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PL-15-155 s- Miami Shores Village JAN 2 2 nn Building Department 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 �— Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 0 BUILDING Master Permit No.)?/ PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: CoL�o 14 e 1 ® I S-t City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1�-'�Z - ('7 -'2®�® Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: C,o i n-fi e OWNER:Name(Fee Simple Titleholder): io�ri Phone#: 86 8 L+L+ Address: (a 4® 0 F, (0 ( 5 City: Miaawn ShaseS state: zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: C4 ( ► S Phone#: Address: (3 Av& City: Do or I StateZip: .SLI' Qualifier Name. 1fxfl Phone#: State Certification or Registration#:��1"l�� r'26 2. Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ uare/Linear Footage of Work: 7 Type of Work: ❑ Addition Alteration New Repair/Replace ❑ Demolition Description of Work: q? �Q Ce -~ '_n .e 100 Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 5w" W TOTAL FEE NOW DUE$ �� (Revised02/24/2014) ��� Q Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,AIR CONDITIONERS,ETC..... 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. /n the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. SignaturSignature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this a day of 0 v� cl Q 2019 by day of 20 by U f S W'e' crna ahs ,who is personally known to 0 P_✓-e�� � �� ,wh '_personally, kno n to me or who has produced _�r,,4 dice,,p, as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: QSign: Print: e4k �� Qcn Print: Seal: °. TERESA J SOLOMON public State of Flori a Seal: Baa+ave Na'ary �zticlano Joei�na M •c MY COMMISSION#EE131935 �� e a,7;mirasinn FF 032753 n,r EXPIRES November 08,2015 �r9fo� y�ir�s 01112i2o�8 5 F10MONOte rvice.00m 6m'trs+ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) f i g� IZ C.193 y P �A � ON OV 2 1,; 2003 "" ""'� Master Permit No. moi,_ seeo o�A Subsidiary Permit No. fINSTRUCTIONS - Th e following steps must be taken to obtain a permit from I Step 1. Complete the attached permit application which must be signed by the proWM 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. i 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 ` Job Address: ?U' I 'v ' C7 31104 V"l 1(_�I I 1 S/16 11. f L 3 i3e Address Apt. City State Zip Folio Number oj 3- Av�-70 Description of Work k }c�nr�-+ 4 L�.�w c��y esw� `F Lot AD Block ?J � Dv�51�t S-r, 1- to t' 13S Subdivision PB PG ZoninamiJ ml l inear Feet Current Use of Property n lJC Square Feet c;21'1!2+r Units Floors Proposed Use of Property Value of Work 5'i 4Y,04 Ole' Bldg Value ' Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓) PERMIT CHANGE (✓) TYPE OF MANAGEMENT (✓) Building Chg.Contractor New Construction Enclosure Electrical Renewal Alteration Exterior Repair Mechanical Revision Alteration Interior Demolish Plumbing Extension Relocation of Structure Shell Only LPGX Supplement Foundation Only Add'1 Attachment Roofing Reinspection Other Add'I Detachment Fence Other Other ARCHITECT ENGINEER Name Name License No. (\j License No. t I 1 Address Address N 1 �) r- Nle Telephone ft Telephone f Fax Fax PROPERTY OWNER CONTRACTOR Name r . Name efy _-M Address License No. I' ^0� 1 S Address �,1( Home Telephone r qM NV) S Business Telephone J' Telephone — Fax i(_lQ `TQC Fax SU — Qualifier Name p ' Page 2 PERMIT APPLICATION I]NIPORTANT 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 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. r S O ORID ,CO MIAMI-DADE ST OF A,COUNTY F -DADE Si a of Owner Signature of Contractor/Qu6ther �T2i, Print NameAA Print Name / , Sworn to and subscribed before me this�day oflW✓M� Sworn to and subscribed before me thisy1� day of/V/0� /:44 14w� Sign f oK4MA KILPATRICK Signa o O P�Sta 'A*ILPATRICK MY COMMISSION# DD 149162 y 1 i MY COMMISSION DD 149152 SEAL: or�o�� EXPIRES:September 27,2006 SEAL: ��or n%' V EXPIRES:September 27,2(X16 1.6aXU MOTARY F'L Nc1arq Sw&9&Bw&g,Inc. 1.8Mt NOTARY FL Notary Semoe&Bordng.(- Personally known OR,Produced Identification ✓ Personally known R,Produced Identification Type of Identification Produced:r17-D2U.c F346 41506:54100 Type of Identification Produced:A Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies)in the space provided below. ELECTRICAL TYPE QTY. TYPE QTY. TYPE QTY. TYPE / Minimum Fa Dryer Outlet,Appliance I I 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 5-15 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 1 Temp for Test-30 days Deep Freezer Low-volt,Fire Renew-Temp Service w"e. Demolition Low-volt,Intercom/Teleph. Repair Circuits Dishwasher Low-volt,Television Service,Number of Amps MECHANICAL TYPE QTY. TYPE QTY. TYPE QTY. Typt-' 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 Process/Pressure Piping Bath Fan-Vented,# Fireplaces,Number of Pressure Vessel PLUMBING TYPE Q-1-Y. TYPE Q'i-Y. Typu, QTY. TYPE QTY- A/C Condensate Drains,Roof Miscellaneous Fixture Soakage Pit 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 I RECEIVED AND REVIEWED BY. DATE: Page 4 u PERMIT APPLICATION OFFICE USE ONLY 3 . , • �- i ❑ OWNER-BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) L1.FIRE DEPARTMENT ❑ HRS/DERM APPROVAL ❑ BPR APPROVAL(Restaurants) APPROVAL(Commercial/ (Septic/Sewer) multi-family) e ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify&Attach) (Specify&Attach) $3.00 per page(Scanning Fee) $ Miami Shores Village $ Bond $ Metropolitan Dade County (C.C.R) $ 3, c) 1) (sq.ft.=x/1000 x¢.60) Inspector State Educational Fund $ �� (¢.005/sq.ft.) State DCA(Radon) $ (0.01/sq.tt.) Code Enforcement Fine $ Zoning Review $ 3 TOTAL $ �b I. az ISSUING OFFICIAL i At nom: REVIEWED AND PREPARED B DATE: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official Revised July 2001 10050 N.E. 211D AVE., MIAMI SHORES,FL • (305) 795-2207 •FAX (305) 756-8972 • http://www.miamishoresvillage.com I 1604 4;F77INC. Broward CC#97-CME-1743-R ELECTRICAL CONTRACTORS JOB: JOE FITZGERALD Post Office Box 226317 - Miami, FL 33122-631 ADD: 261 NE 97 STREET Tel: (305) 592-0534® (305) 2i4-1606 MIAMI SHORES Fax: (305) 592-9462 FLORIDA 33138 NEW 1 POLE SW PHONE: 305-756-6118 FOR UNDER CABINET 2'MAX TYPICAL NEW G.F I SHEET: I OF 3 LIGHTS DUPLEX RECP DATE: 11r26t2003 TYPICAL SS D G.F.I. T EXISTING G.F.I. 4'h4AX TYPICAL RECESSED 0 LIGHTS(5)8 G.F.I. DIMMER I S_ C) 0 PANTRY DISPOSAL Fs-1rjK Ila DhV RECP. KITCHEN G.F.I. DNV NEV'-f LV Ui'-IDER REF, 0 0 CABINET LIGHTS (4)TYPICAL L 0 {� RANGE 0 S NEW — -& MICRO-0-44VE G.F.I. CEILING U LIGHT&SW 0 G.F.I. LAUNDRY S EXISTING DRYER ROOM EXISTING PANTRY -LL LIGHT AND SW TO Itt NEW YVALL IF REMAIN RECP ffT WASHER �OPANTRYJ 2 NEW COUNTER RECP&20A CIR ALL NEW CIRCUITS ARE TO BE TIED INTO THE EXISTING 200A GE PANEL IN THE GARAGE AND IS LARGE ENOUGH FOR THE LOADS.THE NEW KITCHEN COUNTER RECP.WILL HAVE 2-20A 120V CIRCUITS AS REQUIRED.THE DAAf, DISPOSAL,REF,WILL HAVE THERE OWN 20A 120V CIRCUITS.THE RANGE IS 50A 240V 9KVV AND WILL HAVE A-4 C -Y!T:.THE, EWUNDERCABINET IRC LIGHTS WILL BE 20W EACH(4)1 II TH t*TINGLIGHTING CIRCUIT, 6 SNn�a. D'!t MICHAEL A. DEVANEY, SR. �RIDP CHIEF ELECTRICAL INSPECTOR BUILDING DEPARTMENT MIAMI SHORES VILLAGE 10050 N.E.SECOND AVE. MIAMI SHORES,FLORIDA 33138-2382 Phone:(305)986-7028 :13B JOE FITZGERALD 04747 INC. Broward CC#97-CME-1 743-R ADDRESS: 261 NE 97 STREET ELECTRICAL CONTRACTORS hA SHORES F'HOI'•lE: 305-756-6118 Post Office Boit 226317 9 Miami, Fl. 331122-631 7 Tel: (305) 592-0534 ® (305) 2741-1506 DATE: 11r26I2003 Fax: (305) 592-9462 SHEET 2 OF 3 NEW 2"E.M.T.RISER WITH 3-2N CU.THHN STR. DRIP LOOP 10'MIN.FROM 2 OLD FUSE GROUND PANELS CONVERTED TO J EXISTING 1"EMT TO BOXES EXISTING EXISTING CENTRAL AIC 0 SYSTEM,W-2#4.REWORK EXISTING G.E INTO METER MAIN AND MAIN BREAKER INSTALL PROPER SIZE 40 CIRCUIT NEW 200A BREAKER 120/240%/ 8 CIRCUIT INDOOR SINGLE METERIMAIN PHASE PANEL SINGLE PHASE REWORK 1-112"RIGID AND SINGLE PANEL A. NEW 1-112 EMT CONDUIT IN GARAGE WITH 3-2/0 THHN CU.STR. NEW#4THHN CU.STR. IN A 112"P.V.0 I 2-10 FOOT X 518 GALV.GROUND RODS MIN (moi rg7ER 6'APART WITH A WATER GROUND r CC#16047 INC. Broward CC#97-CME-1743-R JOB: JOE FITZGERALD ELECTRICAL CONTRACTORS ADD: 261 P1E 97 AVE Post Office Box 226317 , Miami, FL 33122-611 i MIAMI SHORES Tel: (305) 592-0534- (305) 274-1606 � PHONE: 305-756-6118 Fax: (305) 592-9462 DATE: 11 16!1003 SHEET. 3 CIF 3 SQ FOOT 2100 X 3 6,300 VA LAUNDRY 1,500 VA SMALL APP. 3,000 VA DRYER 5,000 VA RANGE 9,000 VA DISPOSAL 750 VA DISHWASHER 975 VA REF. 1,200 VA MICROWAVE 1,300 VA SPRINKLER PUMP 2,485'SIA POOL PUMP 2,140 VA TOTAL CONNECTED LOAD 33,650 VA FIRST 10KW@ 100% 10,000VA REMAINDER @ 40% 9,460 VA DEMAND 19,460 VA AIHJU 10KW @ 65%6,500VA A/ClU @ 100% 3,864VA DEMAND 19,460 VA AIHN 6,500 VA TOTAL LOAD 25,950 VA 25,950 VA 1230V=112.83 AMPS i jj �1 J�I�IiJ 4� a h Miami Shores Village Dectrical Permit 10050 NE 2nd Avenue "'• Phone: 305-795-2204 Permit Number: EL2003-350 *I;& AR>l ► Printed:12/1/2003 Page 1 of 1 Applicant: JOSEPH FITZGERALD Owner: FITZGERALD JOSEPH JOB ADDRESS: 261 NE 97 ST Contractor G &T ELECTRIC COMPANY Contractor's Address: 9550 NW 12 ST 15 Local Phone: Parcel # 1132060134270 Legal Description: MIAMI SHORES SEC 1 AMD PB 10-70 LOT 19&W1/2 OF LOT 20 BLK 31 LOT SIZE Fees: Description Amount FEE2003-7565 CCF $3.00 Total Fees: $161.85 FEE2003-7567 Technology Fee $3.85 FEE2003-7568 Training and Education Fee $1.00 Total Receipts: $0.00 FEE2003-7569 Building Fee $154.00 Total Fees: $161.85 Permit Status: APPROVED Permit Expiration: 5/24/2004 Construction Value: $4,400.00 Work: KITCHEN AND LAUNDRY ROOM AND OUTSIDE SERVICE REPAIR AS PER PLANS Signed: (INSPECTOR) 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: