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798 NE 98 St (9)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY Date Legal Description Ow/ Lessee / Tenant Owner's Address Contracting C Qualifier "4/0 y State# Square Ft. Architect /Engineer Bonding Company Mortgagor Permit Type (circle one WORK DESCRIPTION - ft- 4_ t A . Signature •f Owner and /or Condo President l eDf://51.17? ' ' ! / n / �6 ti Cam(" . L _�Lsr 1C Noiary as to Owner and/o C do My Commission Expires: N r , P11.30f-Pcfefk ,R,., i.: Job Address IQ8 qg ,Sireef Tax Folio ( ( 3z- ®(, t'( 21 -? �lk v Ir - ., oz15 Master Permit # � ( Z L( C1 t icutfiran SO me - (OWNER TO RETAIN COPY) Competency# /,a2// Address 3e, ( Address Address Address Phone Phone, ,2/ ety)C fl Ins. Co. �UILD1N& ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIG1; 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. Furthe , ore, I authorize the above -named contractor to do the work stated. / APPROVED: Fire Mechanical Plumbing Estimated Cost S nature of Contr or or Owner- Builder Date: —fir Notary as to Contractor AstmE -sfggtsigvORID1 My Commission Expires: MY COMM SSION EXPiRES 5/O'�/94 Bonded thra Stembler -dams & S4 et Other g ,5 06,40 Zoning Building 1 /J� - / j Electrical Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date r g 6 q Address 1 9 R Ill. O 1 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant a Q.oL (Ir t O We. it., Master Permit # y v 3 0 Owner's Address 1 C k \ - Phone _0 _ S) - 7 C Oi-(2_ Contracting Co. X C ( 1 1'e- Address Qualifier SS# Phone State # Municipal # Ins. Co. Architect/Engineer Bonding Company 3/C 298 Mortgagor Permit Type (circle one): BUILDING LECTRI AL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION OWNERS AFFID construction FEES: PERMIT RADON Signature of o er and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: C.C.F. a\ 11 1 r1Uk EY`- Fkr()R Square Ft. =3C 0 0 Estimated Cost (value /4 / — 00 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 perfonned to meet the standards o all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, R• • ' I' G and MECHANICAL WORK. all the foregoing information is accurate and that all wor ore, I authorize the above -named contractor to do the or 7stat No : • as to Contractor or Owner - Builder My Commission Expo OFFICIAL NOTARY SEAL GLADYS J VILLAR NOTARY PUBLICSTATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1,2002 NOTARY ne•in compliance with all applicable laws regulating BOND 3 9 99 APPROVED: Zoning Building P'j )') ` Electrical Mechanical Plumbing Structural Engineer TOTAL DUE PROPERTY OWNER FiNESt t• Vna 1-k u re- Address q 9 e t r^ ci 2 s „ + kNav C ko - s -I-L 31 3P Home Telephone --2 s --L i ` 1 2 a] Business Telephone ---e)-- (03a—pa- Fax S 1 8 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other ONS - The following steps must be taken to obtain a permit from the Miami Shores Village: INSTRUCT 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. AIPPLICATI ).(J b Address: 7q g L) 1 � f S7L /` lJ a/111 S /i r-e, PI-- 3 3 1 Address Apt. Cit State Zip Folio Number � (mot scription of Work ey b 1)-2 Ey ob r Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors 1 Proposed Use of Property Value of Work' 1 t 5D3 Bldg Value Tenant Information PERMIT TYPE ( Buildin Electrical Mechanical Plumbing LPGX Roofing Fence Other ARCHITECT Name License No. Address Telephone Fax PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection it ti - i - • • •• •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••••••• •••• PERMIT APPLICATION o- 1^0 • • • • Subsidiarb terra No. • . . •. .•• .•.. • • • • ••• • IVer Pcrmjt; No. Complete the attached permit application which musttE sln d tttke Dk eij$dwgdt end qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing%AtltrtpQlic:itilli •Ifreofing• fork will be done, a roofing application must be submit- ted along with this permit application. • • • • • • • • • • •• • • • • • ••• •• ax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 • •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • 1•l • • IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVVCI,RCC$IVED YOU$ 4 LIDAT413 PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are litflitedto: 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 SHRt1. BMEPTY+ 2EE�li lav1 bllVAND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING QAMAc 1}Y d.11QM l I: QR 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. PERMIT APPLICATION 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. ST OF FLORIDA, CO i gnature of Owner SEAL: 4 ,0 Angela M Becker My Commission DD150048 'or n dr Expires November 15, 2006 nd subscribed before me thi( da 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 SEAL: Personally known OR, Produced Identification ( Personally known OR, Produced Identification II Sa, Type of Identification Produced: 1 !h1 �� ype of Identification Produced: ELECTRICAL Tl'1'1; QTY. TYPE , (i F','. 'I'Z Pi: Q'fl'. 'I'ITE QTY. Minimum Fee 'I'YI'E Soakage Pit Dryer ; : ; ;Odtlet ; Drinking Fountain Service Repair Miscellaneous Repairs A/C Central 1 -3 Ton Solar Water Heater Fan • • • • outlet, Walt • • • Filter Replace Service, Temporary Pool Piping A/C Central 4 -7 Ton Sprinkler Repair Fire Pump Cap - Fixture Outlet, Switch Fountain Signs Pump and Abandon A/C Central 8 -15 Ton Sprinkler System Fixture - Fluorescent Cap - Water Oven Gas - Appliance Space Heater (kw) Pump, Domestic A/C Central 16-20 Ton Supply, AC Well Fixture Light Cap - Sewer Parking Lot Lights Gas - Natural Spas/Hot Tubs Pump, Fire Stand A/C Central 20+ Ton Temporary Toilet Flood Lights Catch Basin Plugmold/Strip Gas - Propane Subfeeds, No. of Amps Pump, Re- circulate A/C Window Temporary Water Closet FPL - Load Central Clothes Washer Posts Gas Piping Swim Pool, Commercial Pump, Replace - Pool Air Conditioners Urinal Garbage Disposal Dental Chair Range/Range Top Grease Trap Swim Pool, Residential Pump, Sprinkler Chiller Utility - Sewer Generators, etc. Discharge Well Receptacles Ice Maker Switchboards Pump, Sump Clear Violations Utility - Water Heat Recovery Dishwasher Refrigerator, Comm. (p/PH) Indirect Wastes Temp Serv., Construction Relay Repair Compactor Vacuum Pump Low -volt, Burglar Disposal Refrigerator, Domestic Interceptor Temp for Test - 30 days Roof Inlet Deep Freezer Water Closet Low -volt, Fire Domestic Well Renew - Temp Service Laundry Tray Septic Connection Demolition Water Heater Low -volt, Intercom/Teleph. Drainfield, 4" Tile/Res. Repair Circuits Lavatory Septic Tank Dishwasher Water Heater New Low -volt, Television Drains, Area Service, Number of Amps Meter Set (Gas) Sewer Connection 14 TYPE QTY. TYPE QT1'. TYPE QTY. TYPE Q'I'1'. Minimum Fee TYPE, Drains, Roof Condensate Drain TYPE, Miscellaneous Fixture Generator 'I'YI'E Soakage Pit Refrigeration, Tons Bath Tub A/C Central, Tons Drinking Fountain Cooling Tower Miscellaneous Repairs Heating Strips, each Solar Water Heater Vent Hood, Cost Bidet A/C Wall/Win. Tons Filter Replace Dryer Vents, Number of Pool Piping Paint Booth Sprinkler Repair Ventilation, Cost Cap - Fixture Air Handler, Tons Fountain Ductwork, Cost of Pump and Abandon Piping, Flammable Liquid Sprinkler System Periodic Inspections Cap - Water Barbecue Gas - Appliance Fire Sprinkler System Pump, Domestic Process/Pressure Piping Supply, AC Well Cap - Sewer Bath Fan - Vented, # Gas - Natural Fireplaces, Number of Pump, Fire Stand Pressure Vessel Temporary Toilet Catch Basin PLUMBING TYPE A/C Condensate QTY. TYPE, Drains, Roof QTY. TYPE, Miscellaneous Fixture QTY. 'I'YI'E 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 • • • • • • • • ••• • • • • • • • • • • • • • • • • • • ••••••• •••• ••• • ••• • ••• PERMIT APPLICATION • • • INSTRUCTIONS: Please indicate the type of work pe f1ocmed d iuAtity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DAT 'Yeti( 9 Zoning ,a- Electrical d Mechanical Plumbing Fire Public Works Structural .• , Building Official � �7: Page 4 OFFICE USE ONLY CHECKLIST O OWNER - BUILDER FORM (Attach) O 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 • • • • • ••. • •. • • • • • • • • .• • • • • • • • • • • • • • • ... • • ..• • • • • • • • • • i PRbOF OF bW'IERSI P (Attach) • . ... • • • . • . • • • .• • • • • • • • • • .FIRS remt vPRVAL' ' .(Sept ic /.a wer4 . i '.. ❑ IMPACT FEE (New Construction) •.• ❑ OTHER (Specify & Attach) $ $ $S -o0 ( x .60 x/1000 ) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ j p 0 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/12/2003 Applicant: CAROLINA Owner: KATTOURA JOB ADDRESS: 798 'Contractor Local Phone: Parcel # 1132060142290 NE 98 Building Permit Permit Number: BP2003 -404 KATTO U RA CAROLINA ST Contractor's Address: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 1 & 2 Page 1 of 1 BLK 70 LOT SIZE SITE VALUE Fees: FEE2003 -1519 FEE2003 -1520 FEE2003 -1521 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: 9/8/2003 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 t ordinances pertaining thereto and with the understanding that the work will be perfor and approved by the proper municipal authorities. This Permit may be revoked at a authorization. A further condition upon which this permit is granted is the understan ordinances and regulations pertaining to the work covered hereby whether shown or by his agents, servants or employees. Signed' Signed: `= (INSPECTOR) (Contractor or f Construction Value: $1,500.00 In consideration of the issuance to me of this permit, I agree to perform the work ( with the plans, drawings, statements or specifications submitted to the proper autho myself, my agent, servants or employes. (iamb S u 0094 63- 1527/670 1Y1t; gko )-e ` ' J3 ) 3 Date03 /13/ I LLt\ayvt_Z Cj )-e- 9 i I Lck_v__. (✓� ,� o qO Dollars 8 Yto th order of INT CONTINENTAL DA K 5722 SW 8th Street West Miami. Florida 33144 For g Po e 7D 1:0670 ?4t: 0LL L5a»• 0094 1VIIAMI SHORES VILLAGE Paint Color Apprdval:and A DATE:( 03... ••• _ OWNER'S NAM /� `, �F, i*U . � • :ENE: T S L( ADDRESS: - )1Y �- �g S I Qv S ' re- PL 3 j 3 ADDRESS OF SITE: •• • • • .. ••• .. • • • • • • • • • • • ••• • • CONTRACTOR & LICENSE (if app1 cable' COMPANY NAME: PHONE: • .. • 1• ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls ( vu' u Xo d EC -LO -1 C G ,� t Fascia 9 th (,��r S cty o Drip Cap/Drip EdgeScdi j, _ ft CAI �iY1G�S Soffit Roof Flower 13ins t r aOE -� Shutters Awnings Chimney Doors and door jams Garage Doors SoL5th s GEC - yo - a Railings Fences ecoral;iYe�Atetal brick simulated or regular Stucco Banding Any other stucco features Accessory Buildings Other co< a d Peek wACQ ( &t I OWNER'S AFFIDAVIT: I certihat al efoe oomn inf rmation is accurate and that all work will be done in compliance with aTf appficane laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the wor .. 7.• . Furthermore , the paint colors will be as per the attached ple APPROVED: Building Official 4494)3 Date 1pn-ii(A 6 u � d�, I ede rj 'n 0_3 ignature o Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 • • • • • • •• •• • • • • • •••• •