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379 NE 100 St (10)CONTRACTOR Name A ! &1517171 6 License No. Ad, 96 a Sob / Lilco, Lilco, Address 3i, 44 , , ,e.kr_.& Telephone 3o S 970_ 9o2-7 Fax 9s y % —6 LC 7 Qualifier Name �� __( /y_ t_ (og _ ri a O PROPERTY OWNER \an'e 540t, 4 j 7 / Address /i, . e /OO 5"1 , /1,4(,q-�/ 5110e / FL 33/37 Home Telephone Alteration Exterior Business Telephone Repair Fax Demolish 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 /J ob Address: INS'T'RUCTIONS - 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 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. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 3 NE loo ' A -l/Flo S Ft 3 i3 Address Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information Apt.. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. PERMIT APPLICATION City State Zip T l escription of Work "--711574 ON F Linear Feet ,Q ni ' Floors Bldg Value Zoning Square Feet Value of Work c Assessed/Apprai ed Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 1\lPORi'AVI' 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. A F1" I DAVIT - 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. STA OF FLRIDA OUNTY OF MIAMI -DADE Signature of Owner N.A.— LAbc int Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: OF FLORIDA, ontractor / Qualifier ./05'ge)4 C-h, PERMIT APPLICATION Y OF MIAMI -DADE Print Name to and subscribed before me thi3 day oQCk____ , Lt.. I 1 ,. 4. .........„ Signature a Notary Pub ' - State of Florida SEAL: Personally known OR, Produced Identification Personally known QR Prodticed Identification tl Type of Identification Produced: Type of Identification Produced:IEL 1 1/ LC 0. 1 J Yo' ( /N y 0. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /4/2002 Applicant: MARIELENA GADOL Owner: GADOL MARIELENA JOB ADDRESS: 379 NE 100 ST Contractor CHIRINO CUSTOM CABINETRY INC Contractor's Address: DOING BUS IN DADE CO Local Phone: Parcel # 1132060135390 Fees: Description Amount FEE2002 -5557 Building Permit Application Fee $60.00 FEE2002 -5558 CCF $1.20 Total Fees: $61.20 Total Fees: $61.20 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 4/1/2003 Construction Value: $2,060.00 Work: INSTALLATION OF KITCHEN CABINETS 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. 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. Building Permit Permit Number: BP2002 -1692 Page 1 of 1 Signed: (INSPECTOR) BY: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 LOT 21 & LOT 22 BLK 39 LOT SIZE 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: The`Sunshine State LICENSE ..C650- 480-640 -0 JOSEPH CHIRINO . 3143 SW 175TH TERRACE MIRAMAR, FL 330206608 BMW DATE Set HOT. REST. EPOORSE. 06,2041 M 6-10 ISSUED orwREs 10-29-60 06 -20-03 Dur.rwTE 10-05-00 cbe¢385 Operation of a motor Mehiete constilites consent to any sobriety test requi(ad by law elect.panels will be moved by Gust electrician ROLL OUT SHELVES All dimensions & size designations given are subject to verification on job site and adjustment to fit job conditions. 1224 145 W3 30 HOME DEPOT • • ••• • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • ••• • • • • • ••. • •. • • • • • • • • • • • • • •.• • •. • • •.. • • •• ••• .• • • • .. • • • • • • • • • • USE THE MOLDING VERTICALLY SO THAT IT REACHES THE SOFFIT AND DOES NOT HANG OUT OF IT. nWF371 This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. • • • • • • • • • • • • • • • • • • • • • • • ••• • ••. W3018 1 63 W93 OR EZR .SS 250A156 Scale : maximum uI gadol 379 n.e 100st. iaml shores,N• Designer gyb29 WAT2448L r BD18. 18 OR 1 DIS •FW12 24" 30R PP' r B24 BUTT; 2FW 13F3r; NFF -- 352 311 67 — 502 36137 502 \ \ Design : 07/25/02 Date : 08113/02 elect.panels will be moved by cost electrician ROLL OUT SHELVES All dimensions & size designations given are subject to verification on job site and adjustment to fit job conditions. U24 248 BU W3018 WAT2448L 145 HOME DEPOT 224 • • ... • • • ... .. .. • • • .. .. • • • • • • • • • • • • • • ... • • • • • • • • • • • • • . .. • • • • .. • . .. • • • • • • • • • • • • • • • • • • • • • • • .. . • ... • ... . • • • .. ... .. • • • • • • .. • • • • • .. .. Lo USE THE MOLDING VERTICALLY SO THAT IT REACHES THE SOFFIT AND DOES NOT HANG OUT OF IT. 30 WR33 21 64 i � I IIWF3 This is an original design and must 250A156 not be released or copied unless . ul gadol applicable fee has been paid or job 379 n.e 100st order placed. iaml shores,fl. 63 l 353 --7 313 / 67 Scale : maximum Designer gyb29 / 501 \ 36371 501 Design : 07/25/02 Date : 08113/02 Page 4 OFFICE USE ONLY CHECKLIST' ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) O 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 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) O OTHER (Specify & Attach) $ b'� $ $ �6d $ I) !�J 0 (sq.ft. = x/1000 x ¢.60) $ (4.005 / sq.ft.) $ (¢.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ 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 1' ;L1';(CTRI('AL '1 vi'I•: Minimum Fee Q'I'1'. i'1'i'i: Dryer (fry. T\'I'I•: Outlet, Appliance ()TV. 'I'1'P'I•: Service Repair O I'1'. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch 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 PLI'11131N(; '1'1'1'1{ A/C Condensate ()"1'1. '1'1'1'1•: Drains, Roof ()Tv. TvI'I•: Miscellaneous Fixture ()Ty. ' Soakage Pit QT1'. 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. 11F ;('11,1NI('11L •1 Minimum Fee A/C Central, Tons A/C Wall/Win. Tons Air Handler, Tons Barbecue Bath Fan - Vented, # Condensate Drain Cooling Tower Dryer Vents, Number of Ductwork, Cost of Fire Sprinkler System Fireplaces, Number of QTI'. 'I'1'I'I.: Generator Heating Strips, each Paint Booth Piping, Flammable Liquid Process/Pressure Piping Pressure Vessel Refrigeration, Tons Vent Hood, Cost Ventilation, Cost Periodic Inspections RECEIVED AND REVIEWED BY: DATE: