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383 NE 97 St (2)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B uilding Inspection Request Date albk-1 Time Type Insp'n "1101 ki I Permit No. L :2 ,00 . i J ! Nam a) Q OF Address 3 3 Kt_ q d 3 Company 1 3C.cX in\ Phone # //\\ For Inspector: (�) Q..S Name & Date try Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date aIby Time Type Insp'n TIM Permit No. bJP0 - 5 9 Name l u QuF . Address 3 Company \) 1 30ain 4 Phone # c For Inspector: (a)� !` 5 Name & Date Approved Correction Re- Insp'n Fee ❑ Local Phone: 305 - 751 - 7164 Cellular: PAY --- ORDc. Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2002 -572 Printed: 3/20/2002 ACH A/f 063100277 Applicant: Owner: Contractor VISCOUNT PAINTING & DECORATIress: 640 GRAND CONCOURSE Parcel # 1132060135780 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 22 & W1/2 OF LOT 23 BLK 42 LOT SIZE Job Address: 383 NE 97 ST Fees: Description Amount FEE2002 -1614 Building Permit Applica'ion Fe$60.00 FEE2002 -1615 FEE2002 -1616 Permit Status: Approved Permit Expiration: 9/16/2002 VISCOUNT PAINTING AND DECORATING cZ4 ( Bank ofAmerica FOR CCF Notary Fee Total Fees: $1.80 $5.00 $66.80 1000 200810 1:06 3 100 2 7 71: 00 360 2 26009 711' tk.onrracror or lsuuaer) Building Permit Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) Look for: blue background on the front of this check. and the imageSafe© logo on back. If not prdsent, do not rash. DATE eaiLkole.(m u_ a u, u u u�-u :,� _ -_a - � u — u.:T,.r A :* BY: $2,475.00 2008 $ Page 1 of 1 (7 DOLLARS B Total Fees: $66.80 Total Receipts: $0.00 63- 27/631 FL 988 Re- inspection Iication herefor in strict compliance with all ;ifications that may have been submitted to :s or if the plans are changed without ;ponsibility for a thorough knowledge of the I that he assumes responsibility for work done Dns pertaining thereto and in strict conformity responisibility for all work done by either DATE: , .3 • W ' O° OWNER'S NAME: '� • �vE ADDRESS: C 7 5 * * * * * * * * * * *** * *44,44.+,44* * * ** *** *** *** * * * * * * * * ** * * *** ** * * * * * * * * **** livable)_ PHONE: -7 0 ADDRESS OF SITE: 3 1 CONTRACTOR & LIC,ENSE (if a COMPANY NAME: V' c&u ********************************* * * * * * * * * * * * * * * * ** *: * * * * * * ** * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia k4o .. E Drip Cap/Drip Edge n a Soffit • Roof Flower Bins Shutters Awnings Chimney Doors and door j - ms 4 1 �- Garage Doors Railings Fences Decorative Meta! All brick (simulated . r regular) Stucco Banding Any other stucco features Accessory Buildings Other ti-rre" Ct ro© PHONE: c33P Dia S c -- e 10 0 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 a regulating to construction and zoning. I authorize the above • -named contractor, the a ttached do the work stated. Furthermore , the paint saa es. « VS e4 Z • Z � . ,� � ._ *dr D3 -/c a 2 LJ '' Y Signature of ON ner Date Signature of Contractor Date �. * WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION APPROVED: / it Building Officlar Date 4/23/01 A L eeLPAS m go Atic \ice- 51,t,tua-t E"S\ En(CL aN (0 4 (O3 x navajo white bradstreet beige CONT3ACTOR . Name t -C)bvl � �j, (/ (A _ t (ol{! License No. (pit 65^0 1 N� T 1 '( �/ 6500,94T Address 64 0 Address e"r ti S,414-.5 il 33 Telephone( /. _ .,� I � ,/ Fax 11 5 ( (jj�� Qualifier fame V 5 r PROPERTY OWNER New Construction Name 14 , ' 4 E; ) . p.) : r " ; , _ / 7 — Address 3 8- ; . e . q'- T4- sr 4 ii ,ciie2 , S 0 , 33( 3g Home Telephone 75'4 533 i Alteration Exterior 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'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 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 rocfing 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 Job Address: 38 N -C -t i J 5,40.4i6 3313:? City 0(61/()A State Zip Folio timber Description of Work ? M/`t"! Address Lot. . Block ® Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of P tiperty Value of Work 7 i 41 75 oO Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Telephone F PERMIT APPLICATION Master Permit No. Subsidiary Permit Nob } v ENGINEER Name Telephone Fa /uJI k;Phi. o7, 533 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, 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. STATIC FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Name Sworn to and subscribed before me this / L / day of A. Signatur of Nota Pub is - `tate of Florida SEAL: OFFlCIAL,roo'u.�. SEAL o P0 ANGELA M BECKER II Personally known 2 ?�;oR7'ro t� 4 u ��eon -11.∎ w. Gc7V Type of Identification 1: OFF 3Ja s var Signature of Contractor / Qualifier SEAL: f Notary Pu Ic - tate o - PERMIT APPLICATION Print Name worn to and subscribed before me this [ gnature da of /�.. I ._:..1 %i_ A A Florida F MIAMI -DADE OFF:CIAL NOI ATt C=AL O ���v (Ja ANGELA M BECKER I ,. ..... i t r , 0 : o N u94.71Ben ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYI'E: Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE: Miscellaneous Fixture QTY. TYPE. Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping S;arinkler 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, Sum • Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY D ' TE Zonin: ANIP f irf d a Electrical Mechanical Plumbing Fire Public Works Structural Building Official _WM 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 Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review O PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) PERMIT FEES $ f Metropolitan Dade County (C.C.F.) $ / ic y 0 Cl OTHER (Specify & Attach) S -o (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 / sq.ft.) REVIEWED AND PREPARED BY: ` / PERMIT APPLICATION Cl CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ fc . Y' v 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