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350 NE 102 St (6)Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 51G4 Date Type Insp'n1 r Permit No. " 3 1 (LJ Name 4()TA c1 ' Address 3 so E. 102- Company U SC'OC k Phone # Inspection Date \',AK Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2003 -1697 Printed: 10 /29/2003 Applicant: ILENE MARTIN Owner: MARTIN ILENE JOB ADDRESS: 350 NE 102 ST Contractor VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE Local Phone: 305 - 751 -7164 Parcel # 1132060135130 Building Permit Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & 6 BLK 38 LOT SIZE 100.000 Fees: Description Amount FEE2003 -6508 Building Fee $60.00 FEE2003 -6509 CCF $1.80 FEE2003 -6510 Training and Education Fee $0.60 FEE2003 -6511 Notary Fee $5.00 FEE2003 -6512 Technology Fee $1.50 Total Fees: $68.90 Total Fees: $68.90 Total Receipts: $68.90 Permit Status: APPROVED Permit Expiration: 4/24/2004 Construction Value: $2,400.00 Work: EXTERIOR PAINTING Signed: (INSPECTOR) Page 1 of 1 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 I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: /0.1i • 0 3 OWNER'S NAME: �i�JE MARTS PHONE: 34C-�i? ADDRESS: 3r A.1. /02/ S r ********************************** * * ** * * * * * * * * * * * * * * * * * * * * ** * * * ** ADDRESS OF SITE: % ,cl.c /o ' 5T CONTRACTOR & LIqNSE (if applicable) q1/ g5oo z f COMPANY NAME: \1 (r1i PHONE: *****************,*************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls ye - y� _ Fascia 1 C) v.1 60.-m Drip Cap/Drip Edge H C - (0! Soffit () . 6 oerAI BJ 44 ' , \Aft r cn v 3 Roof ,4 / Ar. Flower Bins k Shutters _ +L C - /0/. Awnings Nl kdk�o (: c i' _Chimney __ --N 1 - Doors and doo jams 4)46 vthk,-CE 2e Garage Doors *la, N rrE Railings 1{G - tot oR Eziei< Fences Decorative Metal - RoP - R ..)eficA vat - /f - /o( All brick (simulated 9r regular) rLA- Stucco Banding N/k Any other stucco features Accessory )3uildings Other — \JU'JPo)A5 Exi5rr ,1& CoGoK - t G -' • 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 olors will . e as per the attached HC -48 BtAr -g . 0 0 0 CD samples. .(3 :rileziGtio 101910.3 . '03 Signature of Owner Date Signature of Contrac or Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Riiilrlino n' ;vial Date 4/23/0 ROBERT S. VISCOUNT, JR. 640 GRAND CONCOURSE MIAMI SHORES, FL 33138 i / _ 'f � ' /� ` order of Pay to the /° t t �� 1 �/f.�'( .Six Y ( BankofAmeri ACH RVf 063100277 For AAA-€.1 r.1 11Q 1T Date ':063i00277s: 0035080 L331610 2623 2623 ©3 63- 27/631 FL i $ 6k, qo t Dollars 8 4;11> CONTRACTOR J Name V I CO,,,Tf i�;kTii4 License No. Qzi Ko92 Z { Address �- OV+I� Telephone ,3as --7 / 6 , / Fax ?S 63p 3 Qualifier Name pr , /� Y i PROPERTY OWNER New Construction Name C M 1 1 I Alteration Exterior Addrt s 3 i i. E g / 5 4 0 6 6 5 /02_ 1 4 5 33t 3Fl Home Telephone 3 ,?� ofz T Business Telephone Demolish Fax Shell Only 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 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. A PPLICATION Job Address: ? N• (02 Address Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Apt. ARCHITECT Name License No. Telephone Master Permit No. Subsidiary Permit No. itl iot fi cC s City Description of Work ?A:f Pc-rat PERMIT APPLICATION / State 33(3 Zip Zoning Square Feet Units Floors Value of Work L` c7p Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Linear Feet ENGINEER Name License No. Telephone F 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 Signature of Owner Print Name nd subscri bed before me st '?) day o Sworn a ature of Notary Public State of Florida ' %iec i M. ova � Milberg ioMMIS!.l�n7DD 5528 July °,20) - :i1ti Cr:. � Tip: Personally known ]l OR, Produced Identification SEAL: F ��IDa�O CUNT MIAMI -DADE Q ... lure of Contractor / Qpalifier W oy.ezr S V kS Print Name worn to and subscribed before me this Il 4. : gna ture of No ■_ i.rai. Personally known State PERMIT APPLICATION f Florida :f Pk,. Angela M Becker My Commission DDISOO48 of w . res November 15, 2008 OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. "rl PE Service Repair Q I'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 QTY. TYPE Generator QTY. 'fVPE 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 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 PLUNIBING Tvl'P: 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 Sprinlder Repair Cap - Fixture Fountain Pump and Abandon Sprinlder 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 10/ -9//45 Zoning a z.. Electrical Mechanical Plumbing Fire Public Works Structural Building Official UC 1 2 8 201 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 Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) ( S ISSUING OFFICIAL ICIAL REVIEWED AND PREPARED BY: DATE: )3 ( x .60) x/1000. (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) L o . C-{ . 2 P ? " (11 TOTAL $ b g. 7 0 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