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680 NE 97 St (8)CONTRACTOR Name i&o UNT 7, ' License No. 0 5 'ov/7i Address ‘,4/0. A/9 aide• delE i1/.4e .Sitc5E5 1/ 33(3? Telephone , c7Jl, � 6,/ /__ Fax Qualifier Nan}e� 8 V / 0 1 7 ,_ 3e PROPERTY OWNER New Construction Name tta 4 ithjs rg/, iE Enclosure Address ap A /E, q7 n-f y / % $4& ig ?3i3s Alteration Exterior Home Telephone Repair Business Telephone 7i6 e97 71/30 30S192, /14591 Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'l 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 roofing application must be submit- ted 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. A PPLICATION Job Address: i0 /J. J 9r 57- Address Apt. City State Folio Number Description of Work ?id a1 E I f3P Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Telephone F Thd C� a2�G . S ccS (00 Zoning Square Feet PERMIT APPLICATION Master Permit No. (3 1 6 &0 Subsidiary Permit No. 33/3 Zip Linear Feet Units Floors Value of Work Woo • 00 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Telephone F Page 2 1 N9PORTANT 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. S ure of Owner OF FLORID COUNTY OF MIAMI -DADE Print Name Sworn to and subscribed before me this o \o-eck qc.Nme ca day ofDec_CM MCIeb I u C Signature of Notary liF -State of�Jor,i4a_ . SEAL: 11 Mary _ ® C. Ulmer ` aCOmmi8siaa It DD1O8132 t °r' Banded Una it , �o ° Matt& loading Co., me. Personally known OR, Produced Identification Type of Identification Produced: b ,co cure of Contractor / dual l Print Name Sworn t' .nd subscribed before me this Personally known Type of Identification Produced: PERMIT APPLICATION OF MIAMI -DADE 3 day of De ( . , argas Co : DD23I984 Expires: Jul 13, 2007 OR, Biliduktgalffitification Atlantic Bonding Co., Inc. ELECTRICAL .1.yp1, Minimum Fee QTY. TYPE Dryer QTR TY Outlet, Appliance QTy. Typi Service Repair Q . 1 . V . 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 TYPl Minimum Fee QTY Tyl,l, Condensate Drain QTY. TYI'I Generator QTY. TYPE Refrigeration, Tons Q.1.1. A/C Central, Tons QTV. Cooling Tower Heating Strips, each Vent Hood, Cost A/C WaWWin. 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. Tvrr: Soakage Pit QTV. 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: SECTION BY D TE ' Zoning Oa 4py Electrical ��!! Mechanical Plumbing Fire Public Works Structural f Building Official /j L L 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 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) Metropolitan Dade County (C.C.F.) $ (sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL 0 (305) 795 -2207 o FAX (305) 756 -8972 http : / /www.miamishoresvillage.com MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: / • • © 3 OWNER'S NAME: /4 f 4es 9,2 ,E PHONE: ingg1 -7(3o, ,305 ADDRESS: a" A/ E• Q7 6 ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: $'O 1 ,1.6 g7 5i CONTRACTOR & LICENSE (if applicable) . coc �l -r R�fBSooZt� COMPANY NAME: Jt 5coon1 rRdtl - F ,\C PHONE: 30g" i 6,4 ********************************* * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls L' / ( O( Fascia AfAVA., r VJi-(4 Drip Cap/Drip Edge NC - / Z - Soffit 4 At/,!o v4){r Roof Kra Flower Bins NV� , Shutters to J vAf mot= Awnings i / o Vf1( -K Chimney NI/A Doors and door jams - p0044 - N(A V .s o • '3■4 -1/%2-- Garage Doors ,,/phisI/ Railings Fences ,,� Decorative Met 1 v All brick (simulated or egular Stucco Banding Any other stucco featu es Accessory'Buildings Other APPROVED: Building O facial ." /03 Date • 2B fennel seed 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 regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached sam -oa- o3 1101 f Owner Date Signature of Contract •' Date ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 a Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -1880 Printed: 12 /5/2003 Applicant: ROBERT FRAME Owner: FRAME ROBERT JOB ADDRESS: 680 NE 97 ST Contractor VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE Local Phone: 305 - 751 -7164 Parcel # 1132060171610 Fees: Description Amount FEE2003 -7935 Building Fee $60.00 FEE2003 -7936 Notary Fee $5.00 FEE2003 -7937 CCF $0.60 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $65.60 Permit Status: APPROVED Permit Expiration: 5/31/2004 Construction Value: $2,400.00 Work: PAINT EXTERIOR OF HOUSE AS AGREED Signed: (INSPECTOR) Building Permit Page 1 of 1 Legal Description: 6 53 42 MIAMI SHORES SEC 4 AMD PB 15 -14 LOTS 1 & 2 BLK 100 LOT SIZE DEC 0 8 PAID ,, In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MIAMI SHORES VILLAGE EUILDINt DEPARTMENT 301- 795 -2204 Building Inspection Request Date 1l& Ic) Time Type Insp'rr 1 YV d Permit No. \ J o� Name t) Address ^ (o$b /\LE q � �T • Company V V S eo -v - 1 Q 1 `Kl'iv■•-(3 • Phone # 30s- — 7s / ' — 7 1 to 4 For Inspector: \ llo © Name & Date Approved Correction Re- Insp'n Fee ❑ MIAMI. ORES VILLAGE BUI4 IN DEPARTMENT 305-795-2204 Building Inspection Request Date lt5 1 Time Type Insp'rr7 I nciS) r- cck-‘ vc Permit No. Name 1*--4 9- ci"Acl 1--A 9 -S CVVQ Address gb N E q Company E VI 00Y11 PCt YiTiNvo Phone I 4 For Inspector: \ Ito> ° 1 1 Name & Date Approved Correction Re-Insp'ri Fee