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EL-03-162EL1003-1Gx,. ECU 0 E 1�dW PERMIT APPLIATION yy-- Master Permit No. -fes .—, 0 3 L P Subsidiary Permit No. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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 Job Address 0000 Address 13i$ cArJ 1360.3 • Apt. Folio Number Lot Block Subdivision Current Use of Property Proposed Use of Property Tenant Information 4.4!4.,1 City S itoi4s 33/342- Folio 3'3t Description of Wor .e PB PG • Zoning 2'w+r Square Feet Zidt'rA•4" Value of Wor Z2-60 free PERMIT TYPE (✓ ) Building License No. Electrical Telephone Mechanical - ' Plumbing Home Telephone LPGX Roofing Fence Fax Other . 00 State Zip Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER New Construction Name/� `C,(/ ,� Address Repair Home Telephone Alteration Interior Business Telephone Relocation of Structure Fax Shell Only TYPE OF MANAGEMENT (✓ ) New Construction License No. Enclosure Telephone Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other ENGINEER Name License No. Address Telephone Fax CONTRACTOR NameABA cal Giv'✓/p his. xO .e �1y ,,, j,;V cLicense i No. 0/ 9! 73 066 519 cp, Address 3 6 /y iv-4.1zio n ✓iL., it.r.4.4.; ft 33/Z7 Telephone 3e S�3 tL73 Fax J$73 /SG 9 Qualifier Name e,4 Nis y frigoemo Page 2 PERMIT APPLICATION INIPORTANT 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 yo dl3'..k 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; FOOL, EXTERIO'�! ! ' 1 CHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and ther , additional permits required agencies. I, the OWNER of the property, have disclosed all information related to any work at t roperty 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. 0. 0 t 41 WARNING TO OWNER: Your failure to record a NOTICE ;.OFt 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 Comrncement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P' 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. CANCELLE1 STT OF FLORIDA, COUNTY OF MIAMI-DADE ATE A, CO Y OF MIAMI-DADE Kignature of Owner mature of Contra 'LL. Print Name Sworn to and subscribed before me this 9,001. 30 day of 11-1 ay , ..,011111111/00 1, Signature of Notary Public State of • : N05; ..... 4 , •'0:1SION�./14 .� 4� SEAL: �� �11,2p�ji9cv Personally known OR, Produced `-,0, '" Type of Identification Produced: 'ii/�•v i.1C,•SI...0...�`` Ififf111H Print Name Sworn to and subscribe e me this a 410 Signature of Notary s , i i tate • ' o :da ) • SEAL: Personally known CARMEN M AGROSZAPATA Notar Pub%-Stateo1Fiodda 1&o.5 OR, Pie@[iht8 Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1-3 Ton Vent Hood, Cost Fan A/C Wall/Win. Tons Outlet, Wall Paint Booth Service, Temporary . A/C Central 4-7 Ton Ductw; , Cost of Fire Pump Periodic Inspections Outlet, Switch Barbecue Signs Process/Pressure Piping A/C Central 8-15 Ton Cap - Fixture Fixture - Fluorescent Firep ; filter ]r _ Oven Pump and Abandon Space Heater (kw) Sprinkler System A/C Central 16-20 Ton Cap - Water Fixture Light Gas - Appliance Parking Lot Lights Pump, Domestic Spas/Hot Tubs Supply, AC Well A/C Central 20+ Ton Cap - Sewer Flood Lights Gas - Natural Plugmold/Strip Pump, Fire Stand Subfeeds, No. of Amps Temporary Toilet A/C Window Catch Basin FPL - Load Ce Gas - Propane Posts Pump, Re -circulate Swim Pool, Commercial Temporary Water Closet Air Conditioners 1 1 Clothes Washer Garbage DispAire. Gas Piping Range/Range Top Pump, Replace - Pool Swim Pool, Residential Urinal Chiller -, , .,r „,. Generators, etc. Grease Trap ' ,, facies Pump, Sprinkler Switchboards Utility - Sewer Clear Violations Discharge Well Heat Recovery Ice Maker 441:0• rator, Comm. (p/PH) Pump, Sump Temp Serv., Construction Utility - Water Compactor Dishwasher Low -volt, Burglar Indirect Wastes ''•' :VI erator, Domestic Relay Repair Temp for Test - 30 days Vacuum Pump Deep Freezer Disposal Low -volt, Fire Interceptor Renew - Temp Service Roof Inlet Water Closet Demolition Domestic Well Low -volt, Intercom/Teleph. Laundry Tray Repair Circuits Septic Connection Water Heater Dishwasher Drainfield, 4" Tile/Res. Low -volt, Television Lavatory Service, Number of Amps Septic Tank Water Heater New MECHANICAL TYPE QTY. TYPE QTY. Condensate Drain TYPE Generator QTY. TYPE Refrigeration, Tons QTY. Minimum Fee A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost . Air Handler, Tons Ductw; , Cost of Piping, Flammable Liquid Periodic Inspections Barbecue -_i:,1,777 _ Process/Pressure Piping Cap - Fixture Bath Fan -Vented, # Firep ; filter ]r _ Pressure Vessel Pump and Abandon PLUMBING TYPE QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. A/C Condensate 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 RECEIVED AND REVIEWED BY: DATE: CONDITION OF APPROVAL Page 4 OFFICE USE ONLY r'‘ PERMIT APPLICATION CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi -family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) 0 CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) NCEULED PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond $ Metropolitan Dade County (C.C.F.) tal Inspector State Educational Fund $ D State DCA(Radon) $ .ft.) (R ) (0.01/s q Code Enforcement Fine Zoning Review $ I, (sq.ft. = x/1000 x 0.60) $ TOTAL $ SECTION BY DATE Zoning Electrical Z�(!i`Oi Mechanical Plumbing Fire Public Works Structural Building Official Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795-2207 • FAX (305) 756-8972 • http://www.miamishoresvillage.com Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 11/20/2015 To: Current Owner 10000 BISCAYNE Boulevard Miami Shores, FL 33138 Permit: EL2003-162 Address: 10000 BISCAYNE Boulevard Miami Shores FL Date Expired: 11/25/2003 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. I 1 '— Ismael Naranjo (CBO) Building Director 4 7/13/2015 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 To: Current Owner 10000 BISCAYNE Boulevard Miami Shores, FL 33138 Permit: EL2003-162 Address: 10000 BISCAYNE Boulevard Miami Shores FL - Sent via Certified Mail and regular mail. Date Expired: 11/23/2003 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, CD y/i - Ismael Naranjo (CBO) Building Director 10050 N. E. 2No AVENUE FLORIDA • 33138 4,1 ABA FIRE EQUIPMENT COMPANY INC 3619 NW 2 AVE MIAMI, FL 33127 NIXIE -33i2733.1.9I9 1.413R.23132 US POSTAGE $00.4/P Ffrst-Class Mailed From 33138 07/15/2015 032A 0061800478 3 3 3 4E 1009 ,0107 /15 /15 RETURN TO .E.E.Nr:ER VACANT UN AB E TO FORWARD 8c: 3 3 13 8 2 3 8 2 9 9 *2 686-0445 - 15 - 3 9 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Comp>,ete items,1, 2, aiid.,S4A1so complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: I 000► Sc -AY l3L'D mta,Mxs►-►o S e-L- 3�►343 A. Signet 0 Agent 0 Addressee C. ate of Delivery D. Is delivery address different •m item 1? 0 Yes If YES, enter delivery address below: 0 No 3. Service Tyle ,Certified Mail ❑ Registered 0 Insured Mail 0 Express Mail ckRetum Receipt e0faizt 1 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 2. Article Number.7011 0.470 0000 8985 521 is (Transfer from service Iai PS Form 3811, February 2004 0 Yes Domestic Return Receipt J 102595-02-M-1540_ . Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 7/13/2015 To: Current Owner 10000 BISCAYNE Boulevard Miami Shores, FL 33138 Permit: EL2003-162 Address: 10000 BISCAYNE Boulevard Miami Shores FL - Sent via Certified Mail and regular mail. Date Expired: 11/23/2003 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, 7 y7, Ismael Naranjo (CBO) Building Director rU is) tJ Ir O O Restricted Delivery Fee p (Endorsement Required) N O U.S. Postal Service.i,' CERTIFIED MAIL„RECEIPT RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) For delivery information visit our website at www.usps.comg;'_;! Postage Certified Fee Retum Receipt Fee (Endorsement Required) r -i rR 0 Total Postage & Fees $ Postmark Here ent To Street, Apt. No.; or PO Box No. City, State, ZIP+4 PS Form 3800, August 2006 See Reverse for Instructions