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141 NE 102 St (10)Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/19/2002 Applicant: JAS Owner: MERRILL JOB ADDRESS: 141 Contractor Local Phone: Parcel # 1132060131830 NE 102 ! 1.4 41 /IA t `,d 44.41 Building Permit Permit Number: BP2002 -1263 MERRILL JAS ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 20 & 21 Fees: FEE2002 -3960 FEE2002 -3961 FEE2002 -3962 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $1.20 $5.00 $66.20 Total Fees: $66.20 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 1/14/2003 Construction Value: $1,900.00 Work: EXTERIOR PAINTING AS PER AGREEMENT 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 o; 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 assume= ga r,s37dhr tr by his agents, servants or employees. Signed: (INSPECTOR) BY: In consideration of the s uah a to rye of tt.3 permit, t agree N perform the Moil crr.erea tmie r er urn maertpilrrnutr .M+: at /rat with the plans, drawngs, statements Of specifscatIons submme4 to the coupe* *in? our own ulikolarni fiGrras dilgos. dt 0111 /111/1114 myself, nth' agent, servants or employes Page 1 of 1 BLK 13 LOT SIZE MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 7. /G • L OWNER'S NAME: MQ►r utri�C lifer/Jr! J ADDRESS: /4'/ N.E. . /t — /tliiwti ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: chiv? l i,y)Pr CONTRACTOR & LICENSE (if applicable) COMPANY NAME: ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and i U Walls / • Fascia a y Drip Cap/Drp Edge *2_ Soffit Z Roof N Flower Bins 403 Shutters Awnings Chimney Iff Doors and door jams 4 '3 Garage Doors Railings Fences N Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other OWNER'S AFFIDAVIT: I certify that all the f • - • • gJm "ormation is and that all work will be done in compliance with all appli,eable laws re',ulating 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. APPROVED: Building Official 716 -02 PHONE: 3-jS.7lT -Vt/G1 icSA0 ✓ e s , rt. .3 a ft * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * ** e painted. accurate Sign ure of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 1 Co-H-fl MARGUERITE P. MERRILL • 141 N.E. 102 STREET MIAMI SHORES, FL 33138-2324 Pay to the Order of I , 4 4 7 Bank of'merica. ACH R/T 083100277 Date For ( -1 ':030000'. ': 00'.. 28 250 308 6'i' ` 290 , 1290 2 83 -4/830 FL i34s Dollars 6 Bank of America Advantage'" BLUE SHEFFIELD '-/ PMlr9kfr rp.u/ Ater/III ,N 7(11 Abe . 102/1 Ssi-. Ailtg4 , - r1S Ft Address 3 3/ t7 Inds - 7Sg 'W4' Home Telephone Business Telephone 3AS- 32 `- bS'Yd Fax ENGINEER New Construction Enclosure Alteration Exterior Name 5s ; 1‘1, . , • . : ,"..4.- • 'E , License No. ti Shell Only Foundation Only Address 9 , • Ist..y 'r • . . . Telephone Other 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'I 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 Job Address: f ct i N. E . /02, Sf. Address >bescription of Work ave4,i ✓ ,aot 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 PG Zoning Linear Feet Square Feet Units Floors X alue of Wo 4a. Bldg Value ax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. AU I I 4, SA , GL. 33/3 Ss Apt. City State PERMIT APPLICATION Zip CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 Signature o otary Publi - rate .f Fl. 'da SEAL: IJIPORTAN'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 forapptications 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. STATE OF FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE /,,'� 14 ' Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida PERMIT APPLICATION o IAL kOYAfitl + ,. • SEAL: i T Y P c GE L A SEC; J.1 i a l� s � ti ANGELA ;au J f e Personally known ;I ', Jr'' ' Pro�yg�1dentlfi6 tibn Personally known OR, Produced Identification - Type of Identification Produced: F) L 41..)0,e--- a L' `��� k pe of Identification Produced: • ELEC'T'RICAL . LITE Minimum Fee QTY .I.VI' Dryer QTY. i' I Ir Outlet, Appliance (fry. ' FyI , I , : Service Repair Q . I . Q . A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton - Pressure Vessel 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 MIECHANICAL TYPE Minimum Fee QTY. Tl'PE Condensate Drain QTY. TN IT Generator QTY. 'fv1'1{ Refrigeration, Tons QTV. A/C Central, Tons Q . I . Y . 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 Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Gas - Appliance PLUNI131NG TYPE A/C Condensate QTY. TYPE Drains, Roof QTY .I.YI'i; Miscellaneous Fixture QTY. . 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: SECTION BY, Zoning , .i',.,5�/, ��• 7/ Electrical , � Mechanical Plumbing Fire Public Works Structural Building Official 7/ i ' ... Page 4 OFFICE USE ONLY C11ECKI,IST ❑ OWNER - BUILDER FORM (Attach) O FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ 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) PI:RNII'I' FEES $ K7 l . d Q '2. ( x .6U 1000 ) Inspector State Educational Fund $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) $ � . (fi r) REVIEWED AND PREPARED BY: ' PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ,�J ISSUING OFFICIAL 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 te Date 4 -13 -94 Legal Description Bonding Company PERMIT APPLICAiTION FOR MIAMI SHORES VILLAGE Job Address 141 N.E. 102 Street Owner / Lessee / Tenant Merrill IJ fAV. \3 0 ' J n Owner's Address / r • ���� R/1410 8 t/ /-7 Phone "?S t/ t./6 A Contracting Co. Roof Painting by Hartzell Inc. Address 2329 Pembroke Road Hlwd, FL Qualifier SS# - - Phone X- State Archi ,e)64( I .or yiu Mortgagor Stucco Greige TWT Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Exterior painting of roof & walls. Square Ft. Estimated Cost(value)�ol4. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I 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, SIGNS, POOLS '4IFING and MECHANICAL WORK. .I1 : 0 / OWNER'S AFFIDAVIT: I certify that all the foregoing info be done in compliance with all applicable laws regulatin authorize the above -named contractor to do the work stat Signature of owner and /or Condo President Date: /a Notary as to Owner and /o Condo President My Commission Expires :308 ** * * * * FEES: PERMIT 406 '76 APPROVED: SW2003 psR P(/ OFFICIAL NOTARY SEAL O (." BARBARA ANN FUOAZZI * C SS OMMIION NUVBER 1( '"T"' CC360191 1�, C Q , MY COMMISSION EXP. O A Fire • Zoning Building * * Mechanical Plumbing Tax Folio �I ' 5 2J )3 IR9 / 11 6 Master Permit # 34:463 Address n is accurate and that all work will struction and zoning. Furthermore, I Signature of Contractor or Owner-Builder Alle o y as to or •T;, =r Builder } * * * >,t *' T * *' My Commission Expi Iv Idv NOTARY TOTAL DUE !' " L 0 Other Electrical Engineering STATE OF FLORIDA, COUNTY OF DADE 0 v, 1. 3v CQRTw Y Oh®} this is a Or o 00 irrio ,!,.. 1 in 0:1:s c co on _ , A. 19 V/ );i SS +ny h ,nd and O6F cial Soal. blr�ri„,i ■! ?Ci;cuf4andCaunPyee •so PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: TAX FOLIO NO /1 3 20 6, /3 / 94R191.554 1994 APR 21 09 :39 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. //l /V , 1. Legal description of property and street address: 2. Description of improvement: /" 1 vt 7' Gt4 � G c'7 '' 3. Owner(s) name and address: Interest in property: r)Gt -) tie Y . Name and address of fee simple titleholder: 6. Lender's name and address: Notary Public NOTICE OF COMMENCEMENT l • /laAV /,L, 'S2 /U , > 3 3/3 B' • 'e v"i ,q.a//L/•el -/. /V ( N. 6 . / -?/. /3 4-3 a- c /� v?JiGC /c'✓/ - 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6 Print Notary's Name<-r' 5( fir)] My Commission Expires: / 7 •o r 3E�lt� 6�Y(JI�L _ 4. Contractor's name and address: /74" / 2- -// 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself „Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is sRecified) / � A � SSS SG 8 7 � F :2)c. /l Signature ot'Clwner Print Owners Name l- a'GL%eS C Sworn to and subscribed before me this J / / kG G( c✓i c' / 0 /( 'ev f %/ Prepared by: i{il'6 U w�7r.' /47.71(erp,i7 day of /-pr/ / ,19 /V /N.t. /UL` =`� $' 7 Address: /Ciatc << tS �u'��J,�( 3.7 , NOTARY Pt ft t IC STAYF CAF fl rsq ANGELA MIN 1 fruM12SINtiO:00-240180 GOWISSIONLimited AE 21.,1 (' /i (/Ly ?,c lC S / /,., s� 97, 396 6 Registered Architect and /or Engineer STATE OF FLORIDA, COUNTY OF DADE. j ss. 1 Z / -A �� MIAMI SHORES VILLAGE // 3 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT tvI -te Ap is hereby mode for thc approval of the detailed statement us me plans and specifications herewith submitted (0/ e�ui1A. in¢ 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 thc iuilding 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 progreu of the work. Owners Name and Address !l.. �.!T/5c 1 • �L: »»..,L�., .. _ No.---------- Street_.__ ......._..___ Name and address of licensed contractor....L.a.).. - C.eadC:r.:t. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done.,/W State w•gl to done and purpose of building (by floors) .....s.• Disapproved _.1. -•••• Date (Signed) Building Inspector MIS II •III .01111 and for no other purpose. Ncw Building Remodeling Addition Repairi No. of Stories _ To be constructed of Kind off foundation Roof Covering l N1 0 Estimate Total cost of improvements $.. �-�� Amount of Permit 5.. .. .,�.7.._ Zone cubage required Plan Cubage Distance .to next nearest building. Size of Building Lot Maxirnum 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 Cen Laws of Florida. Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all , tractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ins tion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco tractors, on wor to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 fead the foregoing application, and that he did sign the same, and that all facts therein by him stat are true Permit No..� 2ii.L? Date 1 �i......_._-_ Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 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.