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5 NE 99 St (5)Date Type Insp'n Permit No. Name Add Company MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Reques Phone # For Inspector: Name & Date Approved Correction'/ ❑ Re- Insp'n Fee ❑ PROPERTY OWNER New Construction Building '17n t M/, 54 ,5 FL 3 3 I 3 & '. i Home Telephone ( 5- 7+05- Business Telephone / /� . Fax w { TYPE OF MANAGEMENT (✓ ) New Construction Building Enclosure Electrical Alteration Exterior Repair Alteration Interior Plumbing Demolish Relocation of Structure Shell Only Roofing Foundation Only Add'l Attachment Other Other 1l.' Add'l Detachment Other PERMIT TYPE (✓) - ✓ Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 1l.' INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step I. Complete the attached permit application %y?<h owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate pftvessfti of y¢urppliQtfon. ffroofing 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. APPLICATION Job Address: ? Address ) / /Apt. Folio Number 11- r�� 602 "/I 6V Lot Block Subdivision DD PB PG Zoning Linear Feet Current Use of Property A P.51 .D A -E Square Feet Units Floors Proposed Use of PropertyQCS r PEA ' � - alue of Work E) C) , J Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. • . • • • • • • •.. • • • • • • • • • • • • ••...•• •••• Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax City PERMIT APPLICATION Mastej No. P 3 Su tsrdiasy Permit No. • • • • • • • • • • • • • • • • • • ••• ••• • • • State Zip escription of Woz Z� 1 �(.1 -1 $ L DE LOPP s ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IA'IPORTANT NOTICES • • • • • • • DO NOT BEGIN ANY WORK WITHOUT HAVING RECCI.VED•Y VAVD9'1Ep PE1t 1' 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,X A t;I,F Si1NjrARY CONDITION free from construction debris. 3. STREETS AND-NEIGHBORING PROPERTIES SHALL BE KFJI' FR4 f*2CQvt PICT 414 DEJ IS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGE) BY EctlICIOIrNI• TECI1g.,ES, 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. ST TE OF FLORIDA, COUNTY OF MIAMI- P • v. . 444° C Eg ' 'nt Name wo to and subscribed before me this day of fro - Sworn to and subscribed before me this day of SEAL: • • • • • .•• • • OF , ..,A gnature of N •ry Public State of Flori M F3 Angela Becker My Commission DD150048 V Expires November 15, 2008 Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: :2 -� — 0 : 'f • • • • • .•• • • • • • • • • • • ...... • PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature o Con ct )19. Quit ) _) Print Name Signature of Notary Public - State of Florida SEAL: e — Type of Identification Produced: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/24/2003 Applicant: FRANKLIN Owner: BONAMY JOB ADDRESS: 5 Contractor Local Phone: Parcel # 1132060131260 Signed: NE 99 Signe . /' (Contractor or Builder) Building Permit Permit Number: BP2003 -293 BONAMY FRANKLIN ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 13 & 14 (INSPECTOR) BY: BLK 9 LOT SIZE Fees: FEE2003 -1125 FEE2003 -1126 Description Building Permit Application Fee CCF Total Fees: Amount $60.00 $0.60 $60.60 Total Fees: $60.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 8/20/2003 Construction Value: $300.00 Work: EXTERIOR PAINTING AS PER AGREEMENT If there is no permit package accessiblet n 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 by his agents, servants or employees. In consideration of the issuance to me of this permit, l 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. REC C01 022503 0934 MCR01 005099 CHARGE $60.600 BY: MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: OWNER'S k Ii ADDRESS: 5 , ***********************.*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: CONTRACTOR & LICE SE (if applicable) # P e. _p NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All E1eme is on the site mus be liste an ndic a the color to be painted. Walls 1 � Fascia T i Drip Cap/Dr p Ed Soffit Roof _ Flower Bins f %yne,4,o(2 OJreen( ,'ULP -SJ Shutters Awnings Chimney Doors and door jams `jrn e�C1oie, . r e11 't1 Garage Doors rnenadp . e Railings Fences Decorative Metal All brick (simulated or regular Stucco Banding ----- Any other stucco features Acces ory uildings Other5611 I (n aa - OWNER'S AFFIDAVIT: I certify t 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 r!/._Lii' en I7 4 ! oF APPROVED: 2/2-5 Building Official Date g0 sa pies. _ ! n //)/'- nature of Owner Date Signatu f Contractor Date * * * * * * * * * * * * * * * * * ** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 ELECTRICAL 7 Minimum Fee QTY 'I'YPI Dryer ') l Y . I VPI; Out Appliance ()1 . I . 1 . PI , : Service Repair Q'I'1 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. T1'I'E QTY. 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 Q'I'Y. TYPE. Soakage Pit QTY. 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 • • • • • • • • • • • • • • ....... .... • • • ... .. • • .. • INSTRUCTIONS: Please indicate the type of work beit=g erfdrn3ed abd quantity(ies) in the space provided bel ... ... • • . PERMIT APPLICATION 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) $3.00 per page (Scanning Fee) Miami Shores Village Bond State DCA (Radon) Code Enforcement Fine Zoning Review Notary • .• •• • • • .• •• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • ❑ PROO1 OF II.. ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) •• ••• •• • • • ❑ HRS / I RM •1YI ©V4U; ; •; • (Septic i Zeiuer) • • • • • • • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) $ r (+' (sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) (¢.01 /sq.ft.) g BY SECTION Zonin Electrical Mechanical Plumbing Fire Public Works DATE ' " Structural Building Official • PERMIT APPLICATION • • •❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL REVIEWED AND PREPARED BY: DATE: ' ISSUING OFFICIAL 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 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE '�j� C� / 33J3 $" Dates 2 ` 7 5 1. 119 ° 5 Tax Fo lio Legal Descriptio$ ti S , i ` 1 �J , A,t , y S i ores 344.) Historically Designated: Yes Nofr" Owner/Lessee / TenantFA 01 C; 4' 5 19 J 60,0 9 # ' Y Master Permit # owner's Adddress5/ IQ sr. ,ft,i , Si'i PL.33 23F Contracting Co. 3 EL. Qualifier I.c,r1.3 . Q. State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor flL* r 1111 1*— Address XSs►)Y1 W 1 Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION ' ) A7 19" L.c'1 � C s19 � lie Square Ft. O. 1 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 l9ws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. ignature of owner and/or Condo sident Commission Expires: APPROVED: Zoning Building Mechanical s1 7 Date .■1` as to Owner and/or Condo President Date FEES: PERMIT 4 / 0 - RADON C.C.F. ' GD NOTARY � BOND TOTAL DUE. e7 '.S ^ . �c, Plumbing Phone3' )7Si 7 Address gym 6 A'S A-Aty/ S Estimated Cost (valu4A619 0 Electrical 1 -11337 SS# 7105 NJ ) v6 Phor(e 75 1 / Signature of Contractor or Owner - Builder f Date Notary as to Contractor or Owner - Builder Date My Commission Expires: Engineering Owner's Name and Address 4 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. F/LpotJJ te AJ EDP, ,N y Registered Architect and/or Engineer , j� Name and address of licensed contractor C C 1 ' j w 3 Lir LaP - 7337 TJ r7 Location and legal description of lot to be built on: �/�f Lot / ? �l Block Subdivision �/ r 5 )//4M9 // YOB J o Street and Number where work is to be done A/C• / f State work to be done and purpose of building (by floors). state exterior colors (submit samples) b s 1, e_ C.4 #z 4:20vA" �/Q GVA' fhvp / 4--mii 444eis ((Lee,t/ and for no other purpose. New Building Remodeling Addition To be constructed of °Y. Amount Estimated Total cost of improvements $ 2 7 00 Amount of Permit $ ,1 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to Kind of foundation 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. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. J SS. /oo -Co tie 0 7 AVC Date / -7 - 1 8 1 19 91 v No. J Street NE . / No. of Stories Roof Covering Repairs 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 application. and that he did sign the same. and that all facts therein by him stated are true. Permit No. ■:J . D, Date 7/, 9/98 Read. Sworn and S , scrf . before e. Disapproved , j1� A n Date Notar Publi to of Florida §aaY PU STATE OF FLORIDA (Signed) 3 N0 XP. � 2 19 Building Inspector My Commission Expires ^r, "Iv COOT E IM GENERAL I S U19 ;i PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship.