BP-05-1295Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/15/2005
Applicant: GABRIEL PEREZ
Owner: PEREZ GABRIEL
JOB ADDRESS: 9426 NW 2 CT
Contractor
Local Phone:
Parcel # 1131010150150
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -1295
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 3/5/2006 Construction Value:
Work: PAINT AS AGREED
Page 1 of 1
Legal Description: ODELL MANORS PB 41 -57 LOT 7 BLK 2 LOT SIZE 75.000 X 100
Fees: Description Amount
FEE2005 -12469 Building Painting Fee $60.00
FEE2005 -12470 CCF $0.60
FEE2005 -12471 Training and Education Fee $0.20
FEE2005 -12472 Technology Fee $1.50
Total Fees: $62.30
Total Fees: $62.30
Total Receipts: $62.30
$90.00
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:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical
Owner's Name (Fee Simple Titleholder) ie Y 6 f - b ,,s j tk ?€ �, Phone # aV I 1 — 1 513, S 76.2-71:70
Owner's Address 41 U 'OW It ¶
Cit 0 ? 47%1 State FL-
Tenant/Lessee Name
Job Address (where the work is being done) ( 1 1 '1 2 ‘' fI C �.
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO S
Contractor's Company Name 0 .c.- Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work: ['Addition
{{��
Describe Work: �(Q - eq f! ✓
Submittal Fee $
Notary $
Scanning $
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Deatment
10050 N.E.2nd Avenue, Mt.: ' S %rei Florida 33138
Tel (305) 795 ' (305) 7(.8972
Training/Education Fee $
Structural Plan Review. $
Plumbing
Permit No.5PO5° )ZR
Master Permit No.
Zip 33 s
Phone #
Zip 3315'0
Square Footage Of Work:
Mechanical Roofing
['Alteration New ❑ Repair/Replace ❑ Demolition
kuuse c o ii1 1 1 1 k roof
****************************F
Permit Fee $ (Q .,O � .� • CCF $ 0 ' kU CO /CC
O. 2_C7 Technology Fee $ t - Q5C)
Radon $ Zoning Bond $
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 inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signatur
er or Age nt Contractor
The foregoing instrument was acknowledged before me this (" The foregoing instrument was acknowledged before me this
day of < e rdl(20 ®s', by ylim -b. v i d ?ereZ , day of , 20 _, by
who iA rsonally known to me or who has produced__ Z Awho is personally known to me or who has produced
A
- / `, As identification and who did ta(ce an oali. as identification and who did take an oath.
T /4a:
'
WW APINSWIFffp
APPLICATION APPROVED BY:
Chc 05/13/03
Signature
NOTARY PUBLIC:
Sign:
Print:
My mLnis iomExpires ( M Commission Expires:
ae n� N�1oN pone N41 P�Ruog ca y ✓l� r , 6 <s y xP
a , t t +41111}Swim'Mn Ym***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **********
054963 Qa # NOISSIVVWOO AW * !` * ,r \ �_ * MY COMMISSION it DD 286450
HMISH1UOMSNIV ` ' <'1 ° "N " EXPIRES: March 5, 200
********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * *a4 4 * ** * * * * * *r * * * *** ** * * * * * * *** * * * ** * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Date
AAA 4.1 q '' t( L
Owner's Address W 10 tl t4 B 0 Terr°
City 61 V(1( State rL Zip 3 3 i .SrO
Owner's Name
Job Address (where the work is being done)
City Miami Shores Village County Miarni -Dade
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 00 1 e 4
Fascia
Drip Cap /drip Edge
Soffit
Roo
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or regular)
Stucco banding \i 't
Any other stucco features
Accessory Buildings
Other
Signature
Miami Shores Village
Paint Color Approval and Agreement
ci L2-C 9 a,'t L -
datf
Phone # a ° e 7o7—?
Zip 3,31 s'
Attach Color Samples
With Numbers
r
5
t wsr
color
°?1//
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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.
APPLICATION APPROVED BY:
Date
Date