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BP-05-919Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shgres, Florida 33138 Tel: (305) 795.2204 Faxll05) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 (�� Permit Type (circle): Building 'Electrical Plun\bi Owner's Name (Fee Simple Titleholder) O . K/t (COk .e. Owner's Address 1'I City NY) -0/11 ©Cc- -sState �--- Permit No. 2P05- 91 q .Master Permit No. l,I)1cCJ Mechanical Roofing Ph ne3 05 --75 i-1,©3 / Zip '-3( 3F.5 Tenant/Lessee Name Phone # ()� Cell 31(0 Job Address (where the work is being done) I 445 N E . 9 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name D LADn Phone # Contractor's Address City State Zip Qualifier 331-38 State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit _ So Square Footage Of Work: Type of Work: ['Addition ❑Alteration 11 ❑New ❑ Repair/Replace ❑ Demolition Describe Work:%<+ -e r 1 Q( Pa I r T . *****************************Fees****************************** Submittal Fee $P -:).OD Permit Fee $ 60 CCF $ O L)0 CO/CC Notary $ 5- J • Training/Education Fee $ 0 U Technology Fee $ 1 - 5C) Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ -4 , (Continued on opposite side) 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 ins ection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection r 1 not b ved and a reinssestee will charged. Signature Signature Owner or Agent Contracftor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20,by , day of ,20,by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: *********************************************************************************************************** APPLICATION APPROVED BY: Plans Examiner chc 05/13/03 a-og6 4Alibf" Engineer Zoning Date Owner's Name Owner's Address City 101Y'1 Miami Shores Village Paint Color Approval and Agreement ciA-( \c \\ :116U I ( s V1 fc State Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # ************************************************************************************************************ All elements on the site must be listed and indicate the color to be painted Walls J NP V l c'I"l A_,s ^� ^ Fascia kl 6+C C l ) r t` Phone 30S ,C%3) Zip 9-1 County Miami Dade Zip 3 5 -3(35 Drip Cap/drip Edge/ Soffit Roof Flower bins \P\� Shutters (� U ) ,oN Awnings/ \ Chimney Doors and door jams IQ 0T rpAl 13 i I OC) Garage doors Railings Fences �' i�9-� 1LC�1 (SP (s_i"c\-e wia ks Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other ********************************************** .I certify that all the foregoing information is accurate and that all work will be done in compliance with all g construction an OWNER'S applicable 1 Signature ************************************************************ APPLICATION APPROVED BY: Owner or Agent P& Z tal Date lO 476aas �d Date chc 6/18/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Printed: 6/23/2005 Applicant: J PATRICK Owner: VILLOLDO JOB ADDRESS: 1146 NE 97 Contractor Local Phone: Parcel # 1132050170160 Building Permit Permit Number: BP2005-919 Page 1 of 1 VILLOLDO J PATRICK ST Contractor's Address: Legal Description: 5-6 53 42 PB 43-51 REV PL MIAMI SHORES SEC 8 LOT 3 BLK 181 Fees: Description Amount FEE2005-8555 Building Fee $60.00 FEE2005-8556 CCF $0.60 FEE2005-8557 Notary Fee $5.00 FEE2005-8558 Training and Education Fee $0.20 FEE2005-8559 Technology Fee $1.50 FEE2005-8649 Submittal Fee ($50.00) Total Fees: $17.30 Total Fees: $17.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 12/17/2005 Construction Value: Work: EXTERIOR PAINT $750.00 CA . 'JUL 0 6 PAID 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: