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821 NE 99 St (13)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time -'r Type Insp'n Permit N Name Address 4— Company C Phone # ` 5 G� G G L 9 /Y For Inspector: D Date 0 Approv 11 Correction ❑ 4!/ Re- Insp'n Fee ❑ P6 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Date Type Insp'n 0 0 L Permit No. (J w c Cl/1_ Name ? Address Company Phone # For Inspector Name Approved �I Correction ❑ l�y ���G ,...— Re- Insp'n Fee ❑ Date Type Insp'n Permit No. Name Address .f. Company Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time 7 /055 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp Permit No. Name (� Address O' 1 N Lel Comp Approved\ Correction Phone # For Inspector: Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date Time Type Insp n 7M PZ0 Permit No. ki3P Name T Address C Nr---q9 t Company e,c) Phone # Name & t For Inspector: * i Correction 0 , \ \ Re-Insp' n Fee ----....._ Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date /� Time Approved Correction Re- Insp'n Fee / 7 - .1 / 4-;4- / For Inspector: _ 9 _ 1 Name &(Date Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date P ./a -eu Time C aem / ✓ /�/ 5 5 'Y 76 y 0060 d� For Inspector: g_ /3 C22, Name & Approved Fi#12-t--- Correction ❑ Re- Insp'n Fee ❑ Date :' me Type Insp'n Permit No. Correctio Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Company Phone # For Inspector w, 2 /D, blame & Date Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n Ri/a41A.fe .�` I' !` =, a '' �� f� •1 0c). /ra2' Z Address. $d t v9 'E Company es,i °T ! �� ®1,- Phone # , t G - t , . 0000 For Inspector: ®, Name & e Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date F-4 B p2 Time Type Insp'n ��ir' v im Permit No. o W 2 • Name 0/Jeff �y �v ^ Address a� / ?f8 J Company Phone # For Inspector: g./3 -O Z Approved Correction Re- Insp'n Fee ❑ 0 ® //& 7r, , 0O0 0 6'a. D & ate CONTRACTOR Name S5 (.s 1"oc1S .. rt rte+ n _ License No. Address 50 s , NO M11''h1( 1 Telephone 2nr/� t o) 1) Fax 3)( O, (/1_! c 3.g(p "I ' ! C _ l Qualifier )fier Name g_ p) lc PROPERTY OWNER Name �� Address Q /� 1 \ co c� ,� Q a i )0 e t col % . 1.14 S bre9 I Home Telephone' ; 5 0 1 5 t ` L k . 9 Business Telephone 30 5 b 3 9 O te Fax ENGINEER New Construction Name �/ 1 License No. Repair Address 13 gfsw 1 c Telephone ; V) I O/ /� rb Relocation of Structure Fax Shell Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'! 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. 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: Folio Number Lot 16 'r `i T" Current Use of Property Proposed Use of Property Tenant Information Subdivision 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 submitted along with this permit application. i5a-1 q q. sr Address PERMIT TYPE (✓ ) / Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. Block ' 1 PB I L( PG % PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. int S1rte City Description of Work PERMIT APPLICATION State p oo jeeel,c- X313 Zip Zoning Linear Feet Square Feet Units Floors (a Value of Work i % , Des f) Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. 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 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 N•' your attorney or lender before recording your Notice of Commencement. The 22 N.W. 1st Street, lst Floor, (305) 679 -1078. Once recorded, the Notice of Com ac ordance with Section 713 -35 of Florida Statutes. Review the broch Ch•osing a Contractor. S IAT OF FLO' I►A SUN ' /i MIAMI -D DE Personally known AN e of Florida y comm. exp. May 24, 2003 Comm. No. CC819725 OR, Produced Identification Type of Identification Produced: of Commencement must be recorded at: e POSTED AT THE JOB SITE in all on Construction Lien Law and Print N ,, "e Swo to and subscribed before me day of aY ph, o � Publi State ii6 $ Gs3M141115115N NUMBER wfl e MY I$8K 1 EXPIRES OF f,'" ,4§1' OQAfM MAY 26,2003 Signature of � SEAL: Personally known OUNTY OF MIAMI -DADE er PERMIT APPLICATION • - 6.6s7 OR. Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. 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 Minimum Fee QTY. TYPE; Condensate Drain QTY. TYPE Generator . ;a QTY. TYPE 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 QTY. '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 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 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 B DATE Zonin: egrA1 -1 VW 2M_ 40M Electrical Mechanical IMINIIIN — MM. Plumbin _ W 11 ramw 7 6 Fire g fy r Public Works Structural 77/3 7/2.2/4,7/ Building Official thieS d} :'lae u -4, Page 4 OFFICE USE ONLY C EL ECKLIST CI OWNER - BUILDER FORM (Attach) CI FIRE DEPARTMENT APPROVAL (Commercial / multi- family) • CONCURRENCY (New Construction) U OTHER (Specify & Attach) t;E'ERMIT 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 CI PROOF OF OWNERSHIP (Attach) CI HRS / DERM APPROVAL (Septic / Sewer) U IMPACT FEE (New Construction) U OTHER (Specify & Attach) (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION CONDO ASSOCIATION APPROVAL (Attach) CI BPR APPROVAL (Restaurants) CI CONTRACTOR REGISTRATION (On File) [`SSUING °OFFICIAL DATE: CONDITIONDF; APPROVA' Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL 0 (305) 795 -2207 FAX (305) 756 -8972 0 http:/ /www.miamishoresvillage.com Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Applicant: FRANCIS Owner: ENBERG JOB ADDRESS: 821 NE 99 PAY TO THE ORDER OF FOR Printed: 7/26/2002 Contractor ESSIG POOLS Local Phone: Parcel # 1132060340110 Permit Status: Approved Permit Expiration: Work: NEW POOL & DECK "AS NOTED " If tharP is nes nn.•.+:4 - - - rti .... comer im irrma=k e grw e _ nn " 0600 ESSIG POOLS, INC. 1800 NE 151ST STREET NORTH MIAMI, FL 33162 a---ey- 2-7/ s/r -rie,tyl Mellon United National Bank Miami, Fiala° j Legal Description: 11'08 688 311' i:0 6 700 9 6 4 61: 00 2 L L 3 30 20 �� .m�....,.,...� ��- nni..:..Jrl:. - .- .t�:...w�.. /1 �� =:P.u. / ^^nom:- s��.iyIIL Building Permit Permit Number: BP2002 -1292 Page 1 of 1 ivi.81146 SHORES VILLAGE NOTIC Owner is Responsible for Maintenance of All Village Sidewalks as per Village of Miami Shixes Cede o Ordinances, Including Driveways, Caused By Current Construction Activities. MIAMI SHORES SEC 8 PB 14 - 33 LOT 15 & W1/2 OF LOT 16 . BLK 169 ENBERG FRANCIS ST Contractor's Address: Fees: FEE2002 -4079 FEE2002 -4080 FEE2002 -4081 FEE2002 -4082 Description Building Fee Buildier's Bond CCF Radon Total Fees: Amount $295.00 $300.00 $11.40 $6.80 $613.20 Total Fees: $613.20 Total Receipts: $0.00 1/21/2003 Construction Value: $19,000.00 DATE 86883 63 -9642 670 sW,3 0 DOLLARS 8 D o taa Back Re- inspection lication herefor in strict compliance with all ;ifications that may have been submitted to as or if the plans are changed without ;ponsibility for a thorough knowledge of the that he assumes responsibility for work done ins pertaining thereto and in strict conformity responisibility for all work done by either Date 17( 0 Z. Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as , located at 502 I £ 6 14 Sr Legal 0 'O 1 6 - Mt qk-art"'S p . In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Note: This certification is to be submitted with a swimmm: pool permit application in duplicate. B D EPA R TM EN T 10030 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33136 -2362 TELEPHONE (305) 795-2204 FAX (305) 756-8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at ?t9k 0 4', old S) Miami Shores,. Fl., and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statutes. (please initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with release mechanisms placed no lower than 54" above the floor or deck; I understand that not havin: one of the above installed at the time of final inspection, or when pool is corn ract purposes, will constitute a violation of Chapter 515, F.S. and will be s committing a misdemeanor of the second degree, punishable by fines up t � p to 60 days in jail as established in C j er 775, F.S. OWNER'S Ai el � fi ri 411FillEASE PRINT) � , TH SHERMAN o ary Public, Sta Ig uc omm. exp. May 24, 2003 r "e'm• No. CC819725 maassinuanci 5582 N.W. Tthh STREET. SUITE 202 MIAMI, FLORIDA 33126 TELEPHONE; (305) 220.3171 FAX: (305) 554.7822 A //a c ,/P. Pz �' Nv 4 No i.4, r // BOUNDARY SURVEY scale t"' _ « 4• v a 75, no x ,OT-/5 42-4076 r fez /4- X9.40', c) 6,24 UringlIt'S r LAND SURVEYORq •7S 0,0 • G ' y • D RivEu'AY 7,00 i PN G.I'iixT /9.40 ' CONC. pog_4N / 35' /6. 70 L 07 - /l' Net /4 SURVEY NO. SHEET NO. /I .z' b54, 5 G 64- 77- 167/ OF c U /:'L OC•,t /G CONTRACTOR Name % _ 111 e Name f._551,1 (7a O' 5 1 Name en ba}roI License No. ^.+ 1. , Address ( gtfb A) s, [S i 5 m„ A , IG I AOJ 2) ( Of e63 Telephone - 3n / '? Fax L ll _ t ( 0 wv000 3S g (� S33 e `i t y Qualifier Name �� Business Telephone ' ' 1p1 O PROPERTY OWNER Name % _ 111 e License License No. Name en ba}roI Address ^.+ 1. , Address $Zl f) -q ST rn k A 51'1D r-P AOJ 2) ( Of e63 Home Telephone ,30 C — ' s 1 / / _ ( Business Telephone ' ' 1p1 O " 1 tote -, Fax Shell Only ENGINEER Name % _ 111 e License License No. Enclosure Address ^.+ 1. , Telephone AOJ 2) ( Of e63 Fax Alteration Interior TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'! Attachment Other Add'! Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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 submitted 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: 90 /V f - 1 9T Address Apt. City State Zip Folio Number Description of Work L. ?Ala4 f, ?(Q/ Lot 15 t 1 (p Block Ile, e, 9 C7► Subdivision D PB IL PG 5 3 Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 2 b . DO Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No PERMIT APPLICATION Mlfrm t SiliDfeS Pt 33/ Page 2 IMPORTANT NOTICES I. 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. 'A ! 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 our attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 2 N.W. 1st Street, Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in a cordance with Section 713 -35 of Florida Statutes. Review the brochure . ', age Hall on Construction Lien Law and C oosing a Contractor. '+ 0 A, COUNTY MIA LADE Print Name Swom to and subscribe day of /ILO - Sta KENNEIRSHERMAN Notary Public, State of Florida My comm. exp. May 24, 2003 ` / ��`z:.-+ t..3 .. CC 1 9725 Personally known �/ OR, Produced Identification to of ortda 1 r} COMMISSION NUMBER CC840462 Q'` MY COMMISSION EXPIRES �OF ,,Q":•• MAY 26 2003 Pri Name Sworn to and subscribed before me Signature of Not SEAL: ( PERMIT APPLICATION OUNTY OF MIAMI -DADE Personally known )C OR, Produced Identification Type of Identification Produced: Type of Identification Produced: AY O THE RDER OF OR Permit Status: Approved Permit Expiration: r" Work: POOL & HEAT PIPING 4 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/24/2002 Applicant: FRANCIS Owner: ENBERG JOB ADDRESS: 821 NE 99 Contractor ESSIG POOLS Local Phone: Parcel # 1132060340110 Fees: FEE2002 - 4058 Description Building Fee Total Fees: Amount $90.00 $90.00 Total Fees: $90.00 Total Receipts: $0.00 ESSIG POOLS, INC. PETTY CASH ACCOUNT 1800 NE 151ST ST. NORTH MIAMI BEACH, FL 33162 Mellon United National Bank Miami, Florida 1/20/2003 QM 1 A/ (5 11'00689 L11' 4 :067009646: 00 2 L L 27840 I) Plumbing Permit Permit Number: PL2002 -185 ENBERG FRANCIS ST Contractor's Address: Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 15 & W1/2 OF LOT 16 BLK 169 Construction Value: DATE $1,000.00 NOT VALID FOR MORE THAN $300.00 Page 1 of 1 Re- inspection lication herefor in strict compliance with all :ifications that may have been submitted to or if the plans are changed without ;ponsibility for a thorough knowledge of the I that he assumes responsibility for work done ins pertaining thereto and in strict conformity responisibility for all work done by either ELECTRICAL _TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. 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. ' TYPE Generator QTY. 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 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 _ )II . A Pagc'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 DATE Zoning / Electrical Mechanical i #1 Plumbin_ Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY gEIECKLIST{ ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) U OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) • HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) U OTHER (Specify & Attach) PERMIT APPLICATION U CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) I RIVIIT+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 $ $ 9 ( sq.ft. = x/1000 x 0.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) ISSUING,OF REVIEWED AND PREPARED BY: TOTAL D .- DATE: COND[TION'OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL a (305) 795 -2207 FAX (305) 756 -8972 ® http : / /www.miamishoresvillage.com CONTRACTOR � �,, / �) Name jA /06 I/f9te r C_zecr - '( � - ( o License No. Address . 3 '3W 8 s bei-r I / -L .53126 1305) Teleph 69.//3l ax 3a _ /5 - W 07 %-/5 Qualifier Name f / PROPERTY OWNER Name - -0 .)/ . 5 , -,. Address g / ' •e 41,-2 � - M /"9 6tede-cJ ' IIomeTelephone 30 , S —VS /4 Business Telephone 3 v_! .39r ge Fax ENGINEER Name C �w���Vllll License No. Address ,73q3S 7 7 litiG Telephone 35,\ ' 2) t 0 r z q 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 I. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must he 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 submitted 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: Y AM Address Apt. Folio Number /' 4 / De of Work ° /� Lot Block ! $ Mf J .Mot' Subdivision PB PG Zoning Linear Feet Current Use of Property .$ /L.. Square Feet Units Floors Proposed Use of Property Value of Work / J t t7 Bldg Value Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name /Wm Address License No. Telephone Fax City Tax Assessed/Appraised Value Qia VI,j State PERMIT APPLICATION Master Permit No. Subsidiary Permit No 2t ' 6)0002 Zip „0 Flood Zone Base Floor Elev. 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 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 OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Name Print Name Sworn to and subscribed before me this day of a. and subscribed Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Type of Identification Produced: STATE . !7 Sign ure of Contractor / Qualifier e me this / day of w weir OFFICIAL NOT TORRES , N � COMMISSION NUMBER OF F MAY 26,2003 CC64G452 e o CL MY COMMISSION EXPIRES Signature of Notary Public - S SEAL: Personally known PERMIT APPLICATION C e UNTY OF MIAMI -DADE OR, Produced Identification Type of Identification Produced: PAY TO THE ORDER OF . �LnW..SL.J11L = mA^..1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/25/2002 Applicant: FRANCIS Owner: ENBERG JOB ADDRESS: 821 NE 99 Contractor ESSIG POOLS Local Phone: Parcel # 1132060340110 Permit Status: Approved Work: ELECTRICITY FOR A ' (5 'A 1 ,(" 1 Gu 1 i' -a a4 Aze4 ©/ Mellon United National Bank Miami, Florido FOR ESSIG POOLS, INC. PETTY CASH ACCOUNT 1800 NE 151ST ST. NORTH MIAMI BEACH, FL 33162 • 11 L11' I:067009646i: 00 2 1 L 2784011' Electrical Permit Permit Number: EL2002 -243 ENBERG FRANCIS ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 15 & W1/2 OF LOT 16 Fees: FEE2002 -4057 Description Building Fee Total Fees: Amount $90.00 $90.00 Total Fees: $90.00 Total Receipts: $0.00 Permit Expiration: 1/20/2003 NEW POOL Construction Value: DATE J $1,500.00 NOT VALID FOR MORE THAN $300.00 63 -9642 670 DOLLARS 8 a� ^_• L.— •■ nv*marr!. _'rt ^imi _ ∎wurawnny_ Re- inspection BLK 169 )lication herefor in strict compliance with all Icifications that may have been submitted to :es or if the plans are changed without sponsibility for a thorough knowledge of the d that he assumes responsibility for work done lions pertaining thereto and in strict conformity e responisibility for all work done by either ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. 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 C!) Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Dental Chair Generators, etc. Grease Trap Receptacles Pump, Sprinkler 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 hi 4 pv / ( / v Demolition Low -volt, Intercom/Teleph. Repair Circuits Septic Connection Dishwasher Water heater Low -volt, Television Draintield, 4 " Tile/Res. Service, Number of Amps Lavatory Septic Tank MECHANICAL TYPE ' `* Minimum Fee QTY. - TYPE QTY. Condensate Drain TYPE Generator QTY. TYPE 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 QTY. 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 Draintield, 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 DATE Zoning Electrical '��" .��r4ft� Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY kC,HECKLIST! ❑ 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.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review REVIEWED AND PREPARED BY: ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) O OTHER (Specify & Attach) $ (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01/sq.ft.) ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL PERMIT APPLICATION ISSUING OFFICIAL ATE: � laa4� — ®„ �CONDITION .;; Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 FAX (305) 756 -8972 http : / /www.miamishoresvillage.com