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445 NE 96 St (3)BUILDING ELECTRICAL PLUMBING ROOFING ❑ PERMIT N° 8954 Owner of 0 iffC S Building Architect Contractor f d 1 or Builder id • 1 ! ' / ,- r A Legal Lox Description Address of Building MIAMI SHORES VILLAGE, FLORIDA Signed! Y P In consideration of the issuance to me of pertaining thereto and in strict conformity with In accepting this permit I assume responsibility �= :} ivi . CONTRACTOR or BUILDER Work to be performed under this Permit r , -1 G I I II Bl - This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or emfloyees. J s Date 'oL- 40 19 1 Contractor's License No. AUTHORITY Subdi- vision Sq Ft Value of II Amount of Project $ II Permit $ - -KIC1SPEC } o _., BY this permit I agree i)erform the work covered hereunder in compliance with all ordinances and regulation. the plans, drawings, ttatements or specifications submitted to the proper authorities of Miami Shores Village. for all work done 1i either, myself, my agent, servant or employee. Name Address Compan Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date Time For Inspector: Type Insp'n • Permit No. 50 L i 43 Aka(0) ,4 74 i tat ■ ( A 0 • Approved Correction Re-Insp'n Fee Name & Date PROPERTY OWNER New Construction Name M , Wait/ • Q Alteration Exterior Address � NC 46 MiA.kl Sl`lal?,ES 3 1 ; Home Telephone 7 ` r V Alteration Interior Business Telephone ^ 3 l 'c/ ( 40 Z. ' Fax Shell Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'I Detachment Other Ammo INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. B1'' O / W5 Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 4 A/ 6= q 4/1/t; 51-601E-5 F1- 3.v38. Address City State Zip Folio Number L I 32p6, o l 0110 )( Description of Work WW , t TO f& zAc Lot 117 Blo Subdivision /W. PL. 4 ' .ofd Current Use of Property R&Si.AbN7r4Z Proposed Use of Property FZFSFPE.v7t 4 1 Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other P& (305) p' 1 )g ck $6 t'h OLD ckiC4Go &et a✓ ✓nz;ve PB /5 PG / Y Zoning Linear Feet eeJJ Square Feet -i • ' I Units Floors OKValue of Workt' Ooo o PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Bldg Value PERMIT APPLICATION Master Permit No. Subsidiary Permit No. Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IMPORTA 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. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of r c an subscri d efore m+ this Print N Sworn t Signat SEAL: day of Maria V. Butcher MY C MMISSION // CC749756 EXPIRES September 12, 2002 NWT) THPII TROY FAIN I\'SUAANCF !NC ida Personally known OR, Produced Identification Type of Identification Produced: 0 STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier PERMIT APPLICATION Print Name Sworn to ands day of II1 A . Signat re of to V. . ' ; -1:04;; '� V. bUtLilei SEAL: ;9• .. _ MY OM ISSION n' CC749756 EXPI121-; • S ptember 1 7.002 BOND , THRU TROY FAN'NSU2ANCE, INC Personally known OR, Produced Identification Type of Identification Produced: SECTION BY DATE /d/ Zoning j r - - 0 , Electrical // Mechanical Plumbing Fire Public Works Structural 7 ti 1 Building Official 1 Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER , (Specify & Attach) $ 60,o0 3O .O l) $ ( 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 A3-- A 6 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 ELECTRICAL TYPE; Minimum Fee QTY. 'TYPE; Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel 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 Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUr 1BING 'TYPE; A/C Condensate QTY. 'TYPE Drains, Roof QTY. TYPI: Miscellaneous Fixture QTY. 'rvPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Paulo RAMOS 03-00 Ruth Cordeiro rel. 305-759-0508 455 ,A 90th St. 81 Portal, 3.0 33138 OCIange Amerkan •.1_ Pay to the v /46 6 - M Orderof 46.4e Wv/viyacK Anet NationsBank , NationsBank, N.A. ACH WY 063000047 Owner of Building J94 1'2rLg - • Architect Contractor • or Builder - Legal Lot Description 547 For Z/V d. 59' -Awe Date 1:06300004'N: 00344 2665? 2 So 054? • 1.; • 1.1 .• • ‘ S; - • ,-;) • ” "1st Melo • run •••••• _ •• •■ flfln 11) / r - PERMIT CARD MUST BE AVAILABLE FOR ALL INSPECTIONS--, Work to be performed under this Permit 63-4/630 FL 100 Dollars 1348 SEM* M. co MO. PLAYFULVALSO'VIPP,..._ BUILDING MIAMI SHORES_ VILLAGE, FLORIDA 0 } ', ELECTRICAL 0 305-795-2204 Date --_,„- PLUMBING a PERMIT NE: 50443 • ROOFING 0 0 Contractor's License No. 20 0/ ha (1 e4 C111..P /_ e , ' /Lc -62 //oh./ c0 ij4U/t' (v1. aia.tx.1162, d I 0 (../ Sq. Ft.- Value of Project . 62 / , 0 00 • OD Permit: CCF: R • 6 0 Notary: Bond: Or, Radon: Amount of Permit: 3 6 0 s„. Address-of...„1 Y-5 ) 1-F-- 5 ref Building - -- This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the, understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and appioVed 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 buil der named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether4a ,3 the plans or drawings or in the statements or specifications and that be assumes respon- sibility for work done by his agents, servants or e V yet ' ,. \ Signed- ,...., (INSPECTOR) - BY In consideration of the issuance to me of this permit I agree to perform the work covered. hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. A 11714 OR ITV NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 1.1 3206 a?' 0110 STATE OF FLORIDA: COUNTY OF DADE: 1 R 699 243 2001 DEC 17 13:50 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.. 1. Legal description of property and street address: yys NC G 5' A 7' D P2 O F S ES -7c - Lv 15 2. Description of improvement: /95 chmg &3n,;ckg 3. Owner(s) name and address: 7HOZ /V ,A4 .1 R/ 3 5) - '1.265 3r3 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: Lender's name and address: Signature of owner Print Owners Name Sworn to and subscribed before m Notary Public Print Notary's Name My Commission Expires: 1•(i /.3cf Re '&Ica VA T , ni Wit/4 enGA-1e i/s , r 57L 5. Surety:(Payment bond required by owner from contractor Name and address: Amount of bond $ FLORIDA C^.L, �- C..tiiY x.17 ,,1r ri;" _ D.C. 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) as fovided Prepared by: .AQL- 1-01(704 Z Address: 311 C0.0 1 4% Pc- pk. 33I ?S 12101.52 2193 ..•■■■■•■■■ V Po APrzoActta. 2, 5 a -- ez/ 34,, ". • / -- ▪ 75 #'• 445 . • 16. 5 *. 4 . ..:4 , • •• • ",. . %c • • • /7 r • Pipe e.c/ ,c2/* -'-%•••‘'tt; i 70;CeiZ:Ithi l .A f 3.- _,.4.4 : .. • • • • - k-',',..,, 4 ";:-`•"`:,;: • -- .f ' "••• • • i • wiTti eoicKs ( 4- , ,....., ... ....- . • - ". , •a_ . -._....„...„ • • .,.„.,,3,-.- - •• .:.,,.-...,-......,-..k./..- ...,,,..1. . .•-•„_,..„......r . _......,..... .. ...F - 'i;,:;,;. - -.1-._:::: . :- 7::.•'. ' - - ‘9'r 7 -0 In '+., .:7"k;:""1"!• ''.-- ' • -a. - - 4 .. '''7' .-.- .':-.. • . `-: "... . ..:::$ ,,,:::.5: 44:' ;..' - -.•.`'..-''F.;";■:%:'4.:•:.;r:•,....:/ ,','„,•:,, •.",,,I , •4 - •-•*i. 'r ...A.,, ,,'',-. Kg- - ,•. , ''. , ....t"" ' . ... SURVEY FOR: • • • • • • ,‘• • • • • • • • • • • • • • • • • • • • •ii• • • • . • • • • • %ID • • • • • • • • • • • • • • • • • • • ' • • LEGAL • DESCRIPTION I HEREBY CERTIFY: • • • • • FLOOD ZONE: 4/V THIS IS A BOUNDARY SURVFY SCALE: 1 = 7e2 DATE: • • • /— • 7 • • • • r, \" \ X • • • • • • • N . • . • . • ii, • • ..cit, • • • \ : : Am • • 0 • : • • • • ... • • \ 9 . '''' • ' \ s r • a , . \ • • • • • • \ .1q; i • • 0. . 4., X 0 s !A ,4 // //'.--22/ . Lot 16, less the North _15_ B f lo e ck e . e \- -._ a:l.ot 17 less the North 15 feet and East 35 c -Leet Subdivision AMENDED PLAT OF MIAMI SHOilt4SSECTTO? according to the Plat thereof as Recorded in Plat Book 5 at Page /4 of the Public Records of i2 (2E CoAty, Florida — /44/zik That this "SKETCH OF SURVEY" of the property described hereon is true and correct to the best of my knowledge and belief as recently surveyed and drawn under my supervision. This survey complies with the Minimum Techni. Standards adopted by the Florida State Board of Land Surveyors pursuctrit 1 Chapter 21 NH-6. Florida Administrative Code. Note: Not Valid unless sealed with embossed Land Surveyor's Seal DELTA SURVEYORS, INC. LAND SURVEYORS LAND PLANNERS 12888 S.W. 53rd ST. PHONE: 223 APPROVED BY: PAEZ y. s, By: Pr es. Waldo F. Paez Registered Land Surveyor. 3284 State of Florida MIAMI. FLORIDA DRAWN BY: / ,•••• •••_, . • STATE OF FLORIDA) COUNTY OF DADE) attached survey, performed by performed on - / — S 7 , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. The undersigned Affiant, Witness(sign and print) 'Miami Sliore� AFFIDAVIT SWORN TO AND SUBSCRIBED before me this Affiant is personally known to me, produced 9'7' Ai % st . 1t4 4) R 1./t/ ielloN6,does hereby attest that the (property own r) Q_ C (name of surveyor' company) sign •. d print) of AA i I IPA as identificatio Maria V. Butcher 'COMMISSION # CC749756 EXPIRES September 12, 2002 BONDED THRU TROY FAIN INSURANCE, INC 1