BP-02-1055 Miami Shares Village • -°
10050 NE 2nd Avenue u'
Phone: 305 - 795 -2204 Permit Number: BP2002 -1055 `
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Printed: 6/10 /2002 Page 1 of 1
Applicant: THOMAS STOCKS
Owner: STOCKS THOMAS
JOB ADDRESS: 26 NW 108 ST
Contractor Contractor's Address:
Local Phone:
Parcel # 1121360110110 Legal Description DUNNINGS MIAMI SHORES EXT NO 7 PB 52 -33 LOT 3 BLK
Fees: Description Amount 11 77_
FEE2002 -3218 Building Permit Application Fee $60.00
FEE2002 -3219 CCF $0.60 Total Fees $65.60
FEE2002 -3220 Notary Fee $5 . 00
Total Receipts: $0.00
Total Fees: $65.60 /
Permit Status: Approved Permit Expiration: 12/7/2002 Construction Value: $700.00
(1 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT)
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 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: - (INSPECTOR) BY:
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 responsibility for all work done by either myself, my agent,
servants or employes.
Signed: (Contractor or Bulkier) BY:'
rhowasA. Stocks 04196
305- 759.5794 Date cf - 1583
26 N. Ul. 108th St
Jlfiami, BC 33168 -4311 63- 271631
Pay to the ,
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BANK OF MERICA, N.A.
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MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: ��/ S 2
OWNER'S NAM : PHONE: 7.S�S�
ADDRESS:
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
All Elements on the site must be listed and indicate the sn' . r .o be painted.
f Walls
Fascia o
Drip Cap/Drip Edge Gl/ o
Soffit A11
� Roof
Flower Bins -- -- ro
Shutters
g �
Awnin s GZ
Chimney
Doors and door jams z
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regular) ----
Stucco Banding
Any other stucco features
Accessory Buildings
Other
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
s mples.
Signature of Owner Ifate Signature of Contractor Date
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
Building Official Date 4/23/01
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PERMIT APPLICATION
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---- Master Permit No.
1 ; Subsidiary Subsidiary Permit N
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INSTRUCTIONS - The following steps mus't be taken to obtaina pei from the N/liami Shoi Villa-e:
Step 1. Complete the attached permit application which must be signed by the prop M 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.
Job Address:
Address Apt. City State Zip
Folio Number Description of Work
Lot Block
Subdivision PB PG Zonin Linear Feet
Current Use of Property Square Feet !A Units Floors
Proposed Use of Property /Value of Work ,tZo/J Bldg Value
Tenant Information Tax Assessed/Appraised Value
T
Flood Zone Base Floor Elev.
PERMIT TYPE( PERMIT CHANGE ✓) TYPE OF MANAGEME ✓)
Building Chg. Contractor New Construction Enclosure
Electrical Renewal Alteration Exterior Re pair
Mechanical Revision Alteration Interior Demolish
Plumbing Extension Relocation of Structure Shell Onl
LPGX Supplement Foundation Onl Add'I Attachment
Roofing Reinspection Other Add'1 Detachment
Fence Other
Other
ARCHITECT ENGINEER
/ Name Name
License No. License No.
Address Address
Telephone Telephone
Fax - Fax
PROPERTY OWNER CONTRACTOR
Name Q� r S' Name
Address No.
�� Address
Home Telephone
Business 3 3fle oae 9 Telephone Fax
Fax •._J Qualifier Name
Page 2
PERNIIT APPLICATION
IMPOIZIANT NOTICE'S
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 am.
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 MA TERIAL S 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.
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. j
STATE OF FL RIDA C OF MIAMI -DADS STATE OF FLORIDA, COUNTY OF MIANII -DARE
a
gnature of Owner Signature of Contractor / Qualifier
�t Name Print Name
S to and subscribed before me day Sworn to and subscribed before me this day of
Y Y ,
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afore of otary Publi - ta f Fl 'da Signature of Notary Public - State of Florida
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SEAL: SEAL:
Personally known z + ,4, Pro cecl- Identification Personally known OR, Produced Identification
Type of Identifi .0 ' _7 3 0� (T°— �°—� Gype of Identification Produced:
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided blow.
TYPE -40. I.Q,:I�YTI QTY. TYPE QTY. TYPE QTY.
�Ry
bruilmum Fee Dryer Outlet, Appliance Service Repair
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 Future - 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 -Lead Central Posts Swim Pool, Commercial
Air Conditioners Garbage Disposal Rangeatange Top Swim Pool, Residential
Chiller Generators, etc. Receptacles Switchboards
Clear Violations Heat Recovery Refrigerator, Comm. (pMH) Temp Serv, Construction
Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days
Deep Freezer Low -volt, Fire Renew - Temp Service
Demolition Low -volt, Intercom/Teleph. Repair Circuits
Dishwasher Low -volt, Television Service, Number of Amps
MECHANICAI
Og
TYPE
1 QTY. TYPE 1
Minimum Fee Condensate Drain Generator Refrigeration, Tons
A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost
A/C WaIUWm. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost
Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections
Barbecue Fire Sprinkler System ProcemPressure Piping
Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel
� tY
A/C Condensate Drains, Roof Miscellaneous Fixture Soakage Pit
Bath 1tib 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 Met 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-pi
Drains, Floor Minimum Fee Shower Water Service
Drains, French Miscellaneous Equipment Sink Well, Supply
RECEIVED AND REVIEWED BY DATE:
Page 4
PERNIIT APPLICATION
OFFICE USE ONLY
❑ OWNER - BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL
(Attach) (Attach) (Attach)
❑ FIRE DEPARTMENT ❑ HRS / DERM APPROVAL ❑ BPR APPROVAL (Restaurants)
APPROVAL (Commercial / (Septic / Sewer)
multi- family)
❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION
(New Construction) (New Construction) (On File)
❑ OTHER ❑ OTHER
(Specify & Attach) (Specify & Attach)
PEIUVIIT FEES
i
$3.00 per page (Scanning Fee) $
Miami Shores Village $
i
Bond $
Metropolitan Dade County (C.C.F.) $ _ (sq.ft. = x/1000
x 0.60)
Inspector State Educational Fund $ (¢.005/sq.ft)
State DCA (Radon) $ (0.01isq.fL) i
s
Code Enforcement Fine $
1
Zoning Review $ /
® TOTAL
ISSUING OFFICIAL
S�
AND PREPARED BY DATE:
ECTION BY D
Z
CONDITION OF APPROVAL
onin
Electrical
Mechanical
Plumbin
Fire
Public Works
Structural
Building Official
i
Revised July 2001
1
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
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