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5991 SW 69 ST_EB-YEAR-1999 Aso. o� CITY OF SOUTH MIAMI PLANNING AND ZONING ENVIRONMENTAL REVIEW AND PRESERVATION BOARD APPLICATION STREET ADDRESS OF JOB: � ��. SOUTH MIAMI,FL PROPERTY OWNER:— �- 'd r ���12-�j U TEL.NO. ���° �'� ®��✓f ADDRESS: ° �� STREET CITY ��Z STATE ZIP WHAT IS THE PRESENT USE OF THE PROPERTY? SINGLE-FAMILY RESIDENCE BUSINESS OFFICE RETAIL STORE OTHER: APARTMENT OR TOWNHOUSE MEDICAL OFFICE AUTO REPAIR PLEASE,BRIEFLY SUMMARIZE THE WORK TO BE PERFORMED: awk mc, O�-f('v-6, A4� T WHAT WILL THE TOTAL COST BE TO COMPLETE THIS PROJECT? .'j9 6C/ N-7 �0 APPLICANT'S NAME: S4 � I f ^t �� TEL NO. _ ADDRESS: &If") 6 ! - STREET CITY STATE ZIP FAX NUMBER: AS THE APPLICANT,PLEASE,INDICATE YOUR RELATIONSHIP TO THIS PROJECT OWNER OF THE PROPERTY V TENANT/LESSEE CONTRACTOR OTHER: OWNER OF THE BUSINESS ARCHITECT ENGINEER PLEASE,INDICATE CONTACT PERSON(ERPB s decision will be mailed to the contact f erson indicated below): PROPERTY OWNER -4 APPLICANT JUL 2 199 OTHER(provide name and address) 4 Lfn�- j . 4 t.&j 01". pfm PLEASE SIGN YOUR NA ON T -LI'E ABOVE DATE vv x­­I rut nTy 1D OF SOUTH MIAMI BUILDING PERMIT APPLICATION 130 SUNSET DRIVE,SOUTH MIAMI,FLORIDA 33143 (305)663-6355 PROJECT ADDRESS: PROPERTY OWNER: PHONE ADDRESS: WORK TO BE PERFO D BY: ONTRACTOR OWNERBUILDER 2VI� "UNTRACTOR PHONE AhDRES$,,"ti, << TIIIS APPLICATION LC FOR THE CONSTRUCTION OR INSTALLATION OF (PLEASE BE SPECIFIC) USE: RESIDENTIA:(; r COMMERCIAL SQUARE FQOTAGE iC c !/ ! f 4 ESTIMATED VALUE l I UNDEIVyTANII TH,%T SEPARATE PERMITS MUST BE ATALNED FOR ELECTRICAL, MECHANICAL, PLUMBING, ROOFING, SGUTTERS, WINDOWS, FXTJRIOR DOORS, PAVING & DRAINAGE AND SIGNAGE. BY SIGNING THIS APPLICATION I ASSUME R_SPONSIBILITY FORT MPLETION OF THIS PROJECT IN ACCORDANCE WITH APPROVED CONS TCTION DOCUMENTS j ;EA NCE WITH L PLICABLE REGULATIONS. 4 . SIGNATURE OF CONTRACTOR/QUALIFIER SIGNATURE OF PROPERTY OWNER NOIA46:W r'MCSS 1 f ZONING DISTRICT FLOOD ZONE MASTER PERMIT NO. APPROVED DATE DISAPPR DATE COMMENTS FEES ZONING CITY CODE ENF COUNTY STRUCT. RADON ROOFING j BLDG. FINE PLUMB. REVIEW j ELECT. MECH. TOTAL CONDITIONS: APPLICATION RECEIVED BY: PERMIT NO. , I I I =Y CITY OF SOUTH MIAMI PLANNING AND ZONING .ENVIRONMENTAL REVIEW AND PRESERVATION BOARD APPLICATION STREET ADDRESS OF JOB: j � C 9 SOUTH MIAMI,FL PROPERTY-OWNER: -�- � p , ��A�2 1 LI TEL.NO. r � ADDRESS: � S Z STREET CITY STATE ZIP WHAT IS THE PRESENT USE OF THE PROPERTY? SINGLE-FAMILY RESIDENCE BUSINESS OFFICE RETAIL STORE OTHER: APARTMENT OR TOWNHOUSE MEDICAL OFFICE AUTO REPAIR PLEASE,BRIEFLY SUMMARIZE THE WORK TO BE PERFORMED: WET WHAT WILL THE TOTAL COST BE TO COMPLETE THIS PROJECT? � APPLICANT'S NAME: aU TEL NO. // ADDRESS: 5 !� 6 9 ✓ STREET CITY STATE ZIP FAX NUMBER: AS THE APPLICANT,PLEASE,INDICATE YOUR RELATIONSHIP TO THIS PROJECT OWNER OF THE PROPERTY V TENANT/LESSEE CONTRACTOR OTHER: OWNER OF THE BUSINESS ARCHITECT ENGINEER y PLEASE,INDICATE CONTACT PERSON(ERPB's decision will be mailed to the contact rsorLLndicated below): i PROPERTY OWNER ...i APPLICANT JUL 12 1999 OTHER(provide name and address) + �/_ i )Iit)j 01, Pam PLEASE SIGN YOUR NA ON TA L1 14E ABOVE DATE t f� � f y L ' Y e 'ap l F •� a r 177- 111 {r 44! 6-4-4 -- 11jjjjW'-', ;7 r . - 1 TA `A� r CITY OF SOUTH MIAMI BUILDING PERMIT APPLICATION 6130 SUNSET DRIVE,SOUTH MIAMI,FLORIDA 33143 (305)663-6355 PROJECT ADDRESS: PROPERTY OWNER.- v"`�� �.(1 l� /? L� PHONE ADDRESS: _ �Z9, c-i WORK TO BE PERFO D BY: ONTRACTOR OWNER/BUILDER ••(taNTRAC OR PHONE ..•••DRES ••• • 5 �� :4S:Z, ,/ • T;lIS APPLICATION I$ FOR THE CONSTRUCTION OR INSTALLATION OF: (PLEASE BE SPECIFIC) USE: RESIDrNTIAX.•.—_&a 1� COMMERCIAL ••••• ••• ••• JI� !� / �j/l� SQUARE FQQTAGE ��T=�� 7 (l (� 6 ESTIMATED VALUE » . •L LJNDER%TANU THAI' 9EPAiRATE PERIIIITS MUS'C BE O TAINETf FOR ELECTRICAL, MECILINICAL, PLUMBING, ROOFING, SK TTERS, WINDOWS, CYTCUOR DOORS, PAVING; & DRAINAGE AND SIGNAGE. BY SIGNING THIS APPLICATION I ASSUME • • RESPONSIBILITY FOR•7I'ILr MPLETION OF THIS PROJECT IN ACCORDANCE WITH APPROVED CONS CTION DOCUMENTS • IIND PLIANCE WITH L PLICABLE REGULATIONS. SIGNATURE OF CONTRACTOR/QUALIFIER SIGNATURE OF PROPERTY OWNER NO W+s oQ�5S ZONING DISTRICT FLOOD ZONE MASTER PERMIT NO. APPROVED DATE DISAPPR. DATE COMMENTS FEES ZONING CITY CODE ENF COUNTY STRUCT. RADON ROOFING BLDG. FINE PLUMB. REVIEW ELECT. MECH. TOTAL CONDITIONS: APPLICATION RECEIVED BY: PERMIT NO. CITY OF SOUTH MIAMI BUILDING DEPARTMENT OW ER BUILDE PERMIT AFFIDAVIT I (mac ± 4, am the legal owner of the property located at I am applying for a building permit pursuant to the Owner Builder exemption set forth in the Florida Statutes, Section 489.103. •• •• DISCLOSURE STATEMENT State 91.1% regykvs•that construction be done by licensed contractors. You have applied for a pearl .gAder an�rription to the law. The exemption allows you as the owner of your property, •••••• to act,las.your own.contractor even though you do not have a license. You must supervise the construction ypurself. Your request for an owner builder permit acknowledges understanding and coct�lrce wrth the Miami Dade County Code, Chapter 10; Contractors, Section 5 and Chapter 000000 489 Section 103 o£the Florida Statutes. Herewith attached for your review and signature. •76••.• • WO'RK' PEI;MI'RTED OWNER BUILDER: An owner builder, subject to the foregoing .... prgyisions anti requirements, is limited to the construction of one single family or duplex residence each year.for his own use and occupancy; or maintaining, altering or repairing his own •0 0 sir%1e:tamily ol-.gtWlex residence; or erecting a one story building of not more than 500 square feet for comrnei:04';J or industrial use, or adding a first addition of not more than 500 square feet to • a commercial or industrial building; or maintenance or repairs and non-structural alterations, not to exceed $5000 on any building which he owns or leases. RESPONSIBILITY OF OWNER BUILDER: You will be responsible for all work done by you or your day labor employees, and you must either employ a licensed contractor or persons to be paid on an hourly or per diem basis. Any one contracting with you, must be properly licensed, or you will be subject to a fine of$500 and/or imprisonment for six months. INSURANCE/WITHHOLDING TAXES, ETC.: You are liable if any of your day employees cause any damage to persons or property, or if any employees are injured on the job. Your regular home insurance policy ordinarily does not cover this type of liability. You are advised to investigate your responsibility for withholding Social Security, Federal and State Unemployment Insurance Taxes. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner Builder permit and am aware of my responsibilities 704)liabilities under my application for such permit. DATE ROPERTY OWNER 190 )51--- NOTA O WITNESS JUL 19N EtD FLOW" OMSIM t v • 0000• • • 0000 0000 0 0 • • 0 • 0.00• •• • • • 0 • • 0 • • • • • • •00000 • 0 • • • • • • • • • 00 0.000 The Sunshine Stine 000000 0 • LICENSE M�ABER •0000• • • 00. P625-781-67-461-0 0 • 0000 •• • ••• STFiFN AMON PARSON • • • • • • 6.58 i SW 0 ST • 000 0 MUNI,FL 33143-3624 0000 '190000 0 0.0 0• BIRTH DATE SEX HOT. REST. ENDORSE • 00 0000 • • • f I 12-21-67 M 6-11 • 0 • •••••• ` ISSUED EXPIRES DUPLICATE •0• •• 034)6.99 12-21-04 00.00-00 LW lHA a SAFE DRNEF Operation of a motor vehicle constitutes consent to any sobriety test required by law G ADM -USTRATION AND ENFORCEMENT 20-6.1 ii. Board membership shall include at least two(2),but no more than four(4), architects or landscape architects licensed to practice in the State of Florida. iii. Members shall serve for a term of two(2)years. (b) Any member of the board shall be automatically removed for missing three (3) regular meetings in a row or five(5)meetings in a twelve (12)month period. i. The Planning and Zoning Director shall keep a record of meetings missed. ii. The Planning and Zoning Director shall advise the City Commission and the member being removed that such member has been automatically removed. (2) Organization. (a) Meetings. i. The board shall hold two (2)regular meeting each month, on the first and third Tuesday of each month. ii. Meetings shall not be held if no plans,specifications or items are submitted for review. iii. Agendas of all meetings shall be posted at City Hall not less than three (3) working days prior to any meetings. (b) The board shall elect from its membership a chair and vice-chair for a one year non-successive term, respectively. i. The chair shall normally preside at all meetings of the board. ii. In the absence or recusal of the chair, the vice-chair shall preside. (c) A temporary chair may be elected at any meeting when both the chair and vice-chair are absent or recused. (3) Powers and Duties. (a) The board shall have all such powers and duties as are granted by this Code. (b) The board shall review and recommend approval, disapproval or modification on all site plans,projects and specifications as required under the board's mandatory review pursuant to this Code. (c) The board shall review the scale, color, texture and appropriateness of all proposed buildings, additions, and other structures; the quantity, quality and arrangement of all proposed landscaping and open space features;and the overall compatibility of the proposed development with the existing character of the neighborhood. (d) The board shall have the power and the duty to hear and decide matters, specifically prescribed by and in accordance with the terms of this Code. (e) The board shall conduct any other function which may be designated or assigned by act of the City.Commission. (f) Notwithstanding any other provisions of this Code, the Environmental Review and Preservation Board shall not review any additions or alterations to single- family dwellings, unless in the opinion of the Planning and Zoning Director it would significantly affect the character of the residence. Supp.No. 3 187 SUBMIT 0.N_LY -O-NE 15.. Set of clear, color photographs of the entire building site or development containing the project AND the adjacentproperties on each.side of the property (see below) INTERIOR LOT STREET STREET Af -. h 4 n NEIGHBORING UBJECT<: r .NEIGHBORING PROPERTY PROPEL PROPERTY NEIGHBORING NEIGHBORING' .. . ' NEIGHBORING PROPERTY `; PROPERTY PROPERTY t CORNER LOT STREET EM "o . •- w� NEIGHBORING SUBJECT PROPERTY PROPERTY' ` NEIGHBORING NEIGHBORING PROPERTY PROPERTY L 16.:Finished.model-at a,scal'e'not less than of 1" =20'; all preliminary applications must include a block-out, study model (for nonresidential development of 5000 sq. ft or more) 17..: COMPLETED ERPB APPLICATION AND APPLICATION FEE (see other side: ERPB Application.form) e r OUTING . Please... & REQUEST . Read f Handle To: to m [] Approve And... Forward G Return U'r\ > > Keep or Recycle Z3 r Review with Me From: Post-it(g)7664 03M 1995 - Date: Please... OUTING& EQUEAKD 1 Q Read 1 Ej Handle To., Ja4-j bA4C" Approve And... Forward Return Q Keep or Recycle 0 Review with Me From: Post-it(D 7664©3M 1995 Date: TRAVELERS'EXPRESS a 91_93, # INTERNATIONAL MONEVORDERi, ; k - lJ c t �;:. iJ.' IMPORTANT SEE BACK BEFORE CASHING a? ® PAY,TO THE 000 ORDEMOIF . 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