� PRACTICE #1 Comply with Infiltration Prescriptives in above table. _ ___________________________________________ PRACTICE #2 Comply with Practice #1 and the following. Exterior Walls & Floors • Top plate penetrations sealed. Infiltration barrier installed. Sole plate/floor joint caulked or sealed. Exterior Walls & Ceilings Penetrations, joints and cracks on interior surface caulked, sealed, and gasketed Fireplaces Exhaust Fans Combustion Appliances DATE: OWNER /AGENT: In Accordance with Sec. 557.907 F.S. , I Hereby certify that the 'plans and specifications covered by this calcu- lation are in compliance with the Florida E=nergy Code. Equipped with outside combustion air, doors, and flue dampers. Equipped with dampers. Combustion devices see 903.2 (f) . Provided with outside combustion air. DATE: • i BIJILDING OFFICIAL: Review' of the plans an'd specificat .ons covered by this, calculation indicates, compliance with the Florida Energy Code. Before construction is completed thiS b lding w i l l be inspected for compliance in accordance with Section' 55.3.908 F.S.' ******************************************************************************* SUMMER CALCULATIONS ******* GLASS- ORIEN AREA x BSPM = POINTS | 'TYPE SC N E === BASE === 154.0 60.2 9270.8 1 SGL 185.0 . L 1CZ7.0 23495.0 |,SG SGL SGL 43470.0 | SG/ 9720.0 | SO 971.0 | SGL ( / / S 350.0 124.2 . SW 72.0 '1'75.0 W 73.0 1 . 15 x.COND. FLOOR / TQTL'GLASS ='ADJ. x GLASS / ' AREA AREA FACTOR POINTS �/ | . 5 3810.0 '8/ 1 4.0 0.685 . AREA x BSPM =;POINTS . TYPE / ! / WA�LS�---------- / / Ext 2548.0 ' 1.60 ,4 076.8 Ext NormWtBlock Int 3.0( 2548.0 DOORS---------- Ext 60.0 CEILINGS------- UA 3810.0 0.80 FLOORS------- Slb 335.0 -20.00 INFILTRATION TOTAL SUMMER POINTS ^ ' 12.90 • 774.0 |.Ext Wood 0.80 0.8q 0.80 0.80 0.80 0.80 .80 / 3048.0 { Single Assembly -6700.0 Slab-on-Grade ! | 7(810.0 '14.70 56007.0 | Prqtctice *2 ---------=-----=------------- --- 122460.1 | TOTAL x SYSTEM = COOLING | TOTAL x SUM PTS MULT POINTS | COMPON __________ 122460.1 0.43 52657.9 | 160474.3 === AS-BUILT === . ORIEN AREA x SPM x SOF =POINTS N E E S SW W 95226.8 MULT MULT 154.0 63.6 1.00 9794.4 80.0 130.2 1.00 10416.0 18.0 130.2 0.77 1799~2 87.0 130.2 0.70 / 7914.7 350.0 .0 � 1.00 45150.0 .�� 72.0 `�8.9 1.00 10000.8 73.0 130.2 1.00 9504.6 = ADJ GLASS POINTS 65254.3 R-VALUE . AREA x SPM = PO'NTS 2.70 60.0 11.80 19.0 3600.0 2.50 0.0 335.0 -20.00 ' GLA8S POINTS 94579.7 = / 6879.6 708.0 9000.0 -6700.0 3810.0 .14.70 (56007.0 160474 DUCT x SYSTEM x CREDIT = COOLING MULT POINTS 1.000 0.320 0.950 48784 ******************************************************************************* WINTER CALCULATIONS ° . ******************************************************************************* === BASE === === AS-BUILT === GLASS ----- | . ORIEN AREA Ix BWPM = POINTS ( TYPE SC ORIEN AREA x MPM x WOF = POINTS t.- ' 154.0 2.2 338.8 | SGL. . 0.80 N 154.0 3.7 1.00 569 E 185L0 ' -1.1 -203.5 SGL 0.80- E 80.0 0.2 1':00 16�0 SGL • 0.80 E 18.0 0.2 6.10 21.9 . | SGL 0.80� .E ' 87.0 0.2 7.96 138.5 ' ' S 350.0 .1 -3.1 -1085 0 | SGL \ 0 80 'S 350 0 ' -1.7 1 00 -5950 . ^| . - . . . .� . , . S 72.0 / . -237.6 | SGL 0.80 GW 72.0 � -1.9 1'.00 -136'i.8 W 73 0 -1..1 ' - 80.3 | SGL 0.80 'W 73.0 0.2 1 00 14 6 / � / / � / . |,' | | ' 3810. INFILTRATION- / 3810.0 1.20 4572.0 | Practice #2 TOTAL WINTER POINTS 834.0 0.685 - - 1267.6 1� x COND. FLOOR / TOTAL GLASS = ADJ. x GLASS '= ADJ GLASS � . . AREA AREA FACTOR POINTS POINTS LAtS POINTS -868.6 29 0 , AREA x BWPM = POINTS | TYPE R-VALUE AREA x WPM = POINTS � / WALL S--------� � / -- / . . 1 Ext 2548.0 0.30 764.4 ExtNormWtBlock Int 3.0 2548.0 1 3057 / DOORS-------L- , . 0 50 210 0 3 Ex �� t 60,0 3.80 228.0 | xt Wood | 60 . i | ' CEILINGS- UA 3810.0 0.10 381.0 | Single Assembly 19.0 3600.0 0.30 1080.0 FLOORS------- Slb 335.0 -2.10 ` -703.5 | Slab-on-Grade' 0.0 335.0 -2.10 -703.5 3810.0 1.20 4572.0 4373.3 | 8245.1 TOTAL x SYSTEM HEATING | TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING WIN, PTS MULT POINTS | COMPON RATIO MULT MULT MULT POINTS 4373.3 1.14 4985.5 | 8245,1 1.000 1.000 1.000 1.000 8245.1 ******************************************************************************* WATER HEATING *** ***.e************************************************************************ === BASE === \ === AS-BUILT === ' y - ___ NUM OF x MULT =1 TOTAL |. DESCRIPTION EF CAP x MULT x CREDIT = TOTAL BEDRMS RATIO' MULT | 9957.0 | El 0.88 1.000 3318.0 1.00 9954.0 ( . . ( ******************************************************************************* 1 SUMMARY . * * ** * ****************�****************************�*********** * * * 4 ************* ==="BASE === | ' === i � � �UILT === / / ==============================____ -- 3 3319.0 ' ' ' L. COOLING '!EATING HOT WATER TOTAL | COOLI POINTS + POINTS + POINTS = PQINTS | POINTS' ------------ 52657.9 4985.5 9957.0 67600.4 | 48784.2 ***************** * EPI = 99.1 * ***************** HEATING + POINTS + 8245.1 � HOT POINTS = / l• 9954.0 66983.3 === / TOTAL POINTS k4 ti A ( OWCR r '3?o PRESENT A S Y BLLO II �� C �� K LICENSE NO. PHONE NO. JOB LOCATION.W. OR AVE.) 37 ® N. £ . 97 - St LOT 3 4 1 43 SUBDIVISION Ka A avb L Sffraees &t,, GENERAL CONTRACTOR l� D6 A ip 1 r . cLAQEsew / ADDRESS 5 4e Cia14•4D 40 1 1 4 PHONE NO. LICENSE NO. in BUILDING PERMIT NO. �" o fr 3 s 7r / PERMIT FEE $ 76. f® BUILDER'S BOND j� NO. 2 vg DATE 3 -7 8 0 ZONE /rlr REQUIREMENTS CU. FT. PLAN CUBE Z3 Mee.. FT. EST. COST $ 4 • ecbcb � /�, DAT: DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: 1? - - / 13. Zp� � NEW CONSTRUCTION TYPE 4,e S ■ STORIES - ROOF CONSTRUCTION T; /Q f L guy, INTERIOR CONSTRUCTION 3 Bed roo.r. • 2 /30- REPAIRS I DESCRIPTI N d.vn i°s fO WOWS. Af. .sf t &Aar # cQ h. ALTERATION wood ■ DESCRIPTION wed ba fc� 4 r1yf ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFI] TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NOM € 7r ISSUED . • BY /� �! w p qI TO ��A� d 4 J4 . Sec' (6'' � BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION RE- INSPECT ROOF $ SEPTIC TANK BEAMS & LINTELS TEMPORARY SERVICE POOL SEWER $ FRAMING $ SOLAR HEATER AIR COND. RANGE CONN. $ FINAL SEWER MOTORS CLEAN UP S ' SLAB e SEPTIC TANK St SLAB FIXTURES & FINAL SOLAR HEATER SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TANK FEE TEMPORARY SERVICE $ SEWER $ TUB & TOP OUT $ SOLAR HEATER $ RANGE CONN. $ GAS SEWER MOTORS $ S FIXTURES e INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING - FEE TEMPORARY SERVICE $ TUB & TOP OUT H. W. HEATER CONN $ RANGE CONN. SEWER MOTORS S FIXTURES S SEPTIC TANK St FIXTURES & FINAL SOLAR HEATER FIXTURES GAS CONTRACTOR PHONE PERMIT NO. 1 DATE FEE it NEW BLDG. I ALTFRATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. $ MOTORS S FIXTURES S St INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE • ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS PHONE FEE $ DATE ALTERATION ADDITION ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE REPAIRS BY FEES: PERMIT APPROVED: Zoning Mechanical PERMIT APP]LICATION FOR MIAMI SHORES VILLAGE Date Job Address :i75 E- 9 9 ) 5' Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 1- C% /loss -zdu Master Permit # `t" Owner's Address , y J •? - � CVS 3 ti (� / )�/ - ,JQ) I Contracting Co f `� Address U Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Permit Type (circle one )t—,IJILDING3LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ' I �! J J? Notary as to Owner and/or Condo President Date My Conunission Expires: RADON Bui Address • 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. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and at all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do e woks ed ((4 Signature of owner and/or Condo President Date Signature of ontractor or Owner- Builder „ -. D 3 - —7--t7/ No : s to ontractor o u1, - My ommission Expires: M 14 M I•DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Raynor Garage Doors 1101 East River Road, P.O. Box 448 Dixon ,IL 61021 The expense of such testing will be incurred by the manufacturer. APPROVED: 09/21/2000 MIAMI-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2903 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2553 CONTRACTOR ENFORCENIE.NT DIVISION (305) 375 -2966 FAX (305) 375 -2903 Your application for Notice of Acceptance (NOA) of: Decade Series 16' Wide Residential Overhead Garage Door under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval. if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 ACCEPTANCE NO.: 00- 0804.01 EXPIRES: 08/21/2003 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office \\ s0450001 \pc2000\ \templates\notice acceptance cover page.dot Internet mail address: postmaster @buildingcodeonline.com Homepage: http : / /www.buiidingcodeonlinc.com 4 -Raynor Garage Doors. ACCEPTANCE No. 00- 0804.01 APPROVED SEP 2 1 2000 EXPIRES 08/21/2003 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE This approves a sectional steel garage doorl6' -0" wide x 8'- 0" high, as described in Section 2 of this Notice of Acceptance (NOA), designed to comply with the South Florida Building Code, 1994 Edition for Miami - Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION The Raynor Sectional Garage Door and its components shall be constructed in strict compliance with the following documents: Drawing No P -1275, titled "SPEC. WINDLOAD DECADE SERIES 16' 0" WIDE (Max)" prepared by Raynor Garage Doors, drawn on 03/01/94, with last revision on 06/22/94, sheet 1 of 1. They bear the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested according to ASTM E -8 by a Dade County approved laboratory selected and paid by the manufacturer. Every 3 months, four times a year, the manufacturer shall mail to this office: a copy of the tested reports with confirmation that the specimens were selected from coils at the manufacturer production facilities. And a notarized statement from the manufacturer that only coils with yield strength of 33,000 psi or more shall be used to make door panels for Dade County under this Notice of Acceptance. 4. INSTALLATION 4.1 The sectional steel garage door and its components shall be installed in strict compliance with the approved drawings. 4.2 The installation of this door does not require a hurricane protection system. 4.3 Units with dimensions equal to or smaller than those shown in the approved drawing shall qualify under this approval. 5. LABELING Each door shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Duplicate copies of the approved drawings as identified in Section 2 of this NOA, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. Candido ont, PE. Sr. Product Control Examiner Product Control Division 2 of 3 4 Raynor Garage Doors. ACCEPTANCE No. • 00- 0804.01 APPROVED SEP 2 1 2000 EXPIRES 08/21/2003 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer, who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer needs not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. END OF THIS ACCEPTANCE Candido Font, PE. Sr. Product Control Examiner Product Control Division 3 of 3 Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 1/25/2002 Applicant: KENNETH Owner: CLAUSSEN Contractor P & M ELECTRIC INC Local Phone: Parcel # 1132060135820 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 3 & 4 BLK 43 LOT SIZE 100.000 X 115 Job Address: 370 NE 97 ST Fees: FEE2002 -434 FEE2002 -435 Permit Status: Approved Work: WIRING FOR NEW ! — ^ "a^' r.ARINETS If ,there permit parka fee is $50.00, which must be This.Permit is granted to the contr ordinances pertaining thereto and wit and approved by the proper municipa authorization. A further condition up< 6 ordinances and regulations pertainin. by his agents, servants or employee Signed: 3 In consideration of the issuance t s with the plans, drawings, statemen myself, my agent, servants or emp FOR Description Notary Fee CCF Fees: Permit Expiration: 7/24/2002 Construction Value: k// .41 Atiaei .- L PAY TO THE ORDER Bankof'Ame ACH 0 63000047 4 Electrical Permit Permit Number: EL2002 -31 CLAUSSEN KENNETH Address: 1936 NE 148 ST Cellular: Amount $5.00 -$620 $2,000.00 Page 1 of 1 Look for: blue background on the front of this check, and the imageSafe© logo on bark. If not present, do not rash P & M ELECTRIC INC. 1936 N.E. 148TH STREET NORTHMIAJ FL 33181 -1137 DATE /)1r - /5 Total Fees: $0 Total Receipts: am Oz 6 3 - 4/630 FL 6 %i346 $ 7/s_ 07 LLARS B m; II'00 7 10 1n■ �� - ' :063000 ?I: 159 DO 5 29 20 1 Lilo fr..nntrar•.tnr or Bolder) BY: CONTRACTOR New Construction Name/4/fl - \& c' _6_ . i* License No. Vi c w /i } J Home Telephone 365 �f 51.7 .. 9 ! Address / T36, n Z•� f� t °ct -' N. PI; et vi',c, r7;,, 33/ g1 Tele ho t ax ! Qualifier Nagle ) vi l Alteration Interior PROPERTY OWNER New Construction Name a 5e Enclosure Address 3 /1/0T25.1-7 M I am, S hp �, - ( - Home Telephone 365 �f 51.7 .. 9 ! 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'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following ste ' s must be taken to obtain a permit from the Miami Shores Village: Step 1. 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, yo.i may be asked to submit additional information. A PPLICATION Job Address: :370 0 5 , '' Folio Number Lot Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other ARCHITECT Name License No. Address Telephone Fax Complete the attached permit application which must be signed by the property owner and qualifier. 3oth 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. Address Apt. Block Revision Extension Su • 'lenient Reins ' ection PERMIT CHANGE Ch Contractor Renewal ( ✓) Master Permit No. Permit No. City Description of Work e)2 M i State PERMIT APPLICATION (5 00 1 L `.-; Zip l (7 Zoning Linear Feet Square Feet Units Floors Value of Work art0e �f Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax 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. 1. 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, P' 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. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Name e Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Type of Identification Produced: Signature of Contractor / Qualifier Print Name to and subscribed before me Ili day of - IL II�.I I� aJ � gnature � otary • .lie - S . to of F16 da SEAL: Personally known Type of Identification Produced: PERMIT APPLICATION FL RI NTY MIAMI -DADE OFFICIA NOTARY SEAL ,P aY P�G ANGELA MO BECKER �NI,ygE1 NUMBER ica e r CC786 OF @01 on ELECTRICAL TYPE Minimum Fee QTY. TYP : Dryer QTY. TYPE Outlet, Appliance QTY. U„' Ea TYPE Service Repair '1'Y. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary Heating Strips, each A/C Central 4 -7 Ton Vent Hood, Cost Fire Pump A/C Wall/Win. Tons Outlet, Switch In in Signs Paint Booth A/C Central 5 -15 Ton Ventilation, Cost Fixture - Fluorescent Air Handler, Tons Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light L/ Parking Lot Lights Spas/Hot Tubs Fire Sprinkler System A/C Central 20+ Ton Process/Pressure Piping Flood Lights Cap - Sewer Plugmold/Strip Bath Fan - Vented, # Subfeeds, No. of Amps Fireplaces, Number of A/C Window Pressure Vessel FPL •• Load Central Catch Basin Posts Gas - Propane Swim Pool, Commercial Pump, Re- circulate Air Conditioners Temporary Water Closet Garbage Disposal 1 Range/Range Top Swim Pool, Residential Chiller Dental Chair Generators, etc. Grease Trap Receptacles Pump, Sprinkler Switchboards Utility - Sewer 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 Demolition Water Clcsat Low -volt, Intercom/Teleph. DDernestic. Well Repair Circuits Launei.•y Trey p ^_is Connection Dishwasher 0 Low -volt, Television Dra_nfiel . ' , " ?He/Res. s. Service, Number of Amps .1.ava�c.�y tic !lank Sept MECHANICAL TYPE QTY. TYPE QTY. TYPE QTY. TYPE QTY. Minimum Fee QTY. Condensate Drain QTY. Generator QTY. Refrigeration, Tons 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 Cap - Sewer Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Catch Basin 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, Sanup .itility - Water Dishwasher Ln &irect Wastes Relay Repair VacIa",aa^_n I w~:y,7, IIDis;pcsal interceptor Root IIalet Water Clcsat DDernestic. Well Launei.•y Trey p ^_is Connection Water Heater Dra_nfiel . ' , " ?He/Res. s. .1.ava�c.�y tic !lank Sept Water .i..ea.er New Drains, Area WY'eter :get (Gas) Sewer Connection i Water Ile-pipe Drains, 7:cc7 � Mini TM nr n IFee Envier Water Service 1_4 1, Misce_ianeo.s 1✓.c.aipme::t Sink 1 Weil, S7Lpp.y Page 3 O P PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ IMPACT FEE (New Construction) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ /Y,Q/\ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ OTHER (Specify & Attach) $ , p D REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE v (sq.ft. = x/1000 x t.60) (¢.005 /sq.ft.) (t.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 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