Loading...
640 NE 101 St (9)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 P. Time 11 TypeInsp'n � * "FG)n7 Permit No. 6P co y 5S, Name 6 undV oPd Address & 4O Company " I S l_L.)l l '+- Phone # For Inspector: I a. 109 Name & Date Approved Correction Re- Insp'n Fee ❑ Village of Miami Shores JOB ., ADDRESS INSPECTION TIME READY A REMARKS INSPECTOR DATE N° '202 Village of Miami Shores JOB ADDRESS ifs INSPECTION ( ' j TIME READY A ) REMARKS INSPECTOR N? 3890 DATE Villcjje of Miami Shores N° 4024 JOB 4_ 1 ,t7 7 -7- y , J c - ADDRESS �� " - /e' .S 77 INSPECTION -. `'l e" w. _� // TIME READY � "'"` ' � ` Y 0 REMARKS INSPECTOR DATE MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. f , Owner's Name and Address... .._. ..__ .. _�:J._ ^_i�.t Registered Architect and /or Engineer... -. ..._x _f_...S 1 .'__ ...____ is rf' • Name and address of licensed contractor C € - >�.„4___ ._ ' Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done _ . ,,,r' fv =__L ;_L._4 4 State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition I— " Repairs No. of Stories To be constructed of - Kind of foundation__ e;`.E _. g t ��____ _ :6.� x _ " Roof Covering Estimated Total cost of improvements $ / Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the ,site of the workisUch public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on *irk to be:prmed under this permit, as are licensed by Miami Shores Village. � - r - Remarks - ned :.. L � Date / __- t� r+ , 19 No Street Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Page 2 IMPORTANT NO'T'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. AFFIDAVIT - 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, P' 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 O /2"--41' Si tune of 0 e O . SEAL: Personally kno Signal a of Notary Public - State of Fl rida G K a: i) 14.5 Ot. Print Name Sworn to,And subscribed before me this Aq day of "t' ROXANA C. ALVAREZ Notary Public, State of Florida My Comm. Exp. MAR. 25, 2003 Chit iiss on I Q.CC 14177 op Irahnn ture of Contractor / Quali Sign Print ame worn to and subscribed before me Si ature of SEAL: SATE F FL A, CQ // Y OF MIAMI -DADE .o & AI ! rJ� otary i t . - State pf • • PERMIT APPLICATION Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: CONTRACTOR , Name l 4NT l N t7 License No. 9 J £ t Address a 44 D �� , s 5 L� Telephone 717 _.716 ax Qualifier me 4,0,,,h--- PROPERTY OWNER New Construction LL�1����� Name / f �/e 7 6104�y ' / & N➢A& SC-R Address 6�4 , . g- /0/57--- A/ i ''�r � _ ito RE5 77 Alteration Exterior Home Telephone 7 b Z Business Telephone Alteration Interior Fax ..� 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 INSTRUCTIONS - The following steps must be taken to obt 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: 6 a AZ Address Apt. Folio Number Description of Work Lot Block PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Telephone F Master Permit No. PERMIT APPLICATION Subsidiary Permit No. op ' 69G9a . 55 in a permit from the Miami Shores Village: Sdeg g- 33/3 City Subdivision PB PG Zoning_ Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 7 ine> Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) State 7kJi eF r 'oPN Zip ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. 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 Drains, Area 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 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 CIoset 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 :e, Zoning r :. Electrical Mechanical Plumbing Fire Public Works Structural Building Official 2 Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) L 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) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ 6 a- $ (0.005 /sq.ft.) $ (¢.0 / sq.ft.) ISSUING OFFICIAL ( sq.ft. = x/1000 x0.60) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ' - REVIEWED AND PREPARED BY: DATE: DITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ROBERT S. VISCOUNT, JR. 640 GRAND CONCOURSE MIAMI SHORES, FL 33138 y Q4.X, exAcsid x. BankofA erica. ACH H/r 083100277 �� - ADO, gSS _ _ ok-� k Pay to the order of 1:063 LOO 2 ? ?1: 00350801,33 L611' 249? Date Dollars 2497 63-27/631 FL 988 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5 /3/2002 Applicant: JOHN Owner: GRUNDHAUSER JOB ADDRESS: 640 NE 101 Contractor VISCOUNT PAINTING & DECORATING Local Phone: 305 - 751 -7164 Parcel # 1132060172090 Fees: FEE2002 -2483 FEE2002 -2484 FEE2002 -2485 Permit Status: Approved Work: EXTERIOR PAINTING AS PER AGREEMENT Signed: Building Permit Permit Number: BP2002 -855 GRUNDHAUSER JOHN ST Contractor's Address: 640 GRAND CONCOURSE Legal Description: AMD PL MIAMI SHORES SEC 4 Description Building Permit Application Fee CCF Notary Fee Total Fees: Permit Expiration: 10/28/2002 PECTOR) BY: /1 i l: /, i;1 i Amount $60.00 $1.80 $5.00 $66.80 Construction Value: $2,475.00 Page 1 of 1 PB 15 -14 LOT 3-4 & E1/2 OF 5 BLK 103 Total Fees: $66.80 r Total Receipts: $0.00 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. 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 aril in sire r./nforrnity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibilrty fcr ar •wee ax*: ., r e- myself, my agent, servants or employes. MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 't- Z.�• D?� OWNER'S NAME: �,� , � �,c.4, .R PHONE: (3o?) 75F-J- o - ADDRESS: CO i /O/ s ********************************** * * * * * * * * * * * * * * * ** * * * * * ** * * * * * ** ADDRESS OF SITE: o (( 7 CONTRACTOR & LIC SE (if a plicable) qii-.?.5004.071 / COMPANY NAME: tSCovk fnl/i PHONE:( 'jam- ry /6 T ************************ * * * * * * * * * * * * * * * * * * * * ****** * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls h/C - Fascia WC- /9t Drip Cap/Drip Edge //C - 9' Soffit /Ji Roof d/A.- Flower Bins Al/A- hiA- Ni/A Shutters Awn ings Chimney Doors and door ja' ns W - IN'QTE Garage Doors CFFrrf h td Railings Fences Decorative Metal All brick (simulated r egular) / _ Lfg- Stucco Banding t ,( A - Any other stucco f atures Accessory Buildings 5'4 n/ / (✓v -G/�r�/L Were Other _ , ,� . ,. 5c? 1 50) . .mp s APPROVED: (V 4 � -� �� / Building Of 3a o 3 oh - Date China White 74 H 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 .. s will b9 as per the attached 9.2r Signature of Contractor Date Signature of Owner Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01