PAINTplease leave copy at the door of results
Passed
t
U
Inspector Comments
V
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
'Inspection Number: INSP - 17177
Inspection Date: 05/15/2006
Inspector: Grande, Claudio
Owner: STEVENS, CRAIG
Job Address: 245 99 Street NE
Project: <NONE>
Contractor:
Friday, May 12, 2006
Miami Shores Village, FL 33138-
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: 05)795-2204 Fax: (305)756 -8972
Block:
Permit Number: BP2002 -1660
Permit Type: Imported Permit
Inspection Type: PAINTING
Work Classification: <NONE>
Phone Number
Parcel Number 1132060134550
Lot:
Page 1 of 2
0919 J t,e I
,fJ7aoa
30 7 5 � • g 3 a -1
:r
2
FOR
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/26/2002
Applicant: TERESA
Owner: EL1A41Pt
JOB ADDRESS: 245
Contractor
Local Phone:
Parcel # 1132060134550
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.
CRAIG L. STEVENS
245 NE 99th St
Miami Shores, FL 33138
Fees:
FEE2002 -5402
FEE2002 -5403
FEE2002 -5404
Description
Building Permit Application Fee
CCF
Notary Fee
Total Fees:
Amount
$60.00
$1.20
$5.00
$66.20
Total Fees: $66.20
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 3/25/2003
Work: EXTERIOR PAINTING AS PER AGREEMENT
PAY TO / P
THE ORDEROF V 11 1 6� � �61� {vYt� _
Flret Union National Bank
N • firstunton.com
Org. 003 R/r 067006432
NE 99
4 2-9102-
Building Permit
Permit Number: BP2002 -1660
Contractor's Address:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 17 & E1/2 OF LOT 16 BLK 33 LOT SIZE
DATE
$
406700 6432 1 :/01002117095311' L0 6L
f
EGA c7 ENE f EZ ESA
ST
Construction Value:
1061
63- 643/670
BRANCH 03044
DOLLARS • o••�•«
Express Checking
e equipment or device described in the application herefor in strict compliance with all
vith 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
compliance with all ordinances and regulations pertaining thereto and in strict conformity
is Village. In accepting this permit I assume responisibility for all work done by either
BY:
BY:
$1,700.00
Page 1 of 1
• '
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: I z
ADDRESS: ,.v� 99 ^'�
DATE: � — ZY n2—
OWNER'S N AM E: �,� S- t - even S PHONE: 3C)5. - I 58 2sg2.
ADDRESS: at-1.5 N>✓ q �tre_e_
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: same.
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE: - .
*********************************** * * * * * * * * * * *. * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted
Walls 14c - 80 BteeXee 1341e-
Fascia
Drip Cap/Drip Edge 1Wkrte-
Soffit witiTL
Roof
Flower Bins ---
Shutters W k.tc.
Awnings
Chimney
Doors and door jams - and tv4is 26 ► 096 $vi /s.ier Tc"
,Garage Doors --
Railings
Fences
Decorative Metal
All brick (simulated or regular)
Stucco Banding
Any other stucco features 9idL wLitc.
Accessory'Buildings ! 8° Bit Y.sr &3e-
Other c. olvww►s w lei +t.
11
c
0
2B
bridgewater tan
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
ples. g j 2 4 /c)2
Signature of Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED: WHEN PAINTING IS FINISHED,.
CALL FOR FINAL INSPECTION
74 P °�4"
Building Official Date 4/23/01
bleeker beige
1096
PROPERTY OWNER
l ;
Sf -Vet 5
5
Address V
5 NJE 9,1-n- Street
'c SL 331 .
Home Telephone
<3 c5— X58 -
Business Telephone 5 —795 "" 2777
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'I Detachment
Other
INSTRUCTIONS -The following steps must he taken to obtain a permit from the Miami Shores Village:
Step 1. Complete the attached permit application which must be singed by the property owner and qualifier Both signatures must ben otarized 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 submit-
ted 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.
A PPLICA'1'ION
b Address: 24-5 F 0 1 V1M a..e 1 ,re Ft' 3 - 313 Er
Address A% City State Zip
Folio Number scription of Work e-)C4 e.-t 0 pat
Lot Block
Subdivision PB PG Zoning Linear Feet
z Square Feet Units Floors
clue of Work $1700 Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other -
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
Subsidiary Permit No.
PERMIT APPLICATION
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone ' Fax
Qualifier Name
Page 2
111PORTAN'1' NOTICES
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 Contractor.
STA F FLORIDA, Ct OF MIAMI -DADE
ignature of Owner
L. S be-VCAS
nd subscribed before me this _S day of
ature of No ry Public-- State of Floritla.. Signature of Notary Public - State of Florida
� '.tt' PU ®� A'+'*:' :LA
� k #r% co ..... ti'r: ,. SEAL:
Q Ct;' 6'0G97
_;
C n
SEAL:
Signature of Contractor / Qualifier
Print Name
Swom to and subscribed before me this day of
PERMIT APPLICATION
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Personally known OR, Produced r. Identification � 1 Personally known OR, Produced Identification
Type of Identification Produced:F D 5 5 L 1 I � � V � Type of Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
QTY.
'TYPE
Dryer
QTY.
'rvI'I
Outlet, Appliance
QTY.
TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan
Dryer Vents, Number of
Outlet, Wall
Ventilation, Cost
Service, Temporary
Air Handler, Tons
A/C Central 4 -7 Ton
Piping, Flammable Liquid
Fire Pump
Outlet, Switch
Fire Sprinkler System
Signs
A/C Central 8 -15 Ton
Bath Fan - Vented, #
Fixture - Fluorescent
Pressure Vessel
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.
Minimum Fee
QTY. TYPE
Condensate Drain
QTY. TYPE.
Generator
QTY. TYPE.
Refrigeration, Tons
Q'rV'.
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
Solar Water Heater
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Cap - Fixture
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Pump and Abandon
PLUMBING
TYPE
A/C Condensate
QTY
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
'rvPI:
Soakage Pit
Q'rl'
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 jj
D E
1
Zoning
a,
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
_
Building Official
,
7-°'
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
O CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
Metropolitan Dade County (C.C.F.) $ ) • a d
( x .60 1000
)
Inspector State Educational Fund $ (¢.005 / sq.ft.)
$ (¢.01 /sq.ft.)
$ S4-0
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ Ga
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OFAPPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date `'7(W(&JObMdreSS 2 ‘4■5 N 'P: 3T Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant fbE(Q t-l- Master Permit # 317 7 7 8
Owner's Address 2..\--1,5 lU Phone ( ) �'S ' - 5 S ( PS
Contracting Co. 0 , )._s(V Address Z1-AS 'J' ° n ST
Qualifier SS#
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION {' �ry v�� el,p,o j / 1 N qj yThl I'ti o \ \ �D - \A-)h \ \
Square Ft. - YT Estimated Cost (value) tzek�
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.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT AI& RADON C.C.F.
APPROVED:
Toning
r owner- Builder
Notary as to Contractor or Owner- Builder
My Commission Expires. - -
,
NOTARY cc, TOTAL DUE
Builoc7 L /ZO //6 Electrical
Plumbing Engineering _
Date
Date