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790 NE 97 St (8)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 5 2 Time Type Insp'n 41.2�j Permit No. Name L.) Address :; c ,4i 9 7 5 / Company f/1, 7f Phone # ��/S 75 S ®g For Inspector: $ 9-6 2., Name & D to Approved 'Q t /5 1Y C L - ' Correction ❑ Re- Insp'n Fee ❑ 7 r MIAMI SHORES VILLAGE BUILDING DEPARTMENT 30 5- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Address Company Phone # d_C.-. -5 2 . ©6 22S7 For Inspector: % . D Z S — Name & D. to Approved Correction Re- Insp'n Fee P ;002 -3/6 Time SECTION BY DATE �fs��Ng Zonin_ Electrical _ �— / / Mechanical Plumbing Fire Public Works Structural 2 - /1e-..-6 Building Official Page 4 OFFICE USE ONLY CH CKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review $3.00 per page (Scanning Fee) Miami Shores Village Bond ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ 6 Metropolitan Dade County (C.C.F.) $ 0 $ $ ( sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PE .• MIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 6 ISSUING OFFICIAL DATE: 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. 'I'1'1'E 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 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: QTY. Minimum Fee TYPE; Condensate Drain QTY. TYPI. Generator QTY. TYPE QTY. Refrigeration, Tons 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 Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel 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 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: PROPERTY OWNER Name o k n / --'1-.A.—..) AddrL i ”0 Alf 9/ S - Z --- Home Telephone /) 5 /') - 06 f Sj / one Business Telephone Repair Fax Alteration Interior TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I 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 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 PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other City `�; State Folio Number Description of Work — k - - Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Address Apt. Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary ]Permit No. • �. (� � '3/ Le PERMIT APPLICATION Zip Base Floor Elev. ENGINEER Name License No. Address Telephone Fax C NTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IMPORTANT NOTICES I. 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. STATE 0 FLORIDA, CO SEAL: MGELA [M BEC 0 COP9N.:1SrlON NUMBER a r N' Q CC786697 li 9f NC uv C0=sa'ON EXPIRES OF f �O NOV. 15,2002 STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PJ✓'tc.MJT APPLICATION • / Personally know OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Applicant: JOHN Owner: ANDREWS Contractor Address: Local Phone: Cellular: Parcel # 1132060142190 Job Address: 790 NE 97 ST Fees: Description Amount FEE2002 -922 Building Permit Application Fe$60.00 FEE2002 -923 Notary Fee $5.00 FEE2002 -924 CCF $0.60 Total Fees: $65.60 Signed: Building Permit Permit Number: BP2002 -316 Printed: 2/13/2002 Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 1 & 2 BLK69 LOT SIZE SITE VALUE Permit Status: Permit Expiration: 8/12/2002 Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for_another inspection. This Permit is granted to the contractor or builder named above to construct tl ordinances pertaining thereto and with the understanding that the work will be pE j. STEPHEN ALLEN and approved by the proper municipal authorities. This Permit may be revoked i 790 NE 97th St authorization. A further condition upon which this permit is granted is the under: Miami Shores, FL, 33138 ordinances and regulations pertaining to the work covered hereby whether show I;) ' his agents, servants or employees. PAY TO V,L / 2 7cz i O i -8/1 TFIF JCR OF / \ Signed: (INSPECTOR) a_ 1- k-6 c }c In consideration of the issuance to me of this permit, I agree to perform the we 2 First Union National Bank with the plans, drawings, statements or specifications submitted to the proper at g F � o firatunion.com myself, my agent, servants or employes. ore. 003 R/r 067006432 (Contractor 9 FOR ALLEN BRAIN Total Fees: $65.60 Total Receipts: $0.00 • 1 : 0 6 7 0 0 6 4 32:10 100 30 3 20? 211 L2B2 63- 643/670 BRANCH 00668 nn rF ` � �JI I $6 S� 6.[urn[ , OI.IA0.J f IY[.t[an PERK Basic 1VIIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: OWNER'S \ME : - 73 ADDRESS: ."E NE ' * * * * * * * * * * ** *************� ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: ADDRESS OF SITE: S"l CONTRACTOR & LICENSE (if applicable) COMPANY NAME: ********************************* * * ** * * * * * * * * * * * * * * * * ** * * * * * * * ** 0 IN_ All Elemenp. on the site must be listed and indicate the color to be painted. o� Walls 4 � Fascia L3 Drip Cap/Drip T E„dg� Soffit t,J 6� s /� Roof — Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal (0 /s/j),„ /A rs ) e_ 50c 4/LicrO i px OWNER'S AFFIDAVIT: I certify that all the foregoing information s ccurate 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 All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other sa • "ignature o Owner Date Signature of Contractor Date ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** N //4- Building Official eV Date 4 /2_/` 1 PHONE: /9l( l WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 pfl7 PERMIT APPLICATION FOR MIAMI SHC ,- Date v Job Address 7? c G i ? S!_ Tax Folio Legal Descripti• Historically Designated l _e_f2671./L - Maw / Tenant Owner's Address Contracting Co. WORK DESCRIPTION APPROVED: Zoning Mechanical Address Address Qualifier SS# State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN J AT M o .S0 F Pi 1 t t_ canR 7'l w= Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I 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, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable 1 €ws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President . Date Notary to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT 4 RADON C.C.F. ",tea NOTARY J BOND Phone IUsLJ / 0 % / (�.b Si ature of Contractor or Owner- Builder Date ),rk2/4j:71 / e i? • ' Notary as to Contractor or Owner - Builder Date My Commission Expires: Electrical Phone TOTAL DUE Plumbing Engineering