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1061 NE 91 Terr (2)Registered Architect and /or Engineer Name and address of licensed contractor Remarks Building Inspector APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date , Owner's Name and Address �� '!'�� � �� 11 2 ' ' No Street State work to be done and purpose of building (by floors) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 23 Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. o (Signed)._ �t _ � � � . � . /1 / STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No L. _ Date 1 k) r -2_ 2 , Read, Sworn to and Subscribed before me. Disapproved ,9 Date ,,,,y _ v� � Notary Public, State of Florida (Signed) My Commission Expires PLANNING BOARD DATE Chairman l- Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ;UILDING LECTRICAL ' LUMBING tiOOFING MIAMI SHORES VILLAGE. FLORIDA o PERMIT N? 6202 Dwner of wilding krchitect on tractor or Builder Legal Description Address of Building Lot CON"RACTOR OR BUILDER 31 DATE ' 195 Contractor's License No. Work to be performed under this Permit Subdi- vision Value of II Amount of Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding :hat the ccntractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY: 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY • • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is herebyl made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This applicatiop is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida, and all provisions of the Laws of the State of Florida, all ordjjances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. / ) No. 1 Date h / f , �/r ` Q G 19 / `� 011,1; 5 t it . 1 5 J' S C 1) V CC 1 Street J• e, / / �e e /�. Owner's Name and Address Registered Architect and/or Engineer ' p v Name and address of licensed contractor 0 CIO ' E 12 Location and legal description of lot to be built on: Lot V Block Subdivision p 1/ gae5 -- ©/ ee71 reet and Number where work is to be done 10 (o 1 iV i r. q (1_2 Mate work to be done and purpose of building by floors). state exterior colors (submit samples) Ex T E : g . � 6 �f'0 i> P A : n/ �T d _ Roo F i A/ c( ct d and for no other purpose. New Building A/0 U To be constructed of i../eStimated Total cost of improvement Zone cubage required Distance to next nearest building . Maximum live load to be borne by I hereby submit all plans and s Permit No. Disapproved (Signed) Council Approved 297.5 Building Inspector Remodeling Addition Repairs No. of Stories Kind of foundation Roof Covering Amount of Permit S ■-7 ' D (Y, Date Date /// t /f� Read. Sworn to and Subscribed before me. PLANNING BOARD DATE Chairman Member Member Member Member Member uction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned alto employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. - w Remarks (Signed, STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known. and who. being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Notary Public. State of Florida My Commission Expires Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 , 9/, Job Address Jo l / >2, 9/ /, j, Tax Folio Legal Description Historically Designated: Yes No -�1 W • Owner/Lessee / Tenant � , Ctt ; '�.r;�� r ,%/� � � Master Permit # Architect/Engineer Bonding Company Owner's Address /f re: ! 7'l - .� q 1 7T k.& . Phone ( - fic - ,5 F' ,c- Contracting Co. t ;,r iA.. /tom Address Qualifier SS# - . Phone State # Municipal # _ Ietency # Ins. Co. ss ress Mortgagor Address Permit Type (circle ene):(UILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN J ,4 WORK DESCRIPTION Square Ft. Estimated Cost (value) 6 WARNING 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 permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date S gnature o Contractor or Owner- Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date My Commission Expires: My Commission Expires: '7 - I 7 FEES: PERMIT 4 -(G RADON C.C.F. _ CS NOTARY TOTAL DUE APPROVED: ` „( Zoning Buildin: y54' Electrical Mechanical Plumbing Engineering Building Department B LJILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Tilding Electrical Plumbing Mechanical Roofing / Owner's Name (Fee Simple Titleholder) 4.1 tc..', ; P r . . - `' Phone # `/ • i/ s 9 ''` , ( �` �." 9 ' p ry 4' (.1/1,-/, r s � `-I Owner's Address ` ? - r i �/s �' �� City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) ° % 4 ( , ,3 -. C �' y -� City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name / , ' Contractor's Address City State Qualifier .M ami Shores Village 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No.�� fit' 2( C f3 ` _ 1 )24 Phone # Zip 3 c e Master Permit No. Zip Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: 0Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: f t' v f (.. ( ii C * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ ;.') 3 .0 (- • Permit Fee $ ( DD : ( X _ 1 CCF $ , (t C Notary $ 5 c, Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ • i ✓ ' ° i' f J , • p�� (Continued on opposite side) DEC 2 6 PAID 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. Si Owner or Agent The foregoing instrument was acknowledged before me thi day ofl , 20(/j,by C M UrOin CirAters. who is personally known to me or who has produced As identification and who did take an oath. NOTAR LIC-- Sign: , Print: My Commission Expires: APPLICATION APPROVED BY: Cho 10/14/03 Mabel Vargas - Commission #JD231984 Expires: Jul 13, 2UU/ nnndeii Thru ,' , 'r Atlantic Bonding Co., Inc. Signature day of *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * who is personally known to me or who has produced My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. f Engineer J ( / �J& Zoning Contractor The foregoing instrument was acknowledged before me this ,20 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NfV » 3 10O3Plans Examiner Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -1734 Printed: 11/3/2003 Applicant: DIANA LEE Owner: LEE DIANA JOB ADDRESS: 1061 NE 91 TERR Contractor Local Phone: Parcel # 1132050010070 Fees: Description Amount FEE2003 -6804 Building Fee $60.00 FEE2003 -6805 CCF $0.60 FEE2003 -6806 Notary Fee $5.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 4/28/2004 Construction Value: $500.00 Work: PAINT EXTERIOR HOUSE DEC 26 PAID Signed: (INSPECTOR) Building Permit Contractor's Address: Page 1 of 1 Legal Description: WATERSEDGE PB9 -141 LOT 8 BLK 1 LOT SIZE 50.000 X 125 OR 19609 -0988 04 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: 31 r.58S2- MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: CS � 31 0 3 OWNER . PHONE. ads �I ' ( 1 ? C 5 • " . ADDRESS: / D G fl/. - Cj "rev' . Z 1 -,1c' —3 � f - *********************************** * * * * * * * ** * * * * * * * * * * * * * * * * * * **.* f ADDRESS OF SITE: R-4 CONTRACTOR & LICENSE (if applicable) PHONE: COMPANY NAME: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls ` J ,1 _ 4,1 � . 0,I -1 t upli r - f e- Fascia (( r e- Drip Cap/Drip Edge W1. % - e' Soffit Nl k Roof j) Flower Bins /) /01- Shutters rat+, f e Awnings i / Chimney Doors and door jams ! // ,-f, Garage Doors Railings Fences Decorative Metal L f e- (gyp - (3ovc G�2.0 060,1 Deco All brick (simulated or regular) AI 714- Stucco Banding 0i i = Any other stucco features ,I //t Accessory Buildings N( !- 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 s eregulating to construction and zoning. I authorize the above -named contractor, applicable, do the work stated. Furthermore the paint colors will be as per the attached les. Signature of Owner Date Signature * of ** Contractor t * * * * ** * * ate * * * * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED CALL FOR FINAL INSPECTION 4/23/01 APPROVED: Building Official Date w Type Insp'n 1I C Permit No. 8 ° n3 LI . Name Address Company Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date/ Time tcx q .$titer( tD-] D-9 Name & Date isch