PAINT PERMIT2.1 15 GIA,
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n
Permit No.
Name
Address
Company° C d J pl 1. tr , l bm
Phone #
Inspection Date
Approved g
Correction ❑
Re- Insp'n Fee ❑
o 1/
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 71101.- o ! S Job Address /000 /Uf '7 JJ Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant /)//r f -/Ni RA' 3 0 /VE5 Master Permit # 3 372
Owner's Address /0 6 0 t/ 4 s
Contracting Co. RD / - _ (" o' ' J 9T
Qmlifier f?0,6FIG t /1/ coI.ff /T
State # `y6 C ' Municipal # ,4
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIP'T'ION f f e 5 /910 600-f- ?J 007 £//i7"c - 6' rvT Cr l
/efi
Square Ft. Estimated Cost (value) ?,S / �
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 ondo President Date
Notary as to Owner and/or Condo
My
OmF$51(41 RXISAL NOTARY SEAL
p t ., 7 . r li r , S E.!' t ONTIEL
tc S , COMMISSION NULy1DER
,9 A O CC401261
o :\O � 1996 P.
FEES PERMIT
APPROVED:
Zoning
Mechanical
RADON
Date
C.C.F.
Phone
Address J /cv - B /SS ed/fig . fibP
SS# Phone 8Y3-C? ( ?_,
Competency # Ins. Co. 4R/ES /NS
Address
Address
Address
A F. ( - -
Signature of Contractor or Owner- Builder
Notary as to Contractor or Owner- Builder
My '`'.• ;ionEc cs.
. (J, O FICIAL NOTARY SEAL
2 4 , 7/. SANDRA N MONTIEL
» COMMISSION NUMBER
' CC401261
7' ... c\O MY COMMISSION 'EXP.
L ,, A 1719+96
cD
• NOTARY
Electrical
Date
g vt--c-e 1-7 -J C V) - 2 91' ' . 4=. )
Date
TOTAL DUE S - '5°
Plumbing Engineering
PERMIT APP i LICATION FOR MIAMI SHORES VILLAGE
Date 9 Job Address I 06 N C)? I Tax Folio
Legal Description Historically Designated: Yes No IVO
Owner/Lessee / Tenant ' P`:ThYNo ( m P S Master Permit # //3 7 3/
Owner's Address
Contracting Co. ) Y112-1 Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Address
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BU G ELECTRICAL P UMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 1 (, 1 - ' O 1 P To
p Cr! CAF 1-I ooSE,
Square Ft. Estimated Cost (value) (
FEES: PERMIT () • RADON
Phone
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 ignature of Contractor or 0 -r- Builder
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder
My Commission Expires: My Commission Expires:
Sreihen Jam -t/z
9
Date
Date
C.C.F. NOTARY 3: BOND
TOTAL DUE 75
APPROVED:
Zoning Building /)1 )4 Electrical
Mechanical Plumbing Engineering
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 9 - / /0 - c( Job Address /�(p� /�• � � ,, Tax Folio/ 3.2 10, /i O
Legal Description
Owner /) Lessee / Tenant
Owner's Address
Contracting C
Qualifier
State# Ccmpetency # Ins.Co.
WORK DESCRIPTION
Notary
as
r
PERMIT FEE: APPROVED:
I,r lij
� O�Ir�ri � (iC
/or O
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one):: BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
4 ///7 L /i7 � � / C C �� 7
Square Ft. Estimated Cost )4 0
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 an Condo President
Date:
Owner
and /or Condo President
Mechanical
Fire
Address
SS# - - Phone
Plumbing
Master Permit # 3 /6 tD
Phone
751S
Signature of Contractor or Owner - Builder
Date:
f Notary as to Contractor or Owner - Builder
My Commission Expires: �l/d // My Commission Expires:
* * * * * * * * *
Other
x
oning Building Cy / ( t) 9` Electrical
Engineering
Permit Type (circle one):
Notary as to Owr c d/or
My Commission Expires
PERMIT APPLICATIONiOR lelthII;SJOl1S VILLAGE
• • • ••• • •
10050 N.E. 2nd Avenue • Miami Shores, Fl$rida $3; • ,Pgot2e: 305 -M-2204 • Fax: 305- 756 -8972
Date y / /2/3Job Address /t 6e A'E 92 Sf
Legal Description
ssee/Tenet
Owner's Address
Contracting Co. C i'M
Qualifier 2 7
07(
/06o ,t, 9z Sf
'p,/ _'
State # Municipal #
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
WORK DESCRIPTION:
P.? eJ.J4 c-1 eiNe G 2 L )ne -
Square Ft. Estimated Cost (value) 4
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 ANY 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). 1 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 all disciplines.
OWNERS AFFIDAVIT: 1 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, 1 authorize the above named contractor to do the work stated.
g o/la, 2av3
Date
Signature of owner an ondo President
, MichaelIwaslaewy
� cz
'
•■ • t.■
•
FEES: PERMIT v RADON
APPROVED:
Zoning
Mechanical
BUILDING ELECTRICAL PLUMBING
WO�
Building
Plumbing
y� o /2orD
E
Dat
Dat
Tax Folio
• • • • •••
• .• • • • • •
• • • • •
• tii=toricalV DCSlgn ate d! • Yes. No
• • • •
Master Permit #
•• • • • •• •••
•
• ••• • •
C.C.F •
••
otie :•
••
•
• / nw / •
F
ss# /7f --DO 77
•
• • •
• ••• ••
Address
Phon(30T
Competency # Q /w3/ Ins. Co. ieGe
No as to
My Commi
yo
J
uilder
My Commission D0150048
Expires November 15, 2006
NOTARY —S.
- O
MECHANICAL ROOFING
J
dt7 \qabte3
BOND
ate
Structural Engineer
MIAMI SHORES VILLAGE
Paint Color Apriro?v4l jp1.ifFeement • •
DATE: ,4 /2 , 2
OWNER'S NAME: Ce c, A 7o hr✓.: • : :•: • Pfi :
ADDRESS: /DhD jvt 92 r • , 7 -;/ 3.393
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
... • • •• ••• •.•
• •••• -... .-
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if appli ej,• • • ;•, •,
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls /C /4
Fascia A J /t
Drip Cap/Drip Edge wiz
Soffit �,5
Roof 4) ��
Flower Bins Go 4 —t
Shutters .v/
Awnings .0/17
Chimney
Doors and door jams 664-
Garage Doors
Railings W A
Fences / bl
Decorative Metal ,' /'t
All brick (simulated or regular) N/,yi-
Stucco Banding .' />
Any other stucco features n, /0
Accessory'Buildings w ,I'
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. I authorize the above -named contractor, if applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
samples.
4//2/03 ra.5
Signature of O ner Date Signature o Contrac S Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
y/74
Building 0 cal Date
• • • • ...
• • • •
•
• r
•
•
0
r.
rxi
4/23/01
PAY TO THE
ORDER OF
MEMO
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/15/2003
Applicant: CECELIA
Owner: JONES
JOB ADDRESS: 1060 NE 92
Contractor
Local Phone: 305 - 895 -1368
Parcel # 1132050130030
Work:
Fees:
FEE2003 -2146
FEE2003 -2147
FEE2003 -2148
Description
Building Permit Application Fee
CCF
Notary Fee
Total Fees:
Amount
$60.00
$0.60
$5.00
$65.60
Total Fees: $65.60
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 10/12/2003
Exterior painting as per agreement
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
COMPLETE HOME PAINTING BY MICHAEL
MICHAEL IWASKEWYCZ
1476 NE 130TH ST. PH. 305 - 895 -1368
NORTH MIAMI, FL 33161
/Wee ( CJ
•
Washin on M al
Wee hfnggtton Mual Bak FA
NotN MiemV1 Street Financial Center 1728
900 NE. 115th Street
r eryl Mia i, Ft. 33161
COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET
1 -800- 788 -7000
24 hour Customer Service
I:26'r084 L 3 L': 83 L4835 L L311' 3747
Legal Description: PL OF REPPENHAGENS PB 41 -100 LOT 4 LOT SIZE 80.000 X 118
63 -8413 -2670
Building Permit
Permit Number: BP2003 -582
3747
5
DOLLARS L<J
JONES
CECELIA
ST
Construction Value: $2,450.00
a�
e equipment or device described in the application herefor in strict compliance with all
rith any plans, drawings, statements or specifications that may have been submitted to
not done in compliance with such ordinances or if the plans are changed without
or or builder named above assumes the responsibility for a thorough knowledge of the
Is or in the statements or specifications and that he assumes responsibility for work done
compliance with all ordinances and regulations pertaining thereto and in strict conformity
3 Village. In accepting this permit I assume responisibility for all work done by either
BY:
BY:
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