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PAINTMIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 5- g" a OWNER'S NAME: Abi (, t (hit 'HONE: dyt 5 15� - ADDRESS: /01) N 99` -(2/ Garage Doors Railings All brick (simulated or regular) /111A Stucco Banding Any other stucco features Accessory'Buildings Other Building Offi ial Date D ADDRESS OF SITE: /00 4/ E I9 Q7 q i 6 3 s D CONTRACTOR & LIC NSE (if licable) (' \ �` �� C� er }� Ea) COMPANY NAME: ar Seivi CR PHONE :3 ?S" S - c").S * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. was 7 5) It' _ /Wi S Apr►co- Fascia N),Q Drip Cap/Drip Edge Soffit � I Roof OA Flower Bins Al 1,t /s Apr e!1-t' Shutters UA ■ V Awnings ft) 17 Chimney N16 Doors and door jams 01)11∎ -e Vit\V' Fences [A1\ -e Decorative Metal 6,03 kj z 73 5% // AhOet 5 4pv(&v-)-- OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate a hat all work will be done in compliance with all applicable laws regulating c . ruction zoning. I authorize the above -named contractor, if applicable, to work . F ermore the Tint colors will be as per the attached ' Ij if i Si : r ' of owner Date ignatu of Contractor Date * * * * ** *:************:************ * * * * * * * * * * * ** * * * * * * * * * * * * * * * * ** APPR • ED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 Miami Shores Village Building Permit .1 10050 NE 2nd Avenue \r' Phone: 305 - 795 -2204 Permit Number: BP2002 -905 Printed:5 /10/2002 Applicant: ABIGAIL WILLIAMS Owner: WILLIAMS. ABIGAIL JOB ADDRESS: 100 NE 99 ST T Contractor Contractor's Address: _ - Local Phone: Parcel # 1132060132280 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 13 & W1/2 LOT 12 & LOT 14 BLK 17 LOT Fees: FEE2002 -2676 FEE2002 -2677 FEE2002 -2678 Permit Status: A proved Permit Expiration: 11/6/2002 Work: EXTERIOR NTING AS PER AGREEMENT Signed: Description Amount Building Permit Application Fee $60.00 CCF $1.20 Notary Fee $5.00 . Total Fees: $66.20 Signed: (Contractor or Builder) Construction Value: $1,300.00 Page 1 of 1 Total Fees: $66.20 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 $50.00, which must be paid in advance before calling for another inspection. 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, servant employees. (INSPECTOR) BY: 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. BY: '7.11' 0 05 /1 1r 02 66.20 £0991:' FLORIDA Lill' ----- Me Sunshine Stair -I ABIGAIL PRICE • 100 NE 99 STREET MIAMI ORES, , L----#4-1.38-0000 3 . . 0 _ 2 i - Y) F 5-00 06-n-1990 P6' I- 00-S9-60 03-2 -1996 CLe. IVER' 99?j: i RACTOR ` Name C YI Z ` p- 0 0 3 5 5 -5-..; A Address 1 S • T S- Telephone 305 2 25=52 y Qualifier Name- PROPERTY OWNER ii II .. Name A b `Sni i C ? \ c— W i � vl 1 C04 S Address /00 � Wu' S - 's t ► k \ c 3 ?tQ' Home Telephone 3 v s"- - 7 5 5 q Business Telephone 30 5`` - g-71,-- ?G, -( /. / Fax 305- _ SOU.- 72!`f. 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 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Subdivision 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: i 0 U [; 1 >d-Ye Gi1M \/ S�G -e 1 2L 3 i 3 " Address Apt. City State , Zip Folio Number ,Description of Work -- e.)(+441.1 \ Y1a'1Y1 Lot Block PB PG Zoning ms i .4 CL9 — Linear Feet Current Use of Property fc St 4d-g e Square Feet Units / Floors Proposed Use of Property 6 (J�1�1�(�. X Value of Work P 13o 0 i Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Pel∎ Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. 61' -3OOc °la ENGINEER Name License No. Address Telephone Fax 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 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Subdivision 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: i 0 U [; 1 >d-Ye Gi1M \/ S�G -e 1 2L 3 i 3 " Address Apt. City State , Zip Folio Number ,Description of Work -- e.)(+441.1 \ Y1a'1Y1 Lot Block PB PG Zoning ms i .4 CL9 — Linear Feet Current Use of Property fc St 4d-g e Square Feet Units / Floors Proposed Use of Property 6 (J�1�1�(�. X Value of Work P 13o 0 i Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Pel∎ Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. 61' -3OOc °la ENGINEER Name License No. Address Telephone Fax INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Subdivision 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: i 0 U [; 1 >d-Ye Gi1M \/ S�G -e 1 2L 3 i 3 " Address Apt. City State , Zip Folio Number ,Description of Work -- e.)(+441.1 \ Y1a'1Y1 Lot Block PB PG Zoning ms i .4 CL9 — Linear Feet Current Use of Property fc St 4d-g e Square Feet Units / Floors Proposed Use of Property 6 (J�1�1�(�. X Value of Work P 13o 0 i Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Pel∎ Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. 61' -3OOc °la 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, 1S Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in ac•• •ante with Sect ; 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and 1,,/ .. i 4 C !, sing a Contract ir OP , � rI O MIAMI-DADE STA • F FLORIDA, COUNTY OF MIAMI -DADE Print Na worn to . nd subscribed before me this /PIA A I _ ignature oft ota�r pu -- . - •v,l e'da CC736 i � OF ca Personally known OR, Produced Identification Personally knoWn • OR, Produced Identification Type of Identification Produced: 4)) )_1 4 0 0 0 r / O 'pe of Identification Produced: SEAL: SEAL: ame Sworn to and subscribed before me this Signature of Notary Public - State of Florida PERMIT APPLICATION gnature o Contractor / Qual day of ELECTRICAL TYPE Minimum Fee QTY. T1'PE Dryer QTY. 'i' '1'i; Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost 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 MECI- IANICAL 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 Wall/Win. 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 Q.l.y. 'l'V I'E Drains, Roof QTY. ,l.vPE, Miscellaneous Fixture QTY. .1.x,11.: 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 B , DAT Zonin: # 2M )— Electrical Mechanical Plumbing Fire Public Works Structural �/ 3 /�d 12--— Building Official • • _ ,/.,,& Page 4 OFFICE USE ONLY EIC LIST • OWNER - BUILDER FORM (Attach) O FIRE DEPARTMENT APPROVAL (Commercial / multi- family) to CONCURRENCY (New Construction) LI OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ® PROOF OF OWNERSHIP (Attach) • HRS / DERM APPROVAL (Septic / Sewer) CI IMPACT FEE (New Construction) L OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) $ / • o2 0 `�• DO REVIEWED AND PREPARED BY: (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION CI CONDO ASSOCIATION APPROVAL (Attach) BPR APPROVAL (Restaurants) CI CONTRACTOR REGISTRATION (On File) TOTAL $ 6e(e • c s° LI §,SUING OFFICIAL DATE: CONDITION OFAPPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address b/d N ?9 Tax Folio Date Legal Description Historically Designated: Yes No Owner/Lessee / Tenant /97 - -S Owner's Address /0 () Nv 9 < -- Contracting Co. 0 v-1 N I_ / Address Qualifier SS# State # Municipal # Competency # Architect/Engineer Address Bonding Company Address _ Mortgagor Address 605J c 6 Notary as to Owner and/or Condo President Date My Commission Expires: ` p,AY n� 6 CFFiCtAL NOTARY SEAL O r z - {i SCC T T W DAVIS N ' S r COMMISSION CC255237 NUMBER �j a „_;r MY COMMISSION EXP. OF DL JAN. 26 1997 Square Ft. Estimated Cost (value) CT Master Permit # q-3 o D Phone 3 U s 7 s e S/ Peach Dust (1) Phone B -13 Permit Type (circle one): BU ING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN �AV US .. FX - 7 - °4/ 6� WORK DESCRIPTION (Ai g,„ Li / 1/A 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 la - { lating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signape of owner and/or Condo President pfite Signature of Contractor or Owner- Builder Date Notary as to Contractor or Owner- Builder Date My Commission Expires: FEES: PERMIT (e()c RADON C.C.F. , S V NOTARY TOTAL DUES. (J APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5220 Work to be performed under this Permit Subdi- vision DATE Contractor's License No. Value of Arnt. of • Project Permit 194 This permi is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation 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 assuples the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drwings or, n the state24is or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. ' " ' """ ° ,,....1 Signed. r'a B y V P ... INSPECTOR 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 respor}sibil' y for all work done by either myself, my agent, servant or employee. CON OR Bl7ILDER BY AUTHORITY )UILD ING LECTRI PLUMBING Owner of Building Architect Contractor ,{ 1 IP E or Builder Legal Lot Bl. / 7 9 Description f �'°�� � � Address of �-' Building / x This perm t is granted to the contractor or builder named above to construct the building or to install the equipment or device . escribed in the appli- cation 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 assysnes the Cspons•kiility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or f'wmgsjo in the,Ateiptilts or specifications and that he assumes respon- RIN sibility for work done by his agents, servants or employees. / f f " `� : '`"" g Cf. '`��P� a� ;f By Si ned � _ IPQS PEOTOR B In consideration of the issuance to me of this permit I agree to perform thew rk coveiereunder in compliance with dinances and guiations pertaining thereto and in strict conformity with the plans, drawings, statements or specific�ations submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume respo sibity for all work done by either myself, my agent, servant or employee. CONTRACTOR OR MIAMI SHORES VILLAGE, FLORIDA DATE 3, ERMIT N° 5220 Work to be performed under this Permit Value of Project Subdi I vision Contractor's License No. Amt. of ' Noe * Permit 8 AUTHORITY 19