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PAINTMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 `\�I Building Inspection Request DateQ-(O' Time Type Insp'n 1T rx.� l Pa 1- Permit No. 6 OL — tL O 3 Name _ A C itiF S c Address a 1 NE - `c JI- Compan ) 5e` c " Vont Phone # For Inspector: 0_10) Approved Correction Re- Insp'n Fee Name & Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT r. J 305- 795 -2204 'i \ Building Inspection Request Date ID(O Time Type lnsp' n t ►1( 11 Min n Permit No. 60aou)- - a_ (1W Name Nalumistrz 1 A L 1JKiF J` Address a NE ct SI- Company ecx-n Pan) Phone # For Inspector: 1 Approved Correction Re- Insp'n Fee Name & Date BUILDING ❑ ELECTRICAL ❑ PLUMBING 1 ❑ ROOFING ❑ Owner of Building " 1101 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT "N t C`, Architect Contractor or Builder Legal Lot Description Address of Building ill ? t r• Work to be performed Bl. 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 perfonned 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 responsibilit for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawl or in the state nts or specifications and that lte 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 hereunci in compliance with all ordinances acid regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or a loyee. • Signed N° 6330 Subdi- vision Value of Project $ INSPECTOR under this Permit DATE 1, Contractor's License No. BY AUTHORITY 195/ Amount of Permit $ CONT CTOR Name I`SCoJ � 1-- t.l� / , I I / License No.qi g5ooc / � Address (� G ,D a� �s e Telephon(3) 77-7 f 1 / Fax Qualifier Name en_ <- / (5Go PROPERTY OWNER New Construction Name Aef/LJ /5 44€-A1,4)5 Addres1ss // Z n. /L> ► Sitoe s Alteration Exterior ST 7, 3313k Home Telephone as ■7 41 t Business Telephone Demolish Fax Shell Only 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 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 apnlication with all necessary documents to the Building, Planning and Zoning Department for processing. During the I processing of your application, you may be asked to submit additional information. APPLICATION Job Addres: 1 City State Folio Number Description of Work ?I -i1/T &SEER /aK PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other // Z A/ qr ' 5T Address Apt. Block Lot Subdivisiin PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed i[Jse of Property Value of Work ; f 1: Bldg Value Tenant Information Tax Assessed/Appraised Value 1 1 Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name I Addresg, License NVo. Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. a r , aOO ck' g 03 33t 3k Zip ENGINEER Name Address License No. 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, 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 Co , . ctor. STAT ignature of Owner Print Name Sww and subscribed before me this ( a of I oc9-. / ✓C2 dt1it Signature of Notary Public - State of Florie9 UNTY OF MIAMI -DADE S'6r��DA F MIAMI -DADE Y� 'V d` Barbara Ann Fugazzi • My Commission DD063828 ‘ �'` Expires March 29, 2006 Personally known OR, Produced Identification X Type of Identification Produced: FIorkCh bfue_(ts cicei4 e. SEAL: Signature of Contractor / Qualifier Print Name o and subscribed before me this3 day , it Signature o Notary ' i. - S to o Flo'ritla O � fai' ...l . ��) " ' �` a� , .:'e cF ,�o SEAL: PERMIT APPLICATION A Personally known OR, Produced Identification :Type of Identification Produced: ELECTRICAL TYPE Minimum lee QTY. TYPE Dryer QTY. TYPE 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 f Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactdr 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 . 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 Cen ral, Tons Cooling Tower - Heating Strips, each Vent Hood, Cost A/C WaWWin. Tons Dryer Vents, Number of - Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecug Fire Sprinkler System - Process/Pressure Piping Bath Fat{- Vented, # Fireplaces, Number of Pressure Vessel PLUNIBING TYPE A/C Condensate QTY. TypE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet I Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - V'j'ater Gas - Appliance Pump, Domestic Supply, AC Well Cap - Skewer 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 Dischai.ge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Dispos 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 INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. PERMIT APPLICATION RECEIVED AND REVIEWED BY: DATE: SECTION BY D TE Zonin _ /!/ Ar /��JTO Electrical Mechanical Plumbing Fire Public Works Building fficial Building Official � , % 1 Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT. APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond ❑ HRS / DERM APPROVAL (Septic / Sewer) PERNIIT FEES Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ 0 $ A if ISSUING OFFICIAL (¢.005 / sq.ft.) (¢.01 / sq.ft.) • °> (sq.ft. = x/1000 x ¢.60) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) • ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ v ,s2, 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 PAY TO THE OR ER OF FOR er Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/24/2002 Applicant: JAMES CHARLES Owner: MENNES JOB ADDRESS: 112 NE 98 Contractor VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE Local Phone: 305- 751 -7164 Parcel # 1132060132410 Legal Description: Fees: Description FEE2002 -2318 CCF Permit Status: Approved Permit Expiration: 10/20/2002 Construction Value: Mork: EXTERIOR PAINTING AS PER AGREEMENT 4 Look for Ithte 6 o kground on the Onm of this check. and the imageti:ll ® logo on hark. If not present. do not cash. VISCOUNT PAINTING AND DECORATING Bank ofAmerica. - -- ACH RJr 087100277 Total Fees: MENNES JAMES CHARLES ST DATE _—_ 2 0 1 1 ° 0 0 2 0 2 1 1 ° ' : 0 63 1002 ? ?I: 00 360 2 2 Pnno'••- Building Permit Permit Number: BP2002 -803 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 12 & 13 LESS W2OFT BLK 18 LOT SIZE Amount $0.00 $200.00 •• -- . -•a1 tid nn incoections. Re- inspection $ 64. - 9 2012 63- 27/631 fl 988 DOLLARS ti Page 1 of 1 Kin Total Fees: $0.00 Total Receipts: $0.00 ltion herefor in strict compliance with all rations that may have been submitted to or if the plans are changed without msibility for a thorough knowledge of the tat he assumes responsibility for work done ns pertaining thereto and in strict conformity •esponisibility for all work done by either 1 `AA rib. 1r11. IL IL V lAL.iI1J 1 J 4 - - - -- . _■ Paint Color Approval and Agreement DATE: �, /02 . �2 OWNER'S NAME: ADDRESS: /it- n/• E. Q 37 • * * * * * * ** * * * * * ** * *4.** *bk *** :******** * * * * * * * * * ** * ** * * * * * * * * * * * * * * * ** ADDRESS OF SITE: /fZ n/_ . gk S f CONTRACTOR & LICENSE (if applicable) 9 2/ COMPANY NAME: c,u - Pknfm,1 PHONE 3o 7� -7( L \/ ********************************* * * * * * * * * * * * * * * * * * *• * * * * * * * * * * ** All Elements on the site mus be listed a d indicate the color to be p Walis�,� q2Z .,.1 vJl Fascia ,4 , Drip Cap/Drip E e f-f L /Og Soffit ,Guttnf r Roof Flower Bins - 46 nrIA 1 1 Building Officia Shutters Awnings Chimney • Doors and door jams .c -r � • Garage Doors ; u.< Railings Fences Decorative Met .l / All brick (simulated qr regular) '-f, Stucco Banding r/ A- Any other stucco f tures Accessory Buildings Other ) OAlr ,(oP PoO, l C- /0 ii; ,' /, i;A/K -5 E /11150 • 1 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 wor tate,'. Furthermore , the paint colors will b as per the attached samp s. II _ ,rit 0 Sig ure o • • er Date Signature of Contrac or Date I * * ** * *: * * * * * *** * * * * * * * ** * * * * * ** :*** * * * * * * * * * * ** * * * * * * * * * * * * * **** ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION /2 do? Date PHONE Qt 7r9z 4/23/01 // Z 9 g' Date OP I3- fZ Job Adddrps '" E Legal Description ( i! Owner s Tenant ' L N.4 vi9- 2ie-o Address //Z A)E 9i Contracting Co. S�,E c� /pie e Al 0 Qualifier SS# Phone State # cLA- Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor , Address Permit Typi(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN FAWT L4561 WORK DESaRIPTION Square Ft . Estimated Cost(value) .0c) 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 4 work stated. Signature of owner Date: g{ / Oar as to Owner a PERMIT APPLICATION FOR MIAMI / 4.0 ° "ei E .� JOSEPHINE CHURCH .Notary Public. State of Ants o Ni OC197545 • My Commission Expire Zoning uildin Mechanical Plumbing, Address SHORES VILLAGE Tax Master Permit it Phone Signature of Contractor or Owner- Builder Date: ' wi Eft ary f'ublic Notary as to Contractor or Owner- Builder ersonal y known ❑OR Produced LD.(� My Commission Expires: s Type and number of 4D. rodu ed: ❑ DID rake an oath or ** * * * DID NCf take an oath. * * * * * * * * * ** FEES: PERMIT .47 5Q RADON C.C.F. , Sa NOTARY -17 D e TOTAL DUE '7'J I APPROVED: Fire Other Electrical Engineering Off 1/B 2/B 2/D c6' 3/D 123 Owner/Lessee / Tenant WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 3/3 / Date Job Address // 2 /tie , re .P/4- Tax Folio Legal Description Historically Designated: Yes No eA/eLaa ivy,¢ -, Master Permit # Owner's Address /12 A/C Q r 4_74 Phone 76 .--6 Contracting Co. Lt/me/e_ Address Qualifier SS# - Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PL MBING MECHANICAL ROOFING PAVING FENCE SIGN a_e;r1 t A-0 C.- U/ „opt 4_, 0 /-t-)4.,4- Square Ft. / 6 Estimated Cost (value) 7� 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 OF 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. Signature of owner and/or Condo President Date Signature of Contractor or Owner - Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date My Commission Expires: My Co b S OFFICIAL NOTARY SEAL <- SANDRA M MONTIEL * COMMISSION NUMBER O z j ,ort CC401261 9 t " QU MY COMMISSION .E XP. � OF f� AUG. 17 1998 7s FEES: PERMIT 3 RADON C.C.F. • S( NOTARY TOTAL DUE `t APPROVED: Building l° Electrical Zoning g Mechanical Plumbing Engineering