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29 NE 102 St (6)Date Time - Type Insp' n K e,1AJ I i 1.1 L Permit No. 4 ' J-00 • 1 S I Name Address O� �� f l /D Company Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request (3c&7,57 ,ttoo O Name ►ate J 01 2e CONTRACTOR Name V ecr MegiV G l T/ c7k1 c--- License No. Wl = tz /0g Address .1./5 5 - r {it/ - NW 9. '. z TL4 )P• FA • 5 ee Telephone d /2 /7d Fax M '127-7,27/ O Qualifier Name FC ,V, PROPERTY OWNER Name � /C2/7 led k' • Address O --g <7,771 c — Home Telephone Business Telephone Fax • ARCHITECT New Construction Name Alteration Exterior License No. A A Address Demolish Telephone , Relocation of Structure Fax Foundation Only 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. Job Address: Lot Complete the attached permit application which must be signed by the prope y 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. APPLICATION ,ZQ it)• /0L ST2t• Address Apt. Folio Number /1 ' 32- 06.-0 13 / 6 Sa /Vd /( Block /Z / ID -7 21 Subdivision PB PG Current Use of Property /&1 cir ' 7, cc- . Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) MecI apical Plumbing LPGX Roofing Fence Other • PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Master Permit No. Ly 9 Z`E- , Subsidiary Permit No. 118S 1 City Zoning Square Feet . State Description of Work � P� 6• F. T `;. / /c/e.. d .rj /4 oo e „rie / de 5,aw 'ce ,44p .J CC-1 Linear Feet Units PERMIT APPLICATION Floors Zip Value of Work 90 o • OD Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES I. 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 $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, la' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DAD c 2.$-.4, ignature of 0 Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: • Personally known OR, Produced Identification Personally known Type of Identification Produced: STATE OF FLO Print Name S orn , nd subscribed before SEAL: PERMIT APPLICATION Signature of ` itary Public, of F M1C .6l 1 ucy � S Commission CC 397935 Expires an. 8, 2004 �. Bo ded Thru „a` ° j.tlantic : onding Co., Ino. OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Air Handler, Tons Fan Dui Outlet, Wall Service, Temporary Bath Fan - Vented, # A/C Central 4 -7 Ton Fin Fire Pump Outlet, Switch if 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 1 , Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. '1'Y Col A/C Central, Tons TYPE Miscellaneous Fixture Co( A/C Wall/Win. Tons QTY. Dry Air Handler, Tons Drinking Fountain Dui Barbecue Firi Bath Fan - Vented, # Bidet Fin 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 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 INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: M.K. ROLLAND,INC. Construction Company and Remodeling 76.2-do9,' • IGNACIO (JACK) SOTO Tel. 305 - 754 -SOTO (7686) • Bpr. 305- 886 -8920 Licensed & Insured CGC# 006142 PERMIT APPLICATION 'Y. TYPE Refrigeration, Tons Vent Hood, Cost Ventilation, Cost Periodic Inspections QTY. DATE: 1.2 S e'/' Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT 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 ❑ PROOF OF OWNERSHIP (Attach) ❑ FIRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ Are m $ SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERM!T APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 6 d 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 04 /1 - 02 Job Address / Tenant WORK DESCRIPTION &a ck ,(pep) 5 Square Ft. i9 i'p z ,3D D d FEES: PERMIT APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description 4.9 /O,? 5-r er .Tax Folio // -3? —C6 0/3 / O 5ffy)e A . Owner's Address q itt L / O .a 577 r/% A rrl i , A U 2 e S . Phone Contracting Co. — (7 W iJ 2 — Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle one). BUILDIN "�� ;= PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 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, ROOFING and MECHANICAL WORK. OWNER'S Al J AVIT: I certify that 'e foregoing information is accurate and that all wor will be d. - in co • pli. ' ce with all applicable laws regulating constructio r' d zoning. F .1 erm. • authorize the above -named contractor to do the wor stated. ture of owner and/or Condo President Date H 1t I 0Z Notary as to Owner and/or Condo President Date i My Commission Expires: (/f&--(A) I f ChQ C i31 n,) CTS p {2V Po H S JR O COMMISSION NUMBER wID r Q 00004689 " MY COMMISSION EXPIRES OF F\- MAR. 21 2005 RADON Building Historically Designated: Yes No Address C.C.F. . ( 0 NOTARY Master Permit # Address e_ Estimated Cost (value) Sgnature of Contractor or Owner - Builder Notary as to Contractor or Owner - Builder My Commission Expires: j34 a-Q©c) 1-5 Q bJ/J T e1 To C VO p . Ob Date ate . LrFIUf:.�r..:f rid B ‹/ ARTHUR H STONELAKE JR » COMMISSION NUMBER 00004689 9 r� • �� MY COMMISSION EXPIRES OF F BOND `R. 21.2005 TOTAL DUE 3 6 Plumbing Structural Engineer • --- EAGLE REALTY, INC. - - DADE COUNTY PROPERTY Folio 11- 32 -06- 013 -1650 Co -Use 1 /RES SINGLE FAM Zoning 10 /S FM 2101 TO 2300 St -Use 1 /RESID SNGL FAM - - OWNE' 11 E `-DDRESS Last Firs Othe LAWSON SUSAN -- LAND INFORMATION Front Ft 100 Depth Ft Lnd Sqft 11400 Lnd Acre $ /LandSF 24 $ /AdISF - - BUILDING INFORMATION Adii SqFt 2744 Tot SqFt Bedrooms 3 Bathrms - - LEGAL DESCRIPTION + 1 MIAMI SHORES SEC 1 AMD PB 10 -70 2 LOT 15 & LOT 16 BLK 12 3 LOT SIZE 100.000 X 114 305 - 757 -1700 04/12/02 SUSIE LAWSON PAddr 29/NE/102 /ST/ PCity MIAMI SHORES PZip Cd 33138 -2322 Subdv MIAMI SHORES SEC 1 AMD Lien? Tax Crt? Lis Pend? Update 03/23/02 OAddr 29 /NE /102ND /ST/ OCity MIAMI SHORES /FL OZip Cd 33138 - Company 114 Lot 15,16 Blk 12 .26 Waterfront 100.22 $ /Tot1SF 38.25 2196 Num Units 2 Half Baths PBk -Pq 10 -70 OR Bk -Pq AV Ratio 1 Year Blt 1948 Num Flrs 1 4 OR 20132 -0809 12 2001 1 5 6 D W HOEFLE JR &W BEVERLY INTEREALTY -- 2.19 - - TAX & ASSESSMENT INFORMATION ASSESSMENTS(2001) DISTRICTS EXEMPTIONS AUTHORITY /TAX AMOUNT(2001) Land 85736 Water N Homestd Y Widow N County Tax 1892.99 Impry 39952 Road N Veteran N Disabld N City Tax 861.39 Total 125688 Sewer N Exempt N Senior N Misc Tax Prev 122027 Light N School N Exmpt 25000 Gross Tax 2754.38 Mi11Rt.02764360 Mrkt Val 169189 NonEx 100688 Prev Tax 2754.38 -- TAX PAYMENT INFORMATION PAY DATE AMOUNT PAYMENT DESCRIPTION TOTAL PAID BALANCE DUE #1 12/05/01 2672.04 FULL RE PAYMENT $ 2672.04 $ .00 #2 #3 #4 TOTAL TAX DELINQUENT #5 $ #6 #7 - - SALES INFORMATION DEED -DATE RECORDED PRICE D -TYPE OR BK -PG Curr 12/27/01 01/09/02 $ 275000 01 20132 -809 Prev 06/01/01 01/02/02 $ 100 05 20118 -1906 Earl 02/01/98 $ 18003 -2517 - - MLS HISTORY MLS $ 0 MLS# -- MORTGAGE INFORMATION MORT -DATE AMOUNT MORTGAGE COMPANY Curr 12/31/01 $ 220000 BNC MTG INC - - EXTRA FEATURES A/C / Patio / Other / Cport Pool SRC S -TYPE & DESCR D / D / C 4 /ESTATE &PROBATE BROKER M -TYPE & DESCR CO /CONVENTIONAL Dock / Fence 34 /CL FEN 4 -5 Information not warranted. Information herein is from Dade County Tax Rolls. MLS subscribers are not responsible for its accuracy. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 rPrinted:4 /12/2002 Applicant: SUSIE Owner: JOB ADDRESS: 29 Contractor Local Phone: Parcel # 1132060131650 Signed: NE 102 Building Permit Permit Number: .. BP2002 -751 LAWSON ST Contractor's Address: Permit Status: Approved Permit Expiration: 10/9/2002 Construction Value: $6,000.00 Work: NEW CABINETS & COUNTER TOP BACK SPLASH Page 1 of 1 (INSPECTOR) BY: Legal Description; MIAMI SHORES SEC 1 AMD PB 10-70 LOT 15 & LOT 16 BLK 12 LOT SIZE Fees: Description FEE2O02 -2165 Building Fee FEE2O02 -2166 CCF Total Fees: Amount $150.00 $3.60 $153.60 Total Fees: $153.60 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 Perml 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 ivowledge 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 and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 assume responlsibility for a0 work done by either myself, my agent, servants or em f3276A200 04/16 /02TOTL 153.60 (Contractor or Builder) BY: