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74 NE 97 St (12)Pay to t!, rder o ACH R/r 069100277 Memo Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/26/2003 Applicant: SUSAN Owner: LAWSON JOB ADDRESS: 74 Contractor Local Phone: , x Parcel # 1132060130750 Work: Bank of America. Fees: FEE2003 -1797 FEE2003 -1798 FEE2003 -1799 Permit Status: APPROVED 29f'fo Afayni NE 97 EXTERIOR TOUCH UP PAINTING Jf 9 .2fI$ Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & W1/2 LOT 2 Description Building Permit Application Fee CCF Notary Fee Total Fees: Permit Expiration: 9/22/2003 .:06300004 ? 00548 24 50 1 11' 0487 Building Permit Permit Number: BP2003 -487 LAWSON SUSAN ST Contractor's Address: Amount $60.00 $0.60 $5.00 $65.60 Construction Value: BY: $500.00 Page 1 of 1 Total Fees: $65.60 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection inspection. ---- -----equipment or device described in the application herefor in strict compliance with all 487 h any plans, drawings, statements or specifications that may have been submitted to of done in compliance with such ordinances or if the plans are changed without y 63 -4 /638 Ft r or builder named above assumes the responsibility for a thorough knowledge of the D ate (� 1348 i or in the statements or specifications and that he assumes responsibility for work done $ (s , 6 a BY: BLK 6 LOT SIZE : ompliance with all ordinances and regulations pertaining thereto and in strict conformity c Village. In accepting this permit I assume responisibility for all work done by either MIAMI SH AES VILLAGE Paint Colo proval a�rd'Agx e#it 'DATE: ( NAME: USec,,� 1 203 25 9- 9Q9-0 DRESS: --,c /. ��" c2 �'• ••�p T • ************************ 4k********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ' DDRESS OF SITE: 7 t-7 O . 9 7 y:;. •'-. •' • • `* CONTRACTOR & LICENSE (if applicable) j�/ ;' •' • ; •• • • COMPANY NAME: �" PHONE„:„. ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the pite must be listed and indicate the color to be painted. alls F . cia 1,�� fe— Dri a Cap/Drip Edge Sof t Ro • W k-r '+"e-- F1• er Bins utters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal Wkt fie All brick (simulated or regular) Stucco Banding Any other stucco features Accessory'Buildings Other OWNER'S AFFIDAVIT: I certify that all the fo egoing information is accurate and that all work will be done in compliance with all applicable laws regulating cons ; ction and zoning. I authorize the above -named contractor, if applicable, to do t wor st. e . Furthermore , the paint colors will be as per the attached sa A,, les. APPROVED: Building Offici Q3 3 -`-?/' Date • • 0 t� . 0 z• �n ;a • b tri r t •H • H W tri cn Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 SECTION BY DATE Zonin: Wr. Electrical Mechanical Plumbing Fire Public Works Structural Building Official g' Page 4 OFFICE USE ONLY • ❑ OWNER - BUILDER FORM (Attach) • • • . • • • • • ❑ FIRE DEPARTMENT ; • • APPROVAL (Commercial /• • • multi - family) ❑ CONCURRENCY (New Construction) $3.00 per page (Scanning Fee) Miami Shores Village Bond • .• • • • • • ••• • • ❑ OTHER (Specify & Attach) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary • • • • • • • • •• • • • • • • • ••••••• •• • • • • ••• • • • • • CIIECKL1ST • ••• • ❑ PROOF OF OWNERSHIP (Attach) •• • • • •• • • • • . • • • •: PERM APPROVAL • • • tSeptic"PSewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERNIIT FEES Metropolitan Dade County (C.C.F.) $ l / ( sq.ft. = x/1000 x ¢.60) $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) $ ,0 REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) � TOTAL $ ' 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 ELECTRICAL '1'1'1'1: Minimum Fee ()Ty. 'rvpi. Dryer QT1'. "1'1'1'1: Outlet, Appliance - . • 1i 'v. 0 , . I'1'I'I•: . Arvice 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 ()Ty. TYPE Condensate Drain ()Ty. TYPE Generator QTY TYil: Refrigeration, Tons Q.I.Y. 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 QTl' TYPE Miscellaneous Fixture QTY. TVI'I: Soakage Pit Q'I'Y 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 • . • • • • • • .• • • • • • • • • • • ••• .. • ••• • • . .. • • ••• • • IIERMLT APPLICATION • . . • • • • • • • INSTRUCTIONS: Please indicate the type of work being performed.ad d gtlaiititY�ies) iii Ike space provided below. Salt RECEIVED AND REVIEWED BY: DATE: PROPERTY OWNER Name S USQ n [a&J Address q N /OP . Home Telephone 3 h S-- 23 2 - ?D ;-1 � j Business Telephone 305 75 G ^ C 7 /7 Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I 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. LiothSjgnatures must be notarized. Please print or type to allow for a more accurate processing of your application. If u otin worlabw'Yl.be done, a roofing application must be submit- ted along with this permit application. • •' • . • • .' • • • • • • • Step 2. Submit the completed apnlication 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 Address Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence OtheII- LL% Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • • ••• • • • • • • • • • • • • • • • • • • Master P.ermil. No . • • • • • ...•.- • Subsidiary Perq�dt gyp. • •: '. •. • • • • •. • • • • • • t?ERMIT APPLICATION •..• • • City State Z� Description of Work 4Duch Lep P —Gtv / r Zoning Linear Feet La Square Feet � 00 Floors be of Work s . c MJ , 00 Bldg Value 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 • • • • • ••• • IMPORTANT NOTICES 1. DO NOT BEGIN ANY WO14H WI'PHOUT YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOtJRS OF Z`ONS'MUCTICAV 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 ateas tylg,ST 1 MAJNTi 1N.FD I A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORIlse PRQ;EIVICS �SHtLP B€ KEAtr FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FRphj BITING fAMM313D BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is w required for work in or near the eeNeidewalla • • • • • 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, Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 • f Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a j : tractor. STATE ORIDA, C!t1l, MIAMI -DADE .L� Signature of Owner / Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me dais da SEAL: S osa.A ure o ' ota / Public S to of Florida .00 N Angela M Becker • • My Commission DD150048 4. „„d - Expires November 15, 7..008 • • • • • ••• • • • • • • • • • ••••••• • STATE OF FLORIDA, COUNTY OF MIAMI -DADE Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: