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347 NE 98 StCONTRACTOR Name CO k /f9R /1, c,F��, Name ct'l�'1,4 ` _ � e UC V 7)7'd/ License No. 0/v/3 v Address /4/7s, /34 / /Pw//, , • .rf 33/6/ Telephone603JJppj3 Fax perk.-‘,..ad 'O� Re ��// Qualifier Name r...7 / / PROPERTY OWNER Name CO k /f9R /1, c,F��, Address y , 7 �� 90 Home Telephone (j f) ?Ty-- j/D o Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other RECEIVED NtAY 3 0 2003 • INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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: 3 y7 tie 7d ' Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Informalion PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 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. Address Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. p 7. o na CI? b Subsidiary Permit No. / City fi . State AC3)tr 44 3/ 3er Zip se le pe Description of Work (t' Lidear Feet Units Floors Zoning Square Feet Value of Work Z 4oz, Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT 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 13E 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 govemmental 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 QF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Na me Sworn to and subscribed before me this ,23 day of Ova Signature : otary Publ SEAL: P (2V PUe�i OFFICIAL S VIIL SEAL LLAR o da DD091094 MY COMMISSION EXPIRES MAR. 1,2 ^^3 Personally known OR, Produced Identification Type of Identification Produced: Signature of Contr Print Name '� Sworn to and subscribed before me thin U PAID A fi ignature o 1 otary Publi; - State of orida SEAL: Personally known fierfier PERMIT APPLICATION $ ,00 Angela M Becker Commission 00150048 it Nt v r� &d cation Type of Identification Produced: ELECTRICAL TVI'I: I Minimum Fee QTY. 'l'V PE Dryer ()Ty. TYPE. Outlet, Appliance Q'FV'. TYPE Service Repair Q' I'V. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch 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 Minimum Fee QTY. TYPE Condensate Drain QTY. 'I'YI'1: Generator ()Ty. TYPE Refrigeration, Tons QTY. 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 Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTV. 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, DA Zonin: /i 1�� Electrical A, Mechanical Plumbing Fire Public Works Structural ; Building Official j��w�� Page 4 OFFICE USE ONLY CHECKLIST ® OWNER - BUILDER FORM (Attach) ® FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ® CONCURRENCY (New Construction) • OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ 1 v (sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary CI PROOF OF OWNERSHIP (Attach) • HRS / DERM APPROVAL (Septic / Sewer) ® IMPACT FEE (New Construction) ® OTHER (Specify & Attach) $ $ s1 O d f 'P g (¢.005 / sq.ft.) (¢.0I /sq.ft.) PERMIT APPLICATION CI CONDO ASSOCIATION APPROVAL (Attach) BPR APPROVAL (Restaurants) LI CONTRACTOR REGISTRATION (On File) TOTAL $ .)) 0 ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF A PPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 a FAX (305) 756 -8972 http : / /www.miamishoresviIlage.com Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/2/2003 Applicant: CARL SPRINGFELS Owner: SPRINGFELS CARL JOB ADDRESS: 347 NE 98 ST Parcel # 1132060135621 Fees: Description FEE2003 -3332 Building Permit Application Fee FEE2003 -3333 Notary Fee FEE2003 -3334 CCF Total Fees: T // '/ L is, , I a III 4 Washington ML °a eon N oM le Iem Street Flnerwlel Center 788 7000 g00 NE. 125th Street 24 now Customet Sonia, North Miami, Fl_ 3 1483 638413 - 2870 DATE 30 380 3804 $ 6° p, ewa r.r+ DOLLARS 8 COMPLETE HOME PAINT►NG B� MICI4AEL MICHAEL IWASKEW 8 1368 130TH ST. 1476 N NOR H MIAMI, FL 3316 1 PAY TO THE e ORDER OF it —S 4 , Gie nREM • 26 ?08 Building Permit Permit Number: BP2003 -886 Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET Local Phone: 305 - 895 -1368 Legal Description: 1 53 41 53 42 MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 16 & 17 BLK 41 Amount $60.00 $5.00 $1.80 $66.80 Permit Status: APPROVED Permit Expiration: 11/29/2003 Construction Value: $2,400.00 Work: EXTERIOR PAINTING Page 1 of 1 Total Fees: $66.80 Total Receipts: $0.00 i compliance with all ordinances and regulations pertaining thereto and in strict 9iami Shores Village. In accepting this permit I assume responisibility for all work BY: MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE/ � 3103 OWNER'S NAME f'etr/ii/(g'FE4.5 Cr re4 PHONE: 3.5 -7 /— 3/ 66 ADDRESS 3y� ju e 9g 1 * * * * * * * * *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: I'll? WE" CONTRACTOR & LICENSE (if applicable) e � i5/4/4"/ COMPANY NAME:C® eeTz lA- �.4r»° 4e,,o4a.PHONE: „5j S-,7.5 ..36e * * * * * * * * * * * * * * * * ** ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls //lereg Fascia ark r 0 Drip Cap/Drip Edge 6)¢/1 Soffit rb %' Roof Ara Flower Bins 4/76- Shutters i jp, Awnings Aft Chimney 16e) Doors and door jams Garage Doors hi Railings Fences r� Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features '(0 Accessory Buildings 1.5 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. Furthermore , the paint colors will be as per the attached samples. Signature of 0 ' er Date 'Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: 'V WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Building Of • al Date 4/23/01