Loading...
526 NE 97 St (3)STATE OF FLORIDA, COUNTY OF DADE. ss. and who, being of the above de therein by him s me first ribed co ated are MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specification:; 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 must be kept at building during progress of the work. / J. Date + �J _L__ iL. __7 �___ , 19__a Owner's Name and Address 412 __' �e__$___,� J. _c_u_S hi_N4A34 o Street Registered Architect and /or Engineer____l__ ' 4AI /G Ite .5 a Q„IJ ___,S // Name and address of licensed contractor _ ____R_i__�! s� – _4 _G._L_2'S /VC Location and egal description of lot to be built on: Lot4_7 a Block Subdivision s___— 67- S �4 C_ Street and Number where work is to be done 21=: i(,t State work to be done and purpose of building (by floors) 'S' L_E f LL New Building `r' Remodeling To be constructed of C . • li?• Kind of dation d o Estimated Total cost of improvements $____Z . O O p Zone cubage required .7" aflir @!?_ Distance to next nearest building__ 240 ) Maximum live load to be borne by each floor Addition Repairs No. of Stories_____ a Roof Covering! _E • Amount of Permit $ �� I t _Plan Cubage _Size of Building Lot .1 0 4 C _ 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 - - - - - - . 6 7 ? - _ // Y_ dE -- — 7 ? ST - - - - — 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 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection o • site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra work to be performed under t is permit, as are licensed by Miami Shores Village. — 6 . Remarks (Signed Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared y sworn, upon oath deposes and says that he is the truction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts e. Date Read, Sworn to and Subscribed before me. Permit No Disakarcateel-- ; __ D ' Bui ding Inspector PLANNING BOARD ¢ DATE Chairman Member M 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 been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ∎. M mber ber Member 4 and for no other purpose. to me well known, Notary Public, State of Florida y Commission Expires • c / CONTRACTOR New Construction Name ra� -eor 4 I � ' r ' Pr License o.Gc ., 99 DC f0 o ci i i c Address 339 / v" 69 &R b9 i ,Q ?J,2r Repair Telephone .75-7 77 y Fax l��,( Qualifier Name D A V 1 11 1 _6c_, Demolish PROPERTY OWNER New Construction Name ' Pr Address /� 5_6 !V ° o ci i i c Home Te ephone Repair Business Telephone Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other Step I. Master Permit No. * • aa Subsidiary Permit No. PERMIT APPLICATION INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: 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: 5,q6 N E `'7 S + - m 1 / r ' Yviet Address Apt. City State Zip Folio Number 11, 32 6 (a 0 11 1 S 3 C Description of Work R'e f l ACe, 6A-Mthe b7oR Lot �0 4D f IA) C' Block 9R Linear Feet PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Address Name License No. Telephone Fax Subdivision PB PG Zoning , }� Current Use of Property f&Itr,Ar Square Feet 1 a B T Units Floors Proposed Use of Property S W 4 6_ 0<Value of Work // 0 ' S a Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name Address T one 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 financi you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice o ' omm- cement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commence = t must bePOSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at lage Hall Construction Lien Law and Choosing a Contractor. E OF FLO ID TY OF MIAMI -D Signature of 77" actor / Qualifier nA t 16 L Print ame Print Name om to and subscribed before me this 1 cl—clay o S�gnatu� of Owner L E— c 1P PUd OFFICIAL NOTARY SEAL ANGELA M BECKER COMMISSION NUMBER CC786697 � • MY COMMISSION EXPIRES F OF FLO NOV. 15,2002 ri " o rYotary Pu SEAL: Personally known OR, Produced Identification Type of Identification Produced: STATE 0 Sworn to and subscribed before me this ( day of L.P Imo% / . ..., i _ �, II . .1•_-- _ . m atur e of ` I Lary Public State .f Flo SEAL: Personally known yERMIT APPLICATION A, COUNTY OF MIAMI -DADE OFFICIAL NOTARY SEAL ♦PaY PUe ANGELA M BECKER 2 i r o n OOAIMISSION NUMBER N II' % * CG78 6697 9 , -' � O MY COMMISSION EXPIRES • ®, Prodil ld Type of Identification Produced: ELECTRICAL TypE Minimum Fee QTY. TYPE, Dryer QTY. 'FYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16 -20 Ton - Pressure Vessel Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee Q'TY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons cm'. A/C Central, Tons QTY. Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well /Ice Maker Pump, Sump Utility - Water Dishwasher IIndirect Wastes Relay Repair Vacuum Pump Disposal IInterceptor Roof Inlet Water Closet Domestic Well Landry Tray Septic Connection Water Heater IIDrainfield, 4" 'II'ile/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 P(: :A.._: Page 4 OFFICE USE ONLY CI- IECKLIST ❑ OWNER - BUILDER FORM (Attach) L I FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond $ 0 i $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE - / > - (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PEk1VIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 6'C _ A 0 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 STATE OF FLORIDA, COUNTY OF DADE. ss MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of 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, 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. j r l n O r r Date �!, ' , 19..:.4„... J v Owner's Name and Address . ._._ ' a �� -- �..�1i._li.�..,_. s-. _ - . No. .» StreetN__,' L ' ,. Registered Architect and /or Engineer Name and address of licensed contractor____ ' Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) i� ,`._ 1 % L' t - ' and for no other purpose. New Building Remodeling Addition._ Repairs No.. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ P� � �% Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot 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 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 labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent SuPplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)._ �� 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 true. Permit No Disapproved (Signed) 7v2 Date ` Date-4 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building jnspector My Commission Expires PLANNING BOARD DATE Chairinan Member 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 been obtained from the Planning Board. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER L. J. Cushman �� ADDRESS 526 N. E. 97th Street Lot 6,7 & E �5' Lot 8, Block- 99 LEGAL : iami Shores Sec 4 RECORD GARBAGE TAX CUSIM N, L. J. 526 N. E. 97th Street x OWNER'S NAME JOB LOCATION (ST. OR AVE.) GENERAL CONTRACTOR Perry 2. Willits, Inc. BUILDING PERMIT NO 9 ZONE REQUIREMENTS 23,000 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: JDH NEW CONSTRUCTION REPAIRS ALTERATION ADDITION SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL DATE 8 /9/5 0 APPROVED CU. FT. PLAN CUBE PRESENT ADDRESS 45 N. E. 104th Street LOT BLOCK 7 & L 8 99 ADDRESS 882 N. E. 79th Street PERMIT FEE S 31.00 TYPE STORIES ROOF CONSTRUCTION CBS 2 i9.842 CU. FT. DESCR IPTION DESCRIPTION Miami Shores Sect. REMARKS ( , A CERTIFICATE OF OCCUPANCY NO{, .. - ISSUED Y ' BY ,; =! � TO BUILDING PERMIT AND INSPECTION RECORD - MIAMI SHORES VILLAGE LICENSE NO. SUBDIVISION PHONE NO. 89 -2024 BUILDER•S PHONE NO. LICENSE NO. 33 BOND NO. DATE Trans. EST. COST $ 27,000.00 DATE REJECTED REFERRED TO COUNCIL REASONS 8/1/5o INTERIOR CONSTRUCTION Tile Oak Floors - Plaster Walls Liv Rm - Liv Porch - Din Rm - Kit - Br. Ibn - Study - 1 Bed Rm - 1 Bath d= 4 Bed Res - 2 Baths - Open Deck up - 2 car gar w /ldry area - st. rm & sho INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 8/17/50 P h FEE TEMPORARY SERVICE 8/17/50 $ 1.00 BEAMS & LINTELS 9-150 - , ..,)' P� 10/9/50 Tv JDH SEWER FRAMING $ SOLAR HEATER $ $ GAS $ $ $ $ FINAL DATE BY R IN ECT b ut RE- INSPECT BY CLEAN -UP 8/30/50 PG 10 2 50JDH pp BY %'�UGHING CONTRACTOR Futch and Roberts PHONE L C PERMIT NO. 9875 DATE 8/16/ FEE $ 17025 NEW BLDG. Oa 1 ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 8/17/50 $ 1.00 S SEPTIC TANK Pennell 9902 8/22/50 $ 1.00 SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ $ INSPECTIONS DATE BY R IN ECT b ut RE- INSPECT BY ROUGHING 8/30/50 PG 10 2 50JDH pp BY %'�UGHING GAS H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK - p 8/23/50 PG SOLAR HEATER FIXTURES & FINAL. 3/a/ pM FIXTURES CONTRACTOR Jernin Elec. PHONE PERMIT NO. 10288 DATE 11.17...50 FEE $ 21,30 NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS ' SPECIAL PERMITS PERMIT NO. DATE FEE Jc I CL TEMPORARY S ERVC 9882 8/17/50 $ 1.00 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 8/17/50 PG %'�UGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL. 3/a/ pM BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTION ELECTRICAL PERMITS & INSPECTIONS APPROVAL. TO POWEyCO. /OR SERVICE DATE 3 2 3 fl BY A'/// N9 1561 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , Owner, Agent or Tenant of Building Lot -' -° Block ( 7 Subdivision _ . L �� , Street Address A r t Approved use by occupancy 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 pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION MIAMI SHORES VILLAS PERMIT N° _9838 to be performed under this Perini Owner of -- Building_ Architect,,. Contractor or Builder Legal Description Address of Building BUILDING ELECTRICAL PLUMBING Value of Project This permit is granted to the contractor o .ut7d!r named atve to construct the building or herefor in strict compliance with all ordinances pertaining thereto and with the un r ing th drawings, statements or specifications that may have been submitted to a time if the work is not done in compliance with such ordinances or if the granted is the understanding that the contractor or builder named abov pertaining to the work covered hereby whether shown on the plans or done by his agents, servants or employees. Prop DA /Contractor's License No Signed "." BY . i i4PHCTOR In consideration of the issuance to me of thispermit I agr- - to perform the work „:covered hereunder in comp pertain' thereto a in strict conformity with the pi a, drawing statements o cations submitted to the In acs this p ut I ssume responsibility for all k do fry either, , my 2g u_ slahi er employee. CONTRACTOR OR BUILDER BY Amt. of Permit the equipment or device described in the a e work will be performed in compliance ivlth unicipal authorities. This Permit may be revol • ation. A further condition upon which th s pe ledge of the oranoes isthd that he mimes AUTHORITY N° 1561 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla., w t..- Owner, Agent or Tenant of Building Lot { - Block Subdivision Street Address Approved use by occupancy 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 pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUI.DING DIVISION