PAINTInspection Number: INSP -2
Inspection Date: 02/16/2006
Inspector: Grande, Claudio
Owner: SCHILLINGER, JACK
Job Address: 1225 93 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor:
Building Department Comments
Wednesday, February 15, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Number: PT -12-05 -1051
Permit Type: Paint
Inspection Type: PAINTING
Work Classification: New
Phone Number
Parcel Number 1132050270030
Lot:
Page 1 of 2
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -2
Inspection Date: 02/16/2006
Inspector: Grande, Claudio
Owner: SCHILLINGER, JACK
Job Address: 1225 93 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor:
Building Department Comments
Wednesday, February 15, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Number: PT -12-05 -1051
Permit Type: Paint
Inspection Type: PAINTING
Work Classification: New
Phone Number
Parcel Number 1132050270030
Lot:
Page 1 of 2
Issue Date: 12/1/2005
Owner's Name: JACK SCHILLINGER
Permit Type: Paint
Work Classification: New
Job Address: 1225 93 Street NE
Contractor(s)
Miami Shores Village, FL
ELEMAR POOLS & SPA INC Yes
Additional Information
Type of Work: Exterior Color:
Additional Info:
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 responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due Amount
CCF $1.80
Education Surcharge $0.60
Permit Fee $60.00
Technology Fee $1.50
Total: $63.90
Building Department File Copy
kii.-Z
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 12/01/2005
Phone Primary Contractor
Invoice Number
PT - 12 - 05 - 1121
Total:
Permit Status: APPROVED
Permit Number: PT -12 -05 -1051
Phone: 305/758 -5537
Parcel #: 1132050270030
Block: Lot:
Section: PB:
Total Square Feet: 0
Total Valuation: $ 2,400.00
Re . uired Ins . ections
Final
Amt Due
$63.90
0 514 s
Amt Paid
6,' .3.
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Electrical ,, Plumbing Mechanical Roofing
v ewner's Name (Fee Simple ' ' 1 _ ,Sc - 11 - A- (� / Phone #
/ Owner's Address 1 22-3 iv q 3 St.
City /I/ 191 f t *g &Leo State /
Tenant/Lessee Name Phone # ,3 br — 7 r 7- i 1
yl '
ob Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated
Contractor's Company Name
Submittal Fee $
Notary $
Scanning $
Building
eholder) C1
Radon $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
YES
$ Value of Work For this Permit 2 / 4 tt7
* * * * * * * * * * * * * * * * * * * * * * * * * * * *F
Zip
iz;?s Ne 93 1f-
Master Permit No.
33i 3�
County Miami -Dade Zip 3 3/3
NO �j
� utJe/ • Phone # ‘ GO T, (r icf
Contractor's Address / c 76 me0 /3 0 .ft;
City / r 144 ,f h 4 CJ State rL. Zip 33
Qualifier 0441 \i(,,a, t
State Certificate or Registration No. Certificate of Competency No. D / cc( 3/
Architect/Engineer's Name (if applicable) Phone #
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ 5, A'0
(Continued on opposite side) \/' S
Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New [l/Repair/Replace ❑ Demolition
Describe Work:
PLe wtc- C-r i er pik g 4- v
/ s ****************************** Permit Fee $ 4? 0 CCF $ ' a l (�✓ CO /CC
Training/Education Fee $ Technology Fee $ ( • �(�
Zoning Bond $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State it)/ Pt
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 w•l not be approved and a reinspection fee will be charged.
1 Tignature
NOTAR PUB
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
Chc 05/13/03
Owner or Agent
The foregoing instrument was acknowledged before me this 2,
day of key , 20 � 4 �Q�
'bY`J!t e, iti�L ,
who is personally known to me or who has produced
As identification and who did take an oath.,] 0 "52" IZ 10 as identification and who did take an oath.
1 a m
..t, 1 - , II.i 1
s elk
'.` Bonded Thin
m o , Atlantic Bondin8 Co..Inc.
***************************************************************************** * * * * * * * * * * * ** * * * * * * * * * * * * * * * * **
Signature / 1 CI`
NOTARY PUBLI
Sign:
Print:
Zip
My Commission Expir
2--
Contractors
The foregoing instrument was acknowledged before me this 30
day of /lid , 200 j , by /frAgd-27$54JYCZ, ,
who is personally known to me or who has produced R.Diff /t
Plans Examiner
Engineer
Zoning
Date
Owner's Name "Tie c- S JJ/ w y
Owner's Address / 2. 2 r
City /M tr IAA. ,S k� State
Soffit
Roof
Flower bins L4 I AA ~J
Shutters 4i'
Awnings N
Chimney w `
Doors and door jams GC/
Signature
APPLICATION APPROVED BY:
Miami Sores Village
Paint Color Approval and Agreement
t
er or Agent
P& Z Official
Phone # 3 o3 - 7 -7 —(r #
Zip 33I3et
Job Address (where the work is being done) 12 Z 3 y
City Miami Shores Village County Miami-Dade Zip 3 3 1 3 0
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 gt •• L t41O's^F ' 637
Fascia Aid i t- L
Drip Cap /drip Edge 4t) A. �P
Garage doors Iv ,&
Railings It) A 4
Fences G"
Decorative metal w
All brick (simulated or regular) !.v C
Stucco banding GV lti
Any other stucco features
Accessory Buildings W
Other w / L
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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.
es
4 / itf
w4AZ
•
Date / / /&
Date
chc 6/18/03
Page 2
I MPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALID+4'IkD PgRMIT cg tD Ap plying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEA1kktND 6ANITARDY CQNDLTIQNJ ee from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND3M3IOS. : : :.: . •
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT:OR VEHECIA. BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk. • • ••• • • • • • • .
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record. a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FLORIDA, COUNTY OF MI ; DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE
'nature of Owner
Print Name Print Name
to and subscribed before me this day ,
SEAL:
Personally known
Type of Identification Produced:
- State of Florida r
Angela M Becker
• MY Commi88(on DD150048
0 ", Expires November 15, 2006
OR, Produced Identification
... • • •
. .
• • • • • • • •
• • • .•. • • •
• • • • PERMIT APPLICATION
. ... • • .... •
•
Signature of Contractor / Qualifier
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida
SEAL:
Personally known OR, Produced Identification
'Type of Identification Produced:
PROPERTY OWNER
New Construction
Name Jul Ko rte/ ,0
Enclosure
Address
/155 NE 6 /357 — '
Alteration Exterior
Home Telephone PEA , j / /0 `
7 Gvl
7
Business Telephone
Alteration Interior
Fax
Demolish
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
• •
•• • •
•
• •
• •
•• •
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1. Complete the attached r•grny't applicaiio� w♦tiic�imuso signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow f15 ‘a Dbje tcsrai'e.prooessing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this pejril}t aOplatIa1'. ; ; ; • • • •
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address: a SC
Address
Folio Number
Lot 7 Block ee £
Subdivision / LagE PBd4 PG 6.3
Current Use of Property S l 'rte
Proposed Use of Property
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
.L�
• • • •
• • ••• •
•
• • • • • • • •
• •••••••
$d W
• • •
• • •• •
• • •
• •
•
• •
• •
• •••
• •
• • • •
• • •
• • •
• •••
ARCHITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
Subsidiary Permit No.
q'S ST /1ii9t -j/ .5kc S - 1
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
PERMIT CHANGE (✓ )
Apt. City
"Description of Work
Stat , Zip
Zoning Linear Feet
Square Feet Units Floors
""Value of Work ' a 0
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
Bldg Value
PERMIT APPLICATION
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone
Fax
Qualifier Name
ACH FUT 063100277
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12 /9/2002
Applicant: JOSE & MILENA
Owner: OVIEDO
JOB ADDRESS: 1255
Contractor
Local Phone:
Parcel # 1132050270090
Permit Status: Approved Permit Expiration: 6/7/2003 Construction Value:
Work:
OVIEDO
JOSE & MILENA
NE 93 ST
Fees:
FEE2002 -7026
FEE2002 -7027
FEE2002 -7028
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
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 callin • for snot I • ' . . on.
Bank ofAineric•a Advalttage"
MILENA PAPARONI 05 -02
ALBERTO J. PAPARONI
P.O. BOX 612441
MIAMI, FL 33261 -2441
Mayy71 sho ygs 011o
4
Pay
to the order of
Bankof merica 0
Date
��
''�
Memo ?Od 11 I`e rr -, ft
1:063000047: 00548 L84 Lll 0686
- n/. ()') re,
Building Permit
Permit Number: BP2002 -2120
/2 —17
$ 65.60
Contractor's Address:
Legal Description: 5 53 42 BAY LURE
686
63-4/630 FI.
Dollars 8 ate•
'a equipment or device described in the application herefor in strict compliance with all
th any plans, drawings, statements or specifications that may have been submitted to
lot done in compliance with such ordinances or if the plans are changed without
1348 w or builder named above assumes the responsibility for a thorough knowledge of the
; or in the statements or specifications and that he assumes responsibility for work done
3Y:
BY:
$800.00
Page 1 of 1
PB 44-63 LOT 7 LESS WLY25FT & LOT 8 LESS ELY25FT
ompliance with all ordinances and regulations pertaining thereto and in strict conformity
Village. In accepting this permit I assume responisibility for all work done by either
1Vl�..E�►.l'Vll o11 Jit_r_ V 1LLAUE
Pahi'1 q oipt f.pproval and Agreement
...• ... ..
DATE: Oq 12 /2 ,• ••
OWNER'S N • .961 :d ;:, a•• PHONE: ?,10 3
ADDRESS: / %? 1' \ •613 • Sr e4/,» r '
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
•
ADDRESS OF SITE..: • •
CONTRACTOR Be LI SB (ifiapplicable)
COMPANY NAME: PHONE: • .
********************************* * * * * * * * * * * * * * * * *i * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls 4 Sl - / Si>vt�
Fascia
Drip Cap/Drip Edge J U t t . •
Soffit
Roof C �� _ � Gam- ? 4;k4-
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams ktk
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regula
Stucco Banding
Any other stucco features
Accessory` Buildings
Other
APPROVED:
Ashen Sand
0
N
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.
gnature of Owner Date Signature of Contractor Date
**************************:«******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
3b4 -2
Building Of i cial Date 4/23/01
The Sunshine State —
UCENSE NUMBER
0130- 43645 -267-0
JOSE RAMON OVIEDO
11930 N BAYSHORE DR x 'H9
NORTH MIAMI, FL 33181-2900
SIM DATE SEX HOT. REST. ENDORSE
07 -2786 M 5
ISSUED EXPIRES DUPLICATE
12 -1886 07- 27-03 08 -11-00
MOTORCYCLE ALSO
110111
Operation of a motor vehicle constitutes consent to any sobriety best required by taw
ELECTRICAL
TYPE
Minimum Fee
QTY.
_
•
T1TE
Dryer , . • 006 • • •
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16 -20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Conunercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY.
TYPE.
Generator
QTY.
TYPE.
Refrigeration, Tons
QTY.
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE,
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
• • • . ••
• • • • • • • •. • •
• • • ••• • •' •
• • • • • • • •
• • ••• • • • • •••
• • • • • •
•• • • • • • • • • •
•
PERMIT APPLICATION
INSTRUCTIONS: Please iirdicata:tge tyie of.nOrls Ning performed and quantity(ies) in the space provided below.
... . -- •
RECEIVED AND REVIEWED BY: DATE:
SECTION
BY
DATE
/ d-/ 3- d
Zoning
sP/,°� -
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
�' �
0
Page 4
OFFICE USE ONLY
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
❑ IMPACT FEE
(New Construction)
• • • • • •
• • " • ' • ••• • • •
• • • • • PERMIT APPLICATION
•
• • • •
❑ PROOF OF OWNERSHIP •
(Attach)
••
•
❑ HRS / DERM APPROVAL, .
(Septic / Sewer) • •
❑ OTHER
(Specify & Attach)
$ (6 e
$ l (sq.ft. = x/1000
x ¢.60)
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
$ 5 0
• •
• • •
•
CHECKLIST
❑ CONDO M0 APPROVAL
(Attach)
•F• •• • • • ••
•� b:BPIL41420dAL (Restaurants)
• • • • • • • •
••• • • • • • ••
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
TOTAL $ I (O 6
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
•
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com