55 NE 97 St (12)Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10 /8/2002
pplicart: DAVID
Owner: tiOWARD
JOB i DDRESS: 55 NCB 97
Contractor
Local Phone:
Parcel # 1132060130990
fee is $50.00, which must be paid in advance before calling for another inspection.
VID A. HOWARD
55 N.E. 97TH ST.
MIAMI, FL 33138
Date
Pay to the
Order of / I $ tfr
— Dollars 19
For
0 :2670837631: 00574972Lillo ^4L�
Building Permit
Permit Number: BP2OO2 1712
[.COWARD
DAVID
ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 17 W1/2 LOT 18 BLK 7 LOT SIZE
Fees: Description Amount
FEE2002 -5629 Building Permit Application Fee $60.00
FEE2002 -5630 Notary Fee $5.00
FEE2002 -5631 CCF $1.20
Total Fees:
$66.20
Total Fees: $66.20
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 4/6/2003
Work: EXTERIOR PAINTING AS PER AGREEMENT
k If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
Construction Value:
411
63 8376/2670
1161
the equipment or device described in the application herefor in strict compliance with all
with any plans, drawings, statements or specifications that may have been submitted to
s not done in compliance with such ordinances or if the plans are changed without
ictor or builder named above assumes the responsibility for a thorough knowledge of the
ngs or in the statements or specifications and that he assumes responsibility for work done
in compliance with all ordinances and regulations pertaining thereto and in strict conformity
res Village. In accepting this permit I assume responisibility for all work done by either
BY:
BY:
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: /O
OWNER'S NA Dpi-v 40 c wt -/1-r3 PHONE: 3o ct 6 - (F 6 r6
ADDRESS: i0a SS N q3 k
************************;********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: S AA)
CONTRACTOR k LICENSE (if applicable) J . /
COMPANY NAME: AJ /4 PHONE: ft,' /k
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED:
All Element on the site must be listed and indicate the color to b°
alls '
Fascia f (ofd '.ell S L I - 2- -
Drip Cap/Drip Edge Ft 0L, A_ q- e- -k01
Soffit co-v
Roof b31-\ T tz
Flower Bins p^- ( ova 4-e-(C o
Shutters 's / Pc-
Awnings /'i ( A
Chimney I=I cJ 0-- ..ct ;
Biewi .._a d oor jams (cr- its ()di...J
Garage Doors (A t Z
Railings A
g �
Fences (J H I 're
Decorative Metal , / +
All brick (simulated or regular)
Stucco Banding p(c ✓v`
Any other stucco features w Vc� //0
ccessory'Buildings / Yo Lkd- € c.1-6\&,___ -
Other
WNER'S AFFI IAVIT: I certify that all the foregoing informatio'n.i:
and that all work will be done in compliance with all applicable laws re
construction and zoning. I authorize the above -named contractor, if applicable, to
do t e work stated. Furthermore , the paint colors will be as per the attached
'\ sam o les. )
Li • _` 0 ()-7-- / 4
Sign. o • wner Date Signature of ontractor Date
* * ** ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *._
Building Offici
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
4W21 -3
5W14-2
PROPERTY OWNER
Name potu 1 eQ A
CJ
Address C E q
��
f f ( .
Home Telephone Sac- -F c6 `—�'r P'
, Q v /
Business Telephone -
S _� C � Fax
l
Soc 37 `r, ci s-
TYPE OF MANAGEMENT (1 )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
]Foundation Only
Add'I Attachment
Other
Add'] Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Step 2.
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 submit-
ted along with this permit application.
Submit the completed ap lick ation 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: a
City
Folio Number '" \Description of Work
Lot Block
Subdivision PB PG Zoning
Current Use of Property quare Feet Units Floors
Proposed Use of Property Value of Work $/ / 1 ¶ Bldg Value
Tenant Information
Address
PERMIT TYPE (1 )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
]Fence
Other
Ap
PE MIT CHANGE ( )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
Subsidiary Permit No.
State
/ A 77 fUC
PERMIT APPLICATION
Zip
Linear Feet
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
11II'OR'1' NO TICIS
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.
X
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.
c - State of Florida
STA OF FLORIDA, COUNTY OF MIAMI - DADE STATE OF FLORIDA, COUNTY OF MIAMI - DADE
Signat
Print Name ( Print Name
Sw • to • nd subscribed before me this I .5 day o J r Sworn to and subscribed before me this day of
Signature o' otary
SEAL:
Personally known OR, Produced Identification
Signature of Contractor / Qualifier
Signature of Notary Public - State of Florida
SEAL:
PERMIT APPLICATION
Personally known OR, Produced Identification
Type of Identification Produced: 11-- t ' 3 6 -- 1 61-- 44 - ? V - pe of Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
QTY
TYPE
Dryer
QTY
TY'1'i:
Outlet, Appliance
Q'I'Y
TVPI',
Service Repair
QTY
A/C Central 1 -3 Ton
Dryer Vents, Number of
Fan
Ventilation, Cost
Outlet, Wall
Ductwork, Cost of
Service, Temporary
Periodic Inspections
A/C Central 4 -7 Ton
Fire Sprinkler System
Fire Pump
Outlet, Switch
Fireplaces, Number of
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
w
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, IIntercom/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 QTY.
Generator
TYPE QTY;
Refrigeration, Tons
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/VVin. 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
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
PLUMBING
TYPE
A/C Condensate
QTY
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTV
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
w
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:
SECTION
BY
DA TE
/ q' 3/0_2
Zoning
� ,
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
G'
n
/0(1 2
Page 4
OFFICE USE ONLY
('1II.('KIi5T
U OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.) $
Inspector State Educational Fund $
State DCA (Radon) $
Code Enforcement Fine
Zoning Review
Notary
•
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PI:R11I'I' FI ?ES
$ LoD•
$
(X a . x/1000
(¢.005 /sq.ft.)
(¢.0I /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
ISSUING OFFICIAL,
REVIEWED AND PREPARED BY: DATE:
CONDITION OF
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com