1133 NE 91 Terr (10)BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
a \
Owner's Address // r / 4,14_ 97-
City / fie State
Tenant/Lessee Name
/
Total Fee Now Due $
(Continued on opposite side)
Describe Work:
Permit N
Master Permit No.
Permit Type (circle): (Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) ■/7 '/ Phone #
Zip
Phone #
//3/ X7
Job Address (where the work is being done)
City Miami Shores Village County Miami - Dade Zip
is Building Historically Designated YES NO /t
Contractor's Company Name ' 4/d 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 cf . Square Footage Of Work: DV •
Type of Work: ['Addition ❑Alteration C] New ❑ Repair/Replace ❑ Demolition
o
***************a *******F
** * ** F ees * ** * * * * * * * * * * * * *** * * * *** ** * * **:
Submittal Fee $ Permit Fee $ 0 t
Scanning $ Radon $ Zoning dittilbsiga
Code Enforcement $ ( Structural Plan Review. $
75 .
I �
Bond $
CCF $ ' 'OD CO /CC
Notary $ Training/Education Fee $ • oso Technology Fee $ t -kSaY
Bonding Company's Name (if applicable)
Bo
Ciq
Moi
Mor
City
Appl
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consl
WEL
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applit
11.1 • ......
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PAY
CON;
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Chc 05/13/03
Signat�
NOTARY
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
Notice � �.�u,�, ircusr
promi� _ consrructio» ten broc hure will be delivered to the person
whose properrjraWed 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 aed and a reinspection fee will be charged.
Owner or Agent
Contractor
The foregoin instrument w s ac . owledgedfbe e - us ,,. The foregoing instrument was acknowledged before me this
day of , 200 by j1 / r` day of , 20 _, by
who is person own 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.
******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Signature
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
;t
Plans Examiner
BUILDING / ZONING DEPARTMENT
SECTION
BY
DATE
ZONING •
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
" PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
CRITIQUE SHEET
JOB ADDRESS
APPLICANT
PHONE #
APPUCATION
SHEET . OF
MISCELLANEOUS
DATE ZONING! ' COMMENTS
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
1. Subject to compliance with ett Federal, Slat
County,Yt(lage rates and regulations. Village tssuni
no responsibility for accuracy oflor results fro
these plans.
2. This copy of plans mutt be available c
building site or no inspection will be conduct('
INITIALS
. /0/01-8/07 6 d "/ di/ r C o cj; &Re 6 v C. 6/5 ,e
G CoM f F
4 31 6 4_ #(2cc s� Ls '9t , e.- 49-r /7
��v �� L is m ,07-68
Date
Owner's Name
Owner's Address
/l/ We 47 4.r'
City /*SOW dP State
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name (if applicable)
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
My Color Palette
All elements on the site must be liste and indicate the
Walls A4/
-
/2
Fascia 444 ' l At.Ad
Soffit //J �J
J p 1
LA OM I KO V
Drip Cap /drip Edge
Roof
Flower bins
Shutters
Signature
Miami Shores Village
Paint Color Approval and Agreement
®1
/Aleadv
,v/A
6/ A)6 97*'_
County Miami -Dade
NO
/v
Awnings
Chimney
Doors and door jams
Garage doors ,,��yy 1/4
Railings /11 /� �
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 tt
applicable laws regulating cons tri et1 n and zoning.
APPLICATION APPROVED BY:
Own or Agent
P& Z Official
Zip
Phone #
1
Phone #
COACH LAMP COPPER
(30YR 11/219)
ROLLING HILLS
(90YR 38/239)
CORAL CLICHE
(00YY 61/121)
Date
,ce with all
chc 6/18/03
Date / /// - f �
Owner's Name 'h ,t i / ( / gd/
Owner's Address 97
City
Walls
Fascia
Drip Cap /drip Edge
Soffit
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Accessory Buildings
Signature
Miami Shores Village RDL q i 3
Paint Color Approval and Agreement
State
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name (if applicable)
1 7/ 4
G
Garage doors //1/0 Railings
Fences 4/
Decorative metal , v/4"
All brick (simulated or regular) /! T 7
Stucco banding
�/�
Any other stucco features
'7 77
APPLICATION APPROVED BY:
County Miami -Dade
ner or Agent
NO
P& Z Official
Phone #
9/g2 ,�6- q7 r
Zip j l
M 70.0c.
Zip
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
3
Phone #
Attach Color Samples
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 c ction and zoning.
Date
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2004 -1413
Printed: 1/28/2005
Applicant: JOHN MOODY
Owner: MOODY JOHN
JOB ADDRESS: 1131 NE 97 ST
Contractor
Local Phone:
Parcel # 1132050170050
Signed:
Building Permit
Contractor's Address:
Legal Description: REV PL MIAMI SHORES SEC 8
Page 1 of 1
PB 43 -51 LOT 5
Fees: Description Amount
FEE2005 -1205 Building Double Fine Fee $120.00
FEE2005 -1206 CCF $0.60
FEE2005 -1207 Training and Education Fee $0.20
FEE2005 -1208 Notary Fee $5.00
FEE2005 -1209 Technology Fee $1.50
FEE2005 -1210 Code Enforcement Fine $100.00
FEE2005 -1211 Submittal Fee ($67.30)
Total Fees: $160.00
Total Fees: $160.00
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 4/25/2005 Construction Value: $800.00
Work: PAINT AS AGREED
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.
(Contractor or Builder) BY:
BLK 180 LOT
•
Flower bins
Shutters
Awnings
Chimney
Signature
el
Date
Owner's Name
Owner's Address
Miami Shores Village
, Paint Color Approval and Agreement
6
,d B ,Ion
State G Zip
City
//V 4/E 97
County Miami -Dade Zip j t — 31 5g
NO `" ' ', 7
Contractor's Company Name (if applicable) L _ o o ne #
*************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * 04 * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Walls
Fascia
Drip Cap /drip Edge
Soffit
Roof
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or regular)
APPLICATION APPROVED BY:
Stucco bandin
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 con anj zoning.
VA
N rorA
Own Agent
P& Z Official
Phone #
Date
)ples
D ate
d chc 6/18/03
MIAMI SHORES VILLAGE, FLORIDA,
Complainant,
vs.
(Owner)
JOHN B MOODY &W YVONNE 1131 NE 97 ST
MIAMI, FL 331382557
(Tenant)
and
NOTICE OF VIOLATION
BEFORE THE CODE ENFORCEMENT BOARD
IN AND FOR THE MIAMI SHORES VILLAGE
MIAMI DADE COUNTY, FLORIDA
11/15/04
Case No. 2004 -05228
1131 NE 97 ST
MIAMI SHORES, FL
YOU ARE HEREBY NOTIFIED that an inspection of the following property
to wit: MIAMI SHORES SEC B,
REV PL MIAMI SHORES SEC 8 PB 43 -51 LOT 5 BLK 180 LOT SIZE 75.000 X 113
OR 18686 -3709 07 1999 1
Folio No.11 3205 017 0050
AKA 1131 NE 97 ST
disclosed that you are in violation of Section(s)
Bldg. 6 -4;
of the Miami Shores Village, Florida, Code of Ordinances
for the following reason(s) to wit:
ERECTING, CONSTRUCTING OR ALTERING ANY BUILDING OR
STRUCTURE WITHOUT FIRST OBTAINING A PERMIT
LOCATION: PROPERTY
PAINTED HOUSE WITHOUT AN APPROVED PERMIT
You are directed to correct the above violation by 12/02/04
and notify the Miami Shores Village Code Compliance Office once the
necessary corrective actions have been completed and the violation has
been corrected. In order to correct the violation, you must undertake
and accomplish the following by the above deadline: