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85 NE 97 St (7)fathaniel Strong 85 N.E. 97 St.. f � Miami, FL 33138 .` r' d?a+fs° tom " 1' 8hda�e 4 l rr Y� v,. l t v y 'c ' jV it i it BankofAmerica - ACH RN 063100277; - . , o(7......tea O1C2D PAUL MKT oa063 LOO 2??80 00343M362= 811° bS 2 1524 63- 271631 FL 988 8 MIAMI SHORES VILLAGE Paint C21or Approval and Agreement DATE: / ?- - , OWNER'S NAME: 9 �� -�' �o //, PHONE: LS = 7i» ADDRESS: kS ;1G 97 r - e - e xxxxxx xxxxxxxxxxxxx ADDRESS OF SITE: S /v'5 '7 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: xxacxxxx>xx***xxx Signature of Owner APPROVED: Fascia Drip Cap/Drip Edge —° Soffit Roof i :!n t 4 Flower Bins L.)\ ,-1 k 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 (1 7// Building Offiel Dat >C YC x x x xxxx x x x x x x x !G x x x x }C x xx All Elements on the site must by listed and indicate the color to be painted. Walls xxxxx*xxxxxx xxxxxxxxxxxxxxx xxxxxxxx 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 samples. Date Signature of Contractor Date W EN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 4 date � -�lo -O 1 Jo<Address 85 97 s /-e-e -P Tax Folio Legal Description Historically Designated: Yes No //r Owner/Lessee / Tenant Na4ela 1 t py 'Master Permit # vner's Address Contracting Co. Qualifier State # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one : BUILDIN LECTRIC > +L PLUMBING MECHANICAL OOFING PAVING FENCE SIGN FEES: PERMIT ZSS- at>Z 9? ‘&1 'WORD DESCRIPTION ` Q My Commission Expires: Square Ft. E stimated Cost (value) WARNING TO OWN]E : 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 laws 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 as to Owner and/or Cando President Date RADON APPROVED: Zoning Mechanical Plumbing PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Municipal # Address SS# Competency # Address Address :II. otary as to Contrac • r o • "Phone 2 75 9-- ?3 6, Phone Ins. Co. esom no a4ture of Contractor or er -Buil Date ,‘a-- er- Builder Date o ( t ! My Commission l:x ITeso OFFICIAL NOTARY SEAL 1 ` 0, �, U ee, ANGELA M BECKER CA\I 2 , . 1--V T 0 COMM1SSON NUUDEA SI ' lf . Q CC786697 7t ciO MY COMMISSION EXPIRES O F FLC NOV. 15,2002 C.C.F. NOTARY S ...'O n BOND TOTAL DUE Building Electrical Structural Engineer MIAMI SHORES VILLAGE Faint Color Approval and Agreement DATE: 0 ) OWNER'S NAME: L .,'. ,� - rd : PHONE: OS- ?S9- c9-36„--- ADDRESS: g /11 7 S -- *********************************** * * * * * * * * * * * * * * * * * * * * * *: * * * * * * ** ADDRESS OF SITE: ASS /0 6 9 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: ( 7 /7t/on -21T PHONE: 3os - 62( * * * * * * * * * * * * * * * * * * * * * * * * * x rcicA* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * All Elements on the site must be listed and indicate the color to be painted. Walls -V-(..c,\/ Fascia L 1■-i--e- Drip Cap/Drip Edge t`c�� Soffit '\ ') `- — Roof t�lnA -e., Flower Bins '(.�n1► Shutters Awnings N n IU (� Chimney ", > (=— Doors and door jams Garage Doors t 1,- 4 co Railings G`J T)7'06 ro Fences "r\I d /lJ e- cn Decorative Metal k-) bluL All brick (simulated or regular) Ali Stucco Banding / AIM) C Any other stucco features Accessory Buildings / L Other OWNE I' :'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 sa .les. /, Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION APPROVED: Building Official Date 4/23/01 a m7RICAL TYPE Minimum Fee QTY. "I'YPE Dryer QTY. 'TYPE Outlet, Appliance QTY. TYPE Service Repair Q I 1 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, IIntercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New 1%9ECHANICAL TYPE QTY. Minimum Fee TYPE Condensate Drain QTY. TYPE 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 PLUNIBING TYPE A/C Condensate QTY. TYPE. Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. 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 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 B , DA E Zonin: t� - EP Electrical Mechanical Plumbing Fire Public Works Structural Buildin: Official Iff,fij IA 11111 i7/4 Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $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 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) ISSUING OFFICIAL REVIEWED AND PREPARED BY: (sq.ft. = x/1000 x Q.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ' ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) o TOTAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2''fD AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Page 2 P,®l j 4 T 1\ ®T!1 *1-- el; -.. PERMIT APPLICATION 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. OF FLORID % OUN. ' OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Print Name Swo • 'o d subscribed before me this 2 (D day of Der ab✓ Sworn to and subscribed before me this day of Print Name SEAL: Signature of Contractor / Qualifier Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification / Personally known OR, Produced Identification Type of Identification Produce ?& I.)f — 34S- Type of Identification Produced: PROPERTY OWNER New Construction Name A 1 Alteration Exterior Repair Address 01 iei'pri 1 7 r( 33 1, Home Telephone 3 ,[ 5 • (? - <`7 (�` `1 (e S ` Business Telephone - �� , A 30 � Fax Other Add'l Detachment 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 Step 1. Job Address: INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: 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 Address Folio Number R Q 6 0(3 ) 0 ia D Description of Work Lot Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other I Apt. Block PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. 5 b Lis) rb PERMIT APPLICATION /1 City State Zip Zoning Linear Feet Square Feet Units Floors Value of Work <'C 0 0 — 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 Legal Description ,Grwne / Lessee / Tenant a PElkiVIIT APPLICATION ]FO:' IAMX SHORES VILLAGE Architect /Engineer 4 4 0 OwRAICION1 +•biERCon :onNE ' _ is - Florida OUNTY My Commission Expires October 30, 1998 CC 41. 16 FEES: PER11IT RADON APPROVED: Zoning or Condo President o President rz ft Mechanical Plumbing Date d I J ( 1 "+" Sol �a�s / ��i Tax Folio � tz Not My Master Permit 11 Owner's Address t\ S NE- ii o f S 1 t ft Phone 30r 7.5 t- 62- d Contracting Co wt i,eDeAMIt ymevk Cilp Address/8 Huy 3 4e Qualifier i4 erf Pi 011.-cl,mir ss# 3 -,,22 -.12/1. Phone 3oS /V - 0 7 / State 116GC On,!Municipal 11 Competency # Ins .Co Address Bonding Company Address Mortgagor t Address Permit Type(circle one): BUILDINe ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION - 4 5"r - Q� fV� r UC / �- � Q ., Square Ft. Estimated Cost(value) 100 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 laws regulating construction and zoning. Furthermore, I autho ;ize the abov• d contractor to do the work stated 41■4-0 e `Mt Conti _ .:;', 910E= _ i8p ENptiat52tlyblic - Florida •o Com misssi o n f ires •�°�� October 30, 1998 CC 12216 1 1 Date: of 7 ntractor or Owner - Builder o% C.C.F. le / V NOTARY TOTAL DUE Fire ett Electrical - Builder Other Engineering PERMIT APPLICATION FOR MUNICIPALITIES (OWNER TO RETAIN COPY) Date ' Job Address , ( q , , Legal Description d R? /, 7 . 7ri :r1 //may Owner / Lessee / Tenant ,) r - " 01 Owner's Address ?j 11 C. ej " ) A ,9 PA/' l iq Contracting Co. �./1 / ' ' j_S 4- „r„ 4 Address Qualifier ,II State # Competency # Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION PERMIT FEE: APPROVED: Zoning Mechanical , SS# - - Phone 5 ? g % Z Address Address Address BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN Square Ft. Estimated Cost / 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 laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Plumbing <1/1'24, /F7- Signature of Owner and /or Condo President S� i�n turf f Contractor or Owner-Builder Date: Date ///, 7 / i � p /• .ri /;( C fZ�I ��1�1 Notary as to Owner and /or Condo President otar'� as to Co o Ow - Builder My Commission Expires: y Commission Expires: Master Permit # Fire Other OF DADE COUNTY Tax Folio // f Phone ) j Ins. Co. t �Building� V1 \ i f( Electrical Engineering L `/ .�