BP-05-1014Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/2/2005
Applicant: FREDERICK
Owner: LISTER
JOB ADDRESS: 9338 NW 2
Contractor
Local Phone:
Parcel # 1131010150040
Building Permit
Permit Number: BP2005 -1014
LISTER
FREDERICK
PL
Contractor's Address:
Legal Description: ODELL MANORS
Permit Status: APPROVED Permit Expiration: 1/3/2006 Construction Value: $1,300.00
Work: PAINTING HOUSE
PB 41 -57 LOT 4
Page 1 of 1
BLK 1 LOT SIZE 75.000 X 109
Fees:
FEE2005 -10553
FEE2005 -10554
FEE2005 -10555
FEE2005 -10556
FEE2005 -10557
Description
Building Painting Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$60.00
$0.60
$5.00
$0.20
$1.50
$67.30
Total Fees: $67.30
Total Receipts: $0.00
'AUG 0 3 PAID
# 1
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 responislbility for ally
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BUILDING NI 1
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Elec
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Code Enforcement $
Total Fee Now Due $ 1 • 3D
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
3a e
Owner's Name (Fee Simple Titleholder) 5 e d P !- i e"( L / $ 71-' V Phone # 9S�/ - 3 a 9 8/Y 3 4.4j
Owner's Address 7 3 e /fr. It. n
City � % ; 5 , • s State P7 Zip 3 3 / Ca
Tenant/Lessee Name Phone #
g'3 3 g , v
County Miami -Dade
NO
Permit No. 6P 10 1 4
Master Permit No.
Plumbing Mechanical Roofing
Zip 3 I f o
Contractor's Company Name 0 wh T r 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: ❑Addit'on ❑Alteration ❑New
El Repair/Replace El Demolition
Describe Work: Cl /l4 v07/ S • is 0/ 74 S
* * * * * * * * * *** * * * * * * * * * * * * * ** F ees * * *, * * * * * *** ** * * * ** * * * * * * * * * **
Submittal Fee $ Permit Fee $ 62 0 CCF $ 0 • 6 0 CO /CC '
Notary $ � - 00 Training/Education Fee $ 0 • 2-O Technology Fee $ 1 * 50
Scanning $ Radon $ Zoning Bond $
Structural Plan Review. $
Square Footage Of Work:
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
e~' Signature
Chc 05/13/03
Signature
Contrac
The foregoing instrument was acknowledged before me this ° 7 The foregoing instrument was acknowledged before me this
day of 0 , 2 by FrWciA2 Y ( C (i.S lei day of , 20 , by
who is . rsonauv ;car who is personally known to me or who has produced
s identification and who did take an oath. as identification and who did take an oath.
NOTARY P
Sign:
Print:
My Commissio Tres:
Owner or Agent
to me or who has produced
APPLICATION APPROVED BY:
P7�
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
**** 9evYa' taY*9C*4C9cthY9c e 4C9C * ak9t 9t dialcdCdC**9ea4**$ 9ctk4t******* * a4vk9Y **** 9C*tk$ e**** *9'eaF*iY***kdtfk4C9tae *fir * * * **d: **
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Date
Owner's Name
Drip Cap /drip Edge
Soffit
Roof
Flower bins
Signature
Miami Shores Village
Paint Color Approval and Agreement
Owner's Address 3 3 B /t- /4./
City:4i 544.4. State Ft
Phone # � S ‘./' 3e9` g/4f
Zip 3,3/sd
Job Address (where the work is being done) C-
City Miami Shores Village County Miami-Dade Zip
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 " kr '1 ° 1 -u tv/!;
Fascia /
i e#R # Ofee - Ca tvmI+, ek -ate,
044
5.114 00 /."d ih
Shutters -Fr
Awnings
Chimney
Doors and door jams
Garage doors `
�
Railings / F
` S .,
Fences ,
Decorative metal A /a i- r5 r
All brick (simulated or regular) Orl i A S• Al / 7 0 090 d 19..:-.1 ( 4
,�/
4i� i�
Stucco banding
Any other stucco features r ® ' '
U
Accessory Buildings . /
Other 7 /
APPLICATION APPROVED BY:
W -B -420
White Hydrangea
u
440C -2 u
Cucumber Crush "
* * *, * * * * * * * **
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.
Date
Owner or Agent
Date X,//7
cnc 6/18/Q3
P&. Z Of icia
Date
Owner's Name Phone # D�
Owner's Address
City State Zip
Job Address (where the work is being done)
City Miami Shores Village County Miami -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
Fascia
Drip Cap /drip Edge
Soffit
Roof
Signature
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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:
Miami Shores Village
Paint Color Approval and Agreement
RE Ell ED
Owner or Agent
P& Z Official
Zip
Th15
goat CoVN •
Date
Date X7 / /0
chc 6/18103