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426 NE 102 St (4)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 6 - /?-612- Time Type Insp'n f 1 .� 44 4 ,1 Permit No. g L o2OO 2 - 13, Name J ?9 ,p Address 992 4/e /0,2 Si' Company /f1YLYl 5 /&.. Phone # or c$ 602 For Inspector: 6 -4g _ d) Name & Date Approved #fa �/ v Correction ❑ /c L U/ Z. Re- Insp'n Fee ❑ PAY TO THE ORDER OF Wires Village NE 2nd Avenue Phone 305 -795 -2204 Printed: 4/18/2002 Applicant: KATHRYN Owner . MCPHEE JOB ADDRESS: 426 NE 102 Contractor BRINKS HOME SECURITY INC Local Phone: 305 - 558 -6625 Parcel # 1132060170600 Customer Connection Fees: FEE2002 -2238 FEE2002 -2239 Permit Status: 1 If there is no permit packaue ; , , a , rA doc u T _r - l(° - -- !ty rnh BRINK'S HOME SECURITY 5765 N.W. 158TH STREET MIAMI LAKES, FL 33014 Bank of America 0 Description CCF Building Permit Application Fee Total Fees: L59 5 L 48 L511' 112003 68 711' 1:1 L L0000 L 211: Electrical Permit Permit Number: EL2002 -131 MCPHEE KATHRYN ST Contractor's Address: 5765 NW 158 ST Amount $0.60 $60.00 $60.60 Approved Permit Expiration: 10/15/2002 Construction Value: Work: BRINKS HOME SERVICE Legal Description: AMD PL OF MIAMI SHORES SEC 4 PB 15 -14 LOT 9 & E1/2 LOT 10 BLK 91 LOT SIZE $199.00 3687 32- 1/1110 TX 0 Total Fees: $60.60 Total Receipts: $0.00 DOLLARS a Page 1 of 1 ;. Re- inspection )plication herefor in strict compliance with all ecifications that may have been submitted to ces or if the plans are changed without ?.sponsibility for a thorough knowledge of the id that he assumes responsibility for work done ons pertaining thereto and in strict conformity responisibility for all work done by either ELECTRICAL TYI'E Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Ei ep /fifes r / 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 ie8✓ 4 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 er Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor -volt, Burgla 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 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 . PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. MECHANICAL TYPE Minimum Fee A/C Central, Tons A/C Wall/Win. Tons Air Handler, Tons Barbecue Bath Fan - Vented, # QTY. TYPE - - Condensate Drain Cooling Tower Dryer Vents, Number of Ductwork, Cost of Fire Sprinkler System Fireplaces, Number of Generator Heating Strips, each Paint Booth Piping, Flammable Liquid Process/Pressure Piping Pressure Vessel QT Y. 'I'YI'E - - - - Refrigeration, Tons Vent Hood, Cost Ventilation, Cost Periodic Inspections QTY. RECEIVED AND REVIEWED BY: DATE: " ,APls c'Z SECTION BY DATE Zoning Electrical , Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ 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.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review REVIEWED AND PREPARED BY: ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES m° 6 6 (sq.ft. = x/1000 x0.60) (0.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 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 Page 2 1MPOR1'ANT NO'T'ICES 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. OAvg ' r STA S F FL Y OF AMI -DADE K6T4(Z`6.1 AAe_ e4ftt Print Name Sworn to and subscribed before me this / 7 Signature o SEAL: Personally known 0 ry Public - S e of Flori Type of Identification Produced: STATE OF FLORIDA, , • F MIAMI - DADE Signature of Contrac ifier Print Name Sworn to and subscribed before me thi blic - State of Fl %. i n- :'' J t LIO ROBLES MY COMMISSION ft CC 921872 • a_ EX,PIPES. Bonded '. June 4 2004 Thru Notary Public Underwriters Signature o SEAL: Personally known OR, ' o PERMIT APPLICATION ida 04' f Type of Identification Produced: CONTRACTOR Name /IZ 1 0 A fi7' jee4 . • Eta 0 0 0 9Z! Address5.-74. L./ `5 s;,,,.. y . e b h u 3 y . 6 � / Fax Qualifier Namep If A _ , _� o L � � :��yIX�J PROPERTY,OWNER New Construction Name div��1/ Alteration Exterior Addr =. r 4a-• A/E /40.12- 11 % �� 3 3 ' Home Telephone Demolish Relocation of Structure Business Telephone Shell Only Foundation Only Fax Add'I Attachment Other 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 Step 1. Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other A V' 102 ST. Address Apt. Folio Number / /•3. 0/7 • 06 Lot Block Subdivision PB PG Current Use of Property X 614/ " Proposed Use of Property Tenant Information Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. PERMIT APPLICATION Subsidiary Permit No. L • a-O - ' 1 3 l INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: 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 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 i�►7tit ( 5+4-Q(ll$ City State (3 Zip Description of Work w ry / % `M+ Zoning Linear Feet Square Feet Units Floors Value of Work Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) ENGINEER Name License No. Address Telephone Fax