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602 NE 96 St (4)of PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Dates Job Address ‘ ' / G 9 Tax Folio ( , ffr 6 ; /4 r Legal Description Owner / Lessee / Tenant Owner's Address ‘'AO 7/9( Contracting Co. Address Qualifier et,ted4tV APPROVED: Zoning cig 1 Q 9 ' i (tom [ , / SS# 1 State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGs WORK DESCRIPTION 4 I Ir‘i' k 7, rA./b GY,4 )7'E Square Ft. Estimated Cost(value) ,4 9/ 12n0< WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC SO II2AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUI NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat 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 wil. be don iin compliance i all applicable laws regulating construction and zoning. Furthermore, auth•iize ''the a•6 �au�d contractor to do the work stated. Signature •f owner and /or Condo President e: /ha? aa,, Notary as to Owner and /or Condo Pre icgen My Commission Expires: NOTTAARY Y `C4 4/ PU�LIC S ATE OF FLORIDA MY COMMISSION EXPIRES 5/09194 ** * * * * Bonded ihru SteTbler -Adarr s & Sweet Fire Mechanical Plumbing Phone Signature of Contractor or Owner - Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: Master Permit # L.. 6 O Phone/C9' i 5 'f1 FEES: PERMIT ) '1 • RADON C.C.F. c NOTARY 5 419 TOTAL DUE 1i55 Other Buildin: j \ ~ �t 4 ✓ Electrical Engineering Per 489.103(7) F.S.S. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own even though you .do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two - family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000 or less. The building must be for your own use and occupancy. I t may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one (1) year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have license required by state law and by county or municipal licensing ordinances. c/1-2--/1, d Date Village Use Only Permit No.,. ie DISCLOSURE STATEMENT Owner's signature : Pro„) Owner's name (print) , , d/V k LP w' CV 53 LJ • MIAMI SHORES VILLAGE BUILDING AND ZONING DEPARTMENT INSTRUCTIONS TO OWNER- BUILDER You have, this date, made application for a building permit as an owner - builder. You should be advised of the following provisions and requirements that apply to owner - builder. Proof of Ownership - Prior to a building permit being issued to you, you must submit proof of ownership of the land concerned in the application in the form of a recorded deed, showing you own the Property, or a copy of mortgage or warranty deed of the land, or a Dade County tax receipt, statement to contain legal description of property and indicate property is in your name. Legal description and name on document of proof must correspond to the name and legal description on the application. Responsibility - You will be responsible for all work done by your day labor employees, and you must either employ licensed contractors or persons to be paid on an hourly or per diem basis. Any one contracting (including labor) with you, verbally or in writing, on a fixed fee basis for any work, who is not properly licensed, will be subject to a fine of $500.00 and /or imprisonment for six months. Insurance - You should be advised that if your day labor employees cause any damage to persons or property, or if any of your day labor employees are injured on the job, you are liable. Your regular home insurance policy ordinarily does not cover this type of liability. Withholding Taxes, etc. - You should be advised to investigate your responsibility for withholding Social Security, Federal and State Unemployment Insurance Taxes and Federal Income Taxes from the wages of employees working for you on the proposed construction, and for making returns thereof to the proper agencies. Work Permitted Owner - Builder - An owner- builder subject to the foregoing provisions and requirements, is limited to constructing one single family residence each year for his own use and occupancy;.or maintaining, altering or repairing his own single family residence. If you do not intend to do the work involved yourself, or with day labor, please list below, the name of the individual or firm with whom you have entered (or will enter) into a contract for the work. NOTICE: SEPARATE PERMITS REQUIRED FOR ELECTRICAL, PLUMBING, ROOFING AND MECHANICAL WORK ( Name of Individual or Firm I, the owner of property described as Address do hereby certified that I have read the foregoing instructions, and am aware of my responsibilities and liabilities under my application for a building permit for construction work on the above described property. Date to 1 Owner's Name and Address r S t LL( ki Registered Architect and /or Engineer Name and address of licensed contractor STATE OF FLORIDA, COUNTY OF DADE. ss. �� MIAMI SHORES. VILLAGE BUILDING INSPECTION DE 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. 5�1 Date , 19 1 A f No._ 'S i Street---L`! i 7 tt 1_ ilK Location and legal description of lot to be built on: Lot Block Subdivision_ n Street and Number where work is to be done 3/_1 1" f - C s___ —Le - ! , State work to be done and purpose of building (by floors )_ Building Remodeling Addition Repairs No. of Stories To be constructed of Kin of datio4 Roof Covering oR V (kJ T'\ 6, 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 subcontractor, on work to be performed under this Estimated Total cost of improvements $ 0 0 s- Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot permit, as are licensed by Miami Shores Village. Remarks (Signed) L � 1 and for no other purpose. 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 Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires__ PLANNING BOARD DATE Chairman 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Miami Shores Village BUILDING PERMIT APPLICATION FBC 2001 li.Ae' :Permit Type (circle): ( Building' Electrical Plumbing Mechanical �7 Roofing Owner's Name (Fee Simple Titleholder Phone # 3 &J 7y' ?S , ( Owner's ddress 0 &O), N • �. q6, aim; 6,44 S Re-s rE iAa • die Itarg4 . etticea, cit /(/i /44l 3 e- State 6 Zip Fri' Tenant/Lessee Name Job Address (where the work is being done) ' City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO 114 Contractor's Company Name V i S Jn4T Contractor's Address 6 /o butii t � ft State Zip 3 3 l3 e City Qualifier d8 Nk o o - t' a State Certificate or Registration No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit BuildingDepart ent 10050 N.E.2nd Avers, O; iM to 'da 33138 Tel: (305) 795.2204 Fax: (305) 7'6.972 T4A-- ettiekl. `___Teeet.0 0 nit-4) • Type of Work: ❑Addition ❑Alteration [New Describe Work: * * * * * * * * * * * * * * * * * * * *� * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee ,$ /W CCF $ go CO /CC Notary $ �� Training/Education Fee $ ©( 60 Technology Fee $ a/ SC9 Scanning $ 6 Radon $ ^' Zonng Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ /15", i 0 p a� ! t� (Continued on opposite side) Ltd �.+" B _k u Permit No. 6' D- aster Permit No. Phone # Phone # Certificate of Competency No. Phone # zip 331 Square Footage Of Work: 3ar - 7/ ❑ Repair/Replace ❑ Demolition 34 &i.elq 06-4 (y 4:6-g-(/d (al-e;tettuAt { "41--4(y Bonding Company's Name (if applicable) Bonding Company's Address City State _ / I Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address / City State / Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature G/ , 6.14• )7f • Owner or Agent The foregoing instrument was acknowledged before me this 20 , by \ 1 1 d Q Ulog r , day of day of who is personally : - - . NOTARY P LIC: "� ° u0 • Foy a. Sign: P� - 4�Gi :: : �. ?yd /� i 9 dedVt �;: O •� Print: C1C ►1 r 4 �i � r'ublic una 0 c�: � /CI! 1110 . * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** *****************************,**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** My Commission Expires: s , I L I. ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 nown to me or who has e V PT 5 1SSI0 As identification did w' p - ,t >i oatil. Signature Contractor The foregoing instrument was acknowledged before me this who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** bt;;Z • 2 2C5 My Commission Expires: ,20,by Plans Examiner Engineer Zoning BUILDING Jai PERMIT APPLICATION aster Permit No. FBC 2001 I Permit Type (circle): Owner's Name (Fee Simple Titleholder Owner's ddress C wt- (C2) • e.... g674 City /(/r 6dorce State H Tenant/Lessee Name Miami Shores Village BuildingDepart exit 10050 N.E.2nd Avent��, G "qe• lorida 33138 Tel: (305) 795.2204 Fax: (305 7' 6.972 1 ,- 1, c&lekl., (L a14 • Electrical Plumbing ' Mechanical p Roofing Phone # 3�� 7y / ?S `T- "" 5t RiS Ne56 ERiAti • de 11214442 ('t, Zip ( Phone # Job Address (where the work is being done) "aa ' "' City Miami Shores Village County Miami -Dade Zip 33/3 Is Building Historically Designated YES NO ✓ Contractor's Company Name Y r 5 � 04 r� tS a P Y t✓ Con tractor's Address 6 V &kA$) (;„1 State n Zip_ 3 3 G " City / ( 45 Qualifier $5'6041,1" State Certificate or Registration No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 2`E? Scanning $ 6 ' - Code Enforcement $ Total Fee Now Due $ // q0 (Continued on opposite side) Radon $ 1471 Type of Work: ['Addition ['Alteration [New Describe Work: Submittal Fee $ Notary $ � �—' Training/Education Fee $ © ( 60 Zoning Structural Plan Review. $ �. Phone # Certificate of Competency No. Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ❑ Repair/Replace ❑ Demolition p ddr a696 Permit No. 6 l'' os Permit Fee;$ /690 CCF $ l' �Q coicc Technology Fee $ a/ 5 91-13500244 Bond $ • Miami Shores Village •�� 'Paint Color Approval and Agreement Date 1. L i • 136 ML 4 u cp.- (9rcal-C- e414) Owner's Name M PlicOrreavl Phone # 9''0 Owner's MI Apt n 9-3( �� City / Apt t s�to�>; S State Zip Job Address (where the work is being done) O1 IJ .e. g I- cwt ,, City Miami Shores Village County Miami -Dade Zip ??133 Is Building Historically Designated YES NO . " ' man Name if applicable) I �jLOJn1 l 4et c� ti Phone # 3bC 7 — 11 4 ' Contractor's Company y ( P ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls Fascia Drip Cap /drip Edge Soffit Roof Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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. Signature APPLICATION APPROVED BY: Owner or Agent a/13 Z Official Attach Color Samples With Numbers Date Date A Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/16/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 Parcel # 1132060141410 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -283 ST Contractor VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE Local Phone: 305 - 751 -7164 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2005 -3397 Building Fee $100.00 FEE2005 -3398 Training and Education Fee $0.60 FEE2005 -3399 CCF $1.80 FEE2005 -3400 Notary Fee $5.00 FEE2005 -3401 Technology Fee $2.50 FEE2005 -3402 Scanning Fee $6.00 Total Fees: $115.90 Total Fees: $115.90 Total Receipts: $115.90 Permit Status: APPROVED Permit Expiration: 8/27/2005 Construction Value: $2,480.00 Work: PAINTING CHURCH STEEPLE ONLY. Page 1 of 1 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: i Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2005 -283 Printed: 3/16/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 Contractor VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE Local Phone: 305 - 751 -7164 Parcel # 1132060141410 Fees: Description Amount FEE2005 -3397 Building Fee $100.00 FEE2005 -3398 Training and Education Fee $0.60 FEE2005 -3399 CCF $1.80 FEE2005 -3400 Notary Fee $5.00 FEE2005 -3401 Technology Fee $2.50 FEE2005 -3402 Scanning Fee $6.00 Total Fees: $115.90 Total Fees: $115.90 Total Receipts: $115.90 Permit Status: APPROVED Permit Expiration: 8/27/2005 Construction Value: $2,480.00 Work: • PAINTING CHURCH STEEPLE ONLY Signed: (INSPECTOR) Building Permit ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE 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 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -283 Printed: 3/16/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 Building Permit ST Page 1 of 1 Contractor VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE Local Phone: 305 - 751 -7164 Parcel # 1132060141410 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2005 -3397 Building Fee $100.00 FEE2005 -3398 Training and Education Fee $0.60 FEE2005 -3399 CCF $1.80 FEE2005 -3400 Notary Fee $5.00 FEE2005 -3401 Technology Fee $2.50 FEE2005 -3402 Scanning Fee $6.00 Total Fees: $115.90 Total Fees: $115.90 Total Receipts: $115.90 Permit Status: APPROVED Permit Expiration: 8/27/2005 Construction Value: $2,480.00 Work: PAINTING CHURCH STEEPLE ONLY Signed: (INSPECTOR) 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: be sent to Disapproved Date„_ (Signed) e " • Build Inspcc .r Chairman Member Member Member Member Member 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 - , g 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. ate..._ , 19.. 2,7 1 Owner's Name and Address .../ ,cA.tt2/ 0 � r 4.7 .1t°10 -/;*14. � ten4. No <•Pac.. 'Street-Aar Registered Architect and /or Engineer ,,..... ..... .11,1,1,-- ,..... Name and address of licensed contractor Location and legal description of lot to be built on: Lot.a 7 'f f3 Block if Subdivision..._ .lA. IR S Okrt.5. ! /.ra /.T Street and Number where work is to be done Pain.* State work to done and purpose of building (by floors) _ elm.rge/ t t21.& ,.... i .._.._ 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 $..4.8 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 The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an e mployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performe under this pennit; 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 subcontra ors, on w to be performed under t his pennit, as are licensed by Miami Shores Village. /Hie+ X4 sac- rs .4 4� � Remarks (Signed)_.. ., _ i(i i (2ls -/wc, l" STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _.. 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 ' tr 0 ue. Permit No.._...._ /i T Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE to me well known, 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 oe faulty materials and /or workmanship.