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PAINTPAY TO THE ORDER OF COMPLETE HOME PAINTING BY MICHAEL MICHAELIWASKEWYCZ 1476 NE 130TH ST. PH. 305 - 895 -1368 NORTH MIAMI, FL 33161 O � e Lift l!I) Washington Mutual Washington Mutual Bank, FA North Miami/125th Street Financial Center 1728 900 NE. 125th Street 1- 800 - 7897000 North Miami. FL 33161. 24 hoar Customer Senn. MEMO , :267084 L3 L 83 L4835 L L311' 3563 /poi Ji, 141P1< 63-8413-2670 3563 DATE / // 1 $ /33 M N DOLLARS 1!:) b..aBac... Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /17/2002 Permit Status: Signed: APPROVED Permit Expiration: 4/15/2003 Work: EXTERIOR HOUSE PAINTING Building Permit Permit Number: BP2002 -1775 Construction Value: $2,200.00 Page 1 of 1 Applicant: EDWARD FARRADAY M Owner: FARRADAY EDWARD v o JOB ADDRESS: 312 NE 101 ST ( , Cc) ,S Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET Local Phone: 305 - 895 -1368 - NJ Parcel # 1132060135320 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 W1/2 OF LOT 10 & LOT 11 BLK 39 LOT SIZE Fees: Description Amount FEE2002 -5832 Building Permit Application Fee $60.00 Total Fees: $66.80 6 FEE2002 -5833 CCF $1.80 FEE2002 -5834 Notary Fee $5.00 Total Receipts: $0.00 Total Fees: $66.80 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. (INSPECTOR) BY: In consideration of the issuance to me of this permit, 1 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. (Contractor or Builder) BY: 1vlIA1v11 SHORES VILLAGE Paint Color Approval and Agreement DATE:rO l f 1 I 0 �/ � OWNER'S NAME: ADDRESS:, I i, (` I0 / Q• * * * * * * * * * * * * * * * * * * * * * *** * *` ****** * * * * * * * * * * * ** * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 3 /D,'")). I 0 Lb\ -' CONTRACTOR & LICENSE (if applicable) COMPANY NAME: /1//13 /17//d- Building Offi cial Date PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia 9g Drip Cap/Drip Ed le Soffit 9 Roof a to foe Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors b Railings Fences Decorative Metal All brick (simulated or regul ); 1_,n Stucco Banding �l �' Any other stucco features Accessory' Buildings Other 1/A 0 . r. 295 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. Signature of Owner Date Signature of Contractor Date ************************************* * * * * * * * * * * * * * * * * * * * * ** * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 MIAMI SHORES VILLAGE Paint Color Approval and Agreement 3 S- 77r- fy 54(ce i) DATE ?l /d l Az— . 30c _ ?"1 - 7zy3(`>) OWNER'S N .r-r--0._6(._4 PHONE:3o5 ?5'l - 7`l`� ' ( ADDRES /t/ /0/ Sire ' / -f e33i3R ******** *************************** *)l * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITEK,3 /a- NE /d / j /ret f'`�i Cvr FL 33/3( CONTRACTOR & LICENSE (if applicable , / 8 COMPANY NAME: C f " PHONE (9F iff73 ed- * * * * * * * * * * * * * * * * * * * * * * * * ** * **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia 96 7 Drip Cap/Drip Edge jo/if Soffit 94 7 Roof Flower Bins /,/ Shutters p, Awnings to ' fr Chimney Doors and door jams 9/(7 Garage Doors 96' 7 Railings N 74' //7 Decorative Metal •/ / All brick (simulated or regular) w Stucco Banding iv f ' i ?-df ` -c\\ I b le' N ‘ s" b OWNER'S AFFIDAVIT: I certify that all the foregoing informa on 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 Id pz, ignature of el ner /Date Signature of Contractor / Date * * * * * * * * * ** *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Fences Any other stucco features N 4- Accessory Buildings I" Other APPROVED: Building Official Date a 1/B 296 4/23/01 CONTRACTOR / � Name ( p // ` ' 0 / '//c47 /0 / License No. / y r /3 ��/// Address /y,(,6 /vr /30,. . 4/ / arc R' 334/ Telephone(3 _/3 C Fax Qualifier N e PRT T dw V V A R F 07z a- New Construction Name 3/. NE /d / �f ". Enclosure Address 4 / 047t/L FL 33 / 3 0 Alteration Exterior Home Telephone 3 5. _7Sl _ 17 4 L l 724/ Repair Business Telephone _ ? 7, — s 7 Cell 3o s- 17 S_ 5'55 Demolish 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 .a H 43) 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 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. APPLICATION Job Address /Z /VE /0/ (zi/N,G Address Apt. City Folio Number Description of,Work )t`i) /2G � t ' cr /W (du —ti6 c2 Lot Block Subdivision PB PG Zoning Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work Z 20 6 Bldg Value 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 PERMIT APPLICATION Master Permit No. Subsidiary Permit No. Tax Assessed/Appraised Value FL— State 33/5' Zip Linear Feet V Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IJIPOR'I'. Ni' NoTic S 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. AF (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. STATE OF FLORID ;i COUNTY OF MIAMI -DADE Personally known l C L Signature of Owner 1 X ward rrez.44Ly . Print Name Sw� to and subscribed before me this / day of Signa e of NotaryOleb tateAL Floriota p muctaa Iwas SEAL: a ° Commission # DD096211 e5 a� Expires April 10, 2006 �' Ito Bonded Thru Atlantic Bonding Co., Inc. OR, Produced Identification Type of Identification Produced: STATE OF AL: 0 0 PERMIT APPLICATION . �) • I =L Signature of Co I Print Name cto / Qualifier S m to a , subscribed before me thi i . !s .AI . Signatur of o blic - day o , CO J' OF MIAMI - DADE Personally known Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee Q'I'1'. 'I'YPI'. Dryer QTY. TYPE Outlet, Appliance Q'f\'. 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 MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. 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 PLUMBING TYPE A/C Condensate Q,LV TVl Drains, Roof QTY 'rm Miscellaneous Fixture Q . LV . . Soakage Pit Q . Q . V . 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 ' ?.. O( 10 MO( Electrical Mechanical Plumbing Fire Public Works Structural Building Official 1 0 ( Z Page 4 OFFICE USE ONLY ('I 1E('1: U OWNER - BUILDER FORM (Attach) U FIRE DEPARTMENT APPROVAL (Commercial / multi - family) U CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERNII'I' 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 Notary O PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) O OTHER (Specify & Attach) $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: ( x .6. x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2" AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com