PAINT. .,.
MIAMI SHORT _VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date } Time
Type Insp'n of /za fr �C / _sx A v ; i; A)1
I(_ V
Permit No. , P 03-i r1 g) 'NI
Approved
Correction
Re- Insp'n Fee
Name IV- R A ��- , n
1 r � o`
L - / r ( >
_
Address C �_ •-)
Company C5.1 A 1('' -f�
Phone #
For Inspector:2 /'2/ 0 1 - 1
Name & Date
-Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/14/2003
Applicant: DONNA GUSTINGER
Owner: GUSTINGER DONNA
JOB ADDRESS: 1216 NE 93 ST
Contractor
Local Phone:
Parcel # 1132050270160
Fees: Description Amount
FEE2003 -7145 Building Fee $60.00
FEE2003 -7146 Notary Fee $5.00
FEE2003 -7147 CCF $0.60
Total Fees: $65.60
Total Fees: $65.60
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 5/11/2004 Construction Value:
Work: EXTERIOR PAINTING
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2003 -1793
Contractor's Address:
$500.00
Page 1 of 1
Legal Description: BAY LURE PB 44 -63 LOT 3 & W25FT LOT 4 BLK 2 LOT SIZE IRREGULAR
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 APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address 1 1 l_.a 1 c C_
City I : Yik (L0 - \f-.0r j State
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Villa=
Is Building Historically Designated YES
Contractor's Company Name C7,1, iTh
Contractor's Address
City
Qualifier
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
G. -2 �rcS . .
�L.
Electrical Plumbing . Mechanical Roofing
County Miami -Dade
NO \�
Phone #
Zip T; 71
Phone #
Zip
State Zip
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit C :C) —
Type of Work: ❑Addition ❑Alteration ❑New
Describe Work:
(Continued on opposite side)
4 PO
Permit No. P C.31 3
Master Permit No.
Phone #
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee Permit Fee $ of 0 CCF $ t 6
Notary $5. () 0 Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ 16 r i 6
Bonding Company's Name (if applicable) 1
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Z i p
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
i n s p e c t i o n will not b - • • t oved and a reinspection fee will be charged.
Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 1s The foregoing instnunent was acknowledged before me this
day of 20 , by , day of , 20 __, by
who is personally known to me or who has produced
as identification and who did take an oath.
who is personally known to me or who has produced
As identifica •
My Commission Expires:
State Certificate or Registration No.
APPLICATION APPROVED BY:
:hc 10/14/03
d who did take an oath.
Signature
NOV 14 2003
NOT NOTARY PUBLIC:
Sign: Sign:
Print:
Print:
My Commission Expires:
(Certificate of Competency Holder)
Certificate of Competency No.
* *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ._ z :_ *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
y Miami Shores Village
// Paint Color Approval and Agreement
Date t ii' /O3 _ r�
Of� �f- s • r�' c����1 Phone# (.30S 7 I -
Owner's Name D � i /
Owner's Address 1 - f1 r�
City n,->;(1,7y.; S■rIct. - s State P L
Job Address (where the work is being done) Saurcle..
City Miami Shores Villas 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 Y S i4C IS
Fascia \ ik S.
Drip Cap /drip Edge '( J
Soffit \R. s (-( c.
Roof (' L 0
Flower bins C) Q
Shutters O
Awnings NI
Chimney C\I b
Doors and door jams r\I O
Garage doors r CS
Railings c7
Fences O
Decorative metal
All brick (simulated or regular) CJ b
Stucco banding (NI 0
Any other stucco features 0
Accessory Buildings v 0
Other
r o
APPLICATION APPROVED BY:
P& Z- Official
Zip 3 I . 3f)
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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 re g construction and zoning.
Signature (�
Owner or Agent
Date A �Y X
Date
chc 6/18/03
MIAMI SHORES PILLAGE
BUILDING DEPARTMENT lJ1/
305- 795 -2204
BuiIding Inspection Request r
A
Date l�
Type Insp'n r n0 / ;-'OI ri)
Permit No. MO��
Name OWL/
Address 01
Company 60-u----7/ _
Phone #
Inspection Date —7/4/
Approved
Correction ❑
Re- Insp'n Fee ❑
BUILDING
PERMIT APPLIC ION
FBC 2001
Permit Type (circle).
City Miami Shores Village
Qualifier -- -f:\-VA v 6- J'7''r..
$ Value of Work For this Permit
Miami Shores Village
Building Department
1.0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Owner's Name (Fee Simple Titleholder) 4-Aert 0 C--IG r - OOPhone # - 1 6 2.670 3ei0
t» /
Owner's Address tu fSJ ci 3 1.coi
City}'j(i> '1 Nit,i)L State t. Zip j� i �'Ci
Tenant/Lessee Name lj /A Phone #��
Job Address (where the work is being done) ft; LtL) 9 ih .
Is Building Historically Designated YES NO )
Contractor's Company Name ( > I i W i a o r l kTAikat f)/, Phone # - 7 g 6 - 2 . 5 - /
Contractor's Address d< `'jl'V t
City i.44NAA'd O s1 LeS State : Zip �>
Architect/Engineer's Name (if applicable) 1 Phone # �L A
Type of Work: ❑Addition ❑Alteration
Describe Work: k't N e - �i
Electrical Plumbing Mechanical Roofing
County Miami -Dade Zip
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ (C C=' � -- - ' CCF $ I r.7-C , CO /CC
i 1
Notary $ •C3 Fee $ l �S
• Training/Education Fee $
Technolo gy
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ '�,. C
(Continued on opposite side)
Permit No. f z cct. _ 5S3
Master Permit No.
Square Footage Of Work: 2_ Zoo L�
New ❑ Repair/Replace El Demolition
° tti i 1)
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 d a reinspection fee will be charged.
Signature UA Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 1 S The foregoing instrument was acknowledged before me this
NOTAR
Sign:
Print:
Chc 12/15/03
day of J i 'CJ i , 200 by o • IS
ychgis persoally known to me or who has produced D1A-4-
-- g essJ U .4 °I A
Q Q
As identi
r�'
ion w to take an oath.
t ue'vrga
• 1: LIC: • mmission #DD2319g4
' t a ?
Ex ire I 1
4 `4 f 0
My Commission Expires:
APPLICATION APPROVED BY:
day of , 20 _ by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Contractor
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
************************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
MAR 17 200k
Plans Examiner
Engineer
Zoning
Miami Shores Village
Paint Color Approval and Agreement
Date 0 / t
Owner's Name o 0151 , r OD, - Phone* 2 7 03 0
Owner's Address 1O l7 -
City 1 111 4‘01'fi,
State Zip 9 -)S13(?
Job Address (where the work is being done)
(DAD Vie_ '3P ‹jj Q, 5C.
City Miami Shores Villa= County Miami -Dade Zip �e ( G
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 +tr-
Fascia nrZ •
Drip Cap /drip Edge UJk4 11 "/
Soffit t� \KL
Roof VvV
Flower bins
Shutters `a/A/"‘
Awnings �l
Chimney r U "`^t
Doors and door jams pp UJa .rrz —
Garage doors P itA/"\? •
.
Railings
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 that all work will be done in compliance with all
applicable laws regulating constructpn and zonin
Signature
APPLICATION APPROVED BY:
Owner or Agent
P& Official
Date
2 , (/ ( °, °
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2004 -353
Printed: 3/19/2004
Applicant: FABIO CISTERNINO
Owner: CISTERNINO FABIO
JOB ADDRESS: 1040 NE 93 ST
Contractor
Local Phone:
Parcel # 1132050150130
Signed:
(INSPECTOR)
Building Permit
Contractor's Address:
Page 1 of 1
Legal Description: BELVIDERE PARK PB 16 -71 W12.5FT LOT 5 LOT 6 & E12.5FT LOT 7
Fees: Description Amount
FEE2004 -2864 Building Painting Fee $60.00
FEE2004 -2865 CCF $1.20
FEE2004 -2866 Notary Fee $5.00
FEE2004 -2867 Training and Education Fee $0.40
FEE2004 -2868 Technology Fee $1.50
Total Fees: $68.10
Total Fees: $68.10
Total Receipts: $68.10
Permit Status: APPROVED Permit Expiration: 9/11/2004 Construction Value: $1,200.00
Work: PAINT EXTERIOR OF HOUSE AS AGREED
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:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ____caZA5Tob Address l C_.e N E q ?)r- d St .Tax Folio
Legal Description Historically Designated: Yes/
Owner/Lessee / Tenant 4U r + C- () S1 - I n q Q . e Master Permit # q ✓ 2 _s s
Owner's Address U Phone C.oS 1S ( - SSS ; (/
Contracting Co.
C 0 L) n if) Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Pc. i r + nq Q 7>' icJ a c
tR.T D-1 W
Square Ft. Estimated Cost (value) 4t i� 00
111
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 co s rartor to do the work stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
4
Signature of •ntr t s " or O Builder Date
.t! I' • / - 66 -
Not as to Contr
My Commission Expire
r- Builder Date
GLADvFTILAil
Cat
or
FEES: PERMIT D RADON C.C.F.f„ 4- a NOTARY g� BOND
is -/
APPROVED:
Zoning Building 1 ) L L Electrical
Mechanical Plumbing Engineering
Date
Type Insp'n
Permit No.
Address
• 9 3 ?-ir
Company
Phone # l j
For Inspector:2 % Z / Name & Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORTS VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Time