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90 NE 96 St (2)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name _i .e.( 7 • pprove. Correction ❑ Re- Insp'n Fee ❑ Time Address Company Phone # For Inspector: D Name & D. to 7_ no3 -3 I I Date Type Insp'n Permit No. Name Address Company Phone # For Inspe or: Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request a D Page 2 I MPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING REZEiVID;(OUR•VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION art limited tt: Monday thrMgh 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 KLPT FREDFIZOT 111q ACID D EBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY 13QUWMEN1bO14 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. ST 0 : FLORI A, COUNTY OF MIAMI -DADE gnature of / i er A e P rint Name worn to and subscribed before me this-3 day • • • • • ••• • SEAL: • • • • • • •• • • • • • • • • • • ••••••• • PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE- Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of .tary Public - State o .rida Signature of Notary Public - State of Florida SEAL: r Angela M Becker � My Commission 00150048 Personally known „ EfIP0 Personally known OR, Produced Identification Type of Identification Produced: Ft. ! h S _ l n t' t 71�J ( , Type of Identification Produced: PROPERTY OWNER Name kei Lin() Tur ii r Address 4o N , tE - p 34.. --1icc gi S he al5 a. 3313? Home Telephone (3 G S) 7 177 Z Business Telephone / , , 4 _� 2 c , �(77�.5.) J( 5 Fax JC.f / 75Z° f!o.s Z 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 • • • • • •. •• • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • ••••••• •••• • •• • • • .• • Master Permit No. ••• • ••• • • •••• • • • INSTRUCTIONS - The following steps must be taken to obtain a permit from the Mi. Step I. Complete the attached permit application wl2itl•m;ist:bevelby owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate proeessng• • :of Yom a calien. If roofing work will be done, a roofing application must be submit- ted along with this permit application. • I • • •• • • • • • ••• •• 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 y Job Address: q0 N .E Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. Description of Work PC.I Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax .•SubtidiarePermit No. SNP Cit Zoning Linear Feet Square Feet Units Floors Value of Work t Z 3Cx.7 • C-4 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Qualifier Name F1- State PERMIT APPLICATION Fax mi Shores Village: 8313 Zip ELECTRICAL TYPE Minimum Fee QTY. T'Y'PE Dryer •2T i'. •I' o'i. Outlet, Appliance QTY ". "I'Y'1'I? Service Repair L) " T Y'. A/C Central 1 -3 Ton Dryer Vents, Number of Fan - - - - - - 6 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, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL 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 Wa1WVin. 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 PLUMBING TYPE A/C Condensate QTY. 'TYPE Drains, Roof QTY. TYPE, Miscellaneous Fixture QTY. "I'1'PF. 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 pe a quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY _.&.i4TAM© D • T °3 Zonin_ Electrical Mechanical Plumbing Fire Public Works ) / G���� Building Official Building O 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 Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review Notary (Attach) • •• •• • • • •• •• • • • • • • • • • • • • • •.• • • • • • • • • • • • • •- .... ....... • ••• • ••• ❑ PROOF Of OWNERSHIP •• ••• •• • • • . . • ❑ HRS / jIERM ; • (Sept%G Sew$r). • . . • • • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) GP (¢.005 /sq.ft.) (¢.01/sq.ft.) • • ( x .ft. x/1000 (Attach) PERMIT FEES TOTAL ISSUING OFFICIAL REVIEWED AND PREPARED BY: PERMIT APPLICATION • • • ❑ CONDO ASSOCIATION APPROVAL • • 0 BPR APPROVAL (Restaurants) CONDITION OF APP ❑ CONTRACTOR REGISTRATION (On .File) DATE: 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: 1 /7/2003 Applicant: ARI LYNN Owner: TURNER JOB ADDRESS: 90 Contractor Local Phone: Parcel # 1132060130600 NE 96 Permit Status: Approved Permit Expiration: 7/6/2003 Work: EXTERIOR PAINTING AS PER AGREEMENT Building Permit Permit Number: BP2003 -24 TURNER ARI LYNN ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 1 & 2 BLK 5 LOT SIZE 106.20 X 143.00 Fees: FEE2003 -118 FEE2003 -119 FEE2003 -120 1 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $1.80 $5.00 $66.80 Total Fees: $66.80 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $ w / h _ ir h mulct ha nom in �r1 ..a.,.... �... s-_ - - -• - -- - - - - - li on. ,,,gait_ _ y�rwnrviF �,i ,,/-(/ 1,0e a di?„QU✓p-t !r'L'rG;,'�tC(,)U% !!FORE,/i If :, ‘ '\e3- 8010/2860 ARI LYNN TURNER 90 NE. 96TH ST. MIAMI SHORES, FL 33138 - ,Pay To r f, th •The Order o! �� �" Ct'1U NTY'FEDERAC IT4UNION 1,- FLORIDA ' 33172•, D , : 0r 6080 '0 :80 0009367 ?3 , 1 23 z... 6 1323 Dollars 8 ; , l Construction Value: $2,300.00 ie equipment or device described in the application herefor in strict compliance with all with any plans, drawings, statements or specifications that may have been submitted to not done in compliance with such ordinances or if the plans are changed without :tor or builder named above assumes the responsibility for a thorough knowledge of the gs or in the statements or specifications and that he assumes responsibility for work done BY: BY: Page 1 of 1 compliance with all ordinances and regulations pertaining thereto and in strict conformity s Village. In accepting this permit 1 assume responisibility for all work done by either MIAMI SHORES VILLAGE Paint toPo�' 1�p�i�d�?�iadiY Agreement • DATE: 0 tiln\d • ....... .... OWNER'S N ME: ... . ... • Air ■ L nh Iu rr* _:: PHONE:( 365) 758- 1 Z ADDRESS: 9C) N .E- q( St PCctM1 S _ Ft 33138 ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: q0 i a. (�ot:S'- 3• 1 atA► S lnc,,eoi F 3313? CONTRACTOR & LICENSE. ti$ Sppictble)....' COMPANY NAME: c'CoIc o P4, ,�, PHONE: (365') ( 1 -D9 08 *******************************J* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Vie y> All-i4' 1 IIIIIO Fascia C1 Drip Cap/Drip Edge VtD White o Soffit O . Roof i :' 1l ta_ S Flower Bins (�f gp -SbwAw ►� Shutters nn P,nba m Awnings `ra yy'fh'i t irn Chimney Doors and door jams Garage Doors VI ep \AW Ae _ Railings Fences Decorative Metal . TEA nnenIneu 1fYl All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other mpl s. Building Official Date rj cn H 1-3 z C bd (0I, 11— 5 DvAjch VEii r (I ioj'l 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 yafill be as per the attached 61103103 ?z / 1/4 ( 1 e of Owner Date Sig ature of Contractor Date Signatu *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 •• •. e • • • • •• • • • • • • • • •••• • • • • •••• • • • • • • • • • •• • •• • • • • •• •• • • • • • • • • •• •• • • • • • • • • •••• • • •• • • • • • • • t