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151 NE 101 St (6)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque 2Z 1001 Hlarrv: Date Type Insp'n Permit No. - l Q-003 Name 1--\ Qt' Address 15I ( 0( S4 Company 1 \ \S , He Y Q- Phone # Inspection Date Approved Correction Re- Insp'n Fee � 0 . 4 0 1 P/2- o� 3ov=2 -" , zs3 (7 r- GL rA aCu.— _Pt 44P 7z S% �i Z° ter ea / .2 %,6 2 e 5j /9'/�/ih Co 1��7 f11,B�S rpJLf7�jL C�,6:I`� , Fa 5' )°0F MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection R Date ✓!" T ° 4 / Type Insp'n , / ,pv A1,6 Permit No. O — > z 4 Name s1,019a, m,-/ 22 Address J'S / /'' / 5'/ Company Phone # Inspection Date g.0 ✓ G/L V Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPART 305- 795 -2204 B LI ilding Inspection Reque Date? I Type Insp'n 1 C 1 f I V 1 rYm Permit No. el O? 2.7 Name Address S ( N Fi tQ l U Company Phone # ZOL-(1_S 1 _ C.) Inspection Date Approved ❑ y ,/ Correction ��✓ �Ly� �f Re -Insp' n Fee ❑ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Printed: 7/25/2003 Applicant: SHARON HELD Owner: HELD SHARON JOB ADDRESS: 151 NE 101 ST Electrical Permit Contractor BRINKS HOME SECURITY INC Contractor's Address: 9960 N. W. 116TH WAY, SUITE 12 Local Phone: 305 - 887 - 8455 Parcel S 1132060131950 Signe Permit Number: EL2003 -228 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 21 Fees: Description Amount FEE2003 -4581 Building Permit Application Fee $80.00 FEE2003 -4582 CCF $0.80 Total Fees: $60.60 Permit Status: APPROVED Permit Expiration: 1/20/2004 Construction Value: $299.00 Work: BUGLARY ALARM 1 MASTER 7 DEVICES Page 1 of 1 Total Fee Total Receipts: $0.00 BLK 14 LOT SIZE 50.000 X t 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, statements 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, servants or employes. Signed: (Contractor or Builder) BY: 1 SECTION BY DATE Zoning \ Electrical GJc 4--,2 Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) LI 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) ❑ OTHER (Specify & Attach) $ 60 $ c2) $ (sq.ft. = x/1000 x t.60) (4.005 /sq.ft.) (0.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $(4 O 6 ISSUING OFFICIAL DATE: -C' " — 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 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair Q'TY. A/C Central 1 -3 Ton Cooling Tower Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Paint Booth Fire Pump Ventilation, Cost Outlet, Switch Air Handler, Tons Signs Ductwork, Cost of A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) Process/Pressure Piping A/C Central 16-20 Ton Fixture Light Bath Fan - Vented, # Parking Lot Lights Fireplaces, Number of 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 ''t'bw -volt, Burgas> Refrigerator, Domestic Renew - Temp Service Temp for Test - 30 days Deep Freezer Low -volt, Fire Demolition Roof Inlet Low -volt, Intercom/Teleph. Water Closet Repair Circuits Domestic Well Laundry Tray Dishwasher Septic Connection Low -volt, Television Water Heater Service, Number of Amps Drainfield, 4" Tile/Res. Lavatory MECHANICAL TYPE Minimum Fee QTY TYPE Condensate Drain QTY. TY'1'1: Generator QTY 'TYPE Refrigeration, Tons QTY A/C Central, Tons Bath Tub Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Filter Replace Ventilation, Cost Pool Piping Air Handler, Tons Sprinkler Repair Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Water Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Pressure Vessel Cap - Sewer 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 2 In1PORTANT No' icEs 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. AFF IDAVIT - 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 d ORID- • •` Y . • MI !� Signature of Print Name Sw tpand subscribed before me this g i JUUO ROBLES li :.` Y COMMISSION # CC 921872 EXPIRES: June 4, 2004 „R x, Bonded Thru Notary Public Underwriters Signature of SEAL: Personally known OR, Produced Identification Type of Identification Produced: PERMIT APPLICATION STATE OF FLORID • " Y OF MIAMI -DADE Signatur Print Sworn toand subscribed before me this / Signature of SEAL: o' ROBLES *: MY COMM ION #CC921872 EXPIRES: June 4, 2004 Bonded Thru Notary Public Underwriters Personally known OR, Produced Identification Type of Identification Produced: CONTRACTOR New Construction Name /03,416 ��jjjj��9 Enclosure �� Lit: �.o. Address , ,, Address pfd 4,10 / ./‘ A4, /%pelf , O1 3/7, 4.)_ Telephone O7 . , f/!so Fax Alteration Interior Qualifier Naam J _ ea " Business Telephone PROPERTY OWNER New Construction Name Enclosure 4 / d Address , ,, /ii. /O/ Home Telephone Alteration Interior Business Telephone 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'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: ECEOVED JUL 4 2003 Step 1. Current Use of Property Proposed Use of Property Tenant Information 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. A PPLICATION PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 1/ ARCHITECT Name License No. Address Telephone Fax Mu cK 4 3 PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Master Permit No. 1 PERMIT APPLICATION Subsidiary Permit No. E ( ' LO 3 "-D-a>5 w r Job Address: /S 7 4/ / / Address Apt. �-°' • 0/ / f ro / Folio Number //` j Description of Work / �' Lot Block /� r ev �/ dL�le�'" Subdivision PB PG Zoning Linear Feet Square Feet Units Floors Value of Work 4v2j3 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ipermi$s r,n R.) 11