Loading...
ROOFINGMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Date Type Insp'�°`j �LaC. cop ow\ Permit No. C f�,�;� • fir Name "' Address ® Company Phone # For Inspecto vL ii\ Appro 6 \ Correction Re- Insp'n Fee 73C ATF /0/S1. \-k CONTRACTOR Name L" e - N6 pea', tle1r vfai Address 7 ? lie- el .r Name fr ii o °tr. , .., 4 ( )ci/,;i,,, Business Telephone Fax License No.e e .. e , d ( 6 et — r Repair Address e ,f ,;i _t/, Ar i'5,;( Demolish Telephone (le ;1 f4 l..Lil y Fax �; '.y. Qualifier Name ��, Foundation Only PROPERTY OWNER Name L" e - N6 pea', tle1r vfai Address 7 ? lie- el .r Home Telephone ( r) 7q� -70 t T l 7 /724 Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I 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 7 \Job Address: 7 g r Address Folio Number Lot Block Subdivision PB Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other , Odf& Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Aozze/ Telephone Fax Master Permit No. Subsidiary Permit No. Ravi nloge5 t czd&e > State Zip fo// L &l4 /I et/ n City Description oWork �aZlet'y r `Yine Feet PG Zoning Square Feet )Value of Work / \ Tax Assessed/Appraised Value Units ` 3 2 e .00 Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax PERMIT APPLICATION Floors ldg Value Page 2 IMPORTANT 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. 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, 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 ignature of Owner M 1/45 1 e; d1 A Print Name Sworn to and subscribed before me this a of of Signature of o .1 blic - State of Florida ANA B. PUJOL t SEAL: .c. >ire.5 MY COMh1ISStON # CC 930328 EXPIRES: Al .r 20, 2004 F; c•Ni,;n R [1G!'. nj, Ino. ;s, 4; 0' 1- 000-3 - NOTARY Personally known OR, Produced Identification Type of Identification Produced: ,D.4 %tJ 0'i 2. . 1 Le tv S-e ST CIF FLORID , C N OF MIAMI - DADE � t ignature of Contractor / Qua 'tier ' Print Name Sworn to and subscribed before me this apv day of SEAL: Personally known _ OR, Produced Identification Type of Identification Produced: -ARID PERMIT APPLICATION ANA B. PUJOL MY COMMISSION # CC930328 1 4• 0 " EXPIRES: Apr 20, 2004 1 -&703- NOTARY Ft_' !:.y .^..rnv e & Bonding, Inc. Page 4 OFFICE USE ONLY CIIECKI. 1ST ❑ 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 Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) $ 4 0 (sq.ft. = x/1000 x0.60) Inspector State Educational Fund $ (¢.005 / sq.ft.) State DCA (Radon) $ (0.01 /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 $ to. 6 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 ELECTRICAL . ypE Minimum Fee Q'I'V TV,I,I; Dryer QTY. TYI,I,, Outlet, Appliance (Fry. TN pi.: Service Repair QT 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 MECHANICAL TypE Minimum Fee QTY. TypE Condensate Drain ()Ty. TypE Generator ()Ty. .LVpl. Refrigeration, Tons ()Ty. 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 PLUMBING TYPE A/C Condensate QT'Y. 'I'1'r! Drains, Roof Q"I'1'. Tl'1'I{ Miscellaneous Fixture QTY. 'I'1'I'I': Soakage Pit Q'I'Y. 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: Application is hereby Linde for the approyal of the detailed statement u► rite plans and specifications herewith submitted for the build inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shorts Village, Florida. and all provisions of the Laws n( the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the i3t►ilding 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. Owner's Name and Address Irene Johnson Registered Architect and /or Engineer Name and address of licensed contrgctor Biscayne Rgo f ng.... Q,.. „... ...... a Location and legal description of lot to be built on: Lot 3 .14 .E 1 / (1 Al /. ......... Block. subdivision ..4t0 PL /x ( f/ Ja d /7 oza -00J Street and Number where work is to be done 730 N.E. 101St S t r g t „ _ „____�_ State work to be done and purpose of building (by floors)....._ RE -ROOF: Remove existing & Gravel roofs. Slope: Tin cap ... .1 3 _.f elz a _.. me .p...1 -9. QS s.laxe_. &..ins.tall Gnry....t.il.e...._ Flat: Apply 1 -434 & 3 15# ,_. &_ • Cravee.' our. ac.e.e 3.3.._Squ.r.e.a. and for no other purpose. New Building Remodeling Addition Repairs.. RODE.. No. of Stories 1 To be constructed of Kind of foundation Roof Covering.. & Gravel _ Estimated Total cost of improvements Amount of Permit S. ...3 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 BISCAYNE ROOFING CO. 5180 E. 11 Ave. H� F] 33013 The un dersigned 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 5966, Compiled General Laws of Florida, Per►n:tncot Supplement, anti h.ts complied with the revisions 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 work such public notice or notices as are required by the Act. The undersigned agrees to employ only suc bcontractors, on work to be rformed under this pcnnit, as are licensed by Miami Shores Village. • Remarks (Signed) e? STATE OF FLORIDA, 64-36-4704 „,, �atttes T. Laing COUNTY OF DADE. SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared James T. Laing ._. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. Ro.afing....C..n.tract.or• 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 p are ,/ true. . { 1 Permit No tQ 1 _ Date ( 1:1. . ._ Rea • _ ' • . Ail” • .. P. fore me. Disapproved Date. ._...._..— ,� Notary Pub' ,State oI#pti s .,, y .r 1 ri. (Signed) I ,, Building Inspector My Commission Expires..._ . —.,,,. 7. 1 .0 A ,......7.6._,....,./..0:1..I.:____ PLANNING BOARD DATE Chairman Member Mcrraber 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inslsealwrn at faulty materials and/or workmanship. .. No.... 7.3.Q _..... Street... E 101_ S t I} }} H .•• ..... }}. }}.}}! }.,M!•tt } }}HIl Y•••} RC 0021338 • 1,493 Sq. Ft. Application is hereby made for the approyal 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. Owner's Name and Address... Bernard_ Gasser_ No 730... Street_ N E.,. 10151 Registered Architect and/or Engineer. Roo -.-dtme and address of licensed contractor. Adams & Beagles Roofing Co., Inc.„ 4021 N.W.28th.St• Miami, I42. Location and legal description of lot to be built on: Lot Block Subdivision. Street and Number where work is to be done 730 N._ E_.__ 10_1st_ atr_eet.,. Shor_ State work to be done and purpose of building (by floors)__ Rear Gravel Roof: Remove existing roof. Apply __1/30 ._ and...gravel.... and for no other purpose. New Building .. Remodeling Addition Repairs._ R.e 0 0 f No. of Stories 1 To be constructed of Kind of foundation__ Roof Covering.. Gravel Estimated Total cost of improvements $ 1,495,00 Amount of Permit $ 5 ,00 Zone cubage required _Plan Cubage._ Distance to next nearest building._ Size of Building Lot Maximum live load to be borne by each floor___ , roofing hereby submit all the plans and specifications for said building. All notices with reference to the building and its fronstruction may be sznt toAdams_&___B_eagles Roofing Co., _Inc...., 4021 N.W. 28th St. Miami,Florida, 3142. The undersigned applicant for this building pennit doc hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Sec:ion 5966, Compiled General Laws of Florida, Pennanent 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 work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed e-P r es Adams & B,1eskioofing Co•, Inc. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, peared undersigned authority, a notary public, duly authorized to administer oaths and take a.',:owledgments, personally ap- 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 sttej1 arktrueo 7 7 Permit No / Date_2::: e— _____ _ - --: 1 Read, Sworn to and Subscribed before me. Disapproved ____ Date__ / ' - A. I I L ( (Signed) — 1— - -- ) Building Inspector PLANNIN BOARD_ DATE Chairman Member Member Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ---ttOOF Date May 8 Notary Public, State of Florida y Commission Expires._ to me well known, Member Member Member ...... _Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from the Planning Board. A re-inspection fee of 51.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE. FLORIDA DATE ❑ PERMIT N° 2501 Contractor's 195 License No. 0- ❑ Work to be performed under this Permit Lot Bl. CONTRACTOR OR BUILDER BY Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc 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. Signed. BY INSPECTOR 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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. Date , 19 Owner's Name and Address < t No Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building � t Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation 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 5966, 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 work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j 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. Permit No ` t/) Date � Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida ( Signed) Building Inspector My Commission Expires 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 -ins on fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials a /or workmanship.