BP2003-1917 CanceledMiami Shores Village
10050 NE 2nd Avenue
Phone: 305-795-2204
Building Permit
Printed:12/11/2003 Page 1 of 1
Applicant: DALE STUBBS
Owner: STUBBS DALE
JOB ADDRESS: 34 NW 95 ST
Contractor QUALITY ROOFING CONTRACTORS INC Contractor's Address: 13800 NW 1 AVE
Local Phone: 305-751-0382
Parcel # 1131010340040 Legal Description: 1 53 41 MIAMI SHORES SEC 6A PB 12-54 LOT 6 & E1/2 LOT 7 BILK 167 LOT SIZE
Fees:
Description
Amount
FEE2003-8158
FEE2003-8159
Building Fee
CCF
$100.00
Total Fees: $�0, 0OJ
$1.20
FEE2003-8161
Technology Fee
$2.50
Total Receipts: $0.00
FEE2003-8162
Training and Education Fee
$0.40
FEE2003-8163
Scanning Fee
$3.00
Total Fees:
$107.10
Permit Status: APPROVED Permit Expiration: 6/6/2004 Construction Value: $1,200.00
Work: REMOVE SOLAR HEATER AND DISCARD INSTALL NEW FELT AND SEAL WITH MEMBRANE AND CONTACT CEMENT
Signed:
(INSPECTOR)
DEC 1 1 PAID
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:
Z
0
M
r
r
m
L_I
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 11/21/2003 Job Address 34 N.W. 95 Street Tar Folio
Legal Description
Owner/L.essee/Tenant Dale Stubbs
owncesAdd,= - 34 N.W. 95 Street
Quality Roulimi it
Contracting Co.
Qualifier Carlos Arocho
State #
RC0058627
ArchitectiEnguteer
Bonding Company
Mortgagor
Municipal #
11-3101-034-0040
Designated: Yes No
Master Permit # OP ZDQi— l g 1 7
Ph 1IOU) 357-4940
, Inc.
Address
one
13000 N.W. 1Jl lA...
SS# 265-21-4362
Phone (ou5) 751-u382
Competency# 000017889 Ins. Co.
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Remove solar heater and discard, install new felt and seal with membrane and
contact —cement install
ties. Repair leak
On front tool
over garage.
Square FL
Repairs
Estimated Cos[ (value) inn' nn
W ARMmlr__ 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 pemrit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
wrill be pefcrn^ed to meet the sta:.d--d; of all 'a:. ,ry,:lating c;: - vR t'' s j Stisdicticn. I ; rde;s—d that sera c e perm.is
,., are reRuued f r EU TRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS 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. Furthermore, I authorize the above -named contractor to do the work stated.
-IV
owner and/or
or
Notary as to Owner and/of Condo Presiagfh>! Date Notary as to Contractor o1
My Commission Expires: vV My Commission Expires:
g:r.•:��: �. MARYLOU HERNANDEZ
' �A `"COMh115S10M DD CPG'-
, ;�:-aPIPES Ococer l'. 2c0o
FEES: PERMIT RADON C.C.F. NOTARY
APPROVED:
DEC 1 12003
Zoning Building Electrical,
Mechanical Plumbing Structural
Date
Date
MY COMMISSION k D
EXPIRES' October 1D06050579
0, 2005
-� °Vry PUEK Untlerwnters
:NN1
TOTAL DUE��