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95 NE 96 St (6)Contracting Co. IN &- PERMIT APPLICATION FOR MIAMI SHORES VILLA4 Job Address 4 1.l /JdtRl64 `l64A c.?2EEr Tax Folio Legal Description Owner / Lessee / Tenant Rower E. 4 C,¢niy L. Wfrtag. Owner's Address RS 1 JOnfh 4S7 qb-#, J/i2EEr Qualifier SS# - - Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * * FEES: PERMIT .1 RADON C.C.F. II Address Not My NOTARY ir/ Master Permit it 37/ 6A Phone 6 ° 7 Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle ones: BUILDING ELECTRICAL PLUMBING MECHANICAL ROOPING PAVING PENCE SIGN WORK DESCRIPTION P/f/N7WN4 OF fC /A1C UO //J4 71IE /1260F. RAF Is Pack r WNms Square Ft. 21.5oo Estimated Cost(value)1 74 1511. 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. l gnature( of r Ownr-Builder Date j may/ 97y741 er- Builder * 'i� � OA� gIS3MN NUMBER a� CC401261 4-4. • MY COMMISSION .EXP. OF F* RUG. 1g 1998 * * ** TOTAL DUE ° APPROVED: Fire � :MO Zoning Buildin: A Ili Electrical Other Mechanical Plumbing Engineering 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, 1M 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 FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE 1 Print Name Sworn to and subscribed before me this ,1 IP . • ■-..11! or blic State of ri day of gnature of tgnature of N wner C. VI • SEAL: SEAL: Signature of Contractor / Qualifier PERMIT APPLICATION Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida Personally known OR, Produced Identification 2i Personally known OR, Produced Identification Type of Identification Produced: F/ W y 4 6- q a C- ) , b I of Identification Produced: CO TRACTOR Name CO . 6 / G Cc) . License No. C 600000 5Q Z2 Address Telephone /,t 0 6y 6 ck i Fax �,3OS) ( g 1 go 2 Qualifier Isme V/ 0 M .. c E blue, PROPERTY OWNER /�� / �i Name RoMA L� - f - l J t ice`/ y M9L kei& Address 4S Air qG el ' ikeee - Home Telephone /36 759 — 5-7 17 Business Telephone (3d s. ace _ 27 Li / Fax (36 s ) 1 59 5711 -- TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior ✓ Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken 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 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 >Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 95 NE 16 1-i- STET A t. Description of Work Address 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 Master Permit No. Subsidiary Permit No. I , OC) o)- • /1/AA4 ( Sii e s f 'L 33/38 City Zoning Square Feet Value of Work 1 ( b n x Assessed/Appraised Value Flood Zone • State Zip E eye/ . g9//777A/G. PERMIT APPLICATION Linear Feet Units Floors Ov Bldg Value Base Floor Elev. ENGINEER Name License No. Address Telephone Fax APP OVED: Building Offi, MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: S' 7 / OWNER'S Ifs1A IE: RonMRc.O k arm' v'Ii t PHONEaJ 7'4 -s' 7/7 ADDRESS: 4f i(.C. X6 JTgeer * * * * * * * * * ** ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: RS Ar.E. ./(411 di CONTRACTOR & LICENSE (if applicable) COMPANY NAME: D' coc-b LS PA,W17N4 PHONE: no (08/ orog ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls ktmiESMN Yew Fascia qt----70.444 r ,CA6 out_ 24 chn,'a Drip Cap/Drip Edge SAME At kgovG -f6)- ace Soffit SAr1% As /wove Roof N/A Flower Bins N A Shutters c THEY Art& ■111 Awnings NiA Chimney /VA Doors and door jams N/A Garage Doors N)A Railings uorre Fences nr /A or is 6 j Decorative Metal wltrrO All brick (simulated or regular) ' Stucco Banding SAMe AS RB6ve Any other stucco features sArtE AS Mac Accessory Buildings �r�A Other AccErrr A/low40 ttiewr viocr. -- 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. OZ Date a 0 0 p tfDME.t L Yeuorl • Sit 13 71 cfNAPo ' .JN /37(0 < a � bn'ckt Opp c horc. 1' .tricks O .10- ch.d -Pr .a/ /r A r1, Ll Yet._o rl 614 13 7 a Signatu e of Owner b. e Signature of Contractor Date *****.***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 r\ Printed: - Page 1 of 1 w Applicant: CATHY WALKER M Owner: WALKER CATHY JOB ADDRESS: 95 NE 96 ST Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Building Permit Permit Number: BP2002 -889 Contractor Contractor's Address: V Local Phone: Parcel # 1132060130880 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 23 & E1/2 LOT 22 BLK 6 LOT SIZE 3 Fees: Description Amount FEE2002 -2587 Building Permit Application Fee $60.00 Total Fees: $66.20 FEE2002 -2588 Notary Fee $5.00 FEE2002 -2589 CCF $1.20 Total Receipts: $0.00 Permit Status: Total Fees: $66.20 Permit Expiration: 11/3/2002 Construction Value: $1,600.00 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWENR BUILDER PERMIT) 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. Signed: (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, servants or employes. Signed: (Contractor or Builder) BY: Q1 CATHY L. WALKER 10 -98 RONALD WALKER PH. 759 -5717 WK 305- 346 -2740 95 NE 96TH STREET MIAMI SHORES, FL 33138 MIAMI Ji iNzeS YILL 4 - I $ (pc to ' ✓E�— ., e f Ix' r ro Washington Mutual Washington Mutual Bank, FA North Miami BeacWSkylake Financial Center 1759 18425 NE. 19th Avenue 1.800 - 788.1000 North Miami Beach. EL 33179 21 hour Customer Semco I: 26 7084 L 3 L':8 3 Lt11 294 3 1 5111811' 63- 8413/2670 cM 3 812 8312943158 - L2 MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: OWNER'S NAME: R6fuil • 7 ADDRESS: 4 / 5 N e c ADDRESS OF SITE: • A-C /1645VE CONTRACTOR & LICENSE (if applicable) COMPANY NAME: D Co LO -CS AiArri PHONE: (300 **************************************************************** All Elements on the site must be listed and indicate the color to be painted. %/Walls 0 5 '4) u1 6 )5 NE 62 /, LS Drip Cap/Drip Edge * 0 9 rotArz.m- Fascia so LA-a-m- Roof #4- (co (A Soffit Ali V ic4 Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal kirtirg t./All brick (simulated or regular (5) Vea)o Stucco Banding Any other stucco features Ch(Eg_iby Accessory Buildings )\-I A- * easiapmtatigtd- Other foot 13pc.,, (-Wolf 6iee AA0oNi 0 fiLt 0 - Mo a7._ OWNER'S AFFIDAVIT: I certify that all the forego and that all work will be done in compliance with all construction and zoning. I authorize the above-namec do the work stated. Furthermore , the paint colors will ) ca les. ( APPROVED: 02- PHONE: (365) 59- 5 Signat e of Owner te Signature of ( ***** **************************************\ WHEN PAINTING iS FINISHED, CALL FOR FINAL INSPECTION SApteL_E Building Official Date 4/23/01 SW 6688 Solaria SW 6430 Great Green P SW 6689 Overjoy ELECTRICAL TYPE, Minimum Fee QTY. TYPE. Dryer QTy. TYPE Outlet, Appliance QTY. Tu' Service Repair QTY. A/C Central 1 -3 Ton Cooling Tower Fan Heating Strips, each Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Ventilation, Cost Outlet, Switch Air Handler, Tons Signs Ductwork, Cost of A/C Central 8 -15 Ton Piping, Flammable Liquid Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light - Bath Fan - Vented, # Parking Lot Lights Fireplaces, Number of Spas/Hot Tubs Pressure Vessel 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 N1ECHANICAL TYPE Minimum Fee QTY TYPE Condensate Drain QTY ' E Generator QTY. TYPE Refrigeration, Tons Q A/C Central, Tons Bath Tub Cooling Tower Drinking Fountain Heating Strips, each Vent Hood, Cost A/C WaWWin. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Pool Piping Air Handler, Tons Sprinkler Repair Ductwork, Cost of Cap - Fixture Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Supply, AC Well Pressure Vessel Cap - Sewer PLUMBING TYPE A/C Condensate Q TYPE Drains, Roof Q TYPE; Miscellaneous Fixture QTY i'VI'E 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 ❑ 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 ing Review \\_c R AND PREPARED BY: 0 LI PROOF OF OWNERSHIP (Attach) ❑ FIRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERNIIT FEES ( sq.ft. = x/1000 x ¢.60) $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) Do SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DA E PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ‘ko ISSUING OFFICIAL 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 Paint Color Approval and Agreement DATE: S `f 0 OWNER'S : PIA/Au, CAm ✓ kvAtic ,2_,. PHONE (for) Arr -r7/7 ADDRESS: 'TS nt e. TWA Jre.Eer ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 'S J'f' CONTRACTOR & LICENSE (if applicable) COMPANY NAME: O Cot.opES' Pifia tJ6 PHONE: t or) Ca /- ofa ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls JJlNOffox Fascia -✓e- itmo Drip Cap/Drip Edge SAr1E AS Annie Soffit JOE AG) 4 Roof or(/ (eN 'E (coop- rH,►toucsry) Flower Bins N/A Shutters hip / cmTtey w itr9 Awnings NI A- Chimney jA Doors and door jams Garage Doors NVA Railings W,lire Fences APPROVED: ,53/0,2 Q� � ,53/0,2 WI+►TE � R40 L ° , 4 9 CIA Akorrr L 11' IJ Jauvco CREEN, InIH ire /et.A4� IRAJ wzP2 IN Decorative Met a All brick (simulated or regular) GRA e /mow Stucco Banding c540o,eox Any other stucco features SA-r1E ,tj 1010304 3o Accessory Buildings Other iv? OWNER'S AFFIDAVIT: I certify that all the to and that all work will be done in compliance with construction and zoning. I authorize the above -m do the work stated. Furthermore , the paint colors sample /4 Owner D to Si natur � * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *' WHEN ] CALL ] LS ?G -2 Sandbcz E3HG -73 Grave; Road Ate, Yoe y #& h3So Y RIGH T : ?Hb c.o o P$ ' a Le (e I i i gtnu � WME Too C�I2I6Nr, - f'NRw Yaw pr_ AuewRNG ur ?b 11-1C .IMI` E aormeS 1 o Mtr& I wNAT A cadf_r ,fifTJike ! INC p'ouL0 PIAVE LISrEN.Eo ?a you Ar,� r �CIbGW YnJe AOVICE, '( nIin ou czmlc_r KNOW lArnn rot) A-1 g DOMI& —uM4re CAthl Offici Building Off ici Date Building Date 4/23/01