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1270 NE 98 St (5)Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/3/2002 Applicant: LUCIE Owner: ROGENSDORF Contractor COMPLETE HOME PAINTING C) Local Phone: 305 - 895 -1368 Cellular: 7 Fees: FEE2002 -1709 FEE2002 -1710 FEE2002 -1711 FEE2002 -1915 Description Building Fee CCF Notary Fee Miscellaneous Total Fees: If there is no permit package accessible on the job -si fee is $50.00, which must be paid in advance before cai This Permit is granted to the contractor or builder named above to con ordinances pertaining thereto and with the understanding that the work w' and approved by the proper municipal authorities. This Permit may be re authorization. A further condition upon which this permit is granted is the ordinances and regulations pertaining to the work covered hereby whetht by his agents, servants or employees. Signed: (INSPECT( In consideration of the issuance to me of this permit, I agree to perfom with the plans, drawings, statements or specifications submitted to the p myself, my agent, servants or employes. Building Permit Permit Number: BP2002 -608 Address: 1476 NE 130 STREET Parcel # 1132050090310 Legal Description: 5 53 42 EARLETON SHORES Job Address: 1270 NE 98 ST a E • ORDER OF / �J %/ ( 1 CD V ` a 4- T j$ d / 9 Washington Mutual Washington Mutual Bank. FA North Miami/125th Street Financial Center 1728 N 90�0 NE. 125th Street 1.800.788,7000 Mlaml r FL 33 1 24 hour Customer Service Amount $120.00 $1.80 $5.00 $100.00 $226.80 Permit Status: Approved Permit Expiration: 9/21/2002 Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) w1 ROGENSDORF LUCIE COMPLETE HOME PA1 " "' "'^ 63-8413/2670 -. „ BY MICHAEL 1476 NE 130TH ST. PH. 305 - 895 -1368 NORTH MIAMI, FL 33161 $2,450.00 PB 43 -80 LOT 3 LESS E12.5FT & E5OFT LOT 4 Total Fees: $226.80 Total Receipts: $0.00 Page 1 of 1 I: 267084 :83Ltu48 Lin 311' 338 Signed: (Contractor or ounuor •C DATE Y�/ Z DOLLARS 8 o"'°. , d, ��c ,, MIAMI SHORES VILLAGE vi ,,/� Paint Color Approval and Agreement wa�u'17 0 1 DATE: 3/Z-(7/0 OWNER'S NAME: ADDRESS: /Z?t, tie * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ADDRESS OF SITE: /Z70 /Le ? -7 ' CONTRACTOR & LICENSE (if applicable) G COMPANY NAME: Roof Flower Bins Shutters Awnings Chimney AV �9 Doors and door jams 2/ r Garage Doors 2/cf- Railings A./ !�} /� Fences Decorative Metal fr/ 19 All brick (simulated or regular) ti /lq Stucco Banding '''/4 Any other stucco features it07 Accessory Buildings "'/� Other APPROVED: Building Official • T'I cN ; l'errkc 2S I' Cr PHONE il ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be li ed and indicate the color to be painted. Walls / - 9 ( ,'P1 ) Fascia 2/, ,1 Drip Cap/Drip Edge 4 A C/41 ) Soffit A/ /e 6/ Sundance /! &O f 4 _ f ' 4 RP -17W OWNER'S AFFIDAVIT: I certify that all the fore€ and that all work will be done in compliance with all apprieavrc -r :w5 i tuauii 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 samples. 3 / 2 /� Signature of Owner Date Signature f Contract gp' Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: j [ Z OWNER'S NAME: / �� PHONE: 1 ADDRESS: /Z70 it/ 9d 7 ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: /270 . ' 9, . S7 ' CONTRACTOR & LICENSE yf ; ppl' c , ble) COMPANY NAME: &crkt c ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls /`C £' ((• th , Fascia /7 - Drip Cap/Drip Edge S¢r•ce 4 C/4iu9 Soffit fe - C/ Roof Flower Bins Shutters r• /14 Awnings w Chimney ," Doors and door jams 27 6 Garage Doors 2- 7 6 Railings i" / Fences Decorative Metal All brick (simulated or regular Stucco Banding 1' Any other stucco features Accessory Buildings Other OWNER'S AFFIDAVIT: I certify that all the foregoing in ormation 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 samples. /� �_ 7) .0 3 20 Signature of Owner Date Signature of C nt at *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Building Official Date A /it LA- Pm, * * * * * * * * * * * * * * * * * * * * ** PHONE. 3tS ?T -13 4/' 2/D dl � 0 r 0 275 Z 4/23/01 CONTRACTOR New Construction Name e flut /_ . / /1/j 1� tl License No. d y //3 Alteration Exterior Address /5Y7‘ /vim /A0 S t Repair Telephor 3 O1J�TJ ... i .56T F Aa.s 'oo9 -d Qualifier Nam�, / / / Home Telephone _90 _ - PROPE OW� �� New Construction Enclosure Name ' Alteration Exterior Repair Address /� 7C) /V l t/C(Kfl/ . .i -e Alteration Interior a ._”I 5 r Home Telephone _90 _ 7 G _ 7 /_ /7 Shell Only Business Telephone % a _ 1 L j/7/- /61 Fax " /, 0- 6 - ,10101 Add'l Detachment / 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 1liami 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: l0770 /Y / qe5tree f / i O 1-79/' F/- ? ) ,3 ? Folio Number Description f Work Lot Block Description Subdivision PB PG Zoning Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 2' s"--D Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Address Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax 4l Master Permit No. Subsidiary Permit No. PERMIT APPLICATION City State Zj eai /27 f Linear Feet 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 accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a ontractor. STA Signa X Print Name �j Sworn to and subsc d before me this 20 day of ��°— ` , Signature of Nota SEAL: Personally known OR, Produced Identification Type of Identification Produced: 2 STATE OF C ntracto FL ID,l /'–' — UNTY OF MIAMI-DADS [ Signature of r / Qualifi nd subscribed before me thi da/o . #6,16 \ , Print Name rte: . �-... iii Si. toreofNoryPufi1j `;:te • .•ti ..• y_: ._ II l t O 1P ®� ARIGELA to BECt:Frt l N Z ) # oo� =�unoa rur.- SEAL: H ' Of F� 0 / - PERMIT APPLICATION Personally known V OR, Produced Identification Type of Identification Produced: ELECTRICAL 'FYPI Minimum Fee QTY. TYPE Dryer QTY. TypE Outlet, Appliance QTY. TYI'H: Service Repair QTY. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16 -20 Ton Pressure Vessel 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 Violatikus 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 QTY TYPE Condensate Drain Q'I'1" TYI'F Generator QTY . TYPE Refrigeration, Tons QTY. A/C Central, Tons QT I'. 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 Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TI.PE A/C Condensate QTV .1.}.PI, Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QT I'. 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: A/SECTION' BY DATE y� aa. Zoning d� Electrical l Mechanical Plumbing Fire Public Works Structural Building Official t�f�, �ira 3— =e 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.) $ f I (P 0 State DCA adon) Code Enforcement Fine Zoning Review ISSUING OFFICIAL ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES (sq.ft. = x/I000 x0.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) zo TOTAL $ IEWED AND PREPARED BY: CONDITION OF APPROVAL 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com DATE: Revised July 2001 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Z 6 Date 9 ' -- 19 3 Owner's Name and Address �� �� No. l 2 O StreetlYt 9V 7 Registered Architect and /or Engineer Name and address of licensed contractor .A.CemX 8 < 0 N ,v //ffr /5/0�•&3 l7' 72— Location and legal description of lot to be built on: Lot ` Block Subdivision Street and Number where work is to be done 42 1 8 State work be ne and purp..e of buildi _ (by floors), state exterior colors (sub't sam. es) /> _4 ' t .cv New Building To be constructed of Kind of fount Estimated Total cost of improvements S Zeae O Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor STATE OF FLORIDA COUNTY OF DADE. Permit No. Disapproved (Signed) } SS. ZO- Remodeling Building Inspector Date Addition 1 /C Repairs N® 1B V P Ills 7r iv kJ 1l95 57 ,4f /l3UK 1 Sf1D Remarks (Signed) PLANNING BOARD DATE — Roof Covering 373 Date ` Read, Sworn to and Subscribed before me. No of Stories I hereby submit all plans and specifications for said building. All rteticLrs wan reierene bo w.e .e... .ind its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors. on work to be performed under this permit. as are licensed by Miami Shores Village. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing applica ion, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida and for no other purpose. My Commission Expires Chairman Member Member Member Member Member Council Approved late Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship.