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PAINT PERMITMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date r reozi Permit No. r'C U'JO \\ p3\n-)- Name Do LRoicJrl Address 405 N c H 3 j Type Insp'n Company D CO v Phone # Inspection Date Approved Correction Re- Insp'n Fee BUILDING PERMIT APPLICATION FBC 2001 Submittal Fee $ Notary $ 5.00 Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) ), ®V Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 / Permit Type (circl . 1/Owner's Name (Fee Simple Titleholder 4,,, S R,., d r/ /D& - J Phone # 3 • 71 1 / 7'72 Tenant/Lessee Name Phone # Electrical Plumbing Mechanical Job Address (where the work is being done).- City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 1" Structural Plan Review. $ Or1-30 . r,cd in Full ewe- Permit No. Master Permit No. Square Footage Of Work: Zip 35/ 3 FED 1 ?PMQ IJ FED 1 7 2JL L P2004—-(\g Roofing Contractor's Company Name owns Phone # Contractor's Address City State Zip Qualifier Type of Work: ❑ ddition ❑Alteration ErNew ❑ Repair/Replace ❑ Demolition Describe World/ * * * * * * * * * * * * * * * * * ** * * * * * ** . es * * * * * * * * * * ** * * * * * * * * * * * * * * * * ** Permit Fee $ f 0 4 J CCF $ (0 CO /CC Training/Education Fee $ ! a.O Technology Fee $ 1 - 50 • Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) /` /I 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 e approved and a reinspection fee will be charged. Signatur Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 1 The foregoing instrument was acknowledged before me this day of h , 20 MI, byB(UQ Actin. , day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced As identificatio d • e an oath. as identification and who did take an oath. NOTAR 0:LIC: ,v - Commission #DD 23198 NOTARY PUBLIC: Sign:* I _Vaiiihz,,,,L 1 . de 1 Sign: rl��r ���� �: t j Bonding 1 o•, Print: :1�::��: �• Print: My Commission Expires: Chc 12/15/03 APPLICATION APPROVED BY: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** - Plans Examiner Engineer Zoning Miami Shores Villageb, �, Color Approval and Agreement F Es V 7 11j Paint Co pp g zo ® � Date . /7 o L-- - Owner's Name /4iCZ' (441-C/2/c./-2V-6 Phone #� Owner'ssAAJddress ` /� s3 4 ,5 - . 5 - f - --- ' — - cy ty i '1// ..�IiV�UP -.-S' State /4� Zip c9,..7 / O Job Address (where the work is being done) 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 Fascia Drip Cap /drip Edge Soffit Roof Flower bins Shutters /v Awnings Chimney Doors and door jams Garage doors Railings Fences //)/:" ( A ) �'/ 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 regulatinnstruction and zoning. Signature 3 APPLICATION APPROVED BY: • Owner or Agent P& Z Official p 1,4A41 Ach Color Samples With Numbers Date Date he 6/18/03 • Miami Shores Village Paint Color Approval and Agreement Date 3 / 05/ Owner's Name Owner's / Address /` //AEI fr , Sr City / I/ I 3 l/ . 3%' Q State Zip Job Address (where the work is being done) City Miami Shores Village County Miami Zip Is Building Historically Designated YES NO v Contractor's Company Name (if applicable) **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *: All elements on the site must be listed an Walls Fascia Drip Cap /drip Edge Soffit Roof Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences L oA- f P4_5/ &/V4/ ' / /•`x 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 c truction and zoning. Signature APPLICATION APPROVED BY: Owner or Agent P& Z Official Phone # 30 7r/r" ) / 'P 7y Miami Shores Village Building Department Permit Number T). P 0 4 — (DO 1 Review Completion Date ti tUtA Attach Color Samples With Numbers Stu am-% - 1,331, ,� ('o( a S /4 deA ) Date 3 3 � U 7 Date ?//Or chc 6/18/03 Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305 - 795 -2204 Permit Number: BP2004 -204 Printed: 2/19/2004 Applicant: BRUCE & LAURIE Owner: DAVIDSON JOB ADDRESS: 495 NE 91 Contractor Local Phone: Parcel # 1132060140150 Signed: (INSPECTOR) Signed: (Contractor or Builder) DAVIDSON BRUCE & LAURIE ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 8/15/2004 Construction Value: $300.00 Work: PAINT EXTERIOR WALL FENCE BY: Page 1 of 1 Legal Description: 6 53 41 MIAMI SHORES SEC 2 PB 10 -37 LOTS 23 & 24 BLK 49 LOT SIZE Fees: FEE2004 -1713 FEE2004 -1715 FEE2004 -1716 FEE2004 -1717 FEE2004 -1718 Description Building 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: $67.30 F EB 25 Q® 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. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n I Permit No. OP 03- )Gcci Name D6 V i d 5 Or Address "T q 5 1.r E. 1' S Company O LL) E y Phone # Inspection Date — 7 )22_ Approved Correction ❑ Re- Insp'n Fee ❑ ' >I ECE E i DEC Q 9 2003 BUILDING__ Q_ PERMIT'PPL A— ION FBC 2001 • Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address 7/,.(.3 , � City A_ 4!..2.9/ c T� City Qualifier • Miami Shores Village Building Department State 0 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 jj�� Electrical . Pluming Mechanical / /7Ltc� 7� jt C4 4/tb/Do 8). S Permit No. •PDCO3 icca-R Master Permit No. Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) `"/CS ) )/- r ■S City Miami Shores Village Is Building Historically Designated YES NO 1/ County Miami -Dade Zip 3' EV c) Contractor's Company Name //E/ S /FA 4 . / a Phone # Contractor's Adddrr ss G-'441 State Z- Zip 338/ 2 Architect/Engineer's Name (ifepplicable) Phone # alictOvob Roofing s 767 8 92, $ Value of Work For this Permit Square Footage Of Work: Type of Work: DAddition DAlteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: Pc«Y)l— e 1c rC..r c=54 S � * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 65 .(O Permit Fee $ CQO' w CCF $ . 0 ' Notary $_,S• CY T . Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ c �C A � S 4S J Total Fee Now Due $ (0 - (� (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip AP 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. of Signature ` ` Owner or Agent The foregoing instrument was acknowledged before me this t 1 day of , 20 _, by Y OU2 al ViCAVIel, who is pers known to me or who has produced As identification and who did take an oath. Bonded 'tlantic Bondi NOT Sign: Print: My Commission Expires: ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** State Certificate or Registration No. APPLICATION APPROVED BY: Chc 10/14/03 g ru Co., Inc Contractor The foregoing instrument was acknowledged before me this i 1 day of � 20 W b Cj � Dec, iri who is personally known to me or who has producedead a as identification and who did take an oath. NOTARY PUB Si Print: My Commission Expig.. ,, ed Thru ding Co., Inc. ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** - . * * * * ** * * * * * * * * * * ** ertificate of Competency Holder) Certificate of Competency No. 6 68S 606 9 / ********************************************************** ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** nEC 1 5 2003 Plans Examiner Engineer Zoning Date 1 Owner's Name Soffit ii-ti 6 ?..13 t-' Roof kyki- Flower bins �/ Shutters ' /k Awnings ,ti A Chimney A)/Ar Doors and door jams AjAi '( Garage doors & / J r r/= Railings S/4 Fences . 2'- Decorative metal ti /ifq' All brick (simulated or regular) Stucco banding Signature APPLICATION APPROVED BY: 41/f- Miami Shores Village Paint Color Approval and Agreement v c, afp— 2) J Q Owner's Address /�� , f �74 /V �/ld City �,�State Zip 33% N / 4 Owner or Agent P& Z o Phone # 7c ^7 &j Job Address (where the work is being done) /Y /i Sr City Miami Shores Village County Miami -Dade Zip 3 3/3 (Y'' 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 S Ci33 to Fascia 1s 3 3 �// Drip Cap /drip Edge 4) /- Attach Color Samples With Numbers CT so -C CI U M y < d N o z Any other stucco features Accessory Buildings ')/'- Other ) /Ve) /) V71 rA' 24.967 /?Z ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Permit Number: BP2003 -1929 Printed: 12/15/2003 Applicant: BRUCE & LAURIE Owner: DAVIDSON JOB ADDRESS: 495 NE 91 Contractor Local Phone: Parcel # 1132060140150 Signed: (INSPECTOR) Building Permit DAVIDSON BRUCE & LAURIE ST Contractor's Address: Page 1 of 1 Legal Description: 6 53 41 MIAMI SHORES SEC 2 PB 10 -37 LOTS 23 & 24 BLK 49 LOT SIZE Fees: Description Amount FEE2003 -8228 Building Fee $60.00 FEE2003 -8229 Notary Fee $5.00 FEE2003 -8230 CCF $0.60 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $65.60 Permit Status: APPROVED Permit Expiration: 6/8/2004 Construction Value: $2,490.00 Work: PAINT EXTERIOR OF HOUSE AS AGREED DEC 17 PAID 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: