The URL can be used to link to this page

1145 NE 100 St (11)PROPERTY OWNER New Construction • Name/ t \M /c• ,v Enclosure Addr s__ �y s_ 47 rOo S-y Home Telephone !/ , c ----- 7 - 7 ,c---/ - Dr / � ( Business Telephone Demolish /% Fax Shell Only Foundation Only 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 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 submit- ted along with this permit application. Step 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. A ?'PLICATION Address Apt. Folio Number Lot Block Subdivision PB PG PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other jicr Zoning PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. PERMIT APPLICATION I Subsidiary Permit No City State Zip Description of Work Linear Feet Current Use of Property Squaar •Feet Units Floors Proposed Use of Property L3krl'ite of Work 276 O Z C% Bldg Value Tenant Information Tax 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 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, 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. Print Name FLORIDA, C �N� MIAMI -DADE PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE ignature of Owner Signature of Contractor / Qualifier Print Name Sw, . nd subscribed before me Sworn to and subscribed before me this day of ture of N ry Public - .•te of lori Signature of Notary Public - State of Florida SEAL: Ala M Beds SEAL: SEAL: +Y my Commisslon p016004 •• • 1 Expires Novem 15, 2008 Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: f2_ bL ,� SoO S ?7 1 /1 D 3 pe of Identification Produced: SECTION BY D T l/ /E G/0-2. Zoning ��' Electrical Mechanical Plumbing Fire Public Works Structural ,%∎ , - % /111117A' Building Official 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 Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) Metropolitan Dade County (C.C.F.) $ ( 0 ❑ OTHER (Specify & Attach) PERMIT FEES $ S. o a ( sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ l7 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 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. ELECTRICAL TYPE QTY. TYPE. QTY. 'rvI'E QTY. '111 QTY. Minimum Fee A/C Central 1 -3 Ton A/C Central 4 -7 Ton A/C Central 8 -15 Ton A/C Central 16 -20 Ton A/C Central 20+ Ton A/C Window Air Conditioners Chiller Clear Violations Compactor Deep Freezer Demolition Dishwasher Dryer Fan Fire Pump Fixture - Fluorescent Fixture Light Flood Lights FPL - Load Central Garbage Disposal Generators, etc. Heat Recovery Low -volt, Burglar Low -volt, Fire Low -volt, Intercom/Teleph. Low -volt, Television Outlet, Appliance Outlet, Wall Outlet, Switch Oven Parking Lot Lights Plugmold/Strip Posts Range/Range Top Receptacles Refrigerator, Comm. (p/PH) Refrigerator, Domestic Renew - Temp Service Repair Circuits Service, Number of Amps Service Repair Service, Temporary Signs Space Heater (kw) Spas/Hot Tubs Subfeeds, No. of Amps Swim Pool, Commercial Swim Pool, Residential Switchboards Temp Serv., Construction Temp for Test - 30 days MECHANICAL TYPE Minimum Fee A/C Central, Tons A/C Wall/Win. Tons Air Handler, Tons Barbecue Bath Fan - Vented, # QTY. TYPE Condensate Drain Cooling Tower Dryer Vents, Number of Ductwork, Cost of Fire Sprinkler System Fireplaces, Number of QTY. TYPE Generator Heating Strips, each Paint Booth Piping, Flammable Liquid Process/Pressure Piping Pressure Vessel QTY. l'YI'1 Refrigeration, Tons Vent Hood, Cost Ventilation, Cost Periodic Inspections Q Y. RECEIVED AND REVIEWED BY: DATE: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/8/2002 Applicant: LINDA KAANY Owner: KAANY LINDA JOB ADDRESS: 1145 NE 100 ST Contractor Local Phone: Parcel # 1132050190330 Permit Status: Approved Permit Expiration: 5/7/2003 Work: EXTERIOR HOUSE PAINTING Signed: (INSPECTOR) Sign � '^"(Contractor or Builder) Building Permit Permit Number: BP2002 -1919 Contractor's Address: Fees: Description Amount FEE2002 -6337 Building Permit Application Fee $60.00 FEE2002 -6338 Notary Fee $5.00 FEE2002 -6339 CCF $0.60 Total Fees: $65.60 Construction Value: BY: $300.00 Page 1 of 1 Total Fees: $65.60 Total Receipts: $0.00 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. BY: Legal Description: MIAMI SHORES SEC 8 REV PB 43-67 LOT 10 BLK 177 LOT SIZE 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, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, st- tements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, serva r employes. REG C01 110802 1639 MC401 002658 CASH $65.60 VbATE: (/ '- OWNER'S N "ADDRESS: /1 y 1VV11A11/11 31t1kJ_KE 'V 1LLAU Paint Color Approval and Agreement *** * * *** * * * ** * ** * * * * *> *”******** * *** * * ** * * * * * *** * * ** * * * * * * * * *** /DRESS OF SITE: CONTRACTOR & LICENSE (if applicable) 1\i/ COMPANY NAME: ********************************* * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. alls sA oo` C® isz ` yy?? F. cia yl� . o Dr p Cap/Drip Edge r/ y� S•ffit dam o , S a 4c oof lower Bins /A /' Shutters Awnings Chimney Doors and door jams /„.) 4 �-e Garage Doors h. ,p Railings /6■ c Fences 1-- Decorative Metal All brick (simulated or regular) G J P Stucco Banding Any other stucco features Accessory'Buildings Other APPROVED: //470 Building fficial ate PHONE: 048 Moonscape 61 YY 89/135 Sol lunaire Amarillo lunar OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate a d 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 yrork stated. Furthermore , the paint colors will be as per the attached sa .. gnature of wner Da e Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 Date Legal Descriptio PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Address 1 l / Gl/Z / aG Tax Folio r l ✓a- -L 1'7-e) ivl / Tenant ZIKVIA 6) k Owner's Address Contracting Co. Address Qualifier —' SS# Phone State # Municipal # Competency # Ins. Co. Address Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one)�UILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION C 4 ( � 1 A ll S� iiLr 0 ti 9 th Square Ft. Estimated Cost (value) � 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 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 constructiop,and zoning. Furth ore, authorize the above -named contractor to do the work stated. FEES: PERMIT -�W 7/1 Historically Designated: Yes No 17 Master Permit # r'I' 2) S� (� Phone ' S 2 5 g P ( 7 v RADON C.C.F. NOTARY BOND L-Signature of owner any ondo • � ,- ma te 1 Signature of Contractor or Owner - Builder Awe t ■ /4100 Notary as to • er : •,:,� «"!` • RYSEAL to Notary as to Contractor or Owner - Builder Date My Commission Exp s: GLADYS j VILLAR My Commission Expires: NOTARY PUBLIC Sf ATE OF FLORIDA COMMISSION NO. CC714103 MY'COMMISSION EXP. MAR. 1 Date APPROVED: TOTAL DUE Zoning Building y` 4 Electrical Mechanical Plumbing Structural Engineer