The URL can be used to link to this page

PAINTPROPERTY OWNER A Name / fZ l • .. '� '� v' \E.KLA Addres�jL iNi 'r , Home Tele. h 7V �05- ::'Telep one,1 TYPE OF MANAGEMENT ( ✓) -"— New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of S ructure Shell Only Foundation O 1y Add'l At chment Other Add'I etachment Other SH ORE 1 1 F N 7 E9 IN • 11 nun • • • • • • •.• • • • • • • • • • • • • • • • • • •• • • • • • • • ••• ••• • •• • • 0 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• Master Permit No. Subsidiary Permit No. ONS - The following steps must be taken to obtain a permit from the Miami Shores Village: INSTRUCT Step 1. Other ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION • • . •. .•. • Complete tilt at tached perm applicaiion wliicti must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type t o.allow.foaa ioie, processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this;p &mit appljca:iort • • • • • 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: . u E 1 Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Apt. Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection knAtpi-v04.0r,cLE,S City State Zip escription of Work (coF £MNO Gam A 0 (\ P_Q (u. ,.n t Zoning O Linear Feet Square Feet Units Floors /00 Bldg Value value of Work Tax Assessed/Apprai5ed Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name\ Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PBAPIIT ° AisrD PERMIT CARD. Applyingfft 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 Saturdayfrom 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 SAMIiT R3'C:OIYDI 1QIQ freP eNtruction 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, AN1D MAX NOV BE ttSED t'OR 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, P 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 OFF ORIDA, CO N 1 F IAMI -DADE c Signature ofwnei Signature of Contractor / Qualifier ?by-AK evsmiv Print Name r Print Name Sworn to and subscribed before me this h day o , Sworn to and subscribed before me this day of Signature SEAL: Personally known A e o / Ffori (ic - St at e ° _ Angela M 8eckei s My Commission 00150048 F Expires November 15, 2008 Type of Identification Produce SEAL: • ••. • • • • e o•• • • • ••• • • • Signature of Notary Public - State of Florida • ••• • • • • • • • • • • • ° •• °PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee • • • Q'T'Y, • . � 'Y0F,: • I ryer• ••• • • Q•l nil:, Outlet, Appliance QTR Til Service Repair QTY A/C Central 1 -3 Ton A/C Central, Tons Fan Cooling Tower Outlet, Wall Heating Strips, each Service, Temporary Vent Hood, Cost A/C Central 4 -7 Ton A/C Wall/Win. Tons Fire Pump Dryer Vents, Number of Outlet, Switch Paint Booth Signs Ventilation, Cost A/C Central 8 -15 Ton Air Handler, Tons Fixture - Fluorescent Ductwork, Cost of Oven Piping, Flammable Liquid Space Heater (kw) Periodic Inspections A/C Central 16-20 Ton Barbecue Fixture Light Fire Sprinkler System Parking Lot Lights Process/Pressure Piping Spas/Hot Tubs Pump, Domestic A/C Central 20+ Ton Bath Fan - Vented, # Flood Lights Fireplaces, Number of Plugmold/Strip Pressure Vessel Subfeeds, No. of Amps Pump, Fire Stand A/C Window Temporary Toilet FPL - Load Central Catch Basin Posts Gas - Propane Swim Pool, Commercial Pump, Re- circulate Air Conditioners Temporary Water Closet Garbage Disposal Clothes Washer Range/Range Top Gas Piping Swim Pool, Residential Pump, Replace - Pool Chiller Urinal Generators, etc. Dental Chair Receptacles Grease Trap Switchboards Pump, Sprinkler Clear Violations Utility - Sewer Heat Recovery Discharge Well Refrigerator, Comm. (p/PH) Ice Maker Temp Serv., Construction Pump, Sump Compactor Utility - Water Low -volt, Burglar Dishwasher Refrigerator, Domestic Indirect Wastes Temp for Test - 30 days Relay Repair Deep Freezer Vacuum Pump Low -volt, Fire Disposal Renew - Temp Service Interceptor Roof Inlet Demolition Water Closet Low -volt, Intercom/Teleph. Domestic Well Repair Circuits Laundry Tray Septic Connection Dishwasher Water Heater Low -volt, Television Drainfield, 4" Tile/Res. Service, Number of Amps Lavatory Septic Tank MECHANICAL TYPE QTY. TYPE QTY. TYPE QTY. TYI't Q'I'1'. Minimum Fee 1 Qi'Y. TYPE' QTY. Condensate Drain Generator 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 Pump, Domestic Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump, Fire Stand PLUMBING TYPE QTY. TYPE QTY. TYPE 1 Qi'Y. TYPE' QTY. A/C Condensate Drains, Roof Miscellaneous Fixture Soakage Pit 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 • • • .• • • •. .. .•. •.• • • • • • • INSTRUCTIOhfi: P.lgase 2udic'atd the type (work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: 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) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $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 $ '0 $ yy (sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) $ - — o 6 g SECTION Zonin Electrical Mechanical Plumbing Fire Public Works Structural Building Official DTE • • • • • • o • ••• • • • • 0 ••o 0 • • • • • • •kEAMIt APPLICATION •. • .•. • • • • •• • •• • • • •• ❑ CONDO ASSOCIATION APPROVAL (Attach) •• •c.• •• • • • •• • • • • • • • • • • • • BP2 4 'ItO At, (1114taurants) • :❑ 00 ••• • • • • • •• TOTAL ❑ CONTRACTOR REGISTRATION (On File) ISSUING OFFICIAL • 1,)-- °I '8 REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 1 Ve.0 OWNER'S NAME: \M.Cc.r:' �; •NE: ADDRESS: * * * * *: * * * * * * * * * * * * * ** ** ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 4 7 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. qibik Walls Fascia Drip Cap/Drip Edge Soffit Roof Flower Bins Shutters Awnings W Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular Stucco Banding Any other stucco features Accessory Buildings Other j'1 PHONE: 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 samples. Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: Z Building Official Vi/a3 Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/29/2003 Applicant: ROBERT ®caner: EMMERLING JOB ADDRESS: 285 NE 98 Contractor Local Phone: Parcel # 1132060134430 Signed: Signed: (INSPECT( In consideration of the issuance to me of this permit, 1 agree to perform . with the plans, drawings, statements or specifications sub to the prc myself, my agent, sery or employes. Building Permit Permit Number: BP2003 -144 EMMERLING ROBERT ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 22 & 23 BLK 32 LOT SIZE 103.500 Fees: Description Amount FEE2003 -562 Building Permit Application Fee $60.00 FEE2003 -563 CCF $0.60 FEE2003 -564 Notary Fee $5.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/28/2003 Construction Value: $100.00 Work: EXTERIOR PAINTING AS PER AGREEMENT 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 d �l tl ► ct n tage " ordinances pertaining thereto and with the understanding that the work will be performed in compliance J - • ,, and approved by the proper municipal authorities. This Permit may be revoke.. - B [t 1t k o authorization. A further condition upon which this permit is granted is "" ordinances and regulations pertaining to the work covered hereby whe by his agents, servants employees. ROBERT J. E 285 N.E. WITH ST. 33138-2407 MIAMI SHORES, DATE: rl em OWNED: S NAME: ADDRESS: Z at' ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRE SS IC, F ITS: 4YE W1 CONTRAG"I'OR:B� L'P�BNSE Zif applicable) .. .. . ....... COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia ,\', Drip Cap/Drip Edge Soffit oof lower Bins hutters Awnings Chimney MIAMI SHORES VILLAGE i..T4 and Agreement • Doors and door jams Garage :Doors Railings Fences Decorative Metal APPROVED: All brick (simulated or regular Stucco ]Banding Any other stucco features Accessory Other 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. Furt rmore , the paint colors will be as per the attached sam 1 : y / 1', iA l 4 _4. ai.. Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Building Official Date Mloorllastoc® Acndoc Elastorneric Waterproof Co tings (055, 056 & 060) are high quality, flexible acrylic coatings with excellent adhesion on new or previously painted exterior masonry ci irfarcc ac wA11 44/3/ P P 751 Cie SLO D conAtm Pam 8 4 °ALILPAPI N 12741 BisomNE BLVD • NORTH WAN gip_ § - ) — Q3O5) 391 - - — Tv 3/b WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 PERMIT APPLICATION FOR MIAMI SHORES VILL. ' - ° Date '? it Job Address D IN\ c b i Tax Folio Legal Description Historically Designated: Yes ; 4 i a', ' 1827 Mandarir Owner/Lessee / Tenant ) ITn k"-i_ A. Mi.-1 (\\ e/ IYU � Master Permit # 'Y 0 C - G — Owner's Address Z 5 7 Fl 'I Phone 7s I d S c Contracting Co. y./.. ((Z Address ej k t- ( - 389 Qualifier SS# Phone State # IC 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 N( -n i`( e— - f-Jc' fc IRES.St/e Poor-. Square Ft. Estimated Cost (value) (, 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: :[ 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 contr a ctor to do the work stated. Signature of •wner and/or Condo President Date Signature of ontractor or Owner -B ' der Date Notary as to Owner and/or Condo President Date My Commission Expires: IFE.ES: PERMIT `5i0 • o c7 RADON APPROVED: Zoning Mechanical Building Plumbing 1 c4‘7.1 ? r?) 6 )-2-2 11 1 ' 1 - J6 Not as to Contractor or Owner- Builder My Commission.Expires: . C.C.F. , .So NOTARY • O o TOTAL DUE 4 7 1 ,77 o Electrical Date Engineering toe f owner an Date:////6 1/8 079 gg Owner / Lessee / Tenant 1, X APPROVED: as to Owner a Commission Expire Zoning BHT APPLICATION FOR MIAMI SHORES VILLAGE address NT 911 Owner's Address a . L 2 c Phone Contracting Co. Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. gA 7/3gLVI Tax Folio I jIP /_3 ` 5' Master Permit #‘8Jgoz® Architect /Engineer Address Bonding Company Address /5 � Mortgagor_ c414-0441 Address PF jp 1 Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION RQ:t 0 774 P Kovls Square Ft. 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 (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 author' e the above/lamed contractor to do the work stated. // CHURCH :.Notary Public, Slate e8 ROMS 'd1 In6 nne ra•xn f, H 'f,I �' i6dent Print type or stamp narne of Notary Public Personally known DOR Produced LD.j ** * * * Tyte and urtA Hof AD. produ &d: * PEES: PERMIL 0 DID Noarh, or (� DI Dna rake an oath. Fire Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * * ** 4 -D NOTARY .J . / 6 TOTAL DUE wilding / \ 'V Electrical Other Mechanical Plumbing Engineering_ / ' L:i s