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BP05-21929 89 , t MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B lding Inspection Request Date Type Insp'n M Permit No. -- — q Name Address t C) k.I 0 1 6 Company Ae.tarcke . Phone # Inspection Date Approved Correction Re- Insp'n Fee BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition Describe Work: Code Enforcement $ --- Total Fee Now Due $ Gf 3, (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 TeI: 795-2 _ 305) 756.8972 ❑ Alteration Electrical City /l1 /Q /1f. SNORES State Tenant/Lessee Name 1 •1/0 Job Address (where the work is being done) 9 0 N6 9 l sT Structural Plan Review. $ Plumbing Permit No. 5 a.-- Master Permit No. II '' Mechanical Roofing Owner's Name (Fee Simple Titleholder) 1) 11C.E k S MUG). F Phone # ( 305 7 S 9 , a. S- Off' Owner's Address 90 N E cf Si Zip Phone # 13/03 Zip 33/3P City Miami Shores Village County Miami -Dade is Building Historically Designated YES NO X Contractor's Company Name IQST'Y1 a C "bE'I 4 WT)Si. Phone # ©S / 3??.. �9�� Contractor's Address / OD 14 e R f S'`� /// Cit f l/ iQ /`I1 State FA- L Zip "3 j 3 ?- Qualifier `h A'.1I D !1'AR7� CR I2reS/ ol t?77T State Certificate or Registration No. c&C /50 p 9 a Certificate of Competency No. Phone # Square Footage Of Work: / � %0e .. 5C, ❑New Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * * *w * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ � Permit Fee $ � (J CCF $ It 0 CO /CC �--y Notary $ Training/Education Fee $ o 11 Technology Fee $ I 0 Scanning $ ---- Radon $ Zoning Bond$ 4p0 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 e.approved aka reinspection fee will be charged. \ / 1 Signature C J Owner or Agent The foregoing instrument was acknowledged before me this w5 day ofC20 /, 20 170 by 9 4' ;4 <Oithe who is personally known to me or who has produced M/4 As identification and who did take an oath. NOTARY PUBLIC: Print: � e My Commission Expires: iC` Llr.tae7. tXXVIHHEz:SE, .n Et23,2 :.' ' e(AllyAllit Notary Discount Assoc. Co. s APPLICATION APPROVED BY: Chc 05/13/03 c /4. Signature Contractor The foregoing instrument was acknowledged before me this day o'er "AL, , 204 by f ✓ <® 0.6 who is personally known to me or who has produced 0 4 as identification and who did take an oath. NOTARY PUBLI ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** it 2 Plans Examiner Engineer Zoning Date Owner's Name Owner's Address City Job Address (where the work is being done) City Miami Shores Village County Miami-Dade 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 `' r e s l'\ C C r a VI Fascia \ Drip Cap /drip Edge Soffit \ Roof 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 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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. Signature APPLICATION APPROVED BY: Miami Shores Village Paint Color Approval and Agreement State Owner or Agent �' -- PR Z Officiai�� Phone # Zip Zip 4 , Attach Color Samples ' With Numbers Date Date //Y (?)2_7' chc 6/18/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/24/2005 Applicant: BRYCE Owner: QUICK JOB ADDRESS: 90 Contractor Local Phone: Parcel # 1131010200010 NE 91 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -219 QUICK BRYCE ST ADANAC DEVELOPMENT AND CONSTRUCT SEMEU ess: 100 N. E. 84 ST. Permit Status: APPROVED Permit Expiration: 8/14/2005 Construction Value: $2,200.00 Work: PAINT AND REPAIR SOFFITS Page 1 of 1 Legal Description: 1 53 41 EL PORTAL SEC 3 PB 9 -148 LOT 1 & E1/2 OF LOT 2 BLK 9 LOT SIZE Fees: Description Amount FEE2005 -2056 Building Painting Fee $60.00 FEE2005 -2057 CCF $1.80 FEE2005 -2058 Training and Education Fee $0.60 FEE2005 -2059 Technology Fee $1.50 Total Fees: $63.90 Total Fees: $63.90 Total Receipts: $63.90 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: