PaintBUILDING
PERMIT APPLICATION
FBC 2001
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permi
Type of Work: ['Addition
Describe Wor.:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Tenant/Lessee Name Phone #
Job Address (where the work is being done) \ 4 M ` \ ) 9 b
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
403:
['Alteration
❑New
Permit No.
Master Permit No.
Permit Type (circle): t uildin Electrical Plumbing Mechanical Roofing
O wner's Name (Fee Simple Titleholder) " K IS•T L L 'r C+ Phone # 7 S 7 - 2346
wner's Address \y 6 9 1 W "5=1. D l
City Ki,N.Mi }kic)." tate LtEag I. N Zip , S O
Contractor's Company Name/\ a W N � Phone #
Contractor's Address /
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Phone #
Square Footage Of Work:
Zip �� S
❑ Repair/Replace
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal F e $ Permit Fee $ CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Revi $
Total Fee Now Due $ C
(Continued on opposite side)
❑ Demolition
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 ee will be charged.
Owner or Agent
instrument was ac . ' , wl
,2
1 =L•
d
ed b
re me is
Signatu
The foregoin
day
who
NOTARY
Sign:
Print:
My Commission Expires:
Chc 05/13/03
,1 Y
rsona known tome or who has produc d L 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.
cry NOTARY PUBLIC:
- - „ `�� Sign:
' Jd� 13 1 p� Print:
tllty F€O�in co the My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * ** *************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** ;****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
mht, ) /346
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 , by
'JAN 25210
Plans Examiner
Engineer
Zoning
Miami Shores Village
Paint Color Approval and Agreement
Date , B p J74
�1�1 1 ∎ r� P hone # 3' 4 Q - � L
Owner's Name
Owner's Address 14 � l � - VC � 1
City VA l l �� CI � V State Zip 5
Job Address (where the work is being done) 14 4G 1 NI \NJ
City Miami Shores Village County Miami -Dade Zip \ S G
Is Building Historically Designated YES NO
applicable) Phone #
Contractor's Company Name (if a p � )
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls C' . t L. M 1 NCI L ®
Fascia NIO t 1 E.
Drip Cap /drip Edge W
Soffit
Roof /
-
Flower bins (
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or rerlar)
Stucco bannhig BT OAS
Any other stucco features
Accessory Buildings
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
OWNER'S All H)A
applicable laws r
Signature
APPLICATION APPROVED BY:
: I certify tbat all the foregoing information is accurate and that all work will be done in compliance with all
constructio and zoning.
Owner or Agent
Date
Date / /90-0---
chc 6/1$/03
71oam CFF , res ViIOa !e
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 2/3 /2005
Applicant: HEIKE
Owner: WIESE
JOB ADDRESS: 149
Contractor
Local Phone:
Parcel # 1131010330850
NW 93
Signed: (INSPECTOR)
� Perrnt
Permit Number: BP2002 -1870
WIESE
HEISE
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 6 PB 10 - 39 E1/2 LOT 17 & LOT 18 BLK 133 LOT SIZE
Fees: Description Amount
FEE2002 -6191 Building Permit Application Fee $60.00
FEE2002 -6193 CCF $0.60
FEE2005 -1466 Renewal /Extension Fee $60.00
Total Fees: $120.60
Total Fees: $120.60
Total Receipts: $6
Permit Status: APPROVED Permit Expiration: 7/25/2005 Construction Value: $350.00
Work: EXTERIOR PAINTING AS PER AGREEMENT - RENEWAL AS OF 1/25/2005
Page 1 of 1
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 (1L i /993 b Address /y9 Ave /� c7/ Tax Folio i/ i ��. /1 L9 /
Legal Description /%44 gZ 0 2 *
/ / J4V/a 4e lJ�o a- 7 - 4 / 2/27
, !/ / Owner Lessee Tenant
z /J,���1,�,, �/ �'2, Master Permit ���J����
1/Owner's Address / %/ i(E 9✓ �� /'/!�!'�' /���� tZ 333 'Phone C ) 75 53
Contracting Co. Cfli!/,,,,,,. Address
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer
Bonding Company
Mortgagor
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
(/WORK DESCRIPTION 4/1177N6 d0J�"/ OF %2//2i
Square Ft. Estimated Cost(value) g6
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. F rthermore, I
authorize the above -named contractor to do the work stated
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
APPROVED: Fire
Zoning Building
Sig re of_GonGt • -> Owner- Builder
Da / �/9,�
I•' ary s to
My Commission
FEES: PERMIT1l' RADON C.C.F. .4V NOTARY 5
) EPHINE CHURCH
t =ry P i 'i StAtn of Florida
3 • u � O NO Y. dQAi
Ek' No. CC197545
** * * * * * * * * * * * * * * * **
TOTAL DUE f129
f ®0
Other
Electrical
Mechanical Plumbing Engineering
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Contractor
or Builder
Legal Lot Bl.
Description
MIAMI SHORES VILLAGE, FLORIDA
DATE 194_4
PERMIT N° 4673
Work to be performed under this Permit
Architect
Signed•
Subdi-
vision
7-�-
Contractor's
License No
Address of ✓` C.,:' t Value of Amt. of `�
Building ,, .� • r � l / '�' '�' • Project Permit /
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w'th the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at an/ time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
LO s /j . �. .
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all'lSCdinances 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 it I ssume responsibility for all work done by either myself, my agent, servant or employee.
OR OR BUILL3 BY AUTHORITY
By
BUILDING
ELECTRICAL
PLUMBING
Ownercof ,
Building "
Architect
Contractor
or Builder.
Legal
Description ,r•
Address of Value of
$wilding Project
This peen t is granted to t e contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all dZnances and {egprla apns
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritie§ off Miami Sholt ss''VViRRaage.
In accepting th) pe it I assume responsibility for all work done by either myself, my agent, servant 9remployee.
Work to be performed under this Permit
PERMIT N° 4673
MIAMI SHORES VILLAGE, FLORIDA
DATE' *� 1944
Contracto
License No. J d
Subdi-
vision
Signed. , 1 .0
I S CTOR
BY
By
AUTHORITY