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551 NE 102 St (6)Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 1/7/2002 Applicant: CORY Owner: GITTNER Contractor Local Phone: Parcel # 1132060170980 Job Address: 551 NE 102 ST If there is no permit par' - fee is $50.00, which must In consideration of the issuance ti with the plans, drawings, statement myself, my agent, servants or empt Signed: Fees: FEE2002 -115 FEE2002 -116 FEE2002 -117 FOR CCF Notary Fee Total Fees: Bank of America. ACH n/r 063100277 Building Permit Permit Number: BP2002 -44 Address: Cellular: GITTNER CORY Page 1 of 1 Legal Description: MIAMI SHORES SEC 4 AMD PLAT PB 15 -14 LOT 19 & W1 /2 LOT 20 Description Amount Building Permit Application Fe$60.00 $1.20 $5.00 $66.20 Permit Status: Approved Permit Expiration: 7/6/2002 Construction Value: $1,500.00 Work: EXTERIOR PAINT AS PER AGREEMENT (OWNER BUILDER PERMIT) Total Fees: $66.20 Total Receipts: $0.00 O •Lookfon blue.hackgrdund bn.the front of this'dheck; anti tl11 image fem7ogb'on back. If not present, do not. cash, This Permit is granted to the cor ordinances pertaining thereto and and approved by the proper munici ',V 9N iHD AVE 8210 DATE MIAMI SHORES, FL 33138 ordinances and regulations pertain; by his agents, servants or employe j PAY TO THE MIAMI ShORES VILLAGE I ORDER OF Signed: — d //,s tt'0046261 I:063/002774 0036035255 7411' ,3,....1 a �u.- - „�` .s JANUARY 14, 2002 1$ 6‘. o 4626 . 63- 27/631 Fl 988 DOLLARS e MIAMI SHORES VILLAGE Paint.Color Approval and Agreement "DATE: e P t EGvi 6 r € G Zoo OWNER'S NAME: (',612 c4 6 17`i Aig2 PHONE: 305 7.5-7— L/a 00 •DDRESS: Sal Nt I OA S ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** LDDRESS OF SITE: ,-5 71/x' (02 r 3 3 ! 3 P CONTRACTOR & LICENSE (if applicable) yJ ` 79 COMPANY NAME: �� ( PHONE:._ -, ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls .155 Fascia 10 (3 aO Drip Cap/Drip Edge Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Four ScIraOA) Dca' .2 U63jj Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other APPROVED: Building Official Date ec % m 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 constructio and zoning. I authorize the above -named contractor, if applicable, to do the wor ! state el Fu hermore , the paint colors will be as per the attached samples. ' - - 1 .,�., ►,� %lam\ Signature of •wner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 2155 -40 4/23/01 0 0 E BENJAMIN COLORPREV EW 2155 DATE: l - o � s°9 OWN'ER'S NAME: Calk '4 C r7` i N eer PHONE: 7S? y 0 O ADDRESS: X57 /t.J (1 2 S '� MIAMI SHORES VILLAGE Pa int Color Approval and Agreement APPROVED: x)4 **xxxxx Roof iJ A Flower Bins tJ 4 Building Offi 'al Date 3-n %)4,4)4%)$X)4%%)474)4)4)4%% )4)4 )4 ADDRESS OF SITE: S 5 / /V (b„2 CONTRACTOR & LICENSE (if applicable) CdZ COMPANY NAME: PHONE: Shutters Awnings _WI Chimney 2` 1 G b 002,''- Doors and door jams Scaem Donk 01J01 (So D t ` 2065 -20 Garage Doors N� Railings AJ A Fences NJ , Decorative Metal 063 - 2 0 / ''"" All brick (simulated or regular) N Stucco Banding 2 /,c.,► -' Any other stucco features N A Accessory Buildings Other N th 0 All Elements on the site must be listed and indicate the color to be painted. Walls 21 S S' O CA Ca , te Fascia t 5 55 rt Drip Cap/Drip Edge 1 .J Ak Soffit -5 Yv 0 sui U 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 vork ted. Furthermore , the paint colors will be as per the attached samp 1 Signature o Owner Date Signature of Contractor Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 0 ) 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 iORI P' !D 1' • • MIAMI -DADE Signature of 1wner Print Name Print Name Sworn to and subscribed before me this KAP: .2 / A Al I III, 41 fro otai,P blic - S e o 'orid:_ . -_- -, SEAL: (5\' (tY P(/ ANGELA M BEC..ER "sr'# n cor,r:sssoa t.uc:�an u 9 1Y -' ¢ CC7a5e Personally known . - - - OR, Produced Identification L/ STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: *-4 PERMIT APPLICATION Personally known OR, Produced Identification Type of Identification ProducedF. .b L G'354 0 J- S y 3_ ( Type of Identification Produced: PROPERTY OWNER Name C L (2.q / c t r Address � 1 � � f o 1 . r Home Telephone 3 9,c-Li- 3 1 7 1 Business Telephone 16 c `� 5° 7 _ L/ q o ) Fax e,r- - 7c/- 6 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. Step 2. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which trust 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. A PPLICATION Job Address: Folio Number' Lot Subdivision 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. c5/ ftJE /OA sr nowt Swdieas f t 33 13 Address Apt. City 3 �o 6 Q I 01 V Description of Work 20 Block h1S S Pc Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other-re .ta v PB L PG PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Zip PA/or t JA s 4 rT/'4 Master Permit No. Subsidiary Permit No. State PERMIT APPLICATION Zoning Linear Feet Square Feet Units Floors Value of WorkiZ. 5 () Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch - Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton - Pressure Vessel 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. 'TYPE Refrigeration, Tons QTY. A/C Central, Tons QTY. 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 Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QT1'. 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. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE 7 /d.2 Zoning 4 ./1 Electrical Mechanical Plumbing Fire Public Works Structural / -2 4. Building Official l ( Page 4 OFFICE USE ONLY CHECKLIST U OWNER - BUILDER FORM (Attach) J FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review 0v ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ Lag O , Metropolitan Dade County (C.C.F.) $ ` r °2 0 $ (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (4.01 / sq.ft.) REVIEWED AND PREPARED BY: • .PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ C.P C .v o 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 Lessee Owner's Address Contracting Co Date q/22/ , Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE / Qualifier SS# State art Municipal # Competi o Architect /Engineer Bonding Company Mortgagor Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION PAi&J( ai ( EXTr�It( 0 0 (-owl E /- PO () J ("Air/A/C)) fge,_ssaee c A-A) feaa j/ai e f i 'f - Eeroic Square Ft. 3 00 0 Sot Fr, (Poi, ( co) 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 AFFID.VIT: I certify that all the foregoing information is accurate and that all work will be done in c plian i with all applicable laws regulating construction and zoning. Furthermore, I authorize TT above contractor to do the work stated. Signature P e and or Condo President Date: 0 /S 3 49444e 44 . 0 4' ` "a:� JOSEPHINE CHURCH o,.�i c S'3to GIF gla nd O % o. Pres,idefo. April 30, 1996 jg o � i �o� No. CC197545 • ta as to Owner an y Commission Expires: ** * APPROVED: * * * Zoning Job Addre s c5 //i Wino 3/ Tax Folio // ' *W / 4 ' I Tenant C O R G (TYNE, — 5 / / 41- gt - -f0 * * Mechanical :Q Estimated Cost(value) FEES: PERMIT 576 RADON C.C.F.,∎c e Address Master Permit # Phone 759 Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: NOTARY ,3/0 TOTAL DUE 1 /1 , Ot 2 Other Electrical Plumbing Engineering