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375 NE 102 St (11)
v Miami Shores Village 10050 NE 2nd Avenue Printed: 7/26/2002 Applicant: ONA Owner: ATEN JOB ADDRESS: 375 NE 102 Contractor Local Phone: Parcel # 1132060135100 Permit Status: Approved Work: EXTERIOR PAINTING AS PER AS PER AGREEMENT Signed: Signed: 07,,, Permit Expiration: 1/21/2003 Building Permit Phone: 305- 795 -2204 Permit Number: BP2002 -1305 ATEN ONA ST Contractor's Address: Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 22 & W35FT OF LOT 23 Fees: Description Amount FEE2002 -4133 Building Permit Application Fee $60.00 FEE2002 -4134 CCF $0.60 Total Fees: $60.60 Total Fees: $60.60 Total Receipts: $0.00 Construction Value: $900.00 Page 1 of 1 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. (4NSPECTOR) BY: (Contractor or Builder) BY: 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 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. MIAMI SHORES VILLAGE Pant Color Approval and Agreement DATE: 7 ° -- � . � � �V OWNER'S NAME: Oro_ � PHONE: Ds ADDRESS: 3 (f l Uo? -4` ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * ** ADDRESS OF .SITE: ... S G& .,(2- CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.. All Element on the site must be listed and indicate the color to be painted. Walls P---ew J Fascia u) --Q r , n Drip Cap/Drip Edge 1U Irui IL Soffit ),) U to 2 r `; ` Roof 1\ rS Flower Bins Shutters r A f Awnings /. Chimney Doors and door jams N- /3\ Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features T-I-612. Accessory Buildings oiu Other ,a)24, 7- 74 z i Building Officia Date 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 colors will be as per the attached sampl Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 PROPERTY OWNER New Construction Name Enclosure O Alteration Exterior Address 3 7 ) 5 Ar i/D.c 3 - 6 Home Telephone Alteration Interior Business Telephone ■ , Q 00 C Fax Relocation of Structure 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 Address Folio Number Block Lot Subdivision Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. PB PG Zoning " v Linear Feet Square Feet Units Floors Value of Work / 00 t O° Assessed/Appraised Value ssessed/Appraised alue Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax Master Permit No Subsidiary Permit No. ) c 9o( K?) City Description of Work PERMIT APPLICATION Bldg Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IMPORTANT NOTICES 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. 1. 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. STA FLORID COUNT OF MIAMI -DADS ignature of Print Name e^� 11 Sworn to and subscribed before me this o.3 day of 2p� Signature of Notary Public - State o SEAL: ner k14 Z. AT EA) TJ.• . V...11.7 VT • V. ♦VV Personally known ✓ OR, Produced Identification LOIS . LINDLEY COAAMISSON • CC978568 EXPIRES DK 15 2004 BONDED MOWN AMMAN I NOTARY STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: SECTION BY DATE 7 ? .y.a. Zoning ��_ � Electrical Mechanical Plumbing Fire Public Works Structural 7.-.2.— Building Official y, ZG Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) LI 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 Inspector State Educational Fund $ ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ $ Cl? D , 00 ( kb (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF 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 QTy. 'rITT Dryer QTY. i Outlet, Appliance QTy. Tvpt,: Service Repair Q.Fv. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of 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 . i . Vl , E Q Minimum Fee TYI'I QTy. Condensate Drain .I.YPI,: Generator QTy. TVI,i,: QTy. Refrigeration, Tons 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 Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE: A/C Condensate QTY. TYPE Drains, Roof Q'I'Y TYPE Miscellaneous Fixture QTV . rvP p : Soakage Pit Q 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: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date //-0'1 Job Address 3 i 72 F / c2 , ax Folio Legal Description Owner / Lessee / Tenant ajvt--ot_) E . (175iv7 Master Permit # 3 7 a Owner's Address ��rr Contracting Co c A - Address Qualifier SS# - - Phone State # Municipal 0/ Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION l G A i� 0 © 1- Signature Date: FEES: PERM APPROVED: p p)(01 Zoning 1 A/ 1(3 d- S fi Phone 1756 0 7 60- Notar My Co okftps�ap�e • . A NOTARY SEAL � SANDRA M MONTIEL * `'° COMMISSION NUMSERa ** * . i.'. . Q * CC4e1261 �� �F l� Q\O MY COMMISSION •EXP, F A > 1,7. Square Ft. Estimated Cost(value)l roO, 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 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. Furthermore, I authorize the a -named contractor to do the work stated. i of owner and /or Condo President Signature of Contractor or Owner- Builder Date: as to Owner and /or Condo President Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * * * * * ** C.C.F. .5.0 NOTARY Fire Building A9O TOTAL DUE $ �( f t� Other I / ( < Electrical Mechanical Plumbing` Engineering Date Legal N ** * APPROVED: • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /1 • "Job Address . 37 Descriptiorf4 Lessee / Tenant L %5:k Owner's Address J Contracting Co.aPOW Address Qualifier State # Municipal # Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN PENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost(valu /��` 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 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. Furthermore, I authorize the above -named contractor to do the work stated. 4 Signat of owner and /or Date: �% /9/99 ary as to Owner and My Commission Expires: Zoning Condo President ":**" JOSEPHINE OWEN No. CC197545 * * * * * * * FEES: PERMIT 3 7'S ) RADON C.C.F. Fire ss# - - xR 1 uildin -5) Phone - 7 e -g 7(f Z Competency # Ins.Co. Tax Folio / 4 /6 U �/ /!/ 2/1 e,gie9 Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * * ** • 3 O NOTARY .5". Oa TOTAL DUE 4 3 ®O Master Permit # Phone Signature of Contractor or Owner- Builder Date: Other c 2 Electrical Mechanical Plumbing; Engineering Per 489.103(7) F.S.S. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two - family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one (1) year after the constriction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have license required by state law and by county or municipal licensing ordinances. Date Owner's signature Village Use Only Owner's name(print) / yf tl LL-\ Permit No.i3 MIAMI SHORES VILLAGE BUILDING AND ZONING DEPARTMENT INSTRUCTIONS TO OWNER- BUILDER You have, this date, made application for a building permit as an owner - builder. You should be advised of the following provisions and reauirements that apply to owner - builder. Proof of Ownership - Prior to a building permit being issued to you, you must submit proof of ownership of the land concerned in the application in the form of a recorded deed, showing you own the property, or a copy of mortgage or warranty deed of the land, or a Dade County tax receipt, statement to contain legal description of property and indicate property is in your name. Legal description and name on document of proof must correspond to the name and legal description on the application. Responsibility - You will be responsible for all work done by your day labor employees, and you must either employ licensed contractors or persons to be paid on an hourly or per diem basis. Any one contracting (including labor) with you, verbally or in writing, on a fixed fee basis for any work, who is not properly licensed, will be subject to a fine of $500.00 and /or imprisonment for six months. Insurance - You should be advised that if your day labor employees cause any damage to persons or property, or if any of your day labor employees are injured on the job, you are liable. Your regular home insurance policy ordinarily does not cover this type of liability. Withholding Taxes, etc. - You should be advised to investigate your responsibility for withholding Social Security, Federal and State Unemployment Insurance Taxes and Federal Income Taxes from the wages of employees working for you on the proposed construction, and for making returns thereof to the proper agencies. Work Permitted Owner - Builder - An owner- builder subject to the foregoing provisions and requirements, is limited to constructing one single family residence each year for his own use and occupancy; or maintaining, altering or repairing his own single family residence. If you do not intend to do the work involved ,yourself, or with day labor, please list below, the name of the individual or firm with whom you have entered (or will enter) into a contract for the work. NOTICE: SEPARATE PERMITS REQUIRED FOR ELECTRICAL, PLUt1RING, ROOFING AND MECHANICAL WORK c3 -7 s 19e /c 2 Si Name of Individual or Firm Address I, the owner of property described as c 'S ) 7‹.F / d L 7" /7 d ;' Gr o- do hereby certified that I have read the foregoing instructions, and am aware of my responsibilities and liabilities under my application for a building permit for construction work on the above described property. Witness — Owner �. / 9_3 Date PERMIT APPLICATION FOR MUNICIPALITIES (OWNER TO RETAIN COPY) "'Date S- 9' Job Address 3 7 /1/L" / a- S j - Legal Descriptions 3S a,1 �'� ' ,/1j Master Owner / Lessee / Tenant 0,44 ,4�N Owner's Address Contracting Co. SC?iJ C l j-c L( 1tIeAJ Qualifier /U> o awl Architect /Engineer Bonding Company Mortgagor 37r tic (0,07- Sr ignature of Owner and /or Condo President ate: G Dtary as to Owner and /or Condo President Commission Expires: * .* * ERMIT FEE: APPROVED: Zoning 37� Mechanical Fire • Address 7 3 3 F StateL C6 C £9 2472. 9 AO Competency# (30 Y . z- 1 SSD ( Phone 2 -C" ( - oft( Address Address Address Tax OF DADE COUNTY Folioi/34 06 /3 5700 Permit # f4//W Phone Scl c(.r S i Ins. Co. M l iiji 44 e , C pis ?77 /?/ Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIC WORK DESCRIPTION PAeSsvA.e_ e i ALAI) ,4 J7 & 72.-i1(DA- 6L4Y Square Ft. Estimated Cost,t /9S +/ARMING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE T DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YO INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ?ECORDING YOUR NOTICE OF COMMENCEMENT). 'application is hereby made to obtain a permit to do work and installation as indicated above, an( )n the attached addendum (if applicable). I certify that all work will be performed to meet th' standards of all laws regulating construction in this jurisdiction. I understand that separatE ,ermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all'vork 111 be done in compliance with all applicable laws regulating construction and zoning. 'urthermore, I authorize the above -named contractor to Bo the work stated. Signature of Contrac Date: or orT-Gwne -Buii ier - Notary as to Contractor or Owner-, 1er * M y Commission Expires: NOTARY PUBLIC � 7AT FLORIDA * * * BONDED ,,,RU D INS2 3 UN* rr p Other Building i '4 1� /r Electrical Plumbing Engineering