PAINTCONTRACTOR
!'
Name t it fSX .
'
License No.
Address / A ,4)4,) syf
Telephone 25 7 1 J 7 lax jG J 1 7 9j h A /�
[ d / GW ✓ 6 Tat `t !
Qualifier Name
PROPERTY OWNER
!'
Name t it fSX .
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Address
q0v_ Aid' 97 4-7-
Ai/ Ali AOgi-S l64
Home Telephone / /
Business Telephone ,,,,,O,5_ 7:1 r- 42 ' 7
// / - 6 `
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
XJob Address: 9 O& ALE. q L '44 C Sh QraS Pig .
Address Apt. City n State
Folio Number # description of Work � iivi7 n
n I
Lot Block
Step 1.
Subdivision
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Flood Zone
Master Permit No.
Subsidiary Permit No.
PERMIT APPLICATION
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 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.
APPLICATION
PB PG Zoning Linear Feet
Current Use of Property OCC U P % 6D Square Feet Units Floors
Proposed Use of Property Value of Work # (pa) PO Bldg Value
Tenant Information Tax Assessed/Appraised Value
Base Floor Elev.
Zip
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
IMPORTANT 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.
-.
�" �r' • MARIATERESA PE
MY COMMISSION If CC 766733
EXPIRES: November 4, 2002
rid Bonded Thru Notary Public Underwr4ers
STAT
FLORIDUNTY OF MIAMI -DADE
e Owner � � 1
Swom to and subscribed before me this l l ' S4 day o f 1(.1
/14 .ti
//
Print Name
Signatur
SEAL:
of Notary
Personally known
OR, Produced Identification
Type of Identification Produced:
d #OF
FLORI I , COUNTY OF MIAMI -DADE
l
SE
a of C.:•
Personally kn
ctor / Qualifier
Print Name
Sworn to and subscribed before me this J1 day of
.o t J2-1..t ,f n.
S ' a of Notary Public - State of Florida
Type of Identification Produced:
PERMIT APPLICATION
::�Y ► ' • MARIA TERESA PEREZ
�° MY COMMISSION Is CC 766733
, EXP v ruby
ry5• �,dd t
ELECTRICAL
. 1 . x . 1 , 1.;
Minimum Fee
Q ' I ' '
.1.}.l,l.
Dryer
QTY.
TYPE
Outlet, Appliance
Q . I . Q .
.
Service Repair
()TN
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
I\IECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY. TYPE
Generator
QTY. '1'YI'E
Refrigeration, Tons
Q'IN.
A/C Central, Tons
()TN.
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
Ty pr.
A/C Condensate
Q.I.Q.
.1
Drains, Roof
QTY.
' Fvpi , :
Miscellaneous Fixture
Q
. I.v.pp:
Soakage Pit
()TN.
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
-1
- (/
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
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
Inspector State Educational Fund $
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)
PERMIT FEES
$
Metropolitan Dade County (C.C.F.) $ D (sq.ft. = x/1000
x ¢.60)
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: 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
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/6/2002
Parcel # 1132060142660
Signed:
Signe
Building Permit
Permit Number: BP2002 -1350
Applicant: CLARICE 0 FRAZIER
Owner: FRAZIER CLARICE
JOB ADDRESS: 909 NE 97 ST
_ n
Contractor,, J
Local Phone:
Contractor's Address:
Page 1 of 1
Legal Description: •5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 1 & 2 BLK 74 LOT SIZE SITE
Fees:
FEE2002 -4310
FEE2002 -4311
Description Amount
Building Permit Application Fee $60.00
CCF $0.60
$60.60
Total Fees:
Total Fees: $60.60
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 2/1 /2003 Construction Value: $600.00
Work: EXTERIOR PAINTING AS PER AGREEMENT
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.
(INSPECTOR) BY:
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
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 ants or employes.
(Contractor or Builder) BY:
REG CO1 080802 1059 it11111 000227
CASH
$60.60
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: �— �/—
OWNER'S NAME: f O N-A-L b r/? 4 Z <5 PHONE: jd5- q'57
ADDRESS: ?DO ROE 9'7 St / /,<1/ S?6KQS
** ******************************-** * * * * * * * * * * * * * * * * * *1 * * * * * * * * * * **
ADDRESS OF SITE: Sei
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE: ( - 6,5- 1 11 `7- - 706 /
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Eleme on the site must be listed and indicate the color to be painted.
Walls
Fascia
Drip Cap/Drip Edge _
Soffit
Roof
N/
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams
Garage Doors
Railings
,..Fences -
Decorative M-tal
All brick (simulated or regular)
-- Stucco Banding
Any other stucco features
Accessory Buildings
Other
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate
and that all work will be done in compliance with all applicable laws regulating
construction and zoning. I authorize the above -named contractor, if applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
sa
les.
7_ / -0
er Date Signature of Contractor ate
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
ignature of Ow
Building Of'cial
a.
/td-
a te
H
H
z
rTj
cr
4/23/01
0 rbs 0042
t, ∎t$i 14lI It, t
1-10 W FLAGtER S1., SI.111E 1602
MIAMI, FL 33130
I I . 1 . 1 . t1 1 u 1
BUSINE:JS
CERIII ICJ\1L CE CLt LI _N(.'r<
EXPIRES LN 05/30/2001.
JASVL:R iNC
C.C. NL.. 0 113 10 04 20
S.S. 55.)- !)2- S56E1
(3O';) 375 -2527
)UALIFYING AGENT (O.A.) MUST SUPERVISE, DIRECT AND CONTROL ALL WORK.
CUf'U RAC1 UR
1i.J\bL:
PURLING JPCC3Rl_ I Y
CAT EGOI7Y(S):
Pr13N1'=:N
INSTRUCTIONS
I. SIGN CERIJfICATE - ATTACH PICTURE - FOLD - LAMINATE
2. M. UFY CCNIRALTCR SEC OF ANY CHANGE OF ADLRESS.
3. AI31LL BY THE �'�� RULES ANL RE ULATILNS OF CHAPTER 10
CU THE COLE OF MIAMI-LACE COUNTY'.
JA::F ER ?_t Ft<(tE`}t1.:)1_:) INC
1"IA1 1
ignatt. e 01 QTialifying Ag
FRANCISCO .J. OUINTANA, R.A.
Secretary Con.Slnictinn Trades Ooalilyiny Board
-
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
007ll/ 5,#*= / ��.
Date 56pr, 0/0-5 Address Da ti's' 7 T. Tax Folio 11 igeo /i sib, a
S
Pug is 6zorc s or om- „,,, � / eca�rrvrt, �enja•l
Legal Description LOTS d- ,OF Pjlf I' c aF O%/7,Ain/ S/ &S 52- z7Zokr) ,eVnlc; f2/r8//O, ?7
Owner / Lessee / Tenant 14 •M 19 AVO CLJd7 /GP , Z /L� Master Permit # „5,9 d`'
,.y� oFF- 75¢- 4 6sr
Owner's Address 9C)O 11.)/” , 17T 577Ze€4' /?i //iz7/ Eligezi Phone (d / 757- /277
Contracting Co. JASPER PAINTINS SERVICE, INC Address N. W. 54th ST. MIA, FL.
Qualifier MR. JASPER SWEET SS# phone (305) 757 -2468
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor e/h2 nJ 4 7 641 - / K- Address /4W* /O7e
Permit Type(circle one): CTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION PA / 1011 4 OF 4- 72/6t/4.- of /17i/ 4 ij7 Ee
I %6 i C 7av /x)q 1f /Zc F /dery -X7 7Ziff2
Square Pt. Estimated Cost(value) $2,500.00
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 zoni Furthermore, I
auth•ri he =Jove -name • contract • to do the work stated.
APPROVED:
Signature of owneglIrd or .:ndo President
Date:
Notary as to Owner and /or Condo President
My Commission Expiree'X,7' ' ~vNe•w.
: q : !GLOM , .1 FRRY
= Ssa;a of E'!o:ida
** * * 'bl;c;
* CAyComn [xp:0;lt /9i
�,, s
Co m4 C C 08.1
1PI,R�1,, , `,,,,, •,,`.:. ...t. u^.r1fVi_
PEES: PERMIT RADON C.
Si
Da m
•,
.ded
Contractor or Owner- Builder
Notary as to Contractor /•r Owner- Builder
My Commission. A,xpis,s ,,i•t- ,•:4'. r, . . - .
h
* **
NOTARY TOTAL DUE
b
Fire Other
Zoning Building 71, '/ Electrical
Mechanical Plumbing Engineering
70.
I . EXTERIOR PAINTING.
Ronald E. Frazier & Associates, P.A.
5800 N.W. 7th Avenue .
Suitt' 206
Miami._ _Florida _33127
Office (305) 754 -0655 Fax (305) 758 -0546
(MEMORANDUM)
Jasper Painting Company DAZE
A. Color JustPeacby- 20YXS7/216.
Use this cola for the following areas:
1. Exterior walls of house
2. Soffits and eaves
3. Concrete block fence / wall
4. Garden patio walls
5. Garage door
6. Rear exterior doors
B. COLOR BIJJ7ER FIELD - 20Y151 /306
SUBJECT.
Use this color for the inside face of exterior
patio concrete block walls
C. MB7AL f.?OUGHT /IRONGA7E5AND tfRO.UGHT
IRON CEILING 70 BE DARK BROJVZECOLOR 70 MA7t?
EX7ERIOR WINDOW FRAME COLOR
D. EYJE?IOR STAIN - SPANISH OAK, KEY 2 -9W:
Use this color for following areas (Need exterior stain color sample)
1. Exterior wood fence
2. Exterior wood siding
3. Exterior trellis beams
4. Patio wood beams, ceiling and columns
5. Front door, exterior side and side light frames
September 29, 1993
COLOR SELEC770N
FOR
900 NE 97171 STREE7
MIAMI SHORES, FLA
Pressure clean roof only at this time. "A decision to modify other colors will be
made after determination of roof color.