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941 NE 92 St (8)PROPERTY OWNER Name /fl/ j Qt R. -ha ler /1 9 � Address 9 • , N. G ads-. fr Shwa., FL 3313r Home Telephone O� 7b1 73 Business Telephone 30s7.-7S14— ! 3 0-1 Fax ZJOA.1ASZ, 4\ 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. Current Use of Property 401M.Q.. Proposed Use of Property 1 1 0 ln/J2-- Tenant Information NA PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 14c1. Address Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. g "-r- ›)l, 7 ' / -c 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 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. Folio Number Description of Work Pa ln e.rrbre house Lot Subdivision Block PB PG Zoning Linear Feet Square Feet ) ( ? 00 Units ( Floors I Value of Work r Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Qualifier Name PERMIT APPLICATION Fax 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. Si e gn of Owner /�� %Qer 1 R. ( Aanokgr- Print Name j S (g! • AL: and subscribed before me this e of Flori y Type of Identification Produced: 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 PERMIT APPLICATION • FICIAL NO' • •, - ♦PnY Pt/ ANGELA M 6E:. . y SEAL: 0 - r,r ' 0 coWassoN n,:. . a 911 -�. Q CC7866t 9t N MY COMMISSION - O NOV. 15,2' Personally known ° -` O uced Identification Personally known OR, Produced Identification Type of Identification Produced: ELECTRICAL TvI'1: QTV'. TYPE. QTY. •1'1'1'1. Q'fv. TYPE QI'Y. Minimum Fee QTY. Dryer A/C Central, Tons Outlet, Appliance Cooling Tower Service Repair Heating Strips, each A/C Central 1 -3 Ton Vent Hood, Cost Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Air Handler, Tons Fire Pump .Ductwork, Cost of Outlet, Switch Piping, Flammable Liquid Signs Periodic Inspections A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) Bath Fan - Vented, # A/C Central 16-20 Ton Fireplaces, Number of Fixture Light Pressure Vessel 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 Laundry Tray Demolition Low -volt, Intercom/Teleph. Repair Circuits Lavatory Dishwasher Low -volt, Television Service, Number of Amps Meter Set (Gas) MECHANICAL TvI'1.: Minimum Fee QTY. TYPE Condensate Drain QTY. '1'VPE Generator QTY. T1 PE QT1. Refrigeration, Tons A/C Central, Tons Bath Tub Cooling Tower Drinking Fountain Heating Strips, each Miscellaneous Repairs Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Sprinkler Repair .Ductwork, Cost of Cap - Fixture Piping, Flammable Liquid Fountain Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Supply, AC Well Pressure Vessel Cap - Sewer PLUNIBING TYPE A/C Condensate QTY. i'VI'E Drains, Roof QTY. TYI'E Miscellaneous Fixture QTV'. TYPE Soakage Pit Q'FY. 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 Ileater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Ileater 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 Zoning CQ., 7/ /O /d o 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) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond 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) $ 0 $ Metropolitan Dade County (C.C.F.) $ I 0 (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) TOTAL $ 64, ISSUING OFFICIAL REVIEWED AND PREPARED BY: 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 \ 10050 NE 2nd Avenue Phone: 305 - 795 -2204 . , Printed: 7/12/2002 Applicant: MICHAEL Owner: .WINGEIER Miami Shores Village JOB ADDRESS: 941 NE 92 Contractor Local Phone: Parcel # 1132060060060 Building Permit Permit Number: BP2002 -1223 CHANDLER CHRISTOPHER ST Contractor's Address: Legal Description: AMD PL GOLDEN GATE PK PB 7 -54 LOT 7 & E1/2 LOT 8 LOT SIZE 75.000 X 140 Page 1 of 1 Fees: Description Amount FEE2002 -3833 Building Permit Application Fee $60.00 FEE2002 -3834 CCF $0.60 FEE2002 -3835 Notary Fee $5.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 1/8/2003 Construction Value: $200.00 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 $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: �� (INSPECTOR) BY: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: g 1 C Pay to the order o 2neJ�� 1irliarl tR. Lllattblrr Jllll +Eitcitl Atm., Apt. �2 tame - tti, ractl, NC 3313) WASHINGTON MUTUAL BANK, FA MIAMI BEACH /ALTON ROAD 1801 ALTON ROAD MIAMI BEACH, FL 33139 1- 800 - 788 -7000 F 2�U CUSTOIti1EFy$� VICE F jZ9 e r1 1: 26708 3 1I: 5 1 "1308 735111 63- 8413/2670 2576 Date 7//510a !age 1 $ 13/ '>r. /// B.�m7: //e 2576 MIAMI SHORES VILLAGE Paint Color Approval and Agreement 5/10c?— OWNER'S N 11 di e 2 ���i� HON :p,S� 74/ ADDRESS: 9'I / lJ. E. 90 ' ' LS e- hdrre'c, rL 33/33 ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted, Walls C oiches4erT Fascia t,3\- 3t-2 Drip Cap/Drip Edge („01i-\-e Soffit (A.11n Roof tk) 1\-e_. Flower Bins IQ Pc Shutters K Awnings /U Pr Chimney N Pr Doors and door jams (, bt -2 Garage Doorl ' tAa.c.X. Railings Ili" Fences NA- Decorative Metal 13 /ezGK All brick (simulated or regular) ---- Stucco Banding NA Any other stucco features 1 cke sie r' J cqZ Accessory Buildings MA- Other DATE: OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all appli,eable 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 sa • le, // gnature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: '7//dA Building Off ial Date \/,lolls cD Dc6r � OSS b\et & - 1 ti w‘. A-LL Rife WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6— / F?8 Job Address X 94/ W 9' Tax Folio Legal Description Historically Designated: Owner/Lessee / Tenant )( 4 . , , YL ,f 7 G! 4t/te Owner's Address 9q1 of// 9 ,11* /11/4 S Contracting Co. Notary . o Owner an My Commission Expires: Square Ft. Estimated Cost (value) S v < o.- FEES: PERMIT RADON Municipal # do Pres vii 1 ,v uG day s �E � ta: E;'34J /t E.A,xON N,). co c2161 ©Iii`12141SsiON EX? MAR. APPROVED: Zoning Building Mechanical Master Permit # SS# - hone Competency # 95S5 0/,6 Ins. Co. Address Address � v Pod TREVA L. ZONA z o G COMMISSION # CC 411415 EXPIRES OCT 3,1998 . ^� BONDEDTHRU 9 OF E -Q ATLANTIC BONDING CO., INC. C.C.F. � '12 NOTARY , BOND Phone 7 / — r3a8/ Address ' 2 ?3 3 B ?367 - 96vea Qualifier v4 ✓ 1 U I r s/t Z. State # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION • gx - r i I ox 4//U'/ I/u6) 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 zoni g. Furthermore, I authorize the above -named contractor to the work stat COO L - eel a for 0404 egg • Si a P •� •A and /. C. resident Date S <gna of Contractor or Owner-Builder t er- uilder Date / 5 (` Notary as to Contractor or er- Builder Date My Commission Expires: TOTAL DUE g 9 V Electrical Plumbing Engineering