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PAINTMiami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2002 -2062 Printed: 12 /2/2002 Applicant: JENS Owner: GRAFE JOB ADDRESS: 253 NE 99 Contractor Local Phone: Parcel # 1132060134560 Building Permit GRAFE JENS ST Contractor's Address: Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 18 & 19 BLK 33 Fees: Description Amount FEE2002 - 6815 Building Permit Application Fee $60.00 Total Fees: $60.00 Total Fees: $60160 Total Receipts: $0.00 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) Permit Status: Approved Permit Expiration: 5/26/2003 Construction Value: $1,000.00 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 r J by his agents, servants • r e ployees Signed: (INSPECTOR) BY: In consideration of e 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: The Sunshine State — UCENSE NUIASER G610-431 -45 -683 -0 JOANNE K GRAFE 453 NE 99 STREET MIAMI SHORES, FL 3318 8-0000 BIRTH DATE SEX HOT. REST. ENDORSE. 05-23-45 F 5-06 ISSUED EXPIRES DUPUGTE 02 -14-01 05 -23.07 00-00-00 SAFE DRAPER 02140110 Operation of • motor vehicle constitutes consent to any sobriety test required by law. 1Vlj - '�l'V11 oriwliit V YJLLA( L Paint CO1or Approval and Agreement DATE: 1 t , ate OWNER'S NAME: J 6 - n 6 PHONE: -7$ }'}9q ADDRESS: caS3 )'1, - c, 'x/)') rn {' a�� L. ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 5a. mom. CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * *4 * * * ** * * * * * * ** All Elements on the site must be listed and indicate the color to be painted.. - Walls 1. S Fascia L 6 Drip Cap/Drip Ede Soffit Wh1 Roof /11/41 .h . - 4-eou a 4 Flower Bins Shutters Awnings IB 1045 Chimney ��i . ► �(� Doors and door jams 10,i Garage Doors • Railings 5erk Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory'Buildings Other APPROVED: ti . t / 1 _ . ggpit lady finger BROW 2B sandy brown . o o 1046 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 ‘ < s do the work stated. Furthermore , the paint colors will be as per the attached sam les. i ature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 0- Building • °'icial Date 4/23/01 PROPERTY OWNER New Construction Enclosure Name oa-- r tt / Repair Alteration Interior Address^ s 3 / q i C' flit SAj / b s i i Demolish 33 132 Home Telephone 36s . .7 - l3 Add'l Attachment Business Telephone Other Add'l Detachment 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. Step 2. 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 submit- ted along with this permit application. 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 % Address: /'v 99 Address Apt Folio Number escription of Work; Ll Aej 4. _ ti i b US-e_ Lot Block (( Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work (/ (one) Bldg Value Tenant Information x Assessed/Appraised Value Flood Zone Base Floor Elev. 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 in l / rr / A/5 Les ri,oleatt4 33132 City Sttte Zip ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IAIPORTANT 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. STATE OF FLORIDA, COUNTY OF MIAMI -DADE .SEAL: �o�' Angela 'A �►cer 19[1(14 SEAL: t My Commission D0 9 048 Expires November of STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida PERMIT APPLICATION Personally known OR, Produced Identification Personally known OR, Produced Identification — 1 � Type of Identification Produced: �i ID- ? T Type of Identification Produced: ELECTRICAL T1'I'E Minimum Fee QTY. Tl'I'E Dryer QTY. .I.1,I,I', Outlet, Appliance QTY. TYI'1•. Service Repair (yr1'. 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 MECHANICAL TYPE QTY. Minimum Fee TYPE Condensate Drain QTY. TYPE. Generator QTY. TYPE Il'I'1'. 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 QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QT1'. 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 BY D T / /X- 7 T7 6 - 0._ Zoning �� Electrical Mechanical Plumbing Fire Public Works Structural Building Official 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 Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) O IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ 0 $� 0 1' ( x .6 1000 0) (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ � ISSUING OFFICIAL REVIEWED AND PREPARED BY: 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 Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address /J E '19 4 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant X u ✓1 P. ayc,1 QY\ kCSY Master Permit # Owner's Address 06 3 l v 951 S 4--- ` honer a'fC 0 `i Contracting Co. Address Qualifier SS# Phone 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 �0.C, cY10 ( NI) S - LAD 1(6, Square Ft. Estimated Cost (value) 7 � • 0 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. otary as to My Commis o d/or Condo Presid t d a Da xPl c�IL MWON NO. M7141.03 10 CC.1/MISSION EXP. MA 1 FEES: PERMIT `7 RADON APPROVED: Zoning Mechanical Buildin Date Notary as to Contractor or Owner- Builder My Commission Expires: C.C.F. / NOTARY BOND Electrical Date Plumbing Engineering y AI /15 I Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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. Date J / 19g K Owner's Name and Address.. 4 e r 138/5.5 C r r e No 2 - 5 3 Street..il/ ,C_ ” ":-71 s r Registered Architect and /or Engineer _ Name and address of licensed contractor �.... J? 1) 1? o 13 .. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done Z `f ^ 3 N.C. 9 9 " r 5 r. State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 6 4 .. - Amount of Permit $ Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent 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 cinder 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. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap peared BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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 application, and that he did sign the same, and that all facts therein by him stated are true._ ¢-- Permit No Date. / l G � L1 Read, Sworn to and Subscribed before me. Disapproved Date. Notary Public, State of Florida ui ding Inspector MIAMI SHORES VILLAGE to me well known, My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty - materials and /or workmanship. BUILDING ELECTRICAL PLUMBING RO ,OFING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI r ..�.•� r1-1 L f . CONTRACTOR OR BUILDER PERMIT N° 6582 - <7; • : ! l !�. - J r SHORES VILLAGE, FLORIDA Work to be performed under this Permit r4,-, B1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements 9Yyspecif gtions and that he assumes responsibility for work done by his agents, servants or employees. °, / ; jti, INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepling this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Signed Subdi- vision Value of Project DATE Contractor's License No. Amount of Permit' "$ 195' .r • BY • BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of ; *)1 Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device desc .ed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work wil be performed in c. ipliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Per it 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 c. ud on upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledg& the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or draQ in tht $ttements or specifications ancjthatjhe assumes respon- sibility for work done by his agents, servants or employees. c f Signed• "•• " e INSPECTOR By � " ,.f In considKation of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations ppert' g th6ieto in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. ttios ) i v i.k u jp_ umig . u mpaudibility for all work done by either myself, my agent, servant or employee. Work to be performed under CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE - 194 MIT N ° 4491 this Permit Subdi- vision Value of Project BY Contractor's `% . License No. f "' � � Amt. of Permit AUTHORITY