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PAINT PERMITPROPERTY OWNER Name /1,9 ,se 14 14- 4/A S S Address /2-'' — / is4. ET. �,/ /lA/An -0/ S ( -6 c' FL 33138/ Home Telephone (36,s_) 7S6 — /54 74 Business Telephone Fax 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 Step I. Job Address: Lot Block Subdivision PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PQ INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: 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 12sc, I•re lo (s+ Sr M I A I4I S kOR- s Address Q� / Apt. City Folio Number//3c D" a_l� 6 " ' Description of Work PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property )C Value of Work 0'2, 700 Bldg Value Tenant Information Tax Assessed/Appraised Value PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. 5 • 20 0 c2 ' 3Vo FL— State PERMIT APPLICATION 33 13 Zip '1i OUT b LOf_-/ d' 1 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 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 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. STATE OF FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE c1�c� e. Signature Print Name n� SwL and subscribed before me this day of , SEAL: O � P (tV PU ®` A ` oTsrc xE I I • �: `�ztl': Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of gnature of yr. ry Public - Si : e o .rida Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION N Personally known d duce jOintifiC ®dt1� 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 Q'I'Y. 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 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 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) $ f ( sq.ft. = x/1000 x0.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) Code Enforcement Fine $ Zoning Review 0 REVIEWED AND PREPARED BY: SECTION Zonin: Electrical Mechanical Plumbing Fire Public Works Structural Building Official PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ r 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 Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 =2204 Printed:2 /20/2002 Applicant: MAIRA Owner: Contractor Address: Local Phone: Cellular: Building Permit Permit Number: BP2002 -340 Mc GUINNESS Parcel # 1132050080020 Legal Description: GORDON SHORES Job Address: 1250 ; NE 101 ST Fees: Description Amount FEE2002 -985 Building Permit Application Fe$60.00 FEE2002 -986 CCF $0.60 FEE2002 -987:. _ Notary Fee $5.00 Total Fees: $65.60 Permit Status: Approved Permit Expiration: 8/19/2002 Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUIDER PERMIT) This Permit is granted to the contractor or builder named above to cons' 'ordinances pertaining thereto and with the understanding that the work will and approved by the proper municipal authorities. This Permit may be rev( authorization. A further condition upon which this permit is granted is the u ordinances and regulations pertaining to the work covered hereby whether by his agents, servants or employees. Signed: (INSPECTOR) $2,700.00 Signed: (Contracto ML'MO 8 6 q L,tt� L 5 2 4 n vR47�: IP 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. RA- fee is $50.00, which must be paid in advance before calling for another inspection. NEIL McGUINNESS 63 _7784/267 0 OR N 4078694 MARIA 6 o n /Dl rf S? SSN 262 891}515 LIC. M252 626 63 DATE MIAMI, FL 33138 In consideration of the issuance to me of this permit, I agree to perform the with the plans, drawings, statements or specifications submitted to the proper _ •OPICA- myself, my agent, servants or employes. 4 . ' FEDERA►. CREDIT e "77�:e - �� �' UNION """" ' J PB 45 -8 LOT 2 BLK 1 LOT SIZE 100.000 X 106 vY 15 $ l�aS•� DOLLARS []' DATE: ..;)I 19 /o2. • _. • OWNER'S NAME: MA1IA McGU,N ': • P C#I E•'� " I4 ADDRESS: 1.35 0 N'e l p 15fi • • • • •. ... •. • ... ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 1 R S 0 rn ,, / (7;t _ • •• ••• • • • • • • CONTRACTOR & LICENSE (if applicable) .A • . • • •: • COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls (/Atir acs 4 yC` /a0 Fascia Drip Cap/Drip Edge Soffit a� Roof Flower Bins 1,) e Shutters Awnings Chimney MIAMI SHORES VILLAGE Paint Color Approval Md-Air4briiiiit • • ▪ • • ••• • • ••• • • • LJ e 1A Doors and door jams I,04-4:4e Garage Doors Railings /J / i'5 Fences r) Decorative Metal APPROVED: /444 e All brick (simulated o. egular) i)1 Stucco Banding Any other stucco features Accessory Buildings Other 4'l -4fl'i PH -120 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached samples. - 1 / //o Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 2 1 / Building OfficiJ " - Date 4/23/01 Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Qy Job Address l oZ5V /VE / D/ 5 Tax Folio Legal Description / Master Permit #' Owner / Lessee / Tenant 4' � -�� Owner's Address Phone 75 77o o Contracting Co. ® O Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION r crst0 *- v ■ OJ S e - OJ c © Square Ft. Estimated Cost(value) `) 3 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. Furthermore, I authorize the ab med contractor to do the work stated. Signature of owner and /or Condo President yra"7l9 ` Date: Notary as to Owner and /.r ondo President My Commission Expires: / 6 ** * * * * * * FEES: PERMIT 3 /✓ D RADON APPROVED: {2Y PU OFFICIAL N R O . � ri BARBARA ANN FUGAZZI * � ' * COMMISSION NUMBER a CS36019M 1 > ke' MY COMMISSION EXP. - f - MAR. 29,1998 • Fire Zoning Buildin Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder ion Expires: J l TOTAL DUE Other Electrical Mechanical Plumbing Engineering ERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address /c9-5'a N )0('-‘3 — ate Tax Folio Legal Description Master Permit # Owner / Lessee / Tenant Owner's Address 1\, 2 Ot'-) - -E3 / PEf\C Ci— Phone 75(-770 Contracting Co. ©LA' 10 C ('Z. Address / AJC /D /St SYf.- 5 Qualifier SS# - - Phone State# — T7i-- Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION GG ��4n. -�F- / pODR- ((u-) ant` ) \ Square Ft. �A`/ ,5 Zoning Building Competency# Ins. Co. Estimated Cost ,50 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. Furthermore, I uthorize the above -named contractor to do the work stated. \ 1K) 'SK `- Signatur f Owner and /or Condo - ident Signature of Contractor or Owner - Builder Da 64/ / Date: Notary as to Owner and /or Condo President Notary as to Contractor or Owner - Builder My Commission Expires: NOTARY PUBLIC STATE OF FLOR101 My Commission Expires: * * * * MY COM*ISSION E%t`RES 5/094 * * * * * * PERMIT FEE: APPROVED: eaded thru Stembler Rdamsi ,yet Other Electrical Mechanical Plumbing Engineering 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. Owner's Name and Address M r. ~ M _ ` rs . M t #o n L • ∎ 255cD Street N E. 10 ` �- Registered Architect and /or Engineer Name and address of licensed contractor © Location and legal description of lot to be built on: / Lot 4 Block 1 Subdivision ,�j, e - �4Q // , 9,24c 4.e , e2 o Street and Number where work is to be done L State work to be done and purpose of building (by floors). state exterior colors (submit samplesl.a I Y 9 T ,a � e_r l�ir — PlcO n4-a -4-inn p r k LA t i n . . a r- Dc a �US� ---t.--.. I mA and for no other purpose. New Building Remodeling Addition Repairs No of Stories To be constructed of Kind of foundation lto Covering h ours Total cost of improvements $ 500 hous Amount of Permit $ foundation , Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne b3 I hereby submit all plans and said b The undersigned applicant for this (es here Compensation Act. being Section 5f era) La compliance from all contractors or rployed on the site of the work such public' 261 PLANTATION PINK is are re under this permit, as are licensed 1 _ 6190) V 258 CSOS 1901 Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. ss. 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. 1/23 Date Permit No. Disapproved (Signed) Building Inspector Date Date 3" ) 1 — 19 C i with reference to the building and its construction may be sent to erstands and accepts his obligatons as an employer of Labor under the Florida Workmen's nent Supplement. and has c plied with the provisions thereof. and will require similar to be performed under rs permit; and will post or cause to be posted for inspection The undersigned ag . s to employ only such subcontractors, on work to be performed Read. Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved ate 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.