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PAINT PERMITDate oo? 341Job Address /[99 g� 7Pf i Tax Folio P -- ‘%? Q71110 3() Legal Description t()1 9) 43� ! 4 UREF - " x/ 7 7 - C 3 °�©LK '"1 Oner ) Lessee / Tenant f Y R CFI /T/ rW S/7 i 7iNaster Permit # 3& I i j Owner's Address f ( ? /0E l � / / / 5 442 K�.S Phone `7-�9 ,5g." 54:7/ � \ 4.is.hr t at ROSe Contracting Co. Cf� Address Qualifier SS# - - Phone — State ffr Municipal 1 Competency # Ins. _ Architect /Engineer Address ,COOP Aelf4 Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ��'�� J /�' ee 77/6e_z_,La_cy ,6 4 Square Ft. Estimated Cost(value) 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. 11 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * PEES: PERMIT APPROVED: * Mechanical Plumbing Signature of ntr4gt f r or Owner- Builder Date: (// Notary as to C. t�ptf 0 1 8�7Bt31ilatr My • �� BARBARA ANN FUGAZZI * i t ,, COMMISSION NUMBER ;a� 4 Q CC360191 7�, "" 44.• o MY COMMISSION EXP. d * * * * * * * ' * AF P4Q_98 . h. RADON C.C.F. NOTARY TOTAL DUE V/0/ Fire _ Other Zoning Building Electrical Engineering Issue Date: 7/21/2006 Owner's Name: RICHARD BASHA Permit Type: Paint Work Classification: New Job Address: 1199 92 Avenue Contractor(s) Phone Primary Contractor Comments: PAINT WALLS STUART GOLD HC -10 BEJAMIN MOORE Additional Information Miami Shores Village, FL Type of Work: Exterior Color: Additional Info: Classification: Residential 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 $1.20 Education Surcharge $0.40 Permit Fee $60.00 Technology Fee $1.50 Total: $63.10 Building Department File Copy 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: 01/17/2007 Invoice Number PT - 7 - 06 - 25629 Total: Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT - - - 1933 Amt Due $63.10 Phone: 1132050270330 Lot: PB: Total Square Feet: 2000 Total Valuation: $ 2,000.00 uired Ins • ections Amt Paid 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 RECEIVED PERMIT APPLICATION JUL 1 9 2006 FBC 2004 BY. Permit Type (circle): Buildin Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) WIMAY( S� Phone # (CQ1I) 3 °5 — 5-Zr- '1ZT Owner's Address 1`k a ca_4 J1 City C\Vw Tenant/Lessee Name Job Address (where the work is being done) Contractor's Company Name State - 9 q City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES Tor, T Contractor's Address 1 125 51 City '\ \1X 'k\ State F� Qualifier Name WOE \\Pi_ & (L ' Miami Shores Village 1' �� y �D g � Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NO l o'.3 • Permit No. O6 (TbTS Master Permit No. Zip r n i. 6 Phone # Phone # 7% 5 3 - q r s (104,0(5), ) Zip - Y)161 Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) N (k Phone # Value of Work For this Permit $ g, UO D, Q t Square / Linear Footage Of Work: Z t S JT. Type of Work: ['Addition ['Alteration New ❑ Repair/Replace ❑ Demolition Describe Work: V &TQ ( 1 ************* * * * * * * * * * * * * * * * * * * * * * * * ** ** * * F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 21 Permit Fee $ `C JLJ ) CCF $ 1 .10 CO /CC Notary $ Training/Education Fee $ i Technology Fee $ I - SO Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ f r , Structural Review. $ Total Fee Now Due $ (0 • See Reverse side —4 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20_,by , 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 identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: APPLICATION APPROVED BY: My Commission Expires: (Revised 02/08/06) Plans Examiner Engineer Zoning r Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 o6-1q33 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Owner's Name (Fee Simple Titleholder) R e , n Ck f )O.5 y Phone # (Ctil), 5 Owner's Address \ M NE q. ( - p� City rn \O‘ci\\ C State -L Zip 3��)-O Tenant/Lessee Name Ni 1'T rtrt Job Address (where the work is being done) I, Cl"1 N1E. q - Stea County Miami-Dade Is Building Historically Designated YES NO /\ City Miami Shores Village Contractor's Company Name Contractor's Address N City Nora-h Nam\ Qualifier LOOA UJ(1 l t✓ Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 4.9 C7o Type of Work: ❑Addition c Describe Work: (��'1/4)(lor Submittal Fee $ State - FL Aif Alteration Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) •111.1111_ .1!! r Master Permit No. Plumbing Mechanical Roofing 1}4 Phone # Zip Zip 3N ta ■ Phone # ,33)3R' Square Footage Of Work: ZOO SQ. ❑New ❑ Repair /Replace * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Phone # CCF$ Technology Fee $ Bond $ Structural Plan Review. $ ❑ Demolition Bonding Company's Name (if applicable) N V A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable)) ,,�� Sc C c {(' 6(3 tO'(lir Mortgage Lender's Address P O. P)U� (� 1 vcD) ( 1 City F a,�A State mD 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature — Signature Owner or Agent �,�}� ' Contractor � � The foregoing instrument was acknowledged before me this ) b' The foreg. ng instrument was acknowledged before me this I day of , 20 R , by I_rhrLlr es Q )CA____, day of 20C3 , by �G{'Ylt-$ * who i ersonally known to me r who has produced who is .ersonally known to me .r who has produced As identification and who did take an oath. as identification and who did take an oath. NOTAR Sign: Print: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Chc 10/14/03 PUBLIC: APPLICATION APPROVED BY: 4111 ''''' USA B. GOLDBERG •:.--MY COMMISSION # DD 542739 _ • EXPIRES: April 25, 2010 Bo ..^9d Thru Notary Public Underwriters wx a April RY PUBL : Sign: Print: Zip gKg . � I LISA B. GOLDBERG EXPIRES: .r112E 2010 ntlnwmm My Commission Expi Plans Examiner Engineer Zoning DATE: q S OWNER'S NAME: ) C.h(,1, e;asha ADDRESS: 1 NA IN( E. E- "1 q a si -ceee — :- C ADDRESS OF SITE: 1 M cg,. S CONTRACTOR & LICENSE (if applicable) .11U41tkec ._t6 COMPANY NAME: Vt11141 CQ fiCV-C 1tC) - 1`{' Chno10sy PHONE: All Elements on the site must be listed and indicate the color to be painted. APPROVED: Building O ffici I Miami Shores Village Paint Color Approval and Agreement j bell) ? 1' 5 --8Da'1 PHONE W fk) WkiiD8- 8 Signature of Owner Walls: Fascia: Drip Cap /Drip Ede: ul-�^,� Soffit: a HH-frk PU e.. UDY114e. Roof: N) 0- Flower Bins: hi f Shutters: N P Awnings: N A Chimney: N A Doors and door jams: Garage Doors: (S har-+- Railings: c$ - UO.X+ 6-0 IA Fences: N OA Decorative Metal: IN) I \ All brick (simulated or regular): fs( Stucco Banding: N \'A Any other stucco features: l'(1Ft Accessory/ uildings: N IR Other: �(� 10050 Northeast Second Avenue Miami Shores, Florida 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 www.miamishoresvillage.com 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 att hed samples. Date Date rn O rte, 0> m m ® ® I w m co z o, o L&c,o 331 S e El n 0 WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 1 stuart gold ( ° t b Olt Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until I nspection Number: IN Inspection Date: 1211912006 Inspector: Grande, Claudio Owner: BASHA, RICHARD Job Address: 1199 92 Avenue Project: <NONE> Contractor: Miami Shores Village, FL Building Deaartment Comments Monday, December 18, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ,0Ec WA Block: -7-06-1933 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050270330 Lot: Page 1 of 2