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PAINT PERMITMIAMI SHORES VILLAGE BUILDING DEPARTM � 305- 795 -2204 Building Inspection Request Date ime —+- Type Insp'n ■ NEI Permit No. III r) ■ Name Address q Company / n Phone # 30S' / Y l '& l For Inspector: 0 0 3Name 8z Date I Approved % Correction ❑ Re- Insp'n Fee CONTRACTOR Name QS • I1! . sa.v - boN S , i ( 11 ( Cfo IAS N 1'N ‘ C Name i. ,1 J . tb ► , ‘ Cavy, - G..9.9 ?„ License No. t= ( c 0 S 9, 10 1 cl 05 v 2 , b - 2 ) 1 Address 0 v Telephone 3 , q , 6 i ., 100 Fax Ot7 J Alteration Interior Qualifier Name -1..\) P O C 91 , 4„ 1 V is Demolish PROPERTY OWNER Name QS • I1! . sa.v - boN S , i ( 11 ( Cfo IAS N 1'N ‘ Address tZ •Dix ► i.kt&)' \Aca c,5.kliz Home Telephone 05 v 2 , b - 2 ) 1 Business Telephone 0 v Fax 'OS — BV 3 — C°--24) 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 i INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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 P\Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other �Z3 S Address • • • • • ••• • • • • • • • • • ... . • • • •• • • • • • • ••• • • •• • ▪ • . . •••• • • • •.•.•. • • • • • • • • • • • • ▪ • • • • • • ••• ••• ••• • • ••• •• • • • •• ••• •• Complete the attached perMt apphcatiol;waiih Alt be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow/fo.a mode aR c 1rete p?ocessingbf your application. If roofing work will be done, a roofing application must be submit- ted along with this•permit application. • • • • • • 9S v> Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Master Permit No. r) M "1 City State PERMIT APPLICATION Subsidiary Permit No. FL `331 - -} Zip Folio Number i N " 3 2- us ° 019 - O& O ` scription of Work 0 ` I 1®�- f A I 1 Lot L i 1U 2S rt Block .5 Subdivision_ PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property lue of Work S ,O b o - 7 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 STAVE 0 ature of Name Swo o and subscribed before me Signature of Notary Public - S SEAL: Personally kn Type of Ident UNTY OF MIAMI -DADE Florida day of APX.I�rpd,}JNd Identifica My Comm Exp. 8/20/2003 uc / G / d: tvo. CL, 842854 .1 Personally Known 1 1 Other 1 0 ion Print Name L Sworn to and subscribe lUn . ••• • • • • • • o•m • Personally known Type of Identificatio • • • • ••• • m • • • • • m ` • ' • ° '• ° PERMIT APPLICATION • • • IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED•PER PERMIT 4vtIT AND PERM CARD: Applying 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, NEAT AI�f19 ,VAItIPI:IR tee tt�m construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRTI?ND DEpRtS. • • • • • • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR• Q H1 C�,ES,•AMD 4vtitY NOi' 1 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 11 on Construction Lien Law and Choosing a Contractor. STATE OF ^ i • • I! I OUN 1 Signature ctor / Qualifier .�u /� < Signature of No : State of Florida SEAL: this Y OF MIAMI -DADE D4,/ GA\ v Zo Lpl ,6 `day T A LIPSON Oc I e1t05 t on No, CC 842854 ELECTRICAL TYPE Minimum Fee Q - , V. • •• lv 1• 1 zyer• • • •. • • • QTY. TYPE Outlet, Appliance Q•1'Y TYPI: 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 AJC Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps AJC Window FPL - Load Central Posts Swim Pool, Commercial 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 Disposal Demolition Low -volt, Intercom/Teleph. Repair Circuits Domestic Well Dishwasher Low -volt, Television Service, Number of Amps Drainfield, 4" Tile/Res. 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 Cap - Water Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Cap - Sewer PLUMBING TYPE QTY. TYPE QTY. TYPE ()Ty. TYPE QTY. A/C Condensate Drains, Roof Miscellaneous Fixture Soakage Pit 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: PJosl indicate, the type df dbo I being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: OFFICE USE ONLY CHECKLIST ❑ 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.) $ 6 Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary ••• ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES v ISSUING OFFICIAL REVIEWED AND PREPARED BY: SECTION // 7/ d1 Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE 0 o 0 o 0 000 0 • • • • • 0 00 (Septic / Sewer) • • ••• • • ( sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.0I /sq.ft.) • •• • • •: • • PERMIT APPLICATION • o • • • • • • • • • ••• ••• ••• ❑ CONDO ASSOCIATION APPROVAL (Attach) o•• •• • • • •• • • • • • • • • 0 • • ;❑• S3)It AAF VttL (Restaurants) •90 • • 0 • 0 • • ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ Y V k v DATE: CONDITION OF APPROVA Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com 0 Miami Shores Village 10050 NE 2nd Avenue Phone: 305795 -2204 Permit Number: BP2003 -40 Printed: 1 /9/2003 Applicant: AB RO P Owner: t-D Cad JOB ADDRESS: 1 35 NE 93 Contractor Local Phone: Parcel # 1132050270040 Permit Status: APPROVED Permit Expiration: 7/8/2003 Work: EXTERIOR PAINTING AS PER AGREEMENT This Permit is granted to the contractor or builder named above to construct the bu ordinances pertaining thereto and with the understanding that the work will be perforrr and approved by the proper municipal authorities. This Permit may be revoked at an authorization. A further condition upon which this permit is granted is the understandi ordinances and regulations pertaining to the work covered hereby whether shown on 1 by his agents, servants or employees. Signed: In consideration of the issuance to me of this permit, I agree to perform the work co with the plans, drawings, statements or specifications submitted to the proper authorit myself, my agent, servants o - mployes. Sign (INSPECTOR) Building Permit - (Contractor or Bt - A8N-AMR9 - CRP ST Contractor's Address: Legal Description: BAY LURE Fees: Description Amount FEE2003 -185 Building Permit Application Fee $60.00 FEE2003 -186 CCF $0.60 Total Fees: $60.60 Total Fees! $60.60 Total Receipts: $0.00 Construction Value: $1,000.00 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. • PAY TO THE ORDER OF NEXT MORTGAGE CORP. 11111 BISCAYNE BLVD. 1 -900 MIAMI, FL 33181 PB 44-63 LOT 4 LESS W25FT & W25FT LOT 5 BLK 1 BANK dB EAST FLAGLER STREET MIAMI, FLORIDA 33131 0 MEMO 1 '26 N i` c S-r `x:06 70 1 18 2 - s': 20 56 38 Page 1 of 1 Gus 63- 1182/670 2056387606 DATE DOLLARS L' I 120 O) 1i ' C4 h c\nk• I $ _Co ,bo S r % ibc:ty 1 , 1 6 °(1`) NSATLANTIC Da.. Fans M!AMI SHORES VILLAGE i?aihtpoprApproval and Agreement • DATE: 12.. 20 5L OWNER'S :.0� „ s � • �:US S. PHONE: ass -z16- x'33) • • ADDRESS: :1Q-3 • • a- :. . 5t ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OI SI 1 : :•: ;')....V_•: • 9 3 Sfi _ CONTRACTOR & . xrpf (it applicable) I . 9s S9 . . COMPANY NAME: ■ol-.,V1;, 5 Gt).% b - z 6a - 2. ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 14 * * * * * * * * * * * * ** All Elements on the site must be listed and i Walls L. x-11 Gael Fascia Drip Cap/Drip Edge A'v \ Soffit Roof Flower Bins - \- Shutters \` Awnings I v Chimney Doors and door jams Garage Doors W■ Railings Fences Decorative Metal APPROVED: Building Official All brick (simulated or regular) Stucco Banding Any other stucco features Accessory'Buildings Other avgw- Olo3 Date o1or to be painted. s ' � op 0 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 th - wo 4 ., x tat - • rt ermore , the paint colors will • as per : e attached X sa pl = � / Sig l � . :r = ner Date Signature a Contractor Date * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 Date Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin_ nspection Request ce Address < sCA / Company Phone # Inspection Date Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request Date I C Type Insp'n PO 1n1— Permit No. PoS Name GJ (O Address I P-3S OE q? 54-- Compan 0 UL ( O T Phone # Inspection Date Correction 35 � Re- Insp'n Fee ❑ BUILD -- L 4 0. FBC 2001 Tenant/Lessee Name City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contractor's Address City Qualifier Architect/Engineer's Name (if applicable) $ Value of Work For this Perm 0 0 , ' Type of Work: Describe Work: ['Addition ['Alteration Submittal Fee $ Permit Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) 0 t Miami Shores Village '�� • �' a ')epartment �ra J Ziami Shores, Florida 33138 Fax: (305) 756.8972 Permit Type (circle : Building / Electrical Plumbing Owner's Name (Fee Simple Tit eholder) � c��4t"� 0 Owner's Address r4 E { 3 J/ C ity`(Y)1 c.t m i S NZ -5 State Ft...1 Job Address (where the work is being done) ) 3 S 1 c 3 S County Miami -Dade NO )C Master Permit No. Zip "V.3 Phone # Phone # State Zip State Certificate or Registration No. Certificate of Competency No. ❑New Phone # * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fro - Notary $ • ()c) Training/Education Fee $ Structural Plan Review. $ -31?. 30 13ILI -U Zoning Bond $ A 1 zip 33)39 Square Footage Of Work: Mechanical Roofing cL.9.JZ Phone# 3u5 ?S 'O' 9S (.0 i r7'? Permit No. .6?OD 55.0 Repair /Replace Cl Demolition Gt rJ ,7 - ` t \S 0 r1 CCF $ t CO /CC Technology Fee $ S U Bonding Company's Name (if applicable) Bonding Company's Address City 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. The foreg // instrument was a day of )ct 1�C1 ,I20 by� NOTARY Sign: Print: My Commission Expi * * * * * * * * * * * * * * * * * * * * APPLICATION APPROVED BY: chc 05/13/03 Owner or Agent State owledged b ore me this rn Zip I`J who is personally known to me or who has produced As identification and who did take an oath. Signature Contractor The foregoing instrument was acknowledged before me this , day of ,20,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Mabel Vanes Sign: 11 Print: My Commission Expires: 31984 007 �oP ` Bonded Thru Atlantic Bonding Co , Inc ************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** af�� y,( / Plans Examiner Engineer Zoning V' Miami Shores Village Paint Color Approval and Agreement Date l Owner's Name Owner's Ado ess City /ii/ .%r /I1 X 3 it • State Job Addres where the work is being done) City Signature Miami Shores Village Is Building Historically Designated YES applicable laws regulating construction and zoning. APPLICATION APPROVED BY: County Miami -Dade NO Walls Fascia Drip Cap /drip Edge Soffit Roof Flower bins Shutters P& Z6fficial Phone # Zip 6c•V--‘0)77 Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Awnings Chimney Doors and door jams Garage doors 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 nn Date Date chc 6/1$/03 Date 1 0LS' Owner's Name i �-��" `- Phone III OS r ?S t g o Owner's Address 1 £ ° ? �� 33 Zip 1 3 City $0) rtarY1 a4 State Job Address (where the work is being done) ) J - rv€ `13 City Miami Shores Village Is Building Historically Designated YES ♦, ;` NO__ Contractor's Company Name (if applicabl ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site - TO Walls Fascia u )1 1 I a)n I I"C Drip Cap /drip Edgc Soffit w oo Roof 14 A. Flower bins Kf 1 P- Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regula Stucco banding Any other stucco features Accessory Buildings Other Miami Shores Village Paint Color Approval and Agreement ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** - - / OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that work will be done in compliance with all applicable laws regulating construction and zoning. Signature' APPLICATION APPROVED BY: County Miami -Dade Owner or Agent P& Z Official Phone # ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** d indicate the color to be painted Date 3004 -7B Lariat Tan Date 3) is�l�. 5 chc 6/18/03 Date Owner's Name Owner's Address City Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Fascia Drip Cap /drip Edge Soffit Roof Flower bins Shutters Awnings Doors and door 1 j Garage doors Chimney Railings * * * * * * * * * * * * * * * * * * * * * ** * ttSt OWNER'S AFFIDAVIT: applicable laws regulating o Signature APPLICATION APPROVED BY: State Miami Shores Village , ;o dal and Agreement Owner or Agent Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls LC Fences I, Decorative metal All brick (simula Stucco banding!. CS Any other stucco � fea res C Accessory Buildings Other P&. Z Official Phone # Zip Zip ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *** all oregoing information is accurate and tha all work� 11 be d ne in compli ce with I) lil /11 ( qly -o Date Date3/'2 jC chc 6/18/03 Miami Shores Paint Color Approval Date Owner's Name \`1Gi) 'k Cr Owner's Address 1 a S t v E- City 'f'f11Qm•\ SH- tale- Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name (if applicable) ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be li o r 3 ©( a Fascia Drip Cap /drip Edge f) H' Walls Soffit Lt In \ FCC Roof County Miami -Dade Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regular) Stucco banding_ Any other stucco features Accessory Buildings Other ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Owner or Agent P& Z Official Village 60Ss5 G and Agreement Zip Phone # 9S S'S I ^ 1,1'77 33):g Zip 9u &, I 11 S1 r.:; P r r 1F31 n N nal% ti Phone # ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** he color to be painted 3B camel back Date 2B deer path 1103 A * ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** * ** ** ** OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done ecol applicable ws-regulating construction and zoning. Dat$ 1 1047 chc 6/18/03 ce with all Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -356 Printed: 4/13/2005 Applicant: RICHARD Owner: SUERO JOB ADDRESS: 1235 NE 93 Contractor Local Phone: Parcel # 1132050270040 Signed: (INSPECTOR) Building Permit SUERO RICHARD ST Contractor's Address: Legal Description: BAY LURE Permit Status: APPROVED Permit Expiration: 9/11/2005 Construction Value: $200.00 Work: PAINT HOUSE EXTERIOR Page 1 of 1 PB 44 -63 LOT 4 LESS W25FT & W25FT LOT 5 BLK 1 Fees: Description Amount FEE2005 -4787 Building Painting Fee $60.00 FEE2005 -4788 CCF $0.60 FEE2005 -4789 Notary Fee $5.00 FEE2005 -4790 Training and Education Fee $0.20 FEE2005 -4791 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $67.30 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: MIAMI SHORES VILLAGE BUILDING DEPARTM � 305- 795 -2204 Building Inspection Request Date ime —+- Type Insp'n ■ NEI Permit No. III r) ■ Name Address q Company / n Phone # 30S' / Y l '& l For Inspector: 0 0 3Name 8z Date I Approved % Correction ❑ Re- Insp'n Fee CONTRACTOR Name QS • I1! . sa.v - boN S , i ( 11 ( Cfo IAS N 1'N ‘ C Name i. ,1 J . tb ► , ‘ Cavy, - G..9.9 ?„ License No. t= ( c 0 S 9, 10 1 cl 05 v 2 , b - 2 ) 1 Address 0 v Telephone 3 , q , 6 i ., 100 Fax Ot7 J Alteration Interior Qualifier Name -1..\) P O C 91 , 4„ 1 V is Demolish PROPERTY OWNER Name QS • I1! . sa.v - boN S , i ( 11 ( Cfo IAS N 1'N ‘ Address tZ •Dix ► i.kt&)' \Aca c,5.kliz Home Telephone 05 v 2 , b - 2 ) 1 Business Telephone 0 v Fax 'OS — BV 3 — C°--24) 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 i INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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 P\Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other �Z3 S Address • • • • • ••• • • • • • • • • • ... . • • • •• • • • • • • ••• • • •• • ▪ • . . •••• • • • •.•.•. • • • • • • • • • • • • ▪ • • • • • • ••• ••• ••• • • ••• •• • • • •• ••• •• Complete the attached perMt apphcatiol;waiih Alt be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow/fo.a mode aR c 1rete p?ocessingbf your application. If roofing work will be done, a roofing application must be submit- ted along with this•permit application. • • • • • • 9S v> Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Master Permit No. r) M "1 City State PERMIT APPLICATION Subsidiary Permit No. FL `331 - -} Zip Folio Number i N " 3 2- us ° 019 - O& O ` scription of Work 0 ` I 1®�- f A I 1 Lot L i 1U 2S rt Block .5 Subdivision_ PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property lue of Work S ,O b o - 7 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 STAVE 0 ature of Name Swo o and subscribed before me Signature of Notary Public - S SEAL: Personally kn Type of Ident UNTY OF MIAMI -DADE Florida day of APX.I�rpd,}JNd Identifica My Comm Exp. 8/20/2003 uc / G / d: tvo. CL, 842854 .1 Personally Known 1 1 Other 1 0 ion Print Name L Sworn to and subscribe lUn . ••• • • • • • • o•m • Personally known Type of Identificatio • • • • ••• • m • • • • • m ` • ' • ° '• ° PERMIT APPLICATION • • • IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED•PER PERMIT 4vtIT AND PERM CARD: Applying 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, NEAT AI�f19 ,VAItIPI:IR tee tt�m construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRTI?ND DEpRtS. • • • • • • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR• Q H1 C�,ES,•AMD 4vtitY NOi' 1 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 11 on Construction Lien Law and Choosing a Contractor. STATE OF ^ i • • I! I OUN 1 Signature ctor / Qualifier .�u /� < Signature of No : State of Florida SEAL: this Y OF MIAMI -DADE D4,/ GA\ v Zo Lpl ,6 `day T A LIPSON Oc I e1t05 t on No, CC 842854 ELECTRICAL TYPE Minimum Fee Q - , V. • •• lv 1• 1 zyer• • • •. • • • QTY. TYPE Outlet, Appliance Q•1'Y TYPI: 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 AJC Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps AJC Window FPL - Load Central Posts Swim Pool, Commercial 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 Disposal Demolition Low -volt, Intercom/Teleph. Repair Circuits Domestic Well Dishwasher Low -volt, Television Service, Number of Amps Drainfield, 4" Tile/Res. 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 Cap - Water Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Cap - Sewer PLUMBING TYPE QTY. TYPE QTY. TYPE ()Ty. TYPE QTY. A/C Condensate Drains, Roof Miscellaneous Fixture Soakage Pit 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: PJosl indicate, the type df dbo I being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: OFFICE USE ONLY CHECKLIST ❑ 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.) $ 6 Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary ••• ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES v ISSUING OFFICIAL REVIEWED AND PREPARED BY: SECTION // 7/ d1 Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE 0 o 0 o 0 000 0 • • • • • 0 00 (Septic / Sewer) • • ••• • • ( sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.0I /sq.ft.) • •• • • •: • • PERMIT APPLICATION • o • • • • • • • • • ••• ••• ••• ❑ CONDO ASSOCIATION APPROVAL (Attach) o•• •• • • • •• • • • • • • • • 0 • • ;❑• S3)It AAF VttL (Restaurants) •90 • • 0 • 0 • • ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ Y V k v DATE: CONDITION OF APPROVA Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com 0 Miami Shores Village 10050 NE 2nd Avenue Phone: 305795 -2204 Permit Number: BP2003 -40 Printed: 1 /9/2003 Applicant: AB RO P Owner: t-D Cad JOB ADDRESS: 1 35 NE 93 Contractor Local Phone: Parcel # 1132050270040 Permit Status: APPROVED Permit Expiration: 7/8/2003 Work: EXTERIOR PAINTING AS PER AGREEMENT This Permit is granted to the contractor or builder named above to construct the bu ordinances pertaining thereto and with the understanding that the work will be perforrr and approved by the proper municipal authorities. This Permit may be revoked at an authorization. A further condition upon which this permit is granted is the understandi ordinances and regulations pertaining to the work covered hereby whether shown on 1 by his agents, servants or employees. Signed: In consideration of the issuance to me of this permit, I agree to perform the work co with the plans, drawings, statements or specifications submitted to the proper authorit myself, my agent, servants o - mployes. Sign (INSPECTOR) Building Permit - (Contractor or Bt - A8N-AMR9 - CRP ST Contractor's Address: Legal Description: BAY LURE Fees: Description Amount FEE2003 -185 Building Permit Application Fee $60.00 FEE2003 -186 CCF $0.60 Total Fees: $60.60 Total Fees! $60.60 Total Receipts: $0.00 Construction Value: $1,000.00 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. • PAY TO THE ORDER OF NEXT MORTGAGE CORP. 11111 BISCAYNE BLVD. 1 -900 MIAMI, FL 33181 PB 44-63 LOT 4 LESS W25FT & W25FT LOT 5 BLK 1 BANK dB EAST FLAGLER STREET MIAMI, FLORIDA 33131 0 MEMO 1 '26 N i` c S-r `x:06 70 1 18 2 - s': 20 56 38 Page 1 of 1 Gus 63- 1182/670 2056387606 DATE DOLLARS L' I 120 O) 1i ' C4 h c\nk• I $ _Co ,bo S r % ibc:ty 1 , 1 6 °(1`) NSATLANTIC Da.. Fans M!AMI SHORES VILLAGE i?aihtpoprApproval and Agreement • DATE: 12.. 20 5L OWNER'S :.0� „ s � • �:US S. PHONE: ass -z16- x'33) • • ADDRESS: :1Q-3 • • a- :. . 5t ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OI SI 1 : :•: ;')....V_•: • 9 3 Sfi _ CONTRACTOR & . xrpf (it applicable) I . 9s S9 . . COMPANY NAME: ■ol-.,V1;, 5 Gt).% b - z 6a - 2. ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 14 * * * * * * * * * * * * ** All Elements on the site must be listed and i Walls L. x-11 Gael Fascia Drip Cap/Drip Edge A'v \ Soffit Roof Flower Bins - \- Shutters \` Awnings I v Chimney Doors and door jams Garage Doors W■ Railings Fences Decorative Metal APPROVED: Building Official All brick (simulated or regular) Stucco Banding Any other stucco features Accessory'Buildings Other avgw- Olo3 Date o1or to be painted. s ' � op 0 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 th - wo 4 ., x tat - • rt ermore , the paint colors will • as per : e attached X sa pl = � / Sig l � . :r = ner Date Signature a Contractor Date * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 Date Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin_ nspection Request ce Address < sCA / Company Phone # Inspection Date Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request Date I C Type Insp'n PO 1n1— Permit No. PoS Name GJ (O Address I P-3S OE q? 54-- Compan 0 UL ( O T Phone # Inspection Date Correction 35 � Re- Insp'n Fee ❑ BUILD -- L 4 0. FBC 2001 Tenant/Lessee Name City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contractor's Address City Qualifier Architect/Engineer's Name (if applicable) $ Value of Work For this Perm 0 0 , ' Type of Work: Describe Work: ['Addition ['Alteration Submittal Fee $ Permit Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) 0 t Miami Shores Village '�� • �' a ')epartment �ra J Ziami Shores, Florida 33138 Fax: (305) 756.8972 Permit Type (circle : Building / Electrical Plumbing Owner's Name (Fee Simple Tit eholder) � c��4t"� 0 Owner's Address r4 E { 3 J/ C ity`(Y)1 c.t m i S NZ -5 State Ft...1 Job Address (where the work is being done) ) 3 S 1 c 3 S County Miami -Dade NO )C Master Permit No. Zip "V.3 Phone # Phone # State Zip State Certificate or Registration No. Certificate of Competency No. ❑New Phone # * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fro - Notary $ • ()c) Training/Education Fee $ Structural Plan Review. $ -31?. 30 13ILI -U Zoning Bond $ A 1 zip 33)39 Square Footage Of Work: Mechanical Roofing cL.9.JZ Phone# 3u5 ?S 'O' 9S (.0 i r7'? Permit No. .6?OD 55.0 Repair /Replace Cl Demolition Gt rJ ,7 - ` t \S 0 r1 CCF $ t CO /CC Technology Fee $ S U Bonding Company's Name (if applicable) Bonding Company's Address City 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. The foreg // instrument was a day of )ct 1�C1 ,I20 by� NOTARY Sign: Print: My Commission Expi * * * * * * * * * * * * * * * * * * * * APPLICATION APPROVED BY: chc 05/13/03 Owner or Agent State owledged b ore me this rn Zip I`J who is personally known to me or who has produced As identification and who did take an oath. Signature Contractor The foregoing instrument was acknowledged before me this , day of ,20,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Mabel Vanes Sign: 11 Print: My Commission Expires: 31984 007 �oP ` Bonded Thru Atlantic Bonding Co , Inc ************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** af�� y,( / Plans Examiner Engineer Zoning V' Miami Shores Village Paint Color Approval and Agreement Date l Owner's Name Owner's Ado ess City /ii/ .%r /I1 X 3 it • State Job Addres where the work is being done) City Signature Miami Shores Village Is Building Historically Designated YES applicable laws regulating construction and zoning. APPLICATION APPROVED BY: County Miami -Dade NO Walls Fascia Drip Cap /drip Edge Soffit Roof Flower bins Shutters P& Z6fficial Phone # Zip 6c•V--‘0)77 Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Awnings Chimney Doors and door jams Garage doors 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 nn Date Date chc 6/1$/03 Date 1 0LS' Owner's Name i �-��" `- Phone III OS r ?S t g o Owner's Address 1 £ ° ? �� 33 Zip 1 3 City $0) rtarY1 a4 State Job Address (where the work is being done) ) J - rv€ `13 City Miami Shores Village Is Building Historically Designated YES ♦, ;` NO__ Contractor's Company Name (if applicabl ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site - TO Walls Fascia u )1 1 I a)n I I"C Drip Cap /drip Edgc Soffit w oo Roof 14 A. Flower bins Kf 1 P- Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regula Stucco banding Any other stucco features Accessory Buildings Other Miami Shores Village Paint Color Approval and Agreement ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** - - / OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that work will be done in compliance with all applicable laws regulating construction and zoning. Signature' APPLICATION APPROVED BY: County Miami -Dade Owner or Agent P& Z Official Phone # ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** d indicate the color to be painted Date 3004 -7B Lariat Tan Date 3) is�l�. 5 chc 6/18/03 Date Owner's Name Owner's Address City Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Fascia Drip Cap /drip Edge Soffit Roof Flower bins Shutters Awnings Doors and door 1 j Garage doors Chimney Railings * * * * * * * * * * * * * * * * * * * * * ** * ttSt OWNER'S AFFIDAVIT: applicable laws regulating o Signature APPLICATION APPROVED BY: State Miami Shores Village , ;o dal and Agreement Owner or Agent Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls LC Fences I, Decorative metal All brick (simula Stucco banding!. CS Any other stucco � fea res C Accessory Buildings Other P&. Z Official Phone # Zip Zip ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *** all oregoing information is accurate and tha all work� 11 be d ne in compli ce with I) lil /11 ( qly -o Date Date3/'2 jC chc 6/18/03 Miami Shores Paint Color Approval Date Owner's Name \`1Gi) 'k Cr Owner's Address 1 a S t v E- City 'f'f11Qm•\ SH- tale- Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name (if applicable) ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be li o r 3 ©( a Fascia Drip Cap /drip Edge f) H' Walls Soffit Lt In \ FCC Roof County Miami -Dade Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regular) Stucco banding_ Any other stucco features Accessory Buildings Other ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Owner or Agent P& Z Official Village 60Ss5 G and Agreement Zip Phone # 9S S'S I ^ 1,1'77 33):g Zip 9u &, I 11 S1 r.:; P r r 1F31 n N nal% ti Phone # ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** he color to be painted 3B camel back Date 2B deer path 1103 A * ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** * ** ** ** OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done ecol applicable ws-regulating construction and zoning. Dat$ 1 1047 chc 6/18/03 ce with all Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/13/2005 Applicant: RICHARD Owner: SUERO JOB ADDRESS: 1235 NE 93 Contractor Local Phone: Parcel # 1132050270040 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -356 SUERO RICHARD ST Contractor's Address: Legal Description: BAY LURE Permit Status: APPROVED Permit Expiration: 9/11/2005 Construction Value: $200.00 Work: PAINT HOUSE EXTERIOR PB 44 -63 LOT 4 LESS W25FT & W25FT LOT 5 BLK 1 Fees: Description Amount FEE2005 -4787 Building Painting Fee $60.00 FEE2005 -4788 CCF $0.60 FEE2005 -4789 Notary Fee . $5.00 FEE2005 -4790 Training and Education Fee $0.20 FEE2005 -4791 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $67.30 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: