BP-05-603Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/12/2005
Applicant: JOHN BACHAY
Owner: BACHAY JOHN
JOB ADDRESS: 9328 NE 9 AVE
Contractor
Local Phone:
Parcel # 1132060020060
Building Permit
Permit Number: BP2005 -603
Contractor's Address:
Page 1 of 1
Legal Description: 6 53 42 PB 41-60 PL OF 1ST ADD TO MARILYN HGTS LOT 6 LOT SIZE
Fees: Description Amount
FEE2005 -5985 Building Fee $60.00
FEE2005 -5986 CCF $1.20
FEE2005 -5987 Notary Fee $5.00
FEE2005 -5988 Training and Education Fee $0.40
FEE2005 -5989 Technology Fee $1.50
Total Fees: $68.10
Total Fees: $68.10
Total Receipts: $68.10
Permit Status: APPROVED Permit Expiration: 10/23/2005 Construction Value: $1,600.00
Work: PAINT HOUSE EXTERIOR
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.
Signed: (Contractor or Builder) BY:
BUILDING
PERMIT APPL
FBC 2001
Permit Type (c
Owner's Name (Fee Simp a Titleholder) 1 1 6/1 CSI' I Phone # 305 75Y a ?) 8
Owner's Address �f q3 a /� q � ve"
Cit /i S /MEJ State JL
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name VIA( E
Type of Work: DAddition ❑Alteration
Describe Work: ea ift jt4r/se_
Total Fee Now Due $
Scanning $ Radon $
Code Enforcement $
(Continued on opposite side)
bg,i
Miami Shores Village
Building Department
10050 N.E.2nd Avenue Miami Shores, Florida 33138
Tel: (305) 9 ; "t? (305)°Z56,8932
Electrical Plumbing
Zip
County Miami -Dade
NO
Structural Plan Review. $
der Permit No,
Phone #
Permit No.
33) 3/
6 0 06
J
Phi
Contractor's Address n f O
City State k -N- I ;'C_a rnC+
Qualifier a bi- p z k c 9 D kfi::
State Certificate or Registration No. Certificate of Co ar-.4
Architect/Engineer's Name (if applicable) .
$ Value of Work For this Permit ° 1/601) Square Fo
IJNew [] Repair/Replace
Mechanical Roofing
Zip
cc C':,u_.)n Ci re)
*,* * * *** * * * * * * * ** *** * * * * ** ► ees ** ****** *** * * * * ** ** *** * * * * * * **
Submittal Fee $ Permit Fee $ v im — ' CCF $ ,/ CO /CC
Notary $ Training/Education Fee $ 0 Technology Fee $ ( a S(J
Zoning Bond $
❑ Demolition
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
Signature ` �� /�rl�d�'� Signature
Owner or Agelj,{ Contractor
The fore_oing instrument was acknowledged before me this d j The foregoing instrument was acknowledged before me this
day of , 20 , by
who is personally known to me or who has produced
as identification and who did take an oath.
or who has produ
:2008
day ,2
who isp'rsonally known to
As identi
NOTARY PUB
Print: J G�
My Commission Expires:
APPLICATION APPROVED BY:
Chc 05/13/03
a ion and who did take an, oath.
c
, E
Tres: Ma
Bonded
tlantic BondiN.,, Inc.
My Commission Expires:
***** * * * * * * * * * *** ** ** * * * * ** *** * * * ** •. ** ******************************** * * * * * * * * * ** * ** * * * * * * * ** * * * * * * **
************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * *� ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APR 2 7
Plans Examiner
Engineer
Zoning
Date
Owner's Name l 11 Gt(A1 Phone # )05 7 5 a ` >3
Owner's Address f 3 a Aia , V
City M 5 1 4.0/t ( 5 State Zip 3 3 l
Job Address (where the work is being done) &i 7
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 J t S .014,117k Fascia (/ N 1 1 'e„
Drip Cap /drip Edge
Soffit 1 f Q
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences t0►)i4 t 1
Decorative metal l/V,4,, t
All brick (simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings 3C- SCI 141
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.
Miami Shores Village
Paint Color Approval and Agreement
APPLICATION APPROVED BY:
P& Z Official
OO
SW 6435
Gratifying Green
Date
Date /
chc 6/18/0?
67-5-