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302 NE 100 St (7)Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. 6 '4 . Name 1 J Address 202_ N . i Ct) S 4- Company Cs +IU,OC) Cx--- Approved Correction Re- Insp'n Fee 26 33 vei9t, MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil ing Inspection Request Date Type lnsp'n PA lf("° Permit No N LILIa Name H yI Vv✓ Address 302. lAf Compan eV t4 R,E 1 r-i Phone # Inspection Date C llozo Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/20/2003 Applicant: ANTHONY Owner: HYNES JOB ADDRESS: 302 NE 100 Contractor COMPLETE HOME PAINTING Local Phone: 305 - 895 -1368 Parcel # 1132060135470 Fees: FEE2003 -1665 FEE2003 -1666 FEE2003 -1667 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $1.80 $5.00 $66.80 Total Fees: $66.80 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 9/14/2003 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 callinn fnr anrs +tie. o •,ion. PAY TO THE ORDER OF a Q COMPLETE HOME PAINTING BY MICHAEL MICHAEL IWASKEWYCZ 1476 NE 130TH ST. PH. 305 - 895 -1368 /y NORTH MIAMI, FL 33161 f Z(, €4( / U "/c 1/4 " \ tt - -/ Washin n Mutual Washinggtton Mutual Bank, FA N orth Mlaml/125th S treet Rnanclal Center 1728 900 NE 125th Street 1- 800.788-7000 North Miami, F1.33181 • 24 tour Customer Sarno MEMO 7 , S r/ i:26'6B4L3L0: 83L4835LL311' Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 11 & 12 3714 3/10 $ DOLLARS 8 63 -8413 -2670 DATE Building Permit Permit Number: BP2003 -442 HYNES ANTHONY ST Contractor's Address: 1476 NE 130 STREET Construction Value: 8, BY: $60.60 Page 1 of 1 BY: BLK 40 LOT SIZE 100.000 e equipment or device described in the application herefor in strict compliance with all rith any plans, drawings, statements or specifications that may have been submitted to not done in compliance with such ordinances or if the plans are changed without or or builder named above assumes the responsibility for a thorough knowledge of the is or in the statements or specifications and that he assumes responsibility for work done ; ompliance with all ordinances and regulations pertaining thereto and in strict conformity Village. In accepting this permit I assume responisibility for all work done by either � �'I�012� MIAMI S VILLAGE Paint Color �3.pproy�l.and Agreement • • DATE: 3 / D . . OWNER'S 1 ire 41':�VY 141.c PHONE r3oTJ '7S7' s/ 7a ADDRESS: .:3 'fi,� y - � f . o . s ,� �C • 33 / 3� ************************:o***************************************** Roof /0/!1- w /Ai Shutters Flower Bins Awnings ADDRESS OF SITE: 302- A /0 . / CONTRACTOR & LICENSE (if applicable) COMPANY NAME: --° Chimney w/ it Doors and door jams Gv Garage Doors /v/} Railings Fences Ofriangid40, /749 Decorative Metal /f -/AY All brick (simulated or regular) ,i7 Stucco Banding #./ Any other stucco features A' ff Accessory Buildings iv /5' Other r0 0+ / / r /Y / ammo PHONEr3o -)dr / a * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls He - / ‘ Fascia W c. Drip Cap/Drip Edge w /1"7" Soffit GO hCe 2/B 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. 0 H HC -116 ..�� ; /6 Date Signature al� Dat Signature of Owner D S gn o Contract *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS.FINISHED, CALL FOR FINAL INSPECTION Building Off Date 4/23/01 ELECTRICAL "TYPE Minimum Fee QTV. TYPE: Dryer • • • Q1 Y. .., : YPE ,Qetlet, Appliance QTV. Tvii: 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, QTV. Minimum Fee TYPE Condensate Drain QTV. TYPE QTY. Generator TYI'1.: (_1I'1'. 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 QTV. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE, Soakage Pit Q'I•1'. 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 • • ••e • PERMIT APPLICATION • . ' • •• • • • ••, . . • • • • • • INSTRUCTIONS: Please indicate the type o rf4lSeingsv rforQied and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY D TE Zoning a4,(-,0/ ; / ' g( // c ? Electrical v Mechanical Plumbing Fire Public Works Structural Building Official �� Page 4 OFFICE USE ONLY ❑ 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 Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary 1 l-) o •. • • • • • • • :•• •• • • :• . • • • ❑ PROOF OF OWNERSHIP (Attach) „, :• . ❑ HRS / DERM i PPRO ,. (Septic / Sewerj ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ (¢.005 /sq.ft.) $ (0.01 /sq.ft.) • • • • • •!' : •••• • •• • • . - • • • s• • (Xq..ftt. = x/1000 ••• • PERMIT APPLICATION CHECKLIST ❑ CONDO ASSOCIATION APPROVAL •• . : : (Attach) ' •• I3PIt'APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ t(3,,20 ISSUING OFFICI:U. 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 Page 2 IMPORTANT NOTICES • • • 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED' M R V4tIDATEI!) PLAIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are batted 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 CLW, NBMI' 41o) UNIT/tiltCOO1bITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE ROM )11M• t B+U& 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENt Ott VEnIGtES, 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. 0 - /,... / ( Si n ature of er / � M6 ( l L . - g KU* Print Name 0 Sworn to and subscribed before me this /D day of fl eo , Zoo Signature of Notary 1%blic - State l of , Flonda SEAL: �o�pYPV4' I REPfres__ to, zoo Personally known OR, Prod i ation F MIAMI - DADE STATE OF FLORIJ C Y OF MIAMI - DADE Type of Identification Produced: • • . • • Signature of Contglctor / alifier Name to and subscribed before me this •/ day of 3. SEAL: An gela p� g Og p gt ;dam d/, my Cl+mrrls�l3tbr+ ll 3 WVO �i o i vetlibei 16. 2006 Personally known l/ OR, Produced Identification PERMIT APPLICATION Type of Identification Produced: CONTRACTOR / Name I <' /r1ej /I Name/ , „ 6 6 A, j License No. 6I y/3/ Business Telephone Address , , , 7 6 /4/ 0.— �? 6 / 1 o #14 i R , 3 3 /6/ Telepho -) w... 341 Fax Alteration Interior Qualifier Name „ _ 1 Demolish PROPERTY OWNER / Name I <' /r1ej /I Address ,3 /12— ti /1) �J / /Oo // Pe . 3313' Home Telephone C 3 i 7 - ,x77 0 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 1. • • • • • • • •. • . , . . ••• • •; . tor • • • Master Permit No • • • • • ' • • . MI • Subvidiary Permit No. • ••. • • • • . • • . INSTRUC'T'IONS - The following steps nnvst be taken to obtain a permit from the Nlianti Shores Village: • . . ••• Complete the attached permit application whi:h iuLbs signed ifvthe property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more ttcursteprd glsing of yaur appltoation. If roofing work will be done, a roofing application must be submit- ted 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. A PPLICATION Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 30 z tie /06 S 7' Address Apt. Current Use of Property Proposed Use of Property Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax , Om/ 1 / fi 33/31" City State Zip Folio Number Description of Work � ?P T i p � Lt 4 Lot Block w 7 /Sf �r/7Jj .e C NO 74-,-// O Subdivision PB PG Zoning Linear Feet Square Feet Value of Work Z £/,7 - D PERMIT APPLICATION Units Floors Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax / PERMIT APPLICATION — FOR MIAMI SHORES VILLAGE Date ((1 l,G C�V Job Address ()Z /v E 1(� 7' Tax Folio Legal Description d Historically Designated: Yes Owner/Lessee / Tenant AY l O wner's Address 302- 1\1 1 c 7 5T Phone 3c6 7-5 ?Si ?� Contracting Co. 0 y,) n Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle on WORK DESCRIPTION GU [I 6)1.0 r Address 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 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 above -named contractor to do the work stat ignature of C p L Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT APPROVED: Zoning Mechanical RADON Building LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Address 4 Date ` a to Contra My Commission Expires: Electrical Master Permit # or .r er- Builder Date . ao S1 1— S, o ) /Oa or or Owner- Builder ate � PU6 OFFICIAL NOTAP 1P ANGEi_n. Fir ©ECtU C.7060,41SS4014 '• 4i; . Ct 7a6o't 7 c� Q MY �c ,' isr c' ' C opf∎.O w • s 0 No C.C.F. 4 / 6 NOTARY ..S,.' f) BOND / TOTAL DUE(Q Plumbing Structural Engineer • MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: II 12 Z/00 OWNER'S NAME: PHONE: N)S 7eD ADDRESS: 30Z NE_ jQ j SD ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: a) jp(1c _ CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: Building Official Date ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other 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 //72d)D sa es Signat of 0 er Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Job Address20, Wfigc5K Legal Description / /ok/R Date ai4f Owner / Lessee / Tenant f 1'V i 1�101V�� Owner's Address ,5W /7e-/W6 Contracting Co. Address Qualifier SS# - - State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one BUILDING E 'CTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 64"/ ,Rr O 0 ✓ Iry T £o O r li)/) vry / �/1/ Ni 7� Square Ft. Estimated Cost(value) --2 )D 0'0 0 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 above -named contractor to do the work stated. U � Signature Date:/ i prier 4V44(44/ 4 ary as to Owner Commission Expir APPROVED: Zonin PERMIT APPLICATION FOR MIAMI SHORES VILLAGE d /or Condo President ...1 " 1 " :47 ;,?.. JOSEPHINE CHURCH 3t to u l Honda oAdo,0PF,MOAI 1 9 30.1 • No. CC197545 Tax Folio 1/ 0.,6 1 ,c'7J � J d Master Permit # Phone "757 5 l� Phone Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: ** * * * * * * * * * * * * * * * ** FEES: PERMI 75 RADON C . C . F .r a NOTARY F 194 19 D TOTAL DUE #2 BOO Fire Other : •Buildin Electrical Mechanical Plumbing Engineering