The URL can be used to link to this page

345 NE 100 St (4)11'11,E- .LV I L 011 1,7 Y ILL - Paint Color Approval. and Agreement DATE: \\ Aa\ o\ OWNER'S NAME: c.,er,c cze._ .- (--f .(■&( -,, N.`;. PHONE: 3os 3L 1- I ADDRESS: ?_ 'z N� \QO �Acee VA. .c.,m. • h olc�� . 1 =L . 7-, -, 0 -,2 cxxx*.xf< *atfcxxxxxxxxxxxx.,** X XXxxxxx x * ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: All Elements on the site must be listed and indicate the color to be painted. Walls 333 Fascia Drip Cap/Drip Edge Soffit Roof Flower Bins A A,4 Shutters w� Awnings Chimney 33 Doors and door jams Garage Doors N /A Railings Fences Decorative Metal brick (simulated or regular) t /A Stucco Banding Any other stucco features Accessory Buildings A Other OWNER'S AFFIDAVIT: FFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating to construction and zoning. I authorize the above -named contractor, the attached do the work stated. Furthermore , the paint colors will be as per APPROVED: Building Off' tal Date )IC }txxxxxxxxxx PHONE: xxxxxxxxXXX r 0 3331 -P TawnyTaupe Chouette taupe /Tawny Chouette taupe lTawny t� X / ( e/ Date Signature of OE r 4 Date Signature of Contractor WHEN PAINTING IS FINIS DD, CALL FOR FINAL INSPECTION 4/23/01 PROPERTY OWNER Name (! \ 1 . \ cerc Address 3yS Nc ono S_vce.eA M Carr, SV\ores, FL ?N Home Telephone / �� , \ �` ^ +, Business Telephon / Sy G 11 _ zg , Z o l I Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l 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. A PPLICATION Job Address: 3 4 S NC 1 DO 54cc4 ^� Addresss / Apt. Folio Number I I 7�[ Jh ( i 1 53 1 D r l Lot joi.r 1 // Jc Block Subdivision r' \ cSec J B Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax ?( Description of Work Master Permit No. Subsidiary Permit No. 3 D .Sht rt".5 hL State City ri PERMIT APPLICATION 33/ Zip Zoning Linear Feet Square Feet Units Floors X Value of Work a I oO. O o Bldg Value 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 INIPOR'I'ANT NOTI CES 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. AFFII). \'1 T - 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 Signature of Owner / Signature of Contractor / Qualifier E'a1 l AJw �nY∎ Print Name 0 Print Name worn to and subscribed before me this / g day of Sworn to and subscribed before me this day of i t • SEAL: ature � � . s• c. I lic -State f Flo da SEAL: Signature of Notary Public - State of Florida PERMIT APPLICATION • Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification ProducedFI _9 / (pa3 O V) 0 ) / ' u' (/ ' ut Q / Type of Identification Produced: MIAMI SHORES YILLAGE^ Paint Color Approval and Agreement DATE: \\ /\a\ o \ ` OWNER'S NAME: '��P�,ccQ, a rc- e ,r � c&r' . \_. \s el PHONE:60 --- 1- 31D - i ADDRESS: .?--,\ NE \ o o c € A M .6..c S , c -ems , S' l— - 7-, -. ., �R xxxx*xxxxxxxcxx.4 C C*. * ** x xxxa * X X x x x x x x X x .4 X X ADDRESS OF SITE: 'o-c_ CONTRACTOR & LICENSE (if applicable) COMPANY NAME: Walls 533 C? Fascia w 1/4 ( \' , Drip Cap/Drip Edge u', \-e . Soffit /A Roof N /A Flower Bins -,\ Awnings tJ /A Chimney \p Doors and door jams Garage Doors N /A Railings tk Fences 1.l /A Decorative Metal WA All brick (simulated or regular) N/A Stucco Banding Any other stucco features - \ Accessory Buildings ' /A Other PHONE: �cxxx�cxxx *** % , }C It 7l*** XXxx* xxx x x x* All Elements on the site must be listed and indicate the color to be painted. 0 W _ b■tnfi Woe t-'p'0 Ap or ?. x 0 J 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. /r / D/ Signature of Ow r Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Building Offi 'al Date 4/23/01 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QT1'. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton - Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel 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 I\1ECHANICAL TY►'E Minimum Fee QTY. TYPE Condensate Drain QTY. 'I'VPI Generator QTY. TYPE Refrigeration, Tons Q'I'Y. 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 Solar Water Heater Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUM B1NG TYPE A/C Condensate Q'I'V. 'FVI'E Drains, Roof QTY. TYI'►; Miscellaneous Fixture Q'I'Y. 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: SECTION BY D TE Zoning ,'� p4,0. , I/ `'" ✓ Electrical Mechanical Plumbing Fire Public Works Structural Building Official iditrr ii/ 9 Page 4 OFFICE USE ONLY CHECKLIST LI OWNER - BUILDER FORM (Attach) LI 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 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) LI IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERM IT FEES $ t l (sq.ft. = x/I000 x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ > ' I 0 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 Date 04 2- f73 Job Address J 45 i/ C 100 S Tax Folioll J I ( /J XXV 1 Legal Description 4 G o �6 39 1 175 e Lessee / Tenant EL' Awe T4 `7" 2 4 ,Se d Master Permit 10- ‘At f Owner's Address J 1S /i S - /06 E r Phone Contracting Co. F 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 R PAVING FENCE SIGN WORK DESCRIPTION '711- i r EiTE i2; 4)(,td �G��ifitG �p04 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 stated. Sign o # owner an /or Condo President Signature of Contractor or Owner- Builder Date' ✓ ✓ ✓ Date: ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE N ary as to Owner a y Commission Expire ^�"� My Commission Expires: FEES: PERMIT, /7‘,11 RADON C.C.F. J NOTARY D D TOTAL DUE // , e:9 0 Fire Other .�, B uilding Electrical Mechanical Plumbing Engineering Zoning Notary as to Contractor or Owner- Builder * * * * * * * * * ** PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job AddressXj 1,1 4 /o o Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant y /. C if Master Permit # 4 15l Cb Owner's Address Phone, 50 �J7Sy �j 95 Contracting Co MA) V\ Address Qualifier SS# - Phnne State # Municipal # Col Architect/Engineer Ad Bonding Company Add Mortgagor Address Permit Type (circle one BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION l- 621 1 / l o a( Square Ft. C Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT 1 40 RADON APPROVED: Zoning Buil Mechanical Plumbing / Estimated Cost (value)X( 3 t 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. "ignature ..1 r Owner-MIAMI'S J VIL My Commission ExpirerARY PUBLIC SPACE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1 otary as to Contractor ontractor or Owner -Bur der ate NOTARY S BOND ARY SEAL /// (O TOTAL DUE / 7 / ? Date Electrical Structural Engineer