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334 NE 101 St (9)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n I Permit No. E P co. - J 1.4q NamesCCA-)r Address , N' E. (v 1 37 Company Phone # Inspection Date Correction ❑ Re- Insp'n Fee ❑ 3 ---Q .'AY 1O THE ORDER OF FOR Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/25/2002 Applicant: DALLAS Owner: BROWN JOB ADDRESS: 334 NE 101 Contractor Local Phone: Parcel # 1132060135300 Fees: FEE2002 -3574 FEE2002 -3575 FEE2002 -3576 Permit Status: Approved Permit Expiration: 12/22/2002 Construction Value: $1.000 -nn Work: EXTERIOR PAINTING AS PER AC:11: RA=•.T - • � _'= 12 3 2 TIDY -CO. OF MIAMI, INC. P.O. BOX 398893 MIAMI BEACH, FL 33239 -8893 Washington Mutual Washin o Mutual Bank. FA Miaml n IVAIIOO Road 1742 1801 Alton Road Miami Beach. FL 33139 1- 800.788.7 24 hoW Castanet Sen4ce Description Building Permit Application Fee CCF Notary Fee Total Fees: Building Permit Permit Number: BP2002 -1149 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 8 & W1/2 OF LOT 7 BLK 39 LOT SIZE BROWN DALLAS ST Contractor's Address: DATE Amount $60.00 $0.60 $5.00 $65.60 3- 8413/2670 a--aP aE/ — DOLLARS U 11 1 2 3 211 I: 267013 1, L 3 11:13 3 List 2? 2 LOH. ci 1■ _ __ini�±"hl®G�QQ11r.ri.� l�S!71 -i s'aTJII r - - (Contractor or Builder) BY: Page 1 of 1 Total Fees: Total Receipts: s. Re- inspection $65.60 $0.00 1pplication herefor in strict compliance with all pecifications that may have been submitted to nces or if the plans are changed without responsibility for a thorough knowledge of the Ind that he assumes responsibility for work done itions pertaining thereto and in strict conformity e responisibility for all work done by either MIAMI SHORES VILLAGE Paint Color Approval and Agreement VDATE: ac/i(_12 W oZ oo kWNER'S NAME: 'bDRESS: 33 /Je /0 / �- ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1./ADDRESS OF SITE: 33 n 10/ cS 7 it-ltd/r14.4 , CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements o &&t jz-ta the site mus be listed and indicate the color to be painted. Walls it t Fascia Cap/Drip Ed Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door ja Garage Doors Railings Fences Decorative Metal All brick (simulated or regular Stucco Banding Any other stucco features Accessory'Buildings Other APPROVED: PHONE: 3os" 9.6 2,- 6 2 63 PH -102 Bone White 03 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 state_ Furthermore , the paint colors will be as per the attached sa le gnature of •wner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION b-14?--- Building Offic al Date 4/23/01 PROPERTY OWNER Name_ /IQS,.. i--1 A %Sq- ri-e IO) St re) « Stq cD 2nd 33)3'0 Home Telephone ,. 7 6 a ‘:,,, G .sr— Business Telephone 3c_ ( D .. 1 9' _S 00 J Fax 3pS— 7 - co -147 S" 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: 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 ob Address: 33 q n e /0/ sr ( &f)1 f • SI 6 7 .e 33/3 8 Apt. City State Zip r,, Folio Number - Description of Work Q(rl t ik9 egret-16r (�a-1IS CL , 1 J Lot Block Subdivision PB PG Zoning Current Use of Property Square Feet Units Proposed Use of Property YValue of Work 't 10 0 0 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. PERMIT APPLICATION Linear Feet Floors ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 1 IPORTAN'I' NOTICES 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. AHAD: IT - 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 ys\ Signature of O r Print Name Sworn to and subscribed before me thi 0 ignatu SEAL: ORIDA, CO Pub is - Personally known TY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE tate of Florida Y., ?s it PO NOTARY ANGELA M ECKEF lc' � r{ COMPASSION NUMBER n PA Q CC786697 'HP MY COMMISSION EXPIRES QFf\ Type of Identification Produce 1 Th -4)- ° !b / by -et& t Signature of Contractor / Qualifier Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION Print Name Sworn to and subscribed before me this day of Personally known OR, Produced Identification D Type of Identification Produced: ELECTRICAL "1'YI'E. Minimum Fee QT1'. TypE Dryer (1'1'1'. TYI'1: Outlet, Appliance QTY. 'r1'1'1•: Service Repair (Er Y. 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 MECHANICAL TYPE. Minimum Fee QTY. TYPE Condensate Drain QTY. i' 'pl.: Generator Q'I'1'. TYI'1: Refrigeration, Tons cy 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 Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLU1\IB1NG TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. "T'I'E, 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 DATE /). -Y�1 Zoning a Peon , Electrical Mechanical Plumbing Fire Public Works Structural ,------ 42-(2—.Z_ Building Official Page 4 OFFICE USE ONLY CIIECKLIST ❑ 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 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) ❑ OTHER (Specify & Attach) PERIIIT FEES $ Dade County (C.C.F.) $ / ! .� $ ( x . f t. 1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ W 176 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 Date 2- ) Job Address 33i W=.. (C)( ST' Tax �� Folio ///' 3'06 /3 .5.Od yr' Legal Description /DTC o/7L7 , &X 3.9 i'� .. 5e'e/ 65 )/ Lessee / Tenant bee_ - 730C vvh9 2nr Master Permit e3 l0 Owner's Address 3 3(i P • .. 0( ST Phone 7S7' q0 3 Contracting Co. OW Pe-Y Address —' Qualifier SS# - - State 1k Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Squa ‹J.I t)• ‹ $'� , Estimated Cost(value) t ( 1)00, OO. WART .)0 ORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO r ICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO ( :TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT Appl on t stay pera OWNE be d autk' siat4s YG456W Foam YG 458 M Signature of owner and /or Condo President SignayCir of Contractor or Owner- Builder Date: Date:_L /fJ Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * * * * * * Q C.C.F. D NOTARY 00 TOTAL DUE ��/ 1 4 ° APPROVED: Fire Other Zonin_ Buildin_� / Electrical FEES: PERMIT.3 XSV PERMIT APPLICATION FOR MIAMI SHORES VILLAGE BG671A RADON tar as to C My Commission Phone a permit to do work and installation as indicated above, and Ible). I certify that all work will be performed to meet the nstruction in this jurisdiction. I understand that separate 5,1, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. .1 the foregoing information is accurate and that all work will cable laws regulating construction and zoning. Furthermore, I to do the work stated. ** Mechanical Plumbing Engineering