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PAINTBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building w-= i t- �'t ` f ,,•' MIAMI SHORES VILLAGE, FLORIDA ❑ DATE o PERMIT N9 5264 Er Architect Contractor or Builder . :: l Legal Lot Description II Bl CONTRACTOR OR BUILDER Contractor's License No. Work to be performed under this Permits Subdi- vision Address of / Value of Amount of Building / iii. / �',� Project $ ;' ( Permit $ 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed + \ --- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wiili 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT ilefIFS MI MI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date L O _ Time Type Insp' JL.'. ' (, Permit No. MI r AIN Name PQ0 Address Ir b 0 li rf 4 AN. Company Al■y\.52/J Phone # I OS ' For Inspector 71 /o I -dame e Approved ((( � Z Correction Re- Insp'n Fee ❑ PROPERTY OWNER New Construction Name D R � Alteration Exterior Address ?boN6g7 gr. Repair Home Telephone 30 S 75-7 1..36 3 Business Telephone Relocation of Structure Fax Foundation Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other APPLICATION INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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. Job Address: / to o G ST ` Folio Number Lot 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. Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information Address Apt. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Block PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. (3/ `e )( / City �p State Zip escription of Work 1 af- ti 12A eE 6 j� *'it OOF Mb tto-u. s 5o0 Linear Feet Zoning Square Feet Units Floors vVa lue of Work 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 Page 2 1. PERMIT APPLICATION INIPORTANT NOTICES 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, P' 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. STAT : FLORIDA, COUNTY OF MIAMI -DADE Sign a of Own W fit s'f Print Name Print Name 1 Swo nd subscribed before me this / 0 day Sworn to and subscribed before me this day of SEAL: o 'ozT* blic - State . Florida t, . n. . STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Iden V Personally known OR, Produced Identification Type of Identification Produced: f')J du L. � M vO /2 /q 4, 44 1 / a,4 - ' 0 • Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent - Pressure Vessel 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 Minimum Fee QTV. TYPE Condensate Drain QTY. 'TYPE Generator (fry. TVPIi Refrigeration, Tons QTY. 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 Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System - Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Pump and Abandon PLUMBING 'r YPE A/C Condensate QTY. 'TYPE Drains, Roof QTY TYPE Miscellaneous Fixture QTY TYI'I'. Soakage Pit Q 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: Page 4 OFFICE USE ONLY CHECKLIST Cl 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 State DCA (Radon) Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES Metropolitan Dade County (C.C.F.) $ • CJ2-0 ( sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ (¢.005 / sq.ft.) SECTION Zonin: Electrical Mechanical Plumbing Fire Public Works BY DTE Structural Building Official 1 /Z T (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: . PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ (1 ' ( J2 0 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 Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 1 /29/2002 Applicant: MELINDA & SID Owner: REESE Contractor Local Phone: Parcel # 1132060143160 Job Address: 960 NE 97 ST Fees: Description Amount FEE2002 -513 Notary Fee $5.00 FEE2002 -514 Building Permit Application Fe$60.00 FEE2002 -515 CCF $0.60 Total Fees: $65.60 Permit Status: Approved Permit Expiration: 7/28/2002 Construction Value: Work: EXTERIOR PAINTING A PER AGREEMENT (OWNER BUILDER PERMIT) If there is no permit package accessible on the job -site for inspectors to verify, there will be no insoectinnc P - incne..• +4... fee is $50.00, which must be paid in advance before calling fo � � � W/ 4'"'erdf't°'.,4w HEBREWS,,: I SIDNEY W. REESE III MELINDA D. REESE PHONE 305- 757 -4303 960 NE. 97TH ST. , MIAMI SHORES, FL 33138 This Permit is granted to the contractor or builder named above to construct the ordinances pertaining thereto and with the understanding that the work will be pert and approved by the proper municipal authorities. This Permit may be revoked at authorization. A further condition upon which this permit is granted is the understa ordinances and regulations pertaining to the work covered hereby whether shown by his agents, servants or employees. C/ Signed' /lam' (INSPECTOR) SR� Address: Cellular: In consideration of the issuance to me of this permit, I agree to perform the work ' 1 with the plans, drawings, statements or specifications submitted to the proper auth, o myself, my agent, servants or employes. Signed: (Contractor or Building Permit Permit Number: BP2002 -175 REESE MELINDA Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 3 & 4 BLK 77 LOT SIZE 100.000 X Pay To t � /SOUTH FLORIDA l :l,EDUCATIONAL • FEDERAL CREDIT UNION The Order Of $500.00 7800 SW 117 AVENUE MIAMI, FL1R ?F.-OM/I- Page 1 of 1 /4 'r 5=No2&5 Ur c4J}G E S'>Lry F /UC Total Fees: $65.60 Total Receipts: $0.00 ' 63- 7762/ - Dal For ?moil 65L4198211' S3 Dollars 8 MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 0112 -8102 OWNER'S NAME: S RE E SE PHONE: 757- +303 ADDRESS: %o u 97 s7'. * * * * * * * * * * * * * * * * * * * * * ** ********** * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** ADDRESS OF SITE: 50 CONTRACTOR & LICENSE (if applicable) itJyit COMPANY NAME: yit PHONE: A0Ft ****** * ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Bu t2vs S ItED C LA-y Fascia . Drip Cap/Drip Edge tul i t`E Soffit bt- qf1TE Roof w Th o'Cpz W rhT Flower Bins Witt T Shutters U-314 Awnings IJjt4 Chimney ty14 Doors and door jams W thr Garage Doors kJ1/1 Railings P/A Fences ri//4- Decorative Metal // /J /A- All brick (simulated or regular) /1/4)//4- Stucco Banding Any other stucco features tJ /4 Accessory Buildings /f4- 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 sampl Pit -t5112- Signa 'fure of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: r4.2. Building Official/ Date p re, 0 r 0 BURNISHED CLAY 3°9-6( z WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: Jav1 • 22, 200 OWNER'S NAME: Si 1? ^S� PHONE: 157 4303 ADDRESS: cibo >`1 E '"7 STS * * * * * * * * * * * * * * *: * * * * ** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: " r#4 t CONTRACTOR & LICENSE (if applicable) COMPANY NAME: /Y,- All Elements on the site must be listed and indicate the color to be painted. Walls Jo 4'I F3 Fascia W h Tr Drip Cap/Drip Edge LA-p f'f I TE Soffit W th t �r Roof Ph fl Flower Bins W l '1- Shutters 1,0 w1 r Awnings N Iq- Chimney p /'- Doors and door jams Garage Doors Railings Fences Decorative Metal II 4`` �, �6� tl 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 samp o/iz/ Z. //i Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Building Official Date 4/23/01 A PHONE: / Q 0 0 DATE: ...i c4 vx , 10 2 °° 7- LOWNrER'S NAME: t--HONE: 30 S 7S7110'3 !/ADDRESS: 96 o 1`? S r• MIAMI SHORES VILLAGE Paint Color Approval and Agreement 7kxxxxxxxx ADDRESS OF SITE: 91 E CONTRACTOR & LICENSE (if applicable) COMPANY NAME: All Element on the site must be listed and indicate the color to be painted. Walls t#U Fascia i» rh It Drip Cap/Drip Edge 1, 0 f T Soffit W 1 Roof Flower Bins Shutters ` t> 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached • samp • Sig ature of Owner at Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 01 Building Official Date X XS,txxxx)CxXxx oZ xxxxxxxxxxxxxxxxxxx * 4/23/01 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE WORK DESCRIPTION c � 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 laws regulating const ction and zoning. Furthermore, I authori e the above -named contracto to do the work stated Sig a ��j �/ of owner and /o ndo President re of or Owner Builder Date: 9 Date: ///// /Qa ... - 7' N y P C Amite , . /✓ / O" . JOSEPHINE CHURCH ! Notat P t tar as to Owner a as to •• �p �� � .t� '` ?•�t 9t Commission Expire a N CCi97545 y Commission ;0;10 . CC197596 APPROVED: r�,• ;•. JOSEPHINE CHURCH ntar uh1u tats n rfte P¢aY esl� faptApN �/ Out 30,1991 Fire Zoning Buildin Mechanical Plumbing; • .mr+llgl.r ** * * * * * * * * * * * * * * * * FEES: PERMIT/' RADON C.C.F. / ' oO NOTARY `J ' e20 TOTAL DUE ggi t /� Other Electrical Engineering contractor or Builder CONTRACTOR OR MIAM SHORES VILLAGE, FLORIDA DATE�' ❑ PERMIT s' T 11595 BUILDING ELECTRICAL PLUMBING ROOFING '�� Building ding f � ��. • I `�'L i. ti �'•�. - � 1 : if e � � i+ f I f Architect I I Work to be performed under ermit , • Legal Lot II M. I I Description. Subdi- vision Value of Project $ Contractor's 195__ License No Address of i t? r ii Building f f �- � / y_ t: . f o " : ` ei This permit is granted to the contractor or builder named jbove to construct the building or to install the equipment or device deersgied in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in colh with any plane, drawings, statements or spe ns that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at at time if. work is not done glance with such ordinance or if the plans are changed without authorization. A further condition tMena Which t s permit; is granted is the understanding the contractor or buflder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered' by Whether shown on the plans or drags or jn the statements or specifications and that he assume responsibilityy for work done by his agents, servants or employees. I - Signed Vf 4.41r ° t. A.-164,- LG s., BY . t, 1 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all a pertaining eto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities o In accepti this permit I assume responsibility for '11 work done by either, myself, my agent, servant or employee. lie. 140 , eiii- A - Amt. of . Permit • regulations ores Village. ■MENIta AMM-