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90 NE 98 St (7)J MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2 Building Inspection Request Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re -Insp' n Fee PRESENT ADDRESS • LOT E• 94th Street PERMIT FEES 18 00 N CUBE 2 ADDRESS 6 DFCONSTR U CO NSTRUCTION DESCRIPTIO IFERRED TO C OUNCILI .I • To CORD —MIAMI REMARKS LICENSE NO SUBDIVISION MIAMI SHORES SPX • N I PHONE NO. 0778 NO. 2 CU. FT. I EST. COST S RES VILLAGE 4 BUILDER'S BOND REASONS UI 000 PHONE NO. LICENSE NO. DATE 2 /� /r DATE I INTERIOR CONSTRUC 2 1 I ON i Oak Floors_P1as.Wa11 N 8 & Ceil 19SPECTfONS PHONE 7 BY RE- INSPECT BY RE- INSPECT BY FOUNDATION /n► DATE oC `i?_45- DATE FEE TEMPORARY SERVICE H. W. HEATER CONN. BEAMS & LINTELS " KG eCti �/ / / .2/ ,/ 5/ S SOLAR HEATER FRAMING a -J(J / $ GAS S . / 6 6 $ ad 1 / PECTIONS DATE FINAL 4-R'3 T�' i BY RE- INSPECT BY ROUGHING CLEAN -UP ",45-4 CONTRACTOR C 64„0? _,/ *.y LAG/ ,. PHONE 7 PERMIT NO./07 kr/ DATE FEE $�� REPAIRS NEW BLDG. ALTERATION ADDITION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE H. W. HEATER CONN. S SEPTIC TANK ,y�t.a.,..;t' SEWER / _ / c z �/ / / .2/ ,/ 5/ S SOLAR HEATER $ GAS S . 6 6 $ ad 1 / PECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS Z -4, ',�i Ph SEWER SEPTIC TANK `' /L. 7- SOLAR HEATER. G� FIXTURES ) 2 4 -2 3 -Si PERMIT NOW 19 5 DATE 3 y - $ f FEE $ / -�� `f NEW BLDG. I ALTERATION I ADDITION REPAIRS / SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. S RANGE CONN. S MOTORS S FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE RQUGHING Z -4, ',�i Ph H. W. HEATER CONN. RACONN. FIXTURES & FINAL a3•/ //,./I* GUILD VNSPE TIONS 1 , 6 PLUMBING PERMITS & INSPECTIONS ELECTRICAL. PERMITS & INSPECTIONS CONTRACTOR '7� /-, iz . - -gin_ /' XfL.e� C_rs _ PHONE APPROVAL TO POWER CO. FOR SERVICE DATE CER 1 IFICATE OF RE OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the application has been inspected for the purposes of re- occupancy pursuant to Sections 901 and 902 of the Mani Shores Land Development and Zoning Code and that such property may be re- occupied by the applicant for single - family residential purposes. THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF flhJ MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE-FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS • CERTIFICATE DOES NOT. CONSTITUTE AMY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR O'i "HER STRUCTURES ON rriE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF. APPLICATION FOR CERTIFICATE OF RE-OCCUPANCY (,,,- AtewOc gEtcr, hereby apply for a certificate to re- occupy the single family residence Imown as: (address) 9 N E 9$ S7i2EET. , Miami Shores, Florida. Legal description: Lot: 1 A.P Z ,Block 7 7 PB&yPG: 5 EC 1 AiVW PQ 1n -?O I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Nfiami Shores Village, Florida, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such prop Applicant: Print Name: (AMR.1.4tC gErcrl **_***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For the purposes of conducting the inspection required by Section 902 of the Miami Shores Development and Zoning Code, contact Contact Name: Inspection: B Comments: fn► AKWtck . RE ICri Application Fee (S50) Paid: Cash: Check Number: 1- 21 . Date: i f / z7/ 4 . Telephone: g 3 9 1 EkT 11 5 Buyer. Seller. Realtor. V Company Name: PEua&rM L FL 259 t ry 1 Proved: _ Denied: Date: 5 /i/q V E cka to- T—fe P -12829 2 -2 -51 PAID BY John M. Dils YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER i r ✓� 1� L , • /9S e2 X07 ' - $ G ° 4 /0 .31 -5" 1 oal f -S' / ADDRESS 90 N.E. 98th St. LEGALDot 1 and 2, Bk 7 M.S. RECORD GARBAGE TAX PROPERTY OWNER Name c a . ney Address o No ak- s-i- rnicu-n1 shores , PL JJI 0 Home Telephone (05.--) •,' ,, - ' / 03 Business Telephone C 757-707D Fax ( ( S� 1 �� -1 -392__ 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 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 Vol) Address: q() A/C 9f , c`7n✓es Address Apt. City Folio Number b 0 13 o?q ` Description of Work 5 J 1 'c ci ey 1!(/e /l ,cap p Lot Block 4Z,; 164-, / ,� s hoL et' 1 rt s rAraij e Subdivision PB PG Zoning Linear Feet Current Use of Property Feet Units Floors Proposed Use of Property � ue of Work ` 1,000 '" Bldg Value Tenant Information 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. �OPJLA, FL— State PERMIT APPLICATION 33 i3E Zip Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) 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 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 constrtiction 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, 1g 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 • Y OF FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE ,v el a Al. ,Qncs/ Print me worn to and subscribed before me this day of Q ('t , ature of SEAL: otary Pub - State of Florida u , ' r,RY P4, Z tl�rrr . Q Personally know ? ' " " + ( } p er ti_ C F f . ANGELA IW SF!;.. 7:; �CO is CC783 7 fftce1 N. I1 ifi, a NCI /. ion Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION Personally known OR, Produced Identification Type of Identification Produced: 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 Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch - Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16 -20 Ton Pressure Vessel 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 QTY. 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 and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance 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 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: Page 4 OFFICE USE ONLY CIIECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) LI CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) LI IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) • $ t 0 (sq.ft. = x/1000 x0.60) $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) —4 S. o c� REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ 64 o� ISSUING OFFICIAL 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