Loading...
745 NE 96 StDisapproved (Signed) Owner's Name and Address R - .1- l'° C 513 ) " Remarks (Signed) Building Inspector Date.. if MIAMI SHORES VILLAGE BUI ING 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- 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. Date... ! ..�..�` _ _11_1_ _111_ ,19. No. ..4`c - -._.. Street 9' S r R egistered Architect and /or En gineer aa 1111 ,.,...,,,- 1111. „. ., - 11,.1,1. - -1111 Name and address of licensed contractor P6R.” ft `rm CC a l 2 �.. CORP Location and legal description of lot to be built on: Lot 411/1 Block (0. Subdivision ..!: -la SNo0� S - Street and Number where work is to be done L lv 5 1 111 1__ State work to be done and purpose of building (by floors). 1,9 1J _.701 N. �.. _ 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 $ ° U� amount of Permit $. N"t° CO 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 1 pl � ansannd specifications for said building. All notices with reference to the building and its construction may su be sent to (6702 t j9 -A +ht.(. ! . H ,30/ c. The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida \Vorkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent 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 subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. ( 1) s n � Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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 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 a ! Lr true. y� Permit No._. " "f e - -_ -_ Date.9) _lf. _.i'( PLANNING BOARD DATE Chairman Member \fernber Member Member 1111.. 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. /7/r z-2z/ 7 - 77 e: 6 A 1 X1,61 1L3t:_ -o -N:tt.:()'\Z\ 154 19k 4 s of Lots 9, 10,11, and 12, SECTION NO. TWO ", according in Plat Book 10 at Page 37 of t� inty, Florida. Zoo needed, please call our mowing when this item would Inks in advance for your con- Yours very truly, Howard C. Gamble Date , J 4- Q g l Job Address - / ( 4 5 N. E. q bs4- rC' ±t Tax Folio /14106 /4 22'1 Q o Legal Description 01 e 9w99., Owner / Lessee / Tenant C Q r l S T L..rrav- Owner's Address 9'45 N. E. q(04 S-- rect. Contracting Co. /4. C'P - dCh) A∎ \4&o+ Qualifier 6 v P fee 1M011 Phone q L 1© - 0 /9 State # F - 1 0 Municipal # Competency #yam //( ''t Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION 2,eo /ae-v/77P '07 or , - 4/ late sz/ r LA/X5 - 1i' - ? G / Tl /:»(( ) /1 9 Square Ft. S i gna t p� il 7 l owne Date: ** * * PEES: PERMIT APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 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 aut a the above -named contractor to do the work stated. • / A mdo-=P.resident- f 4s oo *aoa0000 R�.� ., nt / s i..'� �f �. • r . • '�(`��'�', 9 A „° c il{ f 5 Notary as to Owner a f ' ndo Prep d t,�; Oqu�� My Commission Expire - - - - -- - = —� RADON C.C.F. j NOTARY TOTAL DUE 0 * * Address Estimated Cost(value) 11 . &O o. b O Signatur Date: Notar My Co Master Permit #.1 ontci 4.Ctiozcti ::.OFiher Builder Expireiit• 1 1u3 Phone / 15°2 - y ROOFING PAVING FENCE SIGN Owner- Builder 1 ** Other Electrical Engineering CONTRACTOR Name / �'Jr' 4,7/z. �i iiii� License No. C AC64 E// Address / A/... /QO 57 Telephone� Qualifier Name .. '��/ gm /9 PROPERTY OWNER �/ Name C i � / / �j / Da ran Address A ,% /91 /f— /V /� ( / 7 p Home Telephone � j /�, /07 - � s Business Telephone�tt// 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 'I Detachment Other INSTRUCTIONS - The following steps must be tak n 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 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. A PPLI CATION Job Address: 7 A 7 y Address j Apt. ;!'G' Folio Number // 2 &' (0 M / 24 `�/ Description of Work Lot Block Subdivision 1?B PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property •) Value of Work / 3 0 C7 , Bldg Value f Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other OCT 0 7 2003 Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax 450.00 1[U4:t (tyy) City PERMIT APPLICATION Master Permit No. Subsidiary Permit No. 'WC 200 3 1q2,... X14 6i4v ', /3g'" State Zip (v/ace 4 t //*ViWW 2 Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER License No. Name Address Telephone Fax Page 2 IMPORT'AN'T' NO'T'ICES 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. AFFIDAV'I'T' - 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 OF, CIf NTY I I -DARE • Signature of Owner Cir /c rQT Print Name Sworn toand s � • fore me this F . C04f � / %:cr Signature of otary Public - S . ' s Personally known OR, Produced Identification day of JOIL___ STATE OF FLO Signature of or / Qualifier a Y Or) Print N'.. • } • ; ,'r •4.,;,. c bed jpefore me this 7 9 gnature of Notary Publ` . ` I NITo SEAL: PERMIT APPLICATION Y OF MIAMI -DADE da o6c Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL T1.pIr Minimum Fee x.1.1' TVpp i Dryer QTY. TYPE Outlet, Appliance Q.1.1 .1.11,1; Service Repair ),I.1 A/C Central 1 -3 Ton Fan / Outlet, Wall Service, Temporary w Dryer Vents, Number of A/C Central 4 -7 Ton Paint Booth Fire Pump Ventilation, Cost Outlet, Switch Air Handler, Tons /If• Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Fire Sprinkler System Space Heater (kw) Process/Pressure Piping A/C Central 16-20 Ton Fixture Light Bath Fan - Vented, # 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 •1 Minimum Fee QT1 .1.1,1,1, Condensate Drain (1 TYPE Generator QT' Ty11,; Refrigeration, Tons wry. A/C Central, Tons Cooling Tower Heating Strips, each / /4' / Vent Hood, Cost A/C Wall/Win. Tons w Dryer Vents, Number of Bidet Paint Booth Filter Replace Ventilation, Cost Pool Piping Air Handler, Tons /If• rim Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Sprinkler System Process/Pressure Piping Cap - Water Gas - Appliance Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Cap - Sewer PLUMBING TYPE A/C Condensate Q "1'1'. TYPE 1 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: SECTION BY DATE Zoning Electrical Mechanical 144., �, lg% . f. c'1 .� Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) O FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond 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) Metropolitan Dade County (C.C.F.) $ i 1 1 l V r V Inspector State Educational Fund ' $ • (0.005 / sq.ft.) $ (0.01 /sq.ft.) (s .60) x/1000 x PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PIRi\II'I' FEES $ f (tz 100 . (/3&-U) _j TOTAL $ 0 REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques Date /0.201) Time Type Insp'n Permit No. / 726 &)v 3— / ?C • Name (aUX6- Address 7 `�`5 6T Company Phone # ( S S y For Inspector: //t / Name & Date Approved -6-') l/ ( D ((, 7 Correction ❑ Re- Insp'n Fee ❑